U.S. licensed physicians, licensed to practice in California, prescribing compounded semaglutide, tirzepatide, testosterone replacement, enclomiphene, and NAD+, shipped directly to Los Angeles, San Francisco, San Diego, and every zip code in the state.
No insurance required · HSA/FSA eligible · California residents only
An evidence-based protocol tailored to your labs, history, and goals.
Each prescribed by a California-licensed physician. Ships statewide.
From Los Angeles to the Bay Area to San Diego, plus the Central Valley, the North Coast, and every zip code in between.
California has diverse climates spanning Mediterranean coast to varied climate, which means our shipping protocols vary by region. Inland Empire, addresses across the state ship with insulated, temperature-controlled cold-chain packaging year-round.
California is one of OPTML’s largest service regions, West Coast fulfillment typically delivers to Los Angeles, the Bay Area, and San Diego in 2-3 business days.
Our prescribing physicians hold active, unrestricted California Medical Board licenses. California’s strict telehealth and compounded-medication rules actually work in your favor here: OPTML meets every state requirement for patient-provider relationship, record retention, and pharmacy sourcing.
Eight evidence-based protocols, each prescribed by a physician licensed in California.
The STEP-1 molecule. Compounded by 503A pharmacies. Average 15% body-weight reduction at 68 weeks.
from $249/mo →
The SURMOUNT-1 molecule. Dual-agonist compounded therapy. Average 20.9% body-weight reduction at 72 weeks.
from $299/mo →
Physician-supervised testosterone cypionate with full panels. TRAVERSE-trial-backed cardiovascular safety.
from $199/mo →
Subcutaneous NAD+ for mitochondrial support, cognitive clarity, and metabolic performance.
from $179/mo →
Raises endogenous testosterone without suppressing the HPG axis, ideal for men who want fertility preserved.
from $129/mo →
Sub-clinical sema or tirzepatide for insulin sensitivity, anti-inflammation, and gentle appetite control, not significant weight loss.
sema $199/mo · tirz $299/mo →
Bioidentical 17β-estradiol + micronized progesterone for perimenopausal and menopausal women. Sleep, mood, hot flashes, brain clarity, bone density.
starting at $199/mo →
GHRH peptide that stimulates your own growth hormone. Daily SC at bedtime for sleep, recovery, body composition, and skin/hair quality.
$189/mo →
From online intake to first shipment in under a week. No waiting rooms, no insurance runaround.
Tell us your goals, health history, and current meds. Faster than parking at a Los Angeles clinic.
If your protocol needs bloodwork, we send an order to any Quest or Labcorp in California.
A physician licensed in California reviews your case.
Cold-chain packaging, tracked shipping, and delivery in 2-3 business days from West Coast fulfillment.
Every OPTML protocol is backed by a large, peer-reviewed randomized controlled trial.
Sources: Wilding JPH et al. NEJM 2021 (STEP-1) · Jastreboff AM et al. NEJM 2022 (SURMOUNT-1) · Lincoff AM et al. NEJM 2023 (TRAVERSE).
Four reasons we’re different from the generic telehealth platforms.
Every protocol is approved by a physician (MD or DO) licensed with the California Medical Board.
Comprehensive panels through Quest and Labcorp, both have hundreds of California draw sites.
Brand GLP-1 shortages have hit California hard. OPTML’s 503A pharmacy network delivers consistent supply.
We prescribe what the trials support: STEP-1, SURMOUNT-1, TRAVERSE. No peptide roulette.
State-specific questions we get from California patients.
5-minute intake. Physician review in under 48 hours. First shipment to your California address in under a week.
Start your consultation