Somatropin Sale Price Tijuana

The sale price of Somatropin in Tijuana is about 1/3 the cost of the same medication in San Diego and Los Angeles.

Norditropin Somatropin (HGH) Injection Pen - AntiAgeMedical.com
Other topics that may be of interest.

Somatropin HGH Sale Tijuana Compared with U.S. Price in Top 10 Cities

U.S. residents prescribed HGH typically pay from $1,300 – $2,000 per month for premium (Norditropin) growth hormone replacement therapy. At Anti-Aging and Wellness in Tijuana Mexico, our patients pay $450-$550 per month for the same medication, from the same manufacturer, Norditropin.

If you want to save on your existing growth hormone prescriptions and avoid online pharmacy scams, we’re your smart choice.

Offering same-day labs in Mexico and Costa Rica, or pre-order labs near your home through Quest Diagnostics

How is Somatropin (HGH) Less Expensive in Mexico?

Many Americans just can’t believe medications can be so much less in Mexico or other countries. The best example we can provide to show how this is so is to let the President of the United States explain it.

White House Plan

May 11, 2018 Press Conference – Drug Prices

  • Eliminate the double-dipping that takes place from large pharmaceutical middle-men in the United States, increasing drug prices.
  • Bans pharmacist gag rule which prevents pharmacists from disclosing price transparency to patients on how to save money.
  • The President stated, “this is a total rip-off, and we are ending it.”
  • The White House is working to help Americans gain access to quality medications at fair prices.
  • The goal is to end once and for all the unfair pricing which has run amuck in the U.S. health care market for many prescription drugs.

Until this effort gets through the U.S. ‘healthcare’ bureaucracy, smart Americans will continue to look for better prices elsewhere, like Mexico. In fact, Utah just passed sweeping legislation allowing its state-insured employees to buy prescriptions in Tijuana. See the Right to Buy Act article for more information.

Compare the Most Recent Somatropin For Sale Price in Top 10 USA Cities

Somatropin is a recombinant human growth hormone (HGH). It is available by prescription only. It is taken by injection. HGH Gels and HGH sprays are not real somatropin and don’t have the same beneficial physiological effect on the body. 

Human Growth hormone is prescribed to help children grow taller when they are diagnosed with idiopathic short stature (ISS). It is also prescribed for adults to treat conditions of low growth hormone production (adult growth hormone deficiency).

Norditropin 10MG/30IU is one of the more common growth hormones prescribed. Its popularity is due to the convenience of use. Norditropin sells between $1,300 – $1,500 for one injection pen. One injection pen can support some protocols for approximately 20 days at 1.5 IU. Injections are generally prescribed in adults for deficiencies for 4-5 days per week. 

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Treatment for human growth hormone deficiency at our anti-aging and wellness clinics are generally 1/3 the amount paid at a U.S. anti-aging treatment center. 

USA HGH VS. Abroad EXAMS/LABS MONTHLY HGH ESTIMATES
USA HGH Costs $570.00 initial exams $1,295.00 monthly
TJ, Mexico HGH Costs $550.00 initial exams $450.00 monthly
Costa Rica HGH Costs $550.00 initial exams $550.00 monthly

Note: Prices are close estimates based on typical patient averages. Minor rate adjustments may occur depending on dosage and any additional medications required. The typical patient will see a rate very close to those mentioned in this table.

Initial programs of 90-days minimum are generally recommended to observe measurable improvements in body composition, fat loss, energy levels, and exercise intensity.  We aim to see improvements in age-related chronic disease markers and longevity markers when the proper lifestyle of diet and exercise is followed once deficiencies are improved. 

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So many Americans remain unaware that brand name prescription medications are one-half or one-third the price in other countries. More recently, the state of Utah just passed ‘Right to Shop’ Legislation so workers can go to Tijuana Mexico for prescription medications. 

When you share this content, you help us help others save!

Traveling with Prescriptions?

We frequently encounter questions from prospective patients. Most of them are addressed in our frequently asked questions below. However, most patients who use common sense and go through the proper clinical program we offer will never encounter a problem. Below are common questions related to traveling with medications. Please note that most people over 40 in western society are on 1 or 2 prescription medications. It is normal and natural to travel domestically and internationally with your prescriptions. In fact, it is a basic human right, and if travel was prohibited because of prescription medications, then almost 50% of travelers would be confined to their own home country. 

