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FAQ

Your medication questions,
answered in film.

30-second answers to the questions patients actually ask. Pick your medication.

Every treatment PinwellRx offers is explained here in 30-second films. All of our medications are compounded and prepared by licensed U.S. pharmacies against a prescription written for you. Compounded medications are not FDA-approved. Each answer cites its source, and a licensed clinician makes every prescribing decision. Watch, then start your visit when ready.

Sources: FDA prescribing information, peer-reviewed clinical trials and NIH literature · Updated August 2026
Licensed cliniciansRefund if not prescribedCancel anytime503A U.S. pharmacies
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Takes about 10 minutes · a clinician can decline · full refund if not prescribed
Goal
Route
Injectables A weekly shot you give yourself at home
Tirzepatide
20 films
A weight-loss medication. The compounded weekly injection works on two gut-hormone pathways - GIP and GLP-1 - slowing the stomach and quieting appetite, so fullness arrives sooner and you eat less. Prepared by a licensed US pharmacy against your prescription; compounded medications are not FDA-approved.
1Docks on two receptors, GIP and GLP-1
2The stomach slows, fullness arrives sooner
3Appetite quiets between meals
Semaglutide
20 films
A weight-loss medication. The best-known GLP-1 molecule, compounded as a weekly injection - it slows stomach emptying and signals fullness to the brain, so you feel satisfied sooner and eat less. B6 available in the blend to ease early nausea. Compounded medications are not FDA-approved.
1Slows how fast the stomach empties
2Docks on the GLP-1 fullness receptor
3The brain hears “enough” earlier
Oral tablets Taken with water, once a day - no needles
Microdosing Lower doses for steady, gentle progress
Longevity and energy Cellular energy, recovery and overnight support
NAD+
15 films
The coenzyme every cell spends on energy and repair, and which falls with age. Injectable NAD+ restores it directly, bypassing the gut entirely.
1Every cell spends NAD+ on energy
2Mitochondria burn it constantly
3Injection restores what age drains
Sermorelin
13 films
A nightly peptide that asks your own pituitary to release growth hormone in its natural pulse - studied for deeper sleep and recovery rather than replacing the hormone from outside.
1Speaks to the pituitary at its base
2Your gland releases GH in natural pulses
3Deep-sleep repair runs on schedule
NAD+ Nasal Spray
4 films
NAD+ as a measured nasal spray - the thin, richly vascular nasal lining carries it toward circulation with no needle, no cold chain, and nothing to schedule.
1A measured mist meets the nasal lining
2Thin, blood-rich tissue carries it in
3No needle, no cold chain
NAD+ Liposomal
Written explainer
NAD+ wrapped in a protective lipid layer so more of it survives digestion - a needle-free daily alternative to the injection. Compounded medications are not FDA-approved.
1A lipid layer wraps the molecule
2More survives the trip through digestion
3A daily option with no needle
Metabolism Boost Injection (B12 + MIC)
12 films
Methylcobalamin B12 with the three lipotropics your liver uses to process fat - methionine, inositol and choline - in one small weekly shot for energy and clarity.
1B12 builds blood cells and nerve sheaths
2MIC lipotropics help the liver process fat
3One weekly shot, steady energy
Sexual health Discreet, clinician-guided options shipped plainly
Tadalafil
12 Q&As
The long-window ED tablet - up to 36 hours as needed, or a low daily dose so timing stops being a variable at all. Tadalafil can remain effective for up to 36 hours. That is how long it works, not how long it interacts with nitrates. The labeling says at least 48 hours should pass after the last tadalafil dose before nitrate treatment is even considered. If you need emergency care, tell the team that you take tadalafil and exactly when your last dose was.
1Same PDE5 mechanism, slower clock
2A window up to thirty-six hours
3Or one low dose, daily
Sildenafil + Tadalafil Liposomal
Written explainer
Both PDE5 inhibitors in one liposomal dose - sildenafil for a faster onset, tadalafil for a longer window. Works only alongside arousal. Compounded medications are not FDA-approved.
1Sildenafil moves fast
2Tadalafil runs long
3Both in one liposomal dose
Sildenafil + Tadalafil
12 Q&As
A compounded tablet pairing sildenafil’s faster onset with tadalafil’s long window - prescribed only when a clinician judges the combination right for you. Compounded medications are not FDA-approved.
1Fast onset from sildenafil
2Long tail from tadalafil
3One compounded tablet
Tadalafil + Apomorphine
Written explainer
Tadalafil keeps blood vessels relaxed locally; apomorphine acts centrally on dopamine receptors involved in arousal - two different points in the same chain. Compounded medications are not FDA-approved. The apomorphine labeling contraindicates taking it with any drug of the 5HT3 antagonist class. That class is the anti-nausea medicines ondansetron, granisetron, dolasetron and palonosetron, plus alosetron, which is used for the bowel. Profound low blood pressure and loss of consciousness have been reported when apomorphine was given with ondansetron. Ondansetron is one of the medicines most often prescribed for the nausea of a GLP-1, so if you take a GLP-1, or you are given anything for nausea by any clinician, say so before a preparation containing apomorphine is prescribed or taken.
1Tadalafil relaxes vessels locally
2Apomorphine acts centrally
3Two points in the same chain
Sildenafil + Apomorphine
Written explainer
Sildenafil acts quickly and locally on blood flow; apomorphine acts centrally on the arousal pathway - intended for a faster response with central support behind it. Compounded medications are not FDA-approved. The apomorphine labeling contraindicates taking it with any drug of the 5HT3 antagonist class. That class is the anti-nausea medicines ondansetron, granisetron, dolasetron and palonosetron, plus alosetron, which is used for the bowel. Profound low blood pressure and loss of consciousness have been reported when apomorphine was given with ondansetron. Ondansetron is one of the medicines most often prescribed for the nausea of a GLP-1, so if you take a GLP-1, or you are given anything for nausea by any clinician, say so before a preparation containing apomorphine is prescribed or taken.
1Sildenafil acts fast on blood flow
2Apomorphine supports arousal signalling
3Speed locally, support centrally
Sildenafil + Tadalafil + Vardenafil + Apomorphine
Written explainer
Four actives in one liposomal dose - three PDE5 inhibitors plus apomorphine acting centrally. Your clinician decides whether a multi-active formulation is appropriate for you. Compounded medications are not FDA-approved. The apomorphine labeling contraindicates taking it with any drug of the 5HT3 antagonist class. That class is the anti-nausea medicines ondansetron, granisetron, dolasetron and palonosetron, plus alosetron, which is used for the bowel. Profound low blood pressure and loss of consciousness have been reported when apomorphine was given with ondansetron. Ondansetron is one of the medicines most often prescribed for the nausea of a GLP-1, so if you take a GLP-1, or you are given anything for nausea by any clinician, say so before a preparation containing apomorphine is prescribed or taken.
1Three PDE5 inhibitors, different clocks
2Apomorphine adds central action
3Four actives, one liposomal dose

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Takes about 10 minutes · a clinician can decline · full refund if not prescribed
Sources
Trial results and label statements belong to the cited FDA-approved products and publications - they are not claims about compounded medications. Compounded medications are not FDA-approved.
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