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Protocols

A protocol for
every goal.

A protocol is your clinician-designed plan, prescribed, dosed and monitored by a licensed physician. Each one is built around a Stack: a targeted combination of peptides and cofactors chosen for a single outcome. Five stacks cover fat loss, longevity, recovery, regeneration and energy, alongside lab-based hormone and sexual-health programs for him and her: testosterone (TRT), sexual health and menopause hormone therapy (HRT).

Find your stack
Fat loss

ShredStack™

Metabolic fat loss & appetite control.

 Anti-aging

YouthStack™

Hormonal optimisation & longevity.

 Recovery

RecoveryStack™

Healing, mobility & immune support.

 Aesthetics

RepairStack™

Skin, hair & tissue regeneration.

 Energy

MitoStack™

Mitochondrial energy & vitality.

 Him & Her

Hormone & sexual health

Testosterone (TRT), sexual health & menopause (HRT).

 Reference

Peptide Library →

Every peptide we work with, explained.

At a glance

Five stacks, one comparison.

A scannable view of what each stack targets, its key components, and the typical course. Exact peptides, doses and length are always set by your clinician after review.

StackGoalKey componentsFormatTypical course
ShredStack™Fat loss Metabolic fat loss, appetite & insulin control One GLP-1 medicine (semaglutide / tirzepatide, or investigational retatrutide) + MOTS-c + NAD⁺ Dose-adjustable pens Titrated over months; weekly/scheduled dosing with clinical monitoring
YouthStack™Anti-aging Hormonal optimisation & longevity Epithalon, CJC-1295, NAD⁺ Dose-adjustable pens Cyclical courses with rest periods to preserve responsiveness
RecoveryStack™Recovery Injury healing, mobility & immune support TB-500, BPC-157, Thymosin α-1 Dose-adjustable pens Short cycles, often ~2–8 weeks around an injury or procedure
RepairStack™Aesthetics Skin, hair & tissue regeneration GHK-Cu, BPC-157, NAD⁺ Dose-adjustable pens Multi-week courses; aesthetic change builds gradually
MitoStack™Energy Mitochondrial energy & cellular resilience SS-31, NAD⁺ Dose-adjustable pens (NAD⁺ 10–100 mg) Ongoing or cyclical, depending on goal

Course lengths are general guidance only, not a treatment plan. MEDVIVA follows a cyclical dosing philosophy. Protocols are designed to support the body's own pathways and preserve receptor sensitivity rather than create dependency.

Fat Loss & Metabolic Performance

ShredStack™

Improve body composition, metabolic flexibility and appetite control, the foundation of medical weight loss. ShredStack pairs GLP-1 therapy with mitochondrial and metabolic support so fat loss is sustainable rather than crash-driven.

  • GLP-1 medicine Backbone Approved options
    The metabolic core. And it is one medicine, not two. Your clinician prescribes a single GLP-1 agent: semaglutide or tirzepatide (both approved), or, where clinically appropriate and permitted, the investigational triple agonist retatrutide. These are alternatives chosen for you; two GLP-1 medicines are never run together. The chosen agent slows gastric emptying, curbs appetite and improves insulin sensitivity for steady, supervised weight loss, with the dose escalated gradually.
  • MOTS-c Mitochondrial Research-use
    Mitochondrial-derived peptide proposed to activate AMPK and act as an exercise mimetic for glucose use and fat oxidation. Evidence is early and not established in humans.
  • NAD⁺ Coenzyme
    Supports mitochondrial metabolic pathways and cellular energy as the body shifts into fat loss.

Best for

  • Medical weight loss and appetite control
  • Metabolic syndrome / insulin resistance
  • Plateaus on single-agent GLP-1
  • Body recomposition alongside training

How it works

GLP-1 and multi-receptor agonists work centrally to reduce appetite and slow digestion, while improving how the body handles glucose and insulin. Layering MOTS-c and NAD⁺ supports the mitochondria so the body burns fat for energy more efficiently as intake drops. The aim is gradual, monitored loss with muscle preserved, not a crash diet.

