Cellular & Metabolic Optimization Programs | NAD+ Therapy

Support energy, recovery, focus, and metabolic wellness through a personalized cellular optimization program.

Top Tier Telehealth offers clinician-guided cellular and metabolic optimization care, including NAD+ therapy and additional supportive options such as Sermorelin when clinically appropriate.

Your care is personally managed by Philana Cunningham, MSN, FNP-BC, a board-certified family nurse practitioner with over 20 years of clinical experience.

Top Tier Telehealth is LegitScript Certified

Book Your Free Discovery Call by clicking this link or by clicking the Book Online button below

Cellular and metabolic health play an important role in how your body produces energy, responds to stress, supports recovery, and maintains overall wellness. When energy feels low, focus is reduced, recovery feels slower, or metabolic health feels harder to maintain, a more personalized approach may be helpful.

At Top Tier Telehealth, the Cellular and Metabolic Optimization Program is designed for adults who want clinician-guided support for energy, recovery, metabolic wellness, and healthy aging. Treatment options may include NAD+ therapy and, when appropriate, additional peptide-based support such as sermorelin.

NAD+ is a coenzyme involved in cellular energy production, repair, and metabolic function. NAD+ levels may decline with age, stress, poor sleep, inflammation, and other lifestyle or health factors. NAD+ therapy is not a cure-all and is not intended to replace healthy nutrition, sleep, exercise, or evaluation for underlying medical conditions. Instead, it may be considered as one part of a broader wellness plan.

Sermorelin is a peptide sometimes used to support the body’s natural growth hormone signaling. When clinically appropriate, it may be discussed as part of a broader plan focused on recovery, body composition, sleep quality, and metabolic wellness. It is not appropriate for everyone, and treatment decisions are based on your health history, goals, symptoms, and clinical evaluation.

This program is not a one-size-fits-all wellness package. Your plan is personalized based on your goals, medical history, current medications, lab results when indicated, and your overall treatment priorities.

This program may be appropriate for adults looking for support with:

• Low energy or reduced stamina

• Recovery from stress or physical strain

• Metabolic wellness and body composition goals

• Brain fog or reduced mental clarity

• Healthy aging and cellular support

• Wellness support alongside nutrition, movement, and lifestyle changes

Your program may include:

• Comprehensive telehealth consultation

• Lab review or lab ordering when clinically indicated

• Personalized treatment recommendations

• NAD+ therapy when appropriate

• Discussion of peptide-based support such as Sermorelin when appropriate

• Ongoing follow-up and medication management

• Convenient home delivery of medications coordinated

Schedule Your Free Discovery Call by clicking this link or by clicking the Book Online button below 

Only $249/month for NAD+ and Sermorelin Therapy programs

Medications, if prescribed, are fulfilled through licensed pharmacies and coordinated as part of your ongoing provider-guided care.