Hormones · Body Composition · Peptide Therapy

This is not a diet program. It is not a calorie-restriction plan. It is a clinically supervised 12-week protocol that identifies and corrects the metabolic and hormonal imbalances that have been preventing your body from responding the way it should.

Most patients who come to Liviō for metabolic care have already done the work — the training, the clean eating, the discipline. The problem is not their effort. It is that their biology has been working against them.

We find out exactly why. Then we address it with precision.

You may be the right patient if you are experiencing:

• Weight that will not respond despite consistent effort

• Metabolic slowdown — feeling like your body has stopped responding

• Hormonal imbalance driving fat retention, particularly around the abdomen

• Low energy that makes consistent training difficult to sustain

• Inflammation quietly working against your progress

What is included:

• Comprehensive baseline labs — CBC, CMP, full hormone panel, thyroid, lipids, and metabolic markers

• Personalized hormone optimization where indicated, tailored entirely to your lab results

• Targeted peptide therapy for metabolic optimization. Protocol determined by your biology, not a fixed menu

• Two clinical review visits at Week 4 and Week 10

• Direct access to Janine throughout the 12 weeks

• Prescription management and compounding pharmacy coordination

• Nutritionist referral included

Every peptide and hormone in this protocol is prescribed after reviewing your labs — not before. What works for one patient may be entirely wrong for another. This is not a program you follow. It is a protocol built specifically for you.

Testosterone · Estrogen · Progesterone · DHEA · Thyroid

Hormones govern nearly every function in the human body — energy, mood, cognition, body composition, sleep quality, libido, and recovery. When they are out of balance, everything feels harder than it should.

The challenge is that standard lab panels rarely look closely enough. A result that falls within the normal reference range may still be far from optimal for you specifically. At Liviō, we are not interested in normal. We are interested in optimal — and the difference is significant.

This program is available to both men and women and is built entirely around your lab results, your symptoms, and your goals.

You may be the right patient if you are experiencing:

• Persistent fatigue that is not explained by sleep alone

• Changes in mood, motivation, or emotional resilience

• Decline in libido or sexual function

• Difficulty maintaining or building muscle despite training

• Symptoms of perimenopause, menopause, or andropause

• A general sense that something has shifted — and you want to understand why

What is included:

• Full hormonal baseline — testosterone, estrogen, progesterone, DHEA, thyroid, and additional markers as indicated

• Personalized hormone protocol — bioidentical options available — built entirely from your lab results

• Ongoing lab monitoring with protocol adjustments as your levels and response evolve

• Full prescription management — whatever your biology requires

• Direct access to Janine between visits

• Fertility preservation considerations addressed where relevant

Hormone protocols at Liviō are never based on symptoms alone. We prescribe based on your biology — and we adjust as your body responds.

Hormones · Lean Muscle · Inflammation · Sleep & Recovery · Sexual Performance

This protocol is built for the man who refuses to accept that slowing down is inevitable. Who is still in the gym, still performing at the highest level professionally, and who knows that something in his biology is not keeping pace with his standards.

The Men's Performance Protocol goes beyond testosterone. It addresses the full hormonal environment5 then layers targeted peptide therapy to optimize lean muscle retention, reduce systemic inflammation, sharpen recovery, and restore the sexual performance and drive that define how a man moves through his life.

This is not a generic TRT program. Every element is selected based on your labs, your body composition goals, and what you are actually trying to achieve.

You may be the right patient if you are experiencing:
Loss of lean muscle despite consistent training
Slower recovery — soreness that lingers longer than it used to
Decline in sexual performance, libido, or drive
Chronic inflammation affecting performance and comfort
Sleep that does not restore — waking unrefreshed regardless of hours
A competitive edge that has quietly dulled

What is included:
Comprehensive male hormonal panel and full assessment
Personalized hormonal optimization — fertility considerations addressed where relevant
Targeted peptide therapy for lean muscle retention and body composition
Anti-inflammatory peptide protocol — systemic inflammation addressed at the cellular level
Sleep and recovery optimization — GH secretagogues and recovery peptides as indicated
Sexual performance protocol — addressed clinically and without judgment
Ongoing lab monitoring, prescription management, and direct provider access

Most men's health clinics offer the same protocol with minimal personalization. At Liviō, the hormonal foundation is built from your labs and layered with advanced peptide stacking that most providers are not trained to prescribe.

Mitochondrial Health · Cellular Repair · Cognitive Resilience · Anti-Aging

Most longevity clinics offer NAD+ infusions and glutathione injections. These have their place. But they represent the entry level of what is now possible in precision longevity medicine and they are far from sufficient for the patient who is serious about slowing biological aging.

The Liviō Longevity & Vitality Protocol is built around the science of mitochondrial optimization, cellular repair, and cognitive resilience. It uses a sophisticated stack of peptides and compounds that most clinics are not equipped to prescribe targeting the root mechanisms of aging rather than its surface symptoms.

This protocol is available to both men and women and is entirely personalized. What your biology needs and what your goals require will determine how we build it.

You may be the right patient if you are focused on:

• Slowing biological aging at the cellular level

• Mitochondrial health and sustained energy production

• Cognitive resilience and long-term neuroprotection

• Systemic inflammation as a driver of accelerated aging

• A proactive approach to health span, not just life span

• Moving beyond the standard longevity offerings toward something more precise

What is included:

• Comprehensive baseline labs to establish your biological starting point

• Mitochondrial optimization — advanced peptide protocols targeting cellular energy production at a level most clinics do not offer

• NAD+ support — integrated as part of a broader protocol, not as a standalone offering

• Neuroregeneration support — peptides targeting cognitive resilience and stress adaptation

• Potent anti-inflammatory protocol — systemic inflammation addressed at the biological root

• Foundational nutritional and micronutrient support

• Ongoing monitoring and protocol refinement as your biology responds

If you are looking for a standard NAD+ drip, this is not that. This protocol represents the current frontier of precision longevity medicine — stacked and sequenced based on your specific biology.

Cognitive Restoration · Neuroregeneration · Stress Resilience · Brain Performance

There are two patients who come to Liviō for the Neuro Wellness Protocol.

The first has lost something — the sharpness, the speed, the clarity that used to be effortless. They are functional, but they know they are operating below their own standard. The fog is real. The flatness is real. The edge they once had has quietly disappeared.

The second patient has not lost anything yet. They are already performing at a high level — and they intend to stay there. They want their brain protected, optimized, and running at its ceiling. Not just today. For decades.

Both patients belong here. The protocol differs by presentation — but the clinical standard is the same.

You may be the right patient if you are experiencing:

• Brain fog — difficulty finding words, slower processing, reduced mental stamina

• Emotional flatness or loss of drive that feels neurological rather than situational

• Burnout that has not resolved with rest alone

• Desire for measurably sharper cognition, memory, and focus

• Interest in long-term neuroprotection and cognitive resilience

• A sense that your mind is not keeping pace with your ambition

What is included:

• Comprehensive baseline labs including markers relevant to neurological and hormonal health

• Neuroregeneration peptide protocol — targeting nerve growth, cognitive repair, and BDNF production

• Stress resilience and anxiety modulation — peptide-based, non-sedating, clinically supervised

• Cognitive optimization stack — selected based on your labs, presentation, and goals

• Hormonal assessment — hormonal imbalance is frequently an unaddressed driver of cognitive symptoms

• Ongoing clinical management with direct provider access throughout

Cognitive symptoms are almost never purely neurological. They are driven by hormonal imbalance, inflammation, and mitochondrial dysfunction working together. We address all of them — not the symptom alone. This is what separates clinical neuro wellness from a nootropic stack you can order online.