Important Safety Information.

Trellis protocols are prescription products dispensed only after a licensed clinician reviews your intake and determines they are appropriate for you. Compounded medications are not FDA-approved as finished products; they are prepared per prescription for an individual patient.

Who should not use these protocols

Do not begin a protocol if you are pregnant or nursing, have an active cancer diagnosis without oncologist clearance, or have advanced kidney or liver disease, unless specifically directed by your Trellis clinician.

Possible side effects

Side effects vary by protocol. For NAD⁺, the most common are mild and transient — brief flushing, headache, or nausea — typically managed by adjusting dose or timing. Seek medical attention for chest tightness, palpitations, or any severe reaction.

Tell your clinician

Share your full medication and supplement list during intake so your clinician can confirm there are no interactions before approving your protocol.

State availability

Services are available in all 50 US states through affiliated medical providers and pharmacy partners operating in accordance with applicable state licensure requirements. Please note that certain medications, formulations, or fulfillment options may vary depending on state-specific pharmacy regulations and dispensing restrictions.