Transparent pricing No membership required US-sourced ingredients Unlimited 24/7 support 100% online State-licensed pharmacies Clinician-led care

Vitality · Energy & recovery

For when the basics
are dialed in but something still feels off.

Vitality care is for the in-between space. Sleep is OK; energy isn't. Workouts feel harder to recover from than they should. Cypress vitality care — weekly NAD+ injection — is designed around midlife realities, not bro-science longevity hacks.

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3-minute intake · Clinician-personalized protocol
100% confidential

Woman in midlife, smiling, looking ahead with a sense of ease

Vitality

Energy. Recovery.
Not anti-aging.

"Anti-aging" is deficit-framed and frankly a little tired. "Longevity" tilts male and bro-science. We use "vitality" because it's what women in midlife actually describe wanting back — the feeling that you have what you need to live the day in front of you.

Vitality care at Cypress is targeted, evidence-aware, and integrated. It's not a separate identity from your metabolic and hormonal care — it sits alongside, picks up what they don't address, and is overseen by the same clinician.

You don't need to be a biohacker. You don't need to track a hundred things. You just need a path that respects your time and gives you energy back.

Treatments

NAD+ injection. One assessment.

A weekly subcutaneous NAD+ injection, dosed and overseen by your clinician based on what you're feeling and what you've tried.

Cypress compounded NAD+ injection vial
NAD+ Injection
Subcutaneous injection
From
$174/month
Weekly reset

How it works

Simple online care, built around you.

Start your assessment

3-minute screener · No commitment

1
Complete your intake
Tell us about your health history, goals, symptoms, and what's changed. This takes less than 3 minutes.
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2
Get provider review
A licensed U.S. provider reviews your information and determines whether treatment is appropriate — typically within 24 hours.
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3
Start your plan
If eligible, your plan may include a compounded NAD+ protocol with pharmacy coordination, ongoing oversight, and direct-to-door delivery.

Our physician partner

Medical oversight by Arora Health

Your care is reviewed and overseen by board-certified, U.S.-licensed physicians at Arora Health & Aesthetics — our independent medical partner, with clinician coverage in all 50 states.

Dr. Sean Arora, Co-Founder and CEO of Arora Health & Aesthetics

Dr. Sean Arora

Arora Co-Founder & CEO

  • Board-certified physician
  • Licensed in all 50 states

Dr. Sean Arora is a board-certified physician and the founder of Arora Health & Aesthetics, bringing deep expertise in wellness, family medicine, and telehealth innovation.

He leads one of the nation's most comprehensive medical oversight and compliance networks, supporting clinics through full-spectrum medical directorship, nationwide telehealth provider coverage, and evidence-based protocol development across peptides, hormone optimization, weight loss, regenerative medicine, and aesthetic treatments.

Known for his forward-thinking approach to patient safety and scalable clinical operations, Dr. Arora partners closely with medical spas, wellness clinics, and telehealth organizations to ensure responsible, compliant, and impactful care. Licensed in all 50 states, he is dedicated to expanding access to high-quality wellness services through innovation, leadership, and patient-centered standards.

Dr. Shannon Arora, Chief Medical Officer of Arora Health & Aesthetics

Dr. Shannon Arora

Chief Medical Officer

  • Hospital-trained physician
  • Preventive & longevity medicine

Dr. Shannon Arora is a physician dedicated to making a meaningful impact on patient health through both traditional medicine and proactive wellness care.

With experience as a hospitalist, she brings a strong clinical foundation shaped by work in hospitals and nursing homes, offering a broad perspective on patient care across diverse settings. While her early career focused on acute care, Dr. Arora recognized an opportunity to create a more proactive, personalized approach within the health, wellness, and longevity space. She now focuses on optimizing patient health through advanced wellness therapies, preventative medicine, and longevity-focused care, helping patients improve energy, confidence, and overall quality of life.

As Chief Medical Officer, Dr. Arora is passionate about advancing innovation in regenerative medicine and wellness, while helping both patients and organizations achieve better outcomes through thoughtful, patient-centered care.

NAD+

A coenzyme
your cells run on.

NAD+ (nicotinamide adenine dinucleotide) is a coenzyme involved in cellular energy production, DNA repair, and metabolic regulation. Levels of NAD+ decline with age. Whether bringing them back up has the effects often claimed is an active research area — the data is real but emerging.

Most women using NAD+ at Cypress describe one of three things: a lift in everyday energy, better recovery from physical stress, or improved cognitive crispness. We don't promise these. We watch for them.

NAD+ via injection is dosed once weekly. Your clinician determines starting dose and adjusts based on response.

Safety

Vitality protocols
are not for everyone.

NAD+ injection is not appropriate for women with active cancer, certain endocrine conditions, or specific contraindications. Your clinician will surface those during the assessment and let you know if a different path makes sense.

Side effects are typically mild — injection-site reactions, mild flushing or headache, occasional GI symptoms — and dose-related. Your clinician monitors and adjusts.

Get your energy back. Start today.

The 3-minute intake is free. Your clinician typically follows up within 24 hours with a personalized recommendation.

Start my assessment
Start my assessment