U.S. licensed physicians, licensed to practice in Hawaii, prescribing compounded semaglutide, tirzepatide, testosterone replacement, enclomiphene, and NAD+, shipped directly to Honolulu, Hilo, Kailua, and every zip code in the state.
No insurance required · HSA/FSA eligible · Hawaii residents only
An evidence-based protocol tailored to your labs, history, and goals.
Each prescribed by a Hawaii-licensed physician. Ships statewide.
, and every smaller community in the state.
Hawaii has a tropical climate with year-round warm temperatures. Altitude alone doesn’t affect GLP-1 or testosterone ester stability, but seasonal temperature swings can, which is why every OPTML shipment into Hawaii uses insulated, cold-chain packaging rated for extremes.
Hawaii shipments use priority air carriers with reinforced cold-chain packaging; most Oahu addresses receive medication in 2-3 business days.
Our prescribing physicians hold active, unrestricted Hawaii Medical Board licenses. Consultations are conducted via secure video and HIPAA-compliant messaging.
Eight evidence-based protocols, each prescribed by a physician licensed in Hawaii.
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. Takes less time than a drive to a Honolulu clinic.
If your protocol needs bloodwork, we send an order to any Quest or Labcorp in Hawaii.
A physician licensed in Hawaii reviews your case.
Cold-chain packaging, tracked shipping, and delivery in 2-3 business days.
Every OPTML protocol is backed by a large, peer-reviewed randomized controlled trial.
Sources: Wilding JPH et al. NEJM 2021 · Jastreboff AM et al. NEJM 2022 · Lincoff AM et al. NEJM 2023.
Four reasons we’re different from generic telehealth platforms.
Every protocol is approved by a physician (MD or DO) licensed in Hawaii.
Comprehensive panels through Quest and Labcorp with dozens of draw sites across Hawaii.
OPTML partners with 503A compounding pharmacies licensed to ship into Hawaii.
We prescribe what the trials support: STEP-1, SURMOUNT-1, TRAVERSE.
State-specific questions we get from Hawaii patients.
5-minute intake. Physician review in under 48 hours. First shipment to your Hawaii address in under a week.
Start your consultation