Provider review
Trellis Vitality review
Names its pharmacy and its medical director, with an NPI
NAD+, tesamorelin, glutathione and a lipotropic injection each carry a monthly floor on an open page, the compounding pharmacy is named with a street address, and the medical director's NPI is published and checkable in the federal registry.
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On this page
The verdict
Trellis Vitality sells four injectables besides its GLP-1 line — NAD+ from $129 a month, tesamorelin from $299, glutathione from $93 and a lipotropic blend from $130 — and does two things well that most of this category will not. It names VialsRX as the compounding pharmacy with a Houston address and phone number, and it names Arora Health as the medical group with the medical director's NPI printed for you to check. The problem is the paperwork. The agreement a patient actually signs at intake is unedited platform boilerplate written for a different business, and it contradicts the marketing site on money, medicine and law.
Trellis Vitality is not ranked on any of our rankings. This is a standalone read of what the company publishes about itself — the providers we do rank in this category are on our NAD+ provider ranking. Nothing on this page is a performance claim — see the evidence review for what these compounds do and do not do.
Who it is for, and who it is not
A good fit if
- You want NAD+ or tesamorelin from a provider that names its pharmacy with an address
- You want a medical director you can verify — the NPI is published and resolves in the federal registry
- You want per-batch testing described specifically, by potency, sterility, pH and endotoxicity
Look elsewhere if
- You read the terms before you sign — the ones at intake describe a different company's programs
- You want the no-membership promise to hold; the intake terms impose a recurring membership fee
- You want a phone number, which does not exist anywhere on the site
What it actually costs
What they advertise
NAD+ from $129 a month and tesamorelin from $299, with glutathione from $93 and a lipotropic B12 blend from $130 — each published on its own product page with no account and no intake.
What you actually pay, month to month
$129 a month is where NAD+ starts rather than what it settles at.
The commitment trap
All four peptide figures are floors rather than rates, and the terms a patient accepts at intake impose a membership fee billed roughly every 28 to 30 days — while nine pages of the marketing site say there is no membership at all.
Money you will meet later
- The intake terms price a ninth and subsequent consultation or lab interpretation at $15.00 each, and a ninth at-home blood draw at $125.00, against marketing that says there are no consult costs and no hidden costs
- The lab kit is described as part of the program and is never priced and never stated to be covered
Checked live on Trellis Vitality's own site at https://trellisvitality.com/products/nad in September 2026. Prices change without notice — confirm before you buy. Work out what a vial actually gives you with our peptide dose calculator.
What is included
The cheapest headline number in this category is often the one with the least attached to it. Here is what Trellis Vitality bundles in, and what it does not.
Clinician consult
Advertised as free.
Bloodwork / labs
Processed by CLIA-certified laboratories that are never named
with additional at-home draws at $125.00 each after the eighth.
Follow-ups and dose changes
A clinician sets formulation and dose
a 90-day re-test is referenced and never priced.
Human support
Email, weekdays 8am to 8pm Eastern, plus portal messaging.
Injection supplies
Not itemized anywhere in the published pricing.
Shipping
Free and expedited
shipping within 24 to 48 hours of the order reaching the pharmacy.
Pharmacy, labs and oversight
The pharmacy
VialsRX, named with a Houston street address, a phone number and its own site, and described as state-licensed and cGMP-compliant with per-batch testing for potency, sterility, pH and endotoxicity.
Oversight
A clinician sets formulation and dose; a 90-day re-test is referenced and never priced.
Compounded peptides are not FDA-approved products, and a 503A pharmacy compounds for a named patient while a 503B outsourcing facility manufactures in batches under CGMP. Neither is a quality guarantee on its own — a named facility is simply a fact you can check, and an unnamed “partner pharmacy network” is not. Our guide to verifying a certificate of analysis covers what to ask for.
Where you can get it
A banner on every page says all 50 states.
The honest cons
The part they would rather you skipped
The agreement a Trellis patient actually accepts at intake is unedited platform boilerplate written for somebody else. It names a different medical group two dozen times, and never names the pharmacy or the medical group Trellis advertises. It imposes a recurring membership fee that nine pages of the marketing site deny exists. It sets a different state's law and a different city's venue than the company's own terms, and describes a testosterone program and smoking-cessation tools Trellis does not sell. It then tells the patient to cancel by calling a number that was never filled in, one of fourteen placeholders in a live document.
- The intake terms are boilerplate for a different business and contradict the marketing site on fees, law and medical group
- A 50-state banner runs against the site's own FAQ naming three suppressed states and saying the list is incomplete
- Two fees of $15.00 and $125.00 appear only in the intake terms, against a no-hidden-costs claim
- All four peptide prices are floors, with no ladder published anywhere
None of this is unique to Trellis Vitality — the whole category shares it. What we hold against a provider is the part it hides, and the ways vendors hide things are cataloged in our vendor red-flags guide.
How it compares
The providers we rank on our NAD+ provider ranking, in the order that ranking ranks them. Trellis Vitality is not among them: it is reviewed here, not ranked there, and we would rather show you the comparison than pretend the two are the same thing.
- HealthRXPublishes the whole price ladder, prepay strictly optional
- System LabsNames its pharmacy, states the milligrams, hides the month-two price
- Try AgelessThree formats, and two different prices for the same vial
- MadeMedPrices are published — but there is no monthly option at all
- CoreAge RxOne price that does not move when your dose does
- BHBodybuilding Health+The deep peptide catalog is gone; the GLP-1 pricing got better
- Breeze MedsOne of the widest menus here, and no price anywhere on it
- SHEDA real month-to-month rate exists — it is just not the one on the banner
21 more providers rank on our NAD+ provider ranking — see the full ranking. Every provider we review →
Read this before you buy
A provider comparison is half the decision. The other half is whether the compound does anything for you at all — and whether it is allowed where you compete. Growth-hormone secretagogues are banned in tested sport, year-round, and a prescription does not change that.
Facts on this page reflect Trellis Vitality's own public disclosures when we last checked them, in September 2026. Prices and terms change without notice — confirm on Trellis Vitality's site before you buy. Provider names and logos on this page identify the company under review; their use does not imply endorsement, sponsorship or affiliation. This page is informational and not medical advice; compounded peptides are not FDA-approved, and growth-hormone secretagogues are banned in tested sport year-round. See our disclosure and editorial policy.