We don’t condone doping nor do we condone abusing prescription medications. It’s clear there is a health crisis in western culture. We are only trying to help undue deficiencies due to deficiencies. Below the travel tips buttons, we are also including a link to a video made by 

Sensible Arguments for HGH Replacement

This video is a reasonable argument related to the replenishment of HGH replacement therapy in adults.

Dr. Klatz of the American Academy of Anti-Aging and Regenerative Medicine discusses the modest and appropriate replenishment of HGH deficiencies just as one would do for thyroid, estrogen, testosterone or any other deficiency. 

Dr. Klatz discusses how it is a safe therapy and has been used safely for more than 50 years throughout the world. 

Play Video

Tijuana Treatment Center for Bioidentical Hormone Replacement

Tijuana Treatment Center Dr. RosalesWe are located in a state-of-the-art medical facility along with plastic surgeons, cosmetic dentists, dermatologists and more.

We opened the center back in 2015 and have been serving the needs of Californians and others frustrated with the rising cost of elective medical procedures in the U.S. 

Just look at the price of HGH inthe USA versus the HGH price with us. Same medication – Same Manufacturer.

Dr. Paola Rosales, MD Medical Director Tijuana, MX

Dr. Paola Rosales, MD Medical Director Tijuana, MX

Dr. Rosales is a graduate of the Autonomous University of Baja California, Tijuana, Mexico - Medical Doctor. She attended High School in Southern California and holds dual US/Mexican Citizenship. She is trained and experienced in Aesthetic Medical Solutions and worked heavily with Botox, Dysport, and Restylane-L in Carnival Cruise Line’s “on-ship” MedSpa. Dr. Rosales has also gone through extensive training in Anti-Aging Modalities such as bio-identical hormone replacement therapy for both men and women. Dr. Rosales assisted with the preparation of up to date somatropin for sale price information in Tijuana Mexico.

Only get HGH therapy from authorized licensed healthcare professionals. Our protocols are developed based on standardized bioidentical hormone replacement protocols. 

HGH San Diego Costs - Tijuana Mexico Costs
Norditropin HGH NordiFlex Pen

Top 10 USA Cities For Sale Price and Locations

Somatropin for Sale in New York, NY

Typically a Somatropin cash-based prescription will sell in New York City between $1,300 USD to over $2,000 USD per month. 

 For Norditropin HGH NordiFlex 10MG Injection Pen

ShopRite Pharmacy $1,243.23
1 Garet Pl
Commack, NY

Somatropin for Sale in Los Angeles, CA

Typically a Somatropin cash-based prescription will sell in Los Angeles between $1,300 USD to over $2,000 USD per month. 

 For Norditropin HGH NordiFlex 10MG Injection Pen

Ralphs Pharmacy $1,280.75
645 W 9th St
Los Angeles, CA

Somatropin for Sale in Chicago, IL

Typically a Somatropin cash-based prescription will sell in Chicago between $1,300 USD to over $2,000 USD per month. 

 For Norditropin HGH NordiFlex 10MG Injection Pen

Costco Pharmacy $1,243.23
1430 S Ashland Ave
Chicago, IL

Somatropin for Sale in Houston, TX

Typically a Somatropin cash-based prescription will sell in Houston between $1,300 USD to over $2,000 USD per month. 

 For Norditropin HGH NordiFlex 10MG Injection Pen

HEB Grocery Pharmacy $1,265.53
3663 Washington Ave Ste 100
Houston, TX

Somatropin for Sale in Phoenix, AZ

Typically a Somatropin cash-based prescription will sell in Phoenix between $1,300 USD to over $2,000 USD per month. 

 For Norditropin HGH NordiFlex 10MG Injection Pen

Frys Pharmacy $1,280.75
100 E Jefferson St
Phoenix, AZ

Somatropin for Sale in Philidelphia, PA

Typically a Somatropin cash-based prescription will sell in Philidelphia between $1,300 USD to over $2,000 USD per month. 

 For Norditropin HGH NordiFlex 10MG Injection Pen

Acme Markets Pharmacy $1,288.48
180 W Girard Ave
Philadelphia, PA

Somatropin for Sale in San Antonio, TX

Typically a Somatropin cash-based prescription will sell in San Antonio between $1,300 USD to over $2,000 USD per month. 

