Who you see
Consultations, protocols, and follow-up are directed by Dr. Sandel.
Nothing is prescribed unless it is appropriate for you. Each therapy has its own protocol, monitoring, and reasons a particular patient may not be a candidate, and those are reviewed with you before anything begins.
What the program covers
Consultation and follow-up with Dr. Sandel.
Blood work, collected here or at any lab collection site.
Testosterone or enclomiphene therapy, each under its own protocol.
Recovery peptides, NAD+ and B12, and GLP-1 microdosing.
Workout and supplement guidance, ordered through our dispensary.
The program
Every part below is prescribed on its own merits. Some men start with hormone therapy alone, others with recovery peptides or body-composition support and never need hormones at all. What you run is decided after your labs and your consultation.
Hormone therapy
Prescribed and monitored to your labs
The most established option in the program, run under the practice protocol with baseline labs, a dose set to your results, and scheduled follow-up bloodwork.
Prescription therapy with monitoring requirements and reasons a patient may not be a candidate.
→Hormone therapy
An alternative to testosterone
Works by prompting your own production rather than replacing it, which matters to men concerned about fertility or coming off therapy later. Run under its own protocol.
Prescription therapy, off-label for this use, and reviewed against your labs and goals.
→Body composition
Low-dose semaglutide or tirzepatide, weekly
A fraction of the standard weight-loss dose, aimed at appetite regulation and metabolic support while you train rather than rapid weight loss. Titrated to how you respond and paired with protein and resistance-training guidance.
Prescription medication with real side effects and monitoring. Microdosing is off-label and not appropriate for everyone.
Read about GLP-1 therapy →Recovery
BPC-157 + TB-500, subcutaneous
A take-home program supporting the body’s natural recovery response after surgery, hard training, or soft-tissue strain. Kits include supplies, injection teaching, storage instructions, and a dose calendar.
Experimental / off-label adjunct. Competitive athletes should disclose testing status before starting.
Read about recovery peptides →Energy
Four-week take-home kit
NAD+ is central to how cells produce energy and repair themselves; B12 supports normal neurologic function and red blood cell production. The standard kit runs four weeks, with a version that adds B12.
Persistent fatigue should be medically evaluated. This supports wellness goals rather than replacing a diagnosis.
Read about NAD+ therapy →Training support
A preferred list, not a catalogue
The supplements we actually recommend alongside the medical side, with a shorter preferred list for men who want one answer rather than twenty. Ordered through our dispensary and shipped to you.
→Our dispensary
Supplements are ordered through Fullscript, our online dispensary. Create an account there and your provider’s recommendations ship directly to you.
01
Download the program intake form, complete it, and return it to the office before your visit.
02
Your history and goals are reviewed with Dr. Sandel.
03
If therapy is appropriate, the protocol is set and reviewed with you before you start.
04
Follow-up visits continue through the program, with the plan adjusted as needed.
Blood work
The $75 collection fee is a courtesy fee and is not billed to insurance. Blood collection can also be performed at any lab collection site for no cost. The lab testing itself is billed by Labcorp or Quest and should be covered by insurance, depending on your plan.
Program documents
Complete it and return it to the office before your first visit. The protocol and supplement sheets are handed to you at your consultation rather than published here, so the version you work from is the current one.
Before you start
Testosterone and enclomiphene are prescription therapies with their own risks and monitoring requirements. GLP-1 microdosing is an off-label use of a prescription medication. The recovery peptides are an experimental adjunct rather than an approved treatment. Each has its own protocol sheet, which your provider goes through with you before anything begins.
Supplements are supportive to training and nutrition rather than a substitute for either.
Complete the intake form, come in for labs, and we will sit down with the results together.
Ask Sandel Duggal
Answers from our website
Ask about our procedures, our surgeons, or where to find something on the site. I cannot give medical advice or tell you whether a treatment is right for you — those are conversations for the office.
Please do not share medical history or personal health details here. Questions and answers are kept to improve the site, with nothing that identifies you.