PT-141 sublingual for desire, Avanafil ODT for blood flow. Two mechanisms, two delivery formats — fastest-acting performance protocol available.
Compounded Performance protocol with PT-141 injection. Strength personalized by your doctor.
Initial online visit, ongoing care, lab review, personalized titration.
Fast tracked delivery from a licensed US pharmacy. Discreet packaging.
Pause, adjust, or cancel from your account. No phone calls, no friction.
Performance Injection addresses what Viagra-class drugs can't. PT-141 (Bremelanotide) is a melanocortin receptor agonist that works on libido through the central nervous system — not blood flow.
Performance Injection covers both mechanisms ED can break on. PT-141 handles desire — it works on libido through the central nervous system, not blood flow. Avanafil handles speed — works in 15 minutes vs 30–60 for Sildenafil and Tadalafil, with a cleaner side-effect profile. Together: one protocol, both mechanisms.
On-demand subcutaneous injection 45–60 minutes before activity. Works in 1–2 hours, effect lasts 4–8 hours.
PT-141 (Bremelanotide) is a melanocortin receptor agonist. It works on libido through the brain's nervous system — not on blood vessels. For men whose desire has faded but blood flow works fine, this restores the spark that PDE5 inhibitors miss.
Avanafil is the newest PDE5 inhibitor — works in 15 minutes (vs 30-60 for Sildenafil and Tadalafil) with the cleanest side-effect profile.
These two are NOT taken together. PT-141 mildly raises blood pressure; Avanafil mildly lowers it. Your doctor decides which one fits each situation — PT-141 for spontaneous low-libido moments, Avanafil for planned activity when speed matters.
First dose: PT-141 takes 45–60 minutes to onset. Effect builds over 1–2 hours.
Week 1: Daily Tadalafil reaches steady state.
Ongoing: Reliable desire and performance on-demand. Most users find optimal dosing within 2–3 sessions.
PT-141 (Bremelanotide)
• Form: Sterile injectable solution
• Route: Subcutaneous (on-demand)
• Strength: personalized by your physician
• Storage: Refrigerate, 2–8°C
Tadalafil
• Form: Oral tablet, daily
• Strength: personalized
• Storage: Room temperature
Compounded at: 503A-licensed US pharmacy partner. Each batch USP <797> compliant.
PT-141: on-demand only, with physician-prescribed maximum frequency (typically not more than every 24 hours).
Tadalafil: continuous daily use.
PT-141: nausea (most common, especially first doses), flushing, headache, transient blood pressure rise, injection site reactions, darkening of skin or moles with frequent use.
Tadalafil: headache, flushing, nasal congestion, back pain.
Both forms use the same active molecules — just delivered differently.
Injections enter the bloodstream directly, so around 95% of the compound reaches your cells. Oral forms pass through the digestive system, with 30–40% reaching the bloodstream. To compensate, oral protocols use higher concentrations.
In practice: injections act faster (results in 2–3 weeks). Oral protocols act gentler and more gradually (results in 4–6 weeks). Neither is "better" — they're different paths to similar outcomes.
The price difference reflects what each form requires to produce. Sterile injectables need clinical-grade processes (sterility testing, cold-chain shipping). Oral forms can be produced more simply.
Do not use PT-141 if you have:
• Uncontrolled hypertension or cardiovascular disease
• History of melanoma
• Severe liver or kidney disease
Do not use Tadalafil if you take nitrates or have severe cardiovascular contraindications.
Your physician reviews your full history before clearing you.
Your protocol ships from a licensed US compounding pharmacy in discreet, unmarked packaging. Most orders arrive within 5–7 business days after your doctor approves your prescription.
Sterile injections ship refrigerated overnight when needed — at no extra cost. You'll get a tracking link by email the moment your box leaves the pharmacy.
Shipping is included in every monthly plan. We deliver to all 50 US states.
Stop and contact your physician immediately if you experience:
• Erection lasting over 4 hours
• Sudden vision or hearing changes
• Chest pain or cardiac symptoms
• Signs of severe allergic reaction
• Any unexpected symptoms
Inform other healthcare providers — especially before surgery. Never share medications. Never reuse syringes (injection protocols).
Take the 5-minute assessment. No commitment until your doctor approves your protocol.
Start Assessment →Free assessment. Pay only if your doctor prescribes.
Compounded medications are prepared based on specific patient needs and are not reviewed or approved by the FDA for safety or effectiveness. Prescription required. Results may vary. Final medication and dosing determined by your prescribing doctor based on your assessment. Testosterone is a DEA Schedule III controlled substance — prior bloodwork required by federal law. Available in most US states. Check eligibility during assessment.