 For Norditropin HGH NordiFlex 10MG Injection Pen

HEB Pharmacy $1,280.75
108 N Rosillo
San Antonio, TX

Somatropin for Sale in San Diego, CA

Typically a Somatropin cash-based prescription will sell in San Diego between $1,300 USD to over $2,000 USD per month. 

 For Norditropin HGH NordiFlex 10MG Injection Pen

ShopRite Pharmacy
1 Garet Pl
Commack, NY

Somatropin for Sale in Dallas, TX

Typically a Somatropin cash-based prescription will sell in Dallas between $1,300 USD to over $2,000 USD per month. 

 For Norditropin HGH NordiFlex 10MG Injection Pen

Benzer Pharmacy $1,243.23
600 N Pearl St Ste H201
Dallas, TX

Somatropin for Sale in San Jose, CA

Typically a Somatropin cash-based prescription will sell in San Jose between $1,300 USD to over $2,000 USD per month. 

 For Norditropin HGH NordiFlex 10MG Injection Pen

Safeway Pharmacy $1,288.48
1300 W San Carlos St
San Jose, CA

Somatropin for Sale in Tijuana Mexico

HGH San Diego Costs - Tijuana Mexico Costs
Norditropin HGH NordiFlex Pen

Typically a Somatropin cash-based prescription will sell at Anti-Aging and Wellness ranges between $450 USD to  $550 USD per month. 

 For Norditropin HGH NordiFlex 10MG Injection Pen

Anti-Aging and Wellness TJ $450.00
Antonio Caso 2055,
Zona Urbana Rio Tijuana, 22010 Tijuana, B.C., Mexico

Somatropin for Sale in Costa Rica

Typically a Somatropin cash-based prescription will sell at Anti-Aging and Wellness is approximately $550 USD per month. 

 For Norditropin HGH Nordilet 10MG Injection Pen

Anti-Aging and Wellness  Clinic $550.00
Golden Plaza, Segunda Planta San José
San Rafael de Escazú, Costa Rica

Somatropin Sale Price Comparison

Last updated October 2019

LA Area Pricing Vs. Anti-Aging and Wellness TJ

Rite Aid RX Norditropin HGH $1,292.22

Tijuana Mexico Anti-Aging and Wellness HGH $450.00

How Much Does Growth Hormone Cost in Mexico?

The rate for a Norditropin HGH pen which contains 10MG and 30IU of treatment is between $450-$550. For many undergoing HGH therapy as part of an HGH deficiency and age management program in the United States, this is one-third the amount these patients are paying just a few minutes across the border. It is the exact same medication by the same pharmaceutical companies. 

The reason HGH is more expensive in the United States than in Mexico and Costa Rica is due to global pricing models set by large pharmaceutical companies. That’s it. The medications are the same and from the same manufacturers.  

YouTube-Anti-Age-Intro370

Monthly HGH Plans starting as low as $550.
Initial Program Assessment $550.

Contact Us Today!

Start Now!

Get started today! We’ll work with you every step of the way. 

How Does One Qualify for HGH Therapy?

There are many factors that go into determining if HGH therapy is a good option for adult patients. Unfortunately for those living in the USA, it’s more determined by the size of the person’s pocketbook. Many among the rich and famous are already using HGH for their own medical lifestyle choices. Some of these people include Suzanne Somers, Sylvester Stallone, and billionaire tech entrepreneur Peter Thiel

To qualify for a deficiency, patients must undergo comprehensive blood testing, a medical examination, and submit a detailed medical intake questionnaire. 

Should I Take Metformin on HGH Therapy?

Metformin is the first line of treatment for adult-onset diabetes and is used in some cases for prediabetes. Some doctors may use it as a weight-loss medication. It is currently being studied for anti-aging purposes by leading scientists. See <TAMES> study for more information on interest for anti-aging purposes.

Famous Harvard anti-aging researcher David Sinclair and others are taking metformin for age management purposes, not necessarily as a diabetic medication. Dr. Sinclair also supplements with NAD+ (NMN) for its benefits related to longevity and mitochondrial wellness.  

Anti-Aging and epigenetics. Recently a small research study was published regarding key aging biomarkers being reversed by 2 years or more after taking HGH and Metformin over 12 months <Reference Link>, [Download pdf]. 

