Questions, answered honestly.

MyPromise is a U.S. telehealth platform offering personalized, clinician-guided protocols for weight management, hormone optimization, and longevity. Treatments are dispensed by accredited 503A and 503B compounding pharmacies under a licensed clinician's order — never sold direct to consumer, and never without a medical review.

U.S. residents aged eighteen or older who pass a clinician-reviewed eligibility screen for the protocol they're considering. Eligibility depends on factors like medical history, current medications, recent labs, and your stated goals — your clinician decides whether MyPromise is appropriate for you, and they're allowed (and encouraged) to say no when it isn't.

No. MyPromise is a cash-pay membership designed to be radically transparent. You'll see your monthly cost before you start, and HSA / FSA cards are accepted at checkout. We don't bill insurance — that means no prior-auth phone calls and no surprise denials, but it also means we don't try to be your only relationship with the medical system.

No. MyPromise is for adults aged eighteen or older. Our platform, protocols, and clinician network are designed for adult care, and we don't accept members under eighteen — even with parental consent. If you're looking for adolescent care, a primary-care clinician or specialist is the right starting point.

All fifty U.S. states. Some treatments have state-specific availability based on local pharmacy regulations, controlled-substance scheduling, or telehealth licensure rules; your clinician will confirm what's available in your state during your review. We do not currently serve U.S. territories or members located outside the United States.

Three program areas: Metabolic Health (semaglutide, tirzepatide, metformin, glutathione), Hormone Health (sermorelin, sermorelin ODT, BPC-157), and Energy & Recovery (NAD+, MIC + B12). You can browse every protocol on the treatments index. Eligibility for any specific protocol is determined by your clinician.

Compounded. MyPromise dispenses through accredited 503A and 503B U.S. compounding pharmacies under your clinician's prescription. Compounded preparations are not FDA-approved as finished drug products, but the pharmacies that make them are licensed and inspected, and every batch we ship is tested for potency, sterility, pH, and endotoxins. There's a deeper explanation on our science page.

Membership is a flat monthly fee that varies by protocol — protocols start at $39/month and run higher for more complex preparations like tirzepatide. The price you see at checkout is the price you pay, and the eligibility review itself is free; you're not charged unless and until your clinician prescribes and you accept. HSA and FSA cards are accepted, and there are no annual contracts.

Your clinician will tell you so, in writing, with a clear explanation. They may suggest a different protocol that does fit, recommend additional labs, or refer you to another type of care entirely if MyPromise isn't the right tool. You will not be charged for an eligibility review that doesn't lead to a prescription. We'd rather you get the right care than become a member at any cost.

Your monthly cost includes the medication itself, the clinician relationship (initial review plus ongoing async messaging and titration), the lab certificate of analysis tied to your batch, and free temperature-controlled shipping. Bloodwork and outside imaging, if your clinician orders them, are billed separately by the lab — we'll tell you the cost in advance. There are no enrollment fees, refill fees, or "convenience" charges.

A U.S. licensed clinician — a physician, nurse practitioner, or physician assistant credentialed in the state where you reside. They review your full intake, your goals, and any uploaded labs, and either recommend a protocol with reasoning, ask for clarification, or decline (with an explanation). You'll see their name and credentials in your dashboard before they prescribe.

Yes. That's the whole point. The clinician who reviews your intake is the clinician who titrates your dose six months later. We staff for continuity rather than ticket throughput — if your assigned clinician is on vacation and a message can't wait, a credentialed colleague will cover and document the conversation in your chart so nothing falls through the cracks.

Usually not. The intake, your clinician's review, and most adjustments happen asynchronously — in writing, on the record. If your protocol benefits from a synchronous video visit (it sometimes does, especially for hormone work), we'll offer times your clinician has actually held open. We won't make you sit through a video appointment that adds nothing to your care.

Yes. If for any reason the relationship isn't working, message member care and we'll reassign you to another credentialed clinician licensed in your state. We'll transfer your chart and notes so you don't have to repeat your history. We'd rather quietly reassign than pretend a mismatch is working.

For most U.S. addresses, two to five business days after your clinician approves the prescription. Compounded medications need a window for the pharmacy to actually compound, label, and pack the order — we don't pre-stock your specific preparation. Your dashboard shows the shipment status in real time, and you'll get an email and tracking number the moment it leaves the pharmacy.

Yes. Cold-chain protocols ship in insulated packaging with a phase-change cooling pack designed to maintain the right temperature window for the duration of transit. If a shipment arrives warm, damaged, or delayed past the cold-chain window, write member care immediately — we'll replace it at no charge and document the carrier issue with the pharmacy.

Yes. Pausing and cancellation are both one tap from your dashboard — no calls, no win-back interrogations, no "are you sure" loop. A pause holds your account at no charge until you resume; a cancel ends the relationship cleanly. Either way, your medical records are retained as required by law and your data handling is described in our privacy policy.

Yes. MyPromise operates as a HIPAA-aligned platform. Protected health information is stored in HIPAA-compliant systems, transmitted over encrypted channels, and accessible only to your assigned clinician, the pharmacist filling your prescription, and the small operational team that needs it to do its job. Our notice of privacy practices spells out the specifics.

No. We do not sell your protected health information, your behavioral data, or your identifiable use of the platform — to advertisers, brokers, or anyone else. Full stop. Anonymized, aggregated metrics may be used internally to improve clinical outcomes and operations; nothing identifying you leaves our environment without your explicit consent.

If you are experiencing a medical emergency, call 911 or go to your nearest emergency department immediately. For non-emergency adverse events or unexpected reactions, message your clinician through the dashboard and flag the message as urgent — we route those for same-day clinician review during member-care hours. You can also report adverse events directly to the FDA's MedWatch program; your clinician will help you do so if appropriate.