What to expect

GLP-1 therapy has strong evidence and can produce significant results, but it is honest to say it works as ongoing therapy, not a one-time cure: weight is commonly regained if it is stopped. To protect lean muscle, it should be paired with adequate protein and resistance training. It is not suitable for everyone. For example, those with a personal or family history of medullary thyroid cancer or MEN2, or who are pregnant. Doses are escalated slowly to manage tolerability; appetite often drops within the first weeks, with body-composition change building over months. Individual results vary, and your clinician confirms suitability.

Who it's for / not for

  • Adults pursuing medically supervised weight loss
  • Insulin resistance or metabolic syndrome
  • Not during pregnancy or breastfeeding
  • Caution with thyroid (MTC/MEN2) history, pancreatitis or significant GI disease
  • Eligibility, lab work and cardiovascular assessment are confirmed by your clinician
Anti-Aging & Hormonal Optimisation

YouthStack™

Slow biological ageing, restore vitality and support the body's own regenerative and hormonal systems, rather than replacing them.

  • Epithalon Longevity Research-use
    Proposed telomerase activator studied for telomere maintenance, antioxidant defence and hormonal balance, usually run in short cyclical courses. Human evidence is minimal.
  • CJC-1295 GHRH analog Research-use
    Growth-hormone-releasing hormone analog that prompts a natural pulse of the body's own growth hormone, raising IGF-1, proposed to support recovery, lean mass and fat reduction. An acute GH rise is not by itself a proven clinical benefit in humans.
  • NAD⁺ Coenzyme
    Supports DNA repair and mitochondrial health, central to cellular ageing. Delivered via a dose-adjustable pen (10–100 mg).

Best for

  • Age-related vitality and energy decline
  • Natural growth-hormone optimisation
  • Preventive and longevity-focused wellness
  • Better sleep, recovery and body composition

How it works

Rather than replacing hormones, YouthStack nudges the body's own systems: CJC-1295 prompts a natural growth-hormone pulse (often dosed in the evening to mirror physiology), Epithalon supports telomere maintenance and antioxidant defence, and NAD⁺ backs DNA repair and mitochondrial metabolism. The intent is durable vitality, run in cycles with rest periods. In honesty, the peptides in this stack are unapproved and used only under specialist supervision where legally permitted; their human evidence is limited and still emerging.

What to expect

Members may notice improvements in sleep, recovery and daily energy over the first weeks; body-composition and vitality changes typically accumulate over a cyclical course. Protocols are paused and re-run to preserve responsiveness. Individual results vary and this is preventive, supportive care, not a promise of reversing ageing.

Who it's for / not for

  • Adults focused on longevity, recovery and vitality
  • Those seeking natural GH optimisation
  • Not during pregnancy or breastfeeding
  • Not with active or prior malignancy without specialist clearance
  • Clinician confirms eligibility and monitors over time
Healing & Mobility

RecoveryStack™

Accelerate injury recovery, reduce inflammation and support immune function, for active people and post-operative healing.

  • TB-500 Regeneration Research-use
    Synthetic thymosin β4 fragment proposed to regulate actin and promote cell migration and tissue regeneration. Tissue-repair benefits are studied in animals and not established in humans.
  • BPC-157 Repair Research-use
    Gastric-derived peptide studied for angiogenic and healing effects on soft tissue and the gut. Evidence is preclinical; there are no human trials, and combining it with TB-500 has no combination data.
  • Thymosin α-1 Immune
    Immune modulator that activates T-cells and supports resistance to infection while reducing inflammation; approved for specific immune indications in some countries, useful during demanding recovery where clinically appropriate.

Best for

  • Orthopedic and soft-tissue injuries
  • Post-operative and post-procedure healing
  • Sports performance recovery
  • Immune support during recovery

How it works

TB-500 and BPC-157 are a complementary pair: TB-500 drives systemic cell migration and tissue regeneration while BPC-157 promotes angiogenesis and collagen at the site of injury, together with an anti-inflammatory effect. Thymosin α-1 supports the immune system through a demanding repair period. This stack is usually run as a short, focused cycle, often paired with physiotherapy or rehab. In honesty, the repair peptides here (BPC-157 and TB-500) are unapproved and used only under specialist supervision where legally permitted; their human evidence is limited and emerging, and a synergy between them is not yet proven.