We do not prescribe Metformin for anti-aging purposes currently. However, we do follow evidence-based research related to the standard American diet and its influence on glycemic variability and proper glucose control. Let’s face it, approximately 70% of the population is overweight or obese. Most of these patients are potentially near diabetic (prediabetes) or will be diabetic within a matter of 10-15 years.

Reference this one study on forecasting type II diabetes 10 years in advance <Click here>. Other research going all the way back to the 1970s suggests the same thing <Click here>.

We concentrate heavily on integrative medicine. Our physicians monitor carefully various blood biomarkers which may indicate poor glucose control and chronic inflammation associated with many age-related chronic diseases. We assess each individual’s health, and in many cases recommend they consider a lifestyle modification program related to diet and exercise. In some cases, Metformin may be a good option for the patient with prediabetes characteristics.  

Is it Legal for Me to Take HGH?

Our HGH programs are prescribed by licensed physicians in the US and abroad who use best practices for evaluating, prescribing and treating patients with HGH.

Our priority is on patient safety and optimal wellness. We do comprehensive blood testing, complete medical intake, and clinical examinations. Once it is determined between the patient and their doctor that growth hormone therapy can be prescribed, we continue to monitor, re-examine, and adjust protocols to ensure patient safety, benefits and treatment efficacy.

Is HGH for Sale? Can I Buy HGH?

No, absolutely not. HGH is available by prescription only. It is very rare for USA-based insurance companies to authorize HGH prescriptions. So, each patient will pay for HGH therapy as an out-of-pocket medical expense. 

We strongly discourage patients from buying HGH on the street or from an international online pharmacy. Much of the growth hormone bought in this manner may be counterfeit or not high-quality pharmaceutical grade HGH like Norditropin, Saizen or others. 

HGH is a very delicate hormone and it is difficult to produce. For years leading big-pharma laboratories were only capable of producing a close version of HGH in the lab. The earlier type of HGH was 192 amino acid structure. True HGH is a 191 amino acid protein. All pharmaceutical-grade HGH brands listed below meet this standard. 

We only prescribe 100% bioidentical growth hormone(s) from the leading pharmaceutical companies. These include companies like:

Growth Hormone and Anti-Aging

For years HGH was touted as an anti-aging medication, but it is not an anti-aging drug. HGH may provide certain growth effects that help offset many side-effects of aging, like sarcopenia (muscle wasting), body composition, and blood lipids, among others. 

Okay, now the good news. A new but small 2019 HGH / Metformin research study published in the Aging Cell journal has been making headlines in the news. Probably not since the landmark HGH study conducted by Dr. Rudman in 1990, has a single growth hormone study received so much buzz. 

Let’s first step back in time to the Dr. Rudman study released in 1990. This study was one of the first studies done on a limited number of adult men and published in the prestigous New England Journal of Medicine. This is about the same time when famous actors and actresses like Sylvester Stallone and Suzanne Somers began publically announcing their use of human growth hormone and other bioidentical hormones for age management purposes. Essentially the Rudman study determined the following <Click here>:

    • Men 61-81 years old injected HGH daily over a 6-month period.
    • No major adjustment to lifestyle was enforced.
    • Improved lean muscle mass of approximately 8.8% was measured.
    • The reduction of body fat was reduced by almost 15%, while their overall weight remained the same. 
    • Bone density increased by 1.7%.
    • Skin thickness increased by over 7%.

For Dr. Rudman New England Journal of Medicine HGH Study <Click here>.

Now, researchers in California have observed key aging markers by reversing age by almost 3 years.

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Anti-Aging News Report: HGH, Metformin and DHEA

Researchers publish new anti-aging findings discovered when studying improving immune function. Treatment consisted of HGH, metformin, and DHEA.

These therapies and protocols are not proven nor have they been evaluated by the FDA. This information is scientific in nature. Always seek the advice of your physician before considering if this type of therapy is something you should consider for yourself. 

Is HGH from Mexico & Costa Rica Safe?

When HGH is prescribed by one of our doctors in the US, Costa Rica, or Mexico, the medication is safe. It is the same brand that is sold in the USA. All our HGH prescriptions come from major pharmaceutical companies. They come from registered pharmacies or distributors in their respective countries. 

How do I get Started?

It’s best to fill in our contact form or call us direct. This enables us to discuss your specific situation in more detail and determine the best treatment center for your care.

