Common questions.

You complete an online intake, a licensed provider reviews your goals, history, and labs, and, if you’re a fit, designs a protocol that ships to your door. We then monitor your response and refine it over time.

For each marker we measure, there is a band where that marker tends to sit in people running at their best. That band is your Prime range, and it is deliberately tighter than the range a lab calls normal, so a result outside it is not the same thing as an abnormal lab result. Being in your Prime simply means your markers sit inside those bands. Your first panel shows how close you already are, and your protocol is built to close the gap.

Every state. Our clinicians are licensed across the United States, and you are matched with one licensed where you live. What can be prescribed differs from state to state, because each state sets its own rules, so a therapy available in one state may not be available in another. Your protocol reflects what your state allows.

Adults focused on healthspan: losing weight, restoring hormones, recovering better, or aging well. Your intake and a provider’s review determine which therapies, if any, are right for you.

No referral needed. You can upload recent labs if you have them, or order a new panel through us. Your provider uses them to personalize your protocol.

No, and we will say so in writing. We treat what we are licensed to treat and we send you to your physician for everything else. Bring your Prime Score to them; most are glad of the data.

From a clinician licensed in your state reading your labs, your wearable and what you have told us. Marcus reads the whole record and explains it, but it does not prescribe: you can see who signed off on every protocol change.

Care is organized around four goals: Weight & Metabolic, Hormones (HRT/TRT), Recovery & Performance, and Longevity & Healthspan. Browse the full catalog on the Treatments page.

No. Botox is a localized cosmetic injection. Our therapies, such as GLP-1s, hormones, and peptides, work systemically to influence metabolism, recovery, and healthy aging, guided by your labs and a provider.

It varies by therapy, and we tell you which is which before you start. Some of what we prescribe are FDA-approved medications, used either for their approved purpose or off-label. Off-label prescribing is a normal and legal part of medical practice, and your clinician will say when that is what they are doing. Others are compounded, which means a licensed pharmacy prepares them to your clinician's order. Compounded medications are not FDA-approved, and the FDA does not review them for safety or effectiveness. They are permitted under specific rules, and your clinician explains why one has been chosen for you. We do not claim FDA approval for anything that does not have it. Your protocol names the status of every item in it.

It depends on your protocol, your starting point and your goals, and it varies from person to person. We are not going to tell you how it will feel, because we do not know yet. Prime Years is pre-launch and we have no member outcomes to report. What we will do is measure it: your biomarkers before you start and again at every follow-up, so progress is something you can see rather than something we claim.

Real prescriptions, written by US-licensed clinicians and filled by US-licensed pharmacies. Nothing ships without a clinician review. Supplements exist alongside that, chosen by certified dietitians from your labs, and clearly separated from anything prescribed.

Prime Years is cash-pay by design. That means no claims, no prior authorizations, and no denials. You get transparent pricing and faster access, without surprise bills.

Membership is $38.50 a month, or $360 for the year, which is $30 a month and includes your annual 160+ biomarker panel. That covers your clinician, your record, unlimited messages, quarterly reviews, and every protocol change for as long as you stay. Medication is billed separately and priced as close to what the pharmacy charges us as we can run it. Supplements are 25% under retail every day, with a further 5% on subscription orders and 5% on a first order. Individual panel prices are confirmed at launch. Every price is shown in full before you confirm anything, and there is no insurance, no claim, and no bill arriving weeks later.

Every protocol is designed and supervised by a licensed provider and monitored with regular bloodwork, so therapies are dosed to your physiology and adjusted based on how you respond.

Yes, they can have side effects, and which ones depend on the therapy. Your clinician goes through the risks that apply to what they are prescribing, before you start, and you can ask about them at any point after. Monitoring is the part that matters here. Your bloodwork and the symptoms you log are reviewed on a schedule, and a protocol gets changed when the numbers or how you feel say it should. If something feels wrong, message your care team. If it is an emergency, call 911.

Yes. Your data is encrypted and visible only to you and your care team, inside a secure member portal built for confidentiality.

The record is yours and you can take it with you. Email privacy@primeyearsmedical.com to ask for a copy, or to ask us to delete it. We confirm we got the request, check that it is you, and answer within the time the law allows, which is generally 45 days. What we delete, we delete permanently, including from backups, except where clinical record-retention law requires us to keep it. The privacy policy sets out exactly which is which. Your record is never used to train AI models.