What to expect

Recovery courses are typically short, commonly in the range of ~2–8 weeks around a specific injury or procedure, then paused. Members may notice improved mobility and reduced soreness over the course, but healing timelines depend on the injury, the rehab work alongside it, and the individual. Results vary and this supports recovery rather than replacing medical or surgical care.

Who it's for / not for

  • Active adults recovering from soft-tissue injury
  • Post-operative or post-procedure healing support
  • Not during pregnancy or breastfeeding
  • Active malignancy requires specialist clearance
  • Not a substitute for diagnosis, surgery or physiotherapy
Regeneration & Aesthetics

RepairStack™

Promote tissue repair, skin rejuvenation and accelerated healing, the regenerative-aesthetics protocol.

  • GHK-Cu Copper peptide Clinician-supervised
    Copper-binding tripeptide prescribed as a compounded subcutaneous injection to support collagen, elastin and skin and hair quality, with antioxidant effects. Often paired with aesthetic procedures (e.g. microneedling, laser) under clinical guidance. Injectable human evidence is still emerging, so it is dosed conservatively and used under specialist supervision.
  • BPC-157 Repair Research-use
    Healing peptide studied for tendon, ligament and muscle repair, supporting the regenerative base of the stack. Evidence is preclinical and not established in humans.
  • NAD⁺ Coenzyme
    Enhances cellular repair pathways that underpin skin and tissue renewal.

Best for

  • Skin rejuvenation and anti-ageing
  • Hair regrowth
  • Scar and stretch-mark improvement
  • Post-procedure and post-surgical recovery

How it works

GHK-Cu signals dermal fibroblasts to rebuild collagen and elastin while clearing oxidative damage, which is why it underpins skin remodelling and follicle health. BPC-157 supports the underlying repair and angiogenesis, and NAD⁺ fuels the cellular renewal both depend on. The stack is often timed around aesthetic treatments to support recovery and results. In honesty, GHK-Cu is dispensed as a compounded subcutaneous injection and its injectable human evidence is still emerging (the topical/cosmetic route is better studied), and BPC-157 is an unapproved peptide used only under specialist supervision where legally permitted, with limited and emerging human evidence.

What to expect

Aesthetic and regenerative change builds gradually. Members typically run multi-week courses and may notice skin quality, healing and hair improvements over weeks to months. Outcomes depend on skin condition, age and any paired procedures, and individual results vary. This is a supportive protocol, not a cosmetic guarantee.

Who it's for / not for

  • Adults focused on skin, hair and scar improvement
  • Support around aesthetic or surgical procedures
  • Not during pregnancy or breastfeeding
  • Care with known copper sensitivity (GHK-Cu)
  • Clinician confirms suitability before prescribing
Energy & Longevity

MitoStack™

Support mitochondrial health, energy production and cellular repair, the engine room of how you feel day to day.

  • SS-31 (Elamipretide) Mitochondrial Investigational
    Mitochondria-targeted tetrapeptide that binds cardiolipin in the inner membrane, studied to reduce oxidative damage and support ATP synthesis. It is in clinical development for specific rare mitochondrial diseases and is not proven for general anti-aging.
  • NAD⁺ Coenzyme
    Essential coenzyme for metabolism, mitochondrial function, DNA repair and energy production. Delivered via a dose-adjustable pen that dials 10–100 mg in 10 mg increments.

Best for

  • Fatigue and low daily energy
  • Age-related decline in energy
  • Recovery from mitochondrial dysfunction
  • Neurological and cardiovascular support

How it works

Mitochondria are where cells make energy. SS-31 protects and stabilises the inner mitochondrial membrane and cuts oxidative stress at the source, improving the efficiency of ATP production, while NAD⁺ supplies a coenzyme that metabolism and DNA repair both rely on. Together they target the bioenergetic root of low energy and reduced resilience. In honesty, SS-31 is investigational, studied for specific rare mitochondrial diseases, not proven for general longevity, and is used only under specialist supervision where legally permitted; NAD⁺ wellness evidence is still early.

What to expect

Members may notice improvements in daily energy, endurance and recovery over the first weeks of a course. NAD⁺ dosing is often started low and dialled up for tolerability. Depending on the goal, MitoStack can be run cyclically or on an ongoing basis under review. Individual results vary, and underlying causes of fatigue should still be investigated clinically.