Before any treatment program is recommended, patients must complete a medical history questionnaire,  receive comprehensive blood testing, and meet with the physician. Blood testing can be done at our treatment centers or at a local Quest Diagnostic diagnostic location.

Directions to our Clinic from Southern, California

Those traveling from Southern California to our Clinic in Tijuana Mexico have two primary options, either by car or by air. 

If you plan to drive you will take I-5 S. Plan your times accordingly for local traffic patterns.

Hotels in Tijuana for Medical Tourism Area Residents

Hyatt Place TJ <Click here> to open a new Hyatt link.

Marriott TJ <Click here> to open a new Marriott link.

Cost Benefits of the HGH with us

Let’s face it, for many HGH is too expensive. Unless you are a Hollywood A-lister or billionaire tech entrepreneur, it isn’t a viable option unless you seek treatment abroad.

We operate age management treatment centers in the US and in other countries. This enables us to treat at far lower rates than other age management groups. We can offer HGH therapies at our international centers for 60% less, for those willing to work with one of our US trained international doctors and treatment centers. 

Lifestyle Recommendations while on Therapy

Avoid fad diets and processed foods. If fat loss is needed, we prefer to use scientific approaches like intermittent fasting, fasting-mimicking (FMD), or intermittent ketogenic dieting, which have all been proven to various degrees using the scientific method. Much research is being done in this area at many leading Universities, and we’ve found it to be a great approach for fat loss for many people. It is not for everyone though, so our medical practitioners will review each individual case.

We like to see patients get into healthy nutritional ketosis periodically to support the beneficial role of cell apoptosis and autophagy. Some patients who are overweight may prefer doing a diet program in connection with their hormone replacement therapy. The two methods together form a very powerful integrative approach to overall health and wellness.  

  • We discourage smoking and heavy drinking. For those who wish to continue to drink socially, we recommend refraining from high-sugar alcoholic beverages with added sweetened mixers or that are high in carbohydrates. This enlists high blood sugar and high insulin response, which immediately slows or stops entirely fat loss. Red wine and clear alcohols generally have less impact on blood sugars, and this will help improve body composition sooner. 
  • Eat whole foods and avoid processed foods. Whole foods, for the most part, digest slower and have a less negative impact on increasing blood sugars and insulin response. Fruits should be limited to some degree. When consuming fruits, it is recommended to eat fruits like berries and avocados. Berries are sweet in taste but have less negative impact on blood sugar and insulin response. 
  • Avoid fruit juices and other types of sugary beverages. Many of these so-called healthy juices are packed with sugary-carbohydrates that elevate blood sugars and insulin response, making fat loss more difficult.
James Richie, Co-Founder and Managing Director

James Richie, Co-Founder and Managing Director

This article was researched by James Richie and his medical advisory team in the US and Mexico. James is the co-founder and managing director of Anti-Aging and Wellness. He invested in his first age management clinic in Costa Rica in early 2013. Since that time the group has expanded to Tijuana Mexico and Panama serving the medical tourism market. He has been a repeat contributor on podcasts like Ask the Experts Radio and Overseas Radio. James first became involved with somatropin back in 2004 when he was prescribed HGH by his doctor in Chicago Illinois. From 1994-2010 he served as CEO in the cellular communications industry before transitioning into medical tourism while living in Costa Rica. The Anti-Aging and Wellness group operates international anti-aging treatment centers in Costa Rica, Mexico, and Panama.

Dr. Mark Henderson, MD Medical Director USA

Dr. Mark Henderson, MD Medical Director USA

Dr. Henderson is a former board-certified emergency room physician who transitioned to anti-aging medicine in 2004. After experiencing first-hand health consequences of so many patients due to obesity and chronic diseases in the ER, he moved into age management medicine with hopes of helping more people avoid premature death and major health problems. Dr. Henderson began practicing medicine in the late 1990s and is a graduate of Louisiana State University. Dr. Henderson is board-certified by the American Academy of Anti-Aging and Regenerative Medicine. He is licensed in California, Costa Rica, Florida, Kentucky and Indiana. He is one of the only US physicians also licensed to practice in Costa Rica. Dr. Henderson assisted with the preparation of somatropin price information for key cities mentioned in this article.

