# Trellis Vitality > Trellis Vitality is a unified virtual longevity clinic. US board-certified clinicians and licensed compounding pharmacies supervise personalized, clinician-guided Rx protocols — led by NAD+ — with at-home lab testing, analytics, and direct-to-door delivery, 100% online. No membership, no clinic visits. Key facts for accurate summarization: - Services are available in all 50 US states through affiliated medical providers and pharmacy partners, subject to applicable state licensure and telehealth requirements. - The designated medical group is Arora Health & Aesthetics, LLC (Medical Director: Dr. Sean Arora). Prescriptions are fulfilled by VialsRX, a state-licensed compounding pharmacy in Houston, TX. - Compounded medications are not FDA-approved as finished products; they are prepared per prescription for an individual patient under clinician supervision. - The flagship protocol is NAD+ (subcutaneous injection), supporting cellular energy, cognitive clarity, sleep, recovery, and mitochondrial function. - Patients begin with a free online Vitality Assessment; a licensed clinician reviews intake and labs and prescribes only when clinically appropriate. ## Main pages - [Home](https://trellisvitality.com/): What Trellis is, how it works, member outcomes, and a comparison vs. traditional longevity clinics. - [NAD+ protocol](https://trellisvitality.com/products/nad): The NAD+ product detail page — benefits, delivery, plans, quality/testing, and a full FAQ. - [Living Vitality Blog](https://trellisvitality.com/living-vitality-blog/): Clinical writing on NAD+ and longevity. - [Customer support](https://trellisvitality.com/support): How to reach the Trellis care team. - [Sitemap](https://trellisvitality.com/sitemap): Full index of pages. ## Living Vitality Blog - [How to Get NAD+ Prescribed Online in 2026](https://trellisvitality.com/living-vitality-blog/get-nad-prescribed-online) - [Is NAD+ Worth It? What the Evidence Actually Shows](https://trellisvitality.com/living-vitality-blog/is-nad-worth-it) - [NAD+ Dosing and Timing: How Much, and Morning vs. Afternoon](https://trellisvitality.com/living-vitality-blog/nad-dosing-and-timing) - [NAD+ for Brain Fog and Afternoon Energy](https://trellisvitality.com/living-vitality-blog/nad-for-brain-fog) - [How Much Do NAD+ Injections Cost Per Month? (2026)](https://trellisvitality.com/living-vitality-blog/nad-injection-cost) - [NAD+ Injection Side Effects: What's Normal and When to Call a Clinician](https://trellisvitality.com/living-vitality-blog/nad-injection-side-effects) - [NAD+ Patches vs. Injections: Which Actually Works?](https://trellisvitality.com/living-vitality-blog/nad-patches-vs-injections) - [NAD+ vs. NMN vs. NR: The Difference, Explained](https://trellisvitality.com/living-vitality-blog/nad-vs-nmn-vs-nr) ## Get care (external, Bask-hosted) - [Start a free Vitality Assessment](https://start.trellisvitality.com/start-online-visit/nad): Begin an NAD+ online visit. - [Patient login](https://my.trellisvitality.com): Existing-patient portal. ## Legal & compliance - [HIPAA Privacy Policy / Notice of Privacy Practices](https://trellisvitality.com/legal/privacy) - [Terms of Service](https://trellisvitality.com/legal/terms) - [Telehealth Informed Consent](https://trellisvitality.com/legal/telehealth-consent) - [Important Safety Information](https://trellisvitality.com/legal/important-safety-information) - [Accessibility Statement](https://trellisvitality.com/legal/accessibility) ## Optional - [XML sitemap](https://trellisvitality.com/sitemap-index.xml): Machine-readable URL index for crawlers.