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Vivo

About Vivo

Done right.

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

The gap we're closing

The molecules people want access to have been studied for decades. The legitimate path to them, for most people, hasn't existed — so demand flowed to research-chem vendors: unknown doses, no physician, no accountability. The problem was never the molecule. It's everything around it.

What we built instead

Vivo is the institutional answer: an online visit reviewed by an independent licensed physician, an exact prescribed dose, compounding by a licensed US 503A pharmacy, and delivery to your door. Nothing exotic — just the way medicine is supposed to work, applied to longevity care.

What we won't do

We don't promise outcomes. We don't sell without a prescription. We don't publish testimonials we can't verify or claims we can't source. Every statement on this site is descriptive and carries a citation slot — if we can't substantiate it, we don't say it.

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 physician 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 physician. 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

Ready to start?

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

  • Physician-supervised
  • Licensed U.S. pharmacy