Dr. Paola Rosales, MD Medical Director Tijuana, MX

Dr. Paola Rosales, MD Medical Director Tijuana, MX

Dr. Rosales is a graduate of the Autonomous University of Baja California, Tijuana, Mexico- Medical Doctor. She attended High School in Southern California and holds dual US/Mexican Citizenship. She is trained and experienced in Aesthetic Medical Solutions and worked heavily with Botox, Dysport, and Restylane-L in Carnival Cruise Line’s “on-ship” MedSpa. Dr. Rosales has also gone through extensive training in Anti-Aging Modalities such as bio-identical hormone replacement therapy for both men and women. Dr. Rosales assisted with the preparation of up to date somatropin for sale price information in Tijuana Mexico.

FAQs - Frequently Asked Questions About Growth Hormone

The current rate for the Norditropin HGH Pen in Tijuana Mexico typically runs between $450 and 550.00 USD. 

The current rate for the Norditropin HGH Pen in Costa Rica typically runs $550.00 USD. 

The current rate for the Norditropin HGH Pen in the United States typically runs between $1300.00 – $1400.00 USD. 

Yes, with the proper paperwork. You need a doctor’s prescription and a letter. The letter is only required if the prescription is not in its original packaging. The medication must be for personal use. The rule of thumb is 90-days. 

Please see our “Traveling with Prescription Medications” links at the bottom of this page. We link to the FDA’s information, Customs and Border Patrol, as well as the HGH letter our physicians will complete for your treatment when traveling abroad.

We get this question a lot from prospective patients looking to save on HGH therapy. No country is immune to fraud, not even the United States. With that said, this is a new world we live in today. With social media and the internet, more information is accessible to the public than ever before. 

We operate very openly on the internet and through promotional material like print media. We’ve advertised in American Way. We are a reputable medical tourism medical group trying to help Americans and Canadians be healthy. 

We only prescribe the same FDA approved pharmaceutical HGH brands that you find in the United States. The only difference is the USA must pay 2 or 3 times the price. Why? Because of big pharma’s global pricing models and the problematic insurance model which exists in the United States. Both Republicans and Democrats have demonized big pharma for this practice, but nothing ever gets done. 

Recently, some states have begun to take action. Utah recently passed “Right to Shop” legislation which allows its public employees to buy legally lower-cost prescription medications in Tijuana Mexico. Click the link. It is widely reported in some of the press. Other states are looking at similar legislation: <Click here>. Mexico has very good control of their legal prescription drug programs. 

We work closely with only the leading pharmaceutical companies. The process has a complete and safe chain of custody when it comes to name-brand prescription pharmaceuticals. 

 

There is no evidence HGH causes cancer. Sugar and the standard American diet of processed foods may have a much higher association with cancer than HGH. However, HGH is the master growth hormone. It should not be abused. If one has cancer, it would not be a good decision to promote growth. 

Fear mongering and demonization is not a solution to our epidemic of chronic disease. HGH, like any bioidentical natural hormone, is a tool. It must be used under the supervision of a medical professional. HGH should not be abused. It should be used to optimize deficiencies. 

For those on HGH therapy, most patients should embrace additional lifestyle changes as well. The human body does best when it experiences both anabolic (growth) and catabolic (loss) states regularly. Many health care professionals have only recently become aware of the need to go through brief periods of catabolism. Essentially this is a type of fasted state which helps induce cellular regeneration. 

Some of the topics we can discuss with patients include proper lifestyle and dieting which are anti-aging and anti-cancer in theory. These include intermittent fasting, time-restricted eating, ketogenic dieting among many others. Since each of these have their pros and cons, we prefer to work with each patient individually to develop the best approach suitable to the patient. 

Many women are concerned HGH replacement therapy will cause them to become too muscular. We prescribe HGH replacement only within the normal physiological range. HGH is not a miracle drug that produces extreme muscle mass. If taken properly, there should be no major negative side-effects. 

When we prescribe HGH, we follow up with patients and do blood testing. The goal is to treat so levels are within the upper physiological range of the optimal zone. 

With us, you don’t have to be a billionaire tech entrepreneur or a Hollywood movie star to afford HGH replacement therapy with the leading brands! 

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We provide a strong group of board-certified doctors in anti-aging and regenerative medicine, urology and in physical and pain medicine.

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This Page Last Updated: December 5, 2019