— Programs & memberships

Twelve protocols.
One ladder.

Every Viva membership is a flat monthly fee with everything included. Medication, supplies, home delivery, follow-ups, provider access. No surprises. A 12-week minimum gives the protocol enough runway to actually work.

Every membership includes
  • One complimentary telehealth visit per quarter
  • Direct messaging access to your provider
  • Supplies and home delivery
  • Routine follow-ups and dose adjustments
  • Priority scheduling
  • Member pricing on add-ons
Hormone Optimization

Hormones, calibrated.

Energy, body composition, recovery, libido, mood, and sleep all run through the endocrine system. When hormones drift, performance follows. Our protocols restore optimal function for how you actually want to feel and train, not just where the lab range starts.

HRT Guidance

$99 /mo

Provider-led hormone management for patients using insurance for labs and prescriptions. Includes evaluation, dosing guidance, and ongoing oversight of testosterone, estradiol, progesterone, and thyroid hormones. Medication not included.

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Metabolic Reset & Weight Loss

A ladder, not a one-size-fits-all.

Compounded GLP-1 protocols stepped to your physiology and goals. Real appetite control, steady fat loss, and provider supervision so you keep the muscle you trained for. Most clients move up the tiers as tolerance and goals evolve.

Metabolic Micro-Dose

$199 /mo

Maintenance-level metabolic support. Compounded micro-dosed medication for stable insulin sensitivity and weight maintenance.

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Metabolic Essential

$249 /mo

Foundational fat-loss protocol. Compounded semaglutide at any dose, or upgraded multi-compound micro-dose tirzepatide. Supplies and home delivery included.

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Metabolic Advanced

$399 /mo

Higher-dose protocol for patients ready to push fat loss further. Tirzepatide or retatrutide at moderate to high dosing with ongoing provider follow-up.

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Metabolic Elite

$499 /mo

Top-tier metabolic protocol using retatrutide at moderate to high dosing for patients who need maximum appetite control and fat-loss support.

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Recovery & Repair

Heal faster than rest alone allows.

Provider-led peptide stacks for athletes, lifters, and post-surgical recovery. Reduce inflammation, protect joints, accelerate tissue repair. Real protocols, sourced from FDA-regulated 503A pharmacies, with medical oversight.

Foundational Recovery

$349 /mo

Heal faster, reduce inflammation, protect joints, and improve post-workout recovery. Provider-led protocols for athletes, lifters, and high performers.

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Regenerative Healing

$499 /mo

Higher-level regenerative support for athletes, post-surgical patients, and adults managing delayed healing or chronic joint pain. Layers advanced therapies for cellular-level repair.

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Recomp & Performance

Lose fat. Build muscle. Both.

For patients who want more than weight loss alone. Combine metabolic optimization with muscle-supporting therapies for true body recomposition. Designed for athletes, hybrid trainees, and high performers.

Total Recomp

$599 /mo

Advanced body recomposition combining metabolic optimization with muscle-supporting therapies. For patients who want fat loss and muscle preservation in one plan.

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Lifestyle & Longevity

The slow compounding.

Programs built around the long-game variables: cellular health, energy, cognition, skin, hair, and sexual wellness. Rotate essential protocols based on goals with ongoing provider guidance and personalized adjustments.

Vitality Protocol

$249 /mo

Designed to support cellular health, energy, metabolism, recovery, cognition, skin, hair, and sexual wellness. Rotate essential protocols based on goals with ongoing provider guidance.

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The fine print

Membership policies, plainly stated.

  • Provider review and approval required prior to initiating any therapy.
  • All programs require a 12-week minimum commitment to allow adequate time for measurable results.
  • Memberships renew automatically every 30 days. Cancel any time after the initial 12 weeks.
  • A valid card on file is required. Payments are securely processed through GlossGenius.
  • Medication, supplies, and shipments are provided while membership remains active.
  • FSA and HSA accepted. Insurance not accepted for memberships, but can be applied to labs and non-compounded medications.

Not sure which tier? Start with a visit.

Your first telehealth consult is the diagnostic step. Liliana reviews your goals, history, and labs, then recommends the protocol that fits. No commitment to a tier until you've talked to a provider.