Some of your most pressing questions
About Fierce Health
What does Fierce Health do?
Fierce Health is an online wellness company with a passion for helping individuals optimize their health and well-being through personalized therapies. We work with licensed medical providers and certified compounding pharmacies to offer safe, convenient access to medications such as compounded semaglutide, tirzepatide, NAD+, low dose naltrexone (LDN), and ivermectin.
What does “compounded” mean?
Compounded medications are custom formulations prepared by licensed compounding pharmacies. They contain the same active ingredients as brand-name medications but are tailored to meet individual patient needs – for example, adjusting the dose or adding beneficial additives that are not available from commercial manufacturers.
Are compounded medications FDA-approved?
Compounded medications themselves are not FDA-approved, but the individual ingredients used to make them typically are. The compounding pharmacies we partner with are licensed 503A pharmacies and operate under strict state and federal regulations to ensure quality, safety,
and accuracy.
Do I need a prescription?
Yes. All medications offered through our platform require a valid prescription from a licensed healthcare professional. Our medical team with review your health history and determine whether treatment is appropriate before any medication is dispensed.
How do I get started with treatment?
You’ll begin with ordering the medication and filling out our new patient intake form. One of our providers with review your form and reach out with any questions or concerns. If eligible, your customized prescription will be sent to the pharmacy and then show up right at your doorstep!
How often do I need follow-up visits?
We ask our patients to fill out a medication refill form every 3 months. Our providers use this form to monitor progress and adjust your treatment as needed. Additionally, your health concierge is available via text message anytime for questions along the way.
Do you ship to all U.S. states?
We ship to most U.S. states, if we can’t ship to you, you will be completely refunded.
Semaglutide & Tirzepatide
What are semaglutide and tirzepatide?
Semaglutide and tirzepatide are prescription medications that help regulate blood sugar, appetite, and metabolism. Both belong to a class of drugs known as incretin mimetics, which mimic natural hormones that signal fullness and support healthy glucose control.
- Semaglutide works by activating the GLP-1 receptor, which helps reduce hunger, slow digestion, and stabilize blood sugar.
- Tirzepatide activates both GLP-1 and GIP receptors, offering an additional pathway for improved metabolic support and enhanced weight management results.
How are they taken?
Both medications are typically administered as a once-weekly subcutaneous injection, usually in the abdomen, thigh, or upper arm.
What if I am scared of needles?
A: If you aren’t comfortable with needles, you’re not alone – many people feel the same way at first. The good news is that these injections use a very small, fine needle, and most patients are surprised by how quick and virtually painless the process is. We will provide clear, step-by-step instructions to make sure you feel completely confident before you start.
What side effects should I expect?
The most common side effects are typically mild and temporary, including:
- Nausea or upset stomach
- Bloating or constipation
- Fatigue or mild headache
These symptoms often improve as your body adjusts. Your provider will monitor your progress and make adjustments if needed. Serious side effects are rare.
How long does it take to see results?
Many patients notice appetite changes and early results within the first few weeks. Meaningful changes in body composition, energy, and metabolic health generally develop over several months with consistent use and healthy lifestyle habits.
Can I switch from a brand-name GLP-1/GIP medication to a compounded version?
In many cases, yes. If you have been taking a brand-name medication, our providers can determine if a compounded version is a suitable alternative for you.
What if I have more questions?
Our team is happy to assist! Contact us via phone or email for more questions.
Ivermectin
What is ivermectin?
Ivermectin is a long-established prescription medication originally developed to treat parasitic infections. It has been used safely for decades and is also prescribed for certain skin and inflammatory conditions.
Is ivermectin safe?
When used as prescribed and obtained from a licensed pharmacy, ivermectin is considered safe and well-tolerated. Side effects are typically mild and may include nausea, dizziness, or fatigue. Our provider will review your health history to ensure it’s a good fit before starting
therapy.
Is ivermectin FDA-approved?
Ivermectin itself is FDA-approved for several parasitic infections and skin conditions. Some uses may be considered “off-label”, meaning the medication is prescribed for purposes other than its original FDA-approved indication.
Fierce Health offers compounded ivermectin capsules to best customize and provide accessible treatment for our patients. Compounded medications are not considered FDA-approved. However, these capsules are made using FDA-approved ingredients in a licensed 503A pharmacy that adheres to strict quality, safety, and sterility standards.
How is ivermectin taken?
We offer ivermectin as a compounded capsule that is taken orally.
How long does treatment usually last?
The length of treatment varies by individual and depends on why ivermectin was prescribed. Some patients may take it for a short course, while others may use it as part of a longer-term wellness plan under provider supervision.
Low Dose Naltrexone (LDN)
What is low dose naltrexone (LDN)?
Low Dose Naltrexone (LDN) is a prescription medication that, at very small doses, may help support immune balance, reduce inflammation, and promote overall wellness. Unlike standard doses of naltrexone used for opioid or alcohol dependence, LDN is typically prescribed
at 1-5mg per day, which is much lower than standard doses.
What is LDN used for?
LDN is often used under medical supervision to support health in conditions such as:
- Chronic pain and fibromyalgia
- Autoimmune or inflammatory conditions
- General immune support and wellness optimization
It is considered off-label use, which means it is prescribed for purposes other than the FDA- approved indications. Off-label prescribing is common in medicine when supported by clinical experience and evidence.
How is LDN taken?
LDN is taken as a custom-compounded capsule, once daily at bedtime. Dosing can be personalized based on your health history and wellness goals.
How long does it take to see effects?
LDN works gradually. Some patients notice improvements in energy, sleep, or inflammation within a few weeks, while others may require a few months of consistent use to experience meaningful benefits. Patience and adherence are key.
NAD+ (Nicotinamide Adenine Dinucleotide)
What is NAD+?
NAD+ is a naturally occurring coenzyme found in every cell of the body. It plays a critical role in energy production, metabolism, and cellular repair. NAD+ levels naturally decline with age, and supplementation may help support energy, mental clarity, and overall wellness.
What is NAD+ used for?
NAD+ supplementation may be recommended for:
- Boosting cellular energy and metabolism
- Supporting cognitive function and focus
- Enhancing recovery from physical or mental fatigue
- Promoting healthy aging and cellular repair
How is NAD+ administered?
We offer NAD+ via subcutaneous injection. Many patients find injection options provide quicker and more noticeable results.
Can NAD+ be combined with other therapies?
Yes. NAD+ is often used alongside lifestyle interventions, supplements, or other medications under the guidance of your provider. This allows for a personalized wellness plan that maximizes benefits.
How long does it take to feel effects?
Some patients notice increased energy, focus, or mental clarity after the first few sessions or doses, while full benefits may take several weeks. Results vary depending on the administration method and individual health factors.