Who it's for / not for

  • Adults with low energy or age-related decline
  • Those supporting mitochondrial and cellular resilience
  • Not during pregnancy or breastfeeding
  • Persistent fatigue needs medical work-up first
  • Clinician confirms eligibility and dosing

Him & Her

Hormone & sexual health.

Beyond the peptide stacks, MEDVIVA runs lab-based hormone and sexual-health programs for men and women. These are replacement and treatment therapies, not peptides, and they follow the same standard: bloodwork where appropriate, a named clinician, and ongoing monitoring. Medicine is compounded or supplied by a licensed UAE pharmacy. Availability of any specific medicine depends on UAE regulation and your clinical suitability.

For Him · Men's Hormone Health

Testosterone (TRT)

For men with symptoms of low testosterone confirmed on bloodwork: low energy, low libido, loss of strength or muscle, low mood. MEDVIVA's testosterone program is lab-based and monitored, never a form-only script.

  • Testosterone therapy Hormone Controlled, Rx
    Restores testosterone to a healthy range using a clinician-selected form (injection or gel/cream). The dose is set from your bloodwork and titrated over time.
  • Enclomiphene Stimulant Rx
    A tablet alternative that prompts your body's own testosterone production, often chosen by men who want to preserve fertility while treating symptoms.
  • Baseline & follow-up labs Monitoring
    Total and free testosterone plus safety markers (for example haematocrit, and PSA where appropriate) at baseline and on review, typically around three months then periodically.

Best for

  • Persistent fatigue and low drive
  • Low libido or erectile changes
  • Loss of strength, muscle or motivation
  • Lab-confirmed low testosterone

How it works

Low testosterone is confirmed with symptoms plus bloodwork, not symptoms alone. From there your clinician either restores levels with testosterone therapy or stimulates your own production with enclomiphene, then titrates the dose and re-checks labs. This is ongoing, monitored care, the opposite of a one-off prescription.

What to expect

Improvements in energy, libido, mood and body composition typically build over weeks to months, not days. Treatment needs ongoing monitoring (including haematocrit), and standard testosterone can reduce fertility, which is why the enclomiphene route exists for men who may want children. Individual results vary and your clinician confirms suitability.

Who it's for / not for

  • Men with symptoms and lab-confirmed low testosterone
  • Those wanting monitored, lab-based hormone care
  • Men actively trying to conceive (the enclomiphene route may be used instead)
  • Prostate or breast cancer, untreated severe sleep apnoea or very high haematocrit
  • Controlled medicine, subject to UAE regulation and clinician review
For Him · Sexual Health

Sexual Health

Clinician-prescribed treatment for erectile difficulty and performance confidence, reviewed for heart and medication safety, then delivered discreetly across the UAE.

  • Tadalafil (generic Cialis) PDE5 inhibitor Approved
    Taken as needed or as a low daily dose for spontaneity. Longer-acting, with effect over roughly 24 to 36 hours.
  • Sildenafil (generic Viagra) PDE5 inhibitor Approved
    Taken as needed, shorter-acting. A well-established first option for many men.
  • Compounded options Compounded
    Where clinically appropriate, a clinician may choose a compounded formulation prepared by a licensed UAE pharmacy.

Best for

  • Erectile difficulty or inconsistency
  • Performance confidence
  • Men wanting a discreet, clinician-led option

How it works

These medicines (PDE5 inhibitors) improve blood flow and work alongside arousal, they do not create an automatic erection. Because they interact with heart medications, a clinician screens your cardiovascular health and current medicines before prescribing. Tadalafil lasts longer and suits a daily, spontaneity-friendly routine; sildenafil is shorter-acting and taken when needed.

What to expect

Most men respond to a PDE5 inhibitor once the dose and timing are right. They are not aphrodisiacs and they do not increase desire on their own. If erectile changes are new or persistent, your clinician may also check for underlying causes such as low testosterone or cardiovascular risk.

Who it's for / not for

  • Adult men with erectile difficulty
  • Those cleared on a cardiovascular and medication review
  • Anyone taking nitrates (for example for chest pain), as this combination is dangerous
  • Significant heart disease, very low blood pressure, certain alpha-blockers, or prior priapism
  • Your clinician confirms safety before prescribing
For Her · Women's Hormone Health

Hormone Therapy (HRT)

For women in perimenopause or menopause: hot flushes, night sweats, broken sleep, mood changes, low libido or vaginal dryness. Symptom and history based, matched to you by a clinician.

