Vitality · Energy & recovery
For when the basics are dialed in but something still feels off.
Vitality care is for the in-between space. Sleep is OK; energy isn't. Workouts feel harder to recover from than they should. Cypress vitality protocols — NAD+, Sermorelin — are designed around midlife realities, not bro-science longevity hacks.
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What "vitality" means here
Energy. Recovery. Not anti-aging.
"Anti-aging" is deficit-framed and frankly a little tired. "Longevity" tilts male and bro-science. We use "vitality" because it's what women in midlife actually describe wanting back — the feeling that you have what you need to live the day in front of you.
Vitality care at Cypress is targeted, evidence-aware, and integrated. It's not a separate identity from your hormonal and metabolic care — it sits alongside, picks up what they don't address, and is overseen by the same clinician.
You don't need to be a biohacker. You don't need to track a hundred things. You just need a path that respects your time and gives you energy back.
Treatments
Three vitality options. One assessment.
Your clinician helps you choose the right protocol — NAD+ via injection or nasal spray, Sermorelin for HGH-axis support, or a combination — based on what you're feeling and what you've tried.
NAD+ Injection
Subcutaneous injection · once weekly
NAD+ Nasal Spray
Intranasal · daily, needle-free
Sermorelin Injection
Subcutaneous injection · 5 nights/week
NAD+ — what it does
A coenzyme your cells run on.
NAD+ (nicotinamide adenine dinucleotide) is a coenzyme involved in cellular energy production, DNA repair, and metabolic regulation. Levels of NAD+ decline with age. Whether bringing them back up has the effects often claimed is an active research area — the data is real but emerging.
Most women using NAD+ at Cypress describe one of three things: a lift in everyday energy, better recovery from physical stress, or improved cognitive crispness. We don't promise these. We watch for them.
NAD+ via injection is dosed once weekly. Via nasal spray, it's daily and needle-free, with somewhat different absorption pharmacokinetics. Your clinician helps you decide which fits.
Sermorelin — what it does
A different lever on the HGH axis.
Sermorelin is a growth hormone-releasing hormone analog. Rather than supplying HGH directly, it stimulates your pituitary to release its own — preserving the natural pulsatile pattern of HGH release.
For women in midlife who are sleeping poorly, recovering slowly from workouts, or noticing body composition shifts despite stable habits, Sermorelin may be one piece of a fuller protocol. It is not a standalone solution and it is not appropriate for everyone.
Sermorelin is dosed by subcutaneous injection at night, typically 5 nights per week. Your clinician will determine whether it's appropriate for your specific health profile.
How it works
Three steps. Roughly three minutes.
A note on safety
Vitality protocols are not for everyone.
NAD+ and Sermorelin are not appropriate for women with active cancer, certain endocrine conditions, or specific contraindications. Your clinician will surface those during the assessment and let you know if a different path makes sense.
Side effects are typically mild — injection-site reactions, mild flushing or headache, occasional GI symptoms — and dose-related. Your clinician monitors and adjusts.
Get your energy back. Start today.
The 3-minute intake is free. Your clinician follows up within 24 hours with a personalized recommendation.
Start your assessment