About Vivo

Longevity, by design.

Vivo exists so that no one has to choose between doing nothing and trusting the gray market.

The gap we're addressing

Access to compounded medications should begin with an individualized medical evaluation. Vivo Health provides a structured process through which licensed medical providers review a patient's medical history, treatment goals, and clinical appropriateness before determining whether treatment may be prescribed.

How care is delivered

Patients complete an online medical intake that is reviewed by a licensed medical provider. When treatment is prescribed, the prescription is sent to a licensed compounding pharmacy for preparation and dispensing. Treatment eligibility, medication availability, and pharmacy access may vary by patient and state.

Our clinical standards

We do not promise outcomes or provide prescription medications without an appropriate medical evaluation. Treatment information is presented in a clear, factual manner, and prescribing decisions are made by licensed medical providers based on each patient's individual circumstances.

A note from our founder

My parents first heard about NAD+ on a Facebook reel — an influencer, a quick video, a supplement that promised more energy and better aging. The next step was the neighborhood health-food market, and standing in the supplement aisle, the only person available to help decide which capsule, how much, and when was the sales associate stocking that section.
That's not a criticism of the associate. It's a description of a system with a gap exactly where guidance is needed most.
I have public-health training — in Western medicine, preventive care, and health education. We're taught to move people toward action: get the check-up, get the screening, follow the treatment. What rarely enters the conversation is functional medicine — even as people like my parents are already seeking it out on their own.
Raising it with a primary-care provider wasn't simple either. With an HMO, the next appointment was six weeks out — and when it came, thirty minutes went to the chart, the main concerns, and the prevention topic the system had flagged that quarter. There was no room for the actual question.
That's the gap. Not distrust of functional medicine — the opposite. People are already seeking it, already spending on it, already deciding about it, without the clinical support those decisions deserve.
Vivo was built on a simple belief: this kind of care belongs in a clinical framework, not a supplement aisle — and it should be as accessible as a telehealth visit. A short intake. A visit with a prescribing provider. A licensed pharmacy delivering to your door.
Longevity care should be achievable by all. That's what we're building.

Sarelle JanoianCo-founder & CEOJack JanoianCo-founder

Medical leadership

Care on Vivo is overseen by licensed physicians who set clinical standards, review patient eligibility, and keep the process accountable.

Dr. Sean Arora, M.D.

Co-Founder & CEO at Arora Health & Aesthetics

Dr. Sean Arora is a board-certified physician and the founder of Arora Health & Aesthetics, bringing deep expertise in wellness, family medicine, and telehealth innovation. He leads one of the nation's most comprehensive medical oversight and compliance networks, supporting clinics through full-spectrum medical directorship, nationwide telehealth provider coverage, and evidence-based protocol development across peptides, hormone optimization, weight loss, regenerative medicine, and aesthetic treatments.

Known for his forward-thinking approach to patient safety and scalable clinical operations, Dr. Arora partners closely with medical spas, wellness clinics, and telehealth organizations to ensure responsible, compliant, and impactful care. Licensed in all 50 states, he is dedicated to expanding access to high-quality wellness services through innovation, leadership, and patient-centered standards.

Dr. Shannon Arora, M.D.

Chief Medical Officer at Arora Health & Aesthetics

Dr. Shannon Arora is a physician dedicated to making a meaningful impact on patient health through both traditional medicine and proactive wellness care. With experience as a hospitalist, she brings a strong clinical foundation shaped by work in hospitals and nursing homes, offering a broad perspective on patient care across diverse settings. While her early career focused on acute care, Dr. Arora recognized an opportunity to create a more proactive, personalized approach within the health, wellness, and longevity space. She now focuses on optimizing patient health through advanced wellness therapies, preventative medicine, and longevity-focused care, helping patients improve energy, confidence, and overall quality of life.

As Chief Medical Officer, Dr. Arora is passionate about advancing innovation in regenerative medicine and wellness, while helping both patients and organizations achieve better outcomes through thoughtful, patient-centered care.

Ready to start?

Complete your visit in about 10–15 minutes. A licensed provider takes it from there.

Provider-supervised
Licensed U.S. pharmacy

Start your visit