  • Estradiol Estrogen Approved
    Oral, transdermal patch or gel to ease hot flushes, sleep and mood, prescribed at the lowest effective dose.
  • Progesterone Progestogen Approved
    Added for women with a uterus to protect the endometrium when taking estrogen.
  • Vaginal estrogen Local
    A low-dose local option for vaginal dryness and discomfort, used alone or alongside systemic therapy.

Best for

  • Hot flushes and night sweats
  • Disrupted sleep and mood changes
  • Low libido or vaginal dryness
  • Perimenopause and menopause

How it works

As estrogen declines, symptoms follow. Estradiol replaces it, and progesterone is added for women with a uterus to keep the uterine lining safe. Your clinician matches the type, dose and delivery to your symptoms and personal and family history, then reviews it over time at the lowest effective dose.

What to expect

Many women notice hot flushes, sleep and mood ease over the first weeks, with full benefit over a couple of months. Benefits and risks are discussed openly with your clinician and reviewed regularly. This is individualised care, not a fixed protocol.

Who it's for / not for

  • Women with perimenopausal or menopausal symptoms
  • Those wanting clinician-guided, reviewed hormone care
  • History of breast or endometrial cancer, or unexplained vaginal bleeding
  • Active blood clots or certain liver disease
  • Your clinician reviews your full history before prescribing

The process

How your protocol is built.

Every protocol is clinician-led from the first step. You're never selecting a drug from a shelf. A licensed physician confirms suitability, sets the dose and monitors your course.

1

Assess

Complete a confidential 3-minute online assessment covering your goals, history and current health.

~3 minutes
2

Clinician review

A licensed partner-clinic physician reviews your profile and may request labs or follow-up questions.

Within 48 hours
3

Prescribe

If you're eligible, the physician confirms the right stack, sets your starting dose and titration plan.

Eligibility & dosing
4

Deliver

Your dose-adjustable pens arrive discreetly, temperature-controlled, with everything you need to begin.

Across the UAE
5

Monitor

Ongoing check-ins track progress and tolerability, with doses adjusted and cycles paused as needed.

Throughout your course

Delivery

Clinical-grade pens, delivered discreetly.

Protocols are supplied as premium, ready-to-use injection pens with a dial-adjustable dose and QR-verified authenticity, shipped discreetly and temperature-controlled (cold-chain) to your address in the UAE. Each pack includes the pen, cartridges, micro-needles, alcohol wipes and a clear dosing and storage leaflet. The pre-filled sterile format removes reconstitution and contamination risk; the NAD⁺ pen dials 10–100 mg in 10 mg increments.

How prescribing works. MEDVIVA is a brand and technology platform. It does not sell medication directly. After your assessment, a licensed partner-clinic physician reviews your profile, confirms eligibility and issues any prescription. Dosing is set and monitored clinically, and metabolic protocols in particular require lab work and cardiovascular assessment. Some peptides remain in-clinic only. Availability of specific peptides depends on clinical suitability and current UAE regulation.

Our standard

Honesty is the standard.

The peptide market is full of unlabelled, untested product and form-only telehealth. We took the opposite path and made the quality bar the point of the brand. Three commitments, no exceptions.

Verified identity & purity

A real Certificate of Analysis

Every compound we dispense comes with a verifiable Certificate of Analysis from a third-party accredited lab, including HPLC purity with the chromatogram shown and mass-spectrometry confirmation of identity, tied to the batch in front of you. A bare number on a templated sheet is not verification.

Labs, not forms

Baseline and follow-up testing

Every prescription is paired with baseline and follow-up labs and prescribed by a credentialed, named clinician who sets the dose, titrates one agent at a time and monitors your course. Writing a script with no labs is dispensing, not medicine, and we won't do it.

What we refuse

No form-only telehealth

MEDVIVA does not offer the form-only, no-labs, medication-bundled-with-a-consult model. Availability of any compound is tied to UAE regulation and your clinical suitability, and unapproved peptides are used only under specialist supervision where legally permitted.

Begin

Not sure which stack fits?

Take the 3-minute assessment and a clinician will recommend the right protocol for your goals.

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