A full biomarker panel first — your baseline, properly read. Then, if it is right for you, a medicine registered with the Ministry of Health and dispensed by an authorised pharmacy. Never the other way round.
A short chain of amino acids that your body already makes, and uses to carry instructions from one organ to another. Insulin is one. The shape it folds into is what lets it fit a receptor.
Semaglutide copies a gut hormone that tells the brain you have eaten.
Most peptides sold online read “research use only”. Ours are registered with the Ministry of Health.
Testosterone is a hormone. Metformin is a tablet. The evidence decides, not the word.
Nothing is prescribed before your blood has been drawn and read. We take no margin on your laboratory tests.
A short questionnaire. Free, no appointment, no clinician. It tells us what to measure, and it rules out anyone this would not be safe for. Not everyone goes further, and that is the point.
Everyone is assessed on blood: the seven baseline markers, plus whatever your answers call for. What varies is only whether you need a fresh draw, or recent results of your own will do.
A molecular biologist reads your panel; a physician decides whether medicine is right at all. Either answer comes with a plan — medicine, or nutrition alone. Nobody leaves with nothing.
Someone stays with you. A repeat panel at three months, then once a year — re-measuring what moved rather than everything, with shorter check-ins in between so nothing drifts unnoticed.
A panel is only worth what the person reading it knows. These are the people who would read yours.
A Costa Rican physician in general practice, with a year of clinical training through the CCSS across primary care, hospital and ambulatory settings. He works daily with chronic pain, sleep disorders and inflammatory conditions, taking an evidence-based approach, and prescribes on what he finds rather than on what is asked for.
Over thirty years in scientific research as a molecular biologist, now working in functional nutrition. She specialises in functional blood chemistry analysis — reading a panel for the subclinical drift that sits inside the reference range and gets reported as normal. That is the part of this clinic most people underestimate.
Every prescription is written by a physician registered with the Colegio de Médicos y Cirujanos de Costa Rica, after an individual assessment, and dispensed by a licensed pharmacy.
Every one of them starts with the same assessment and the same seven‑marker panel — blood count, fasting glucose, HbA1c, lipids, liver and kidney function, and thyroid. Which you end up on is your doctor’s decision, not a choice you make on a website.
The same for every patient, whatever your plan.
Weight, insulin resistance, pre-diabetes and the cardiovascular risk that travels with them. The area where the evidence is strongest and the change shows up soonest.
Fatigue, lost strength, poor sleep, low mood. Prescribed only where your biomarkers support it, and monitored closely because this one has to be.
Perimenopause and menopause. Sleep, temperature and mood, and the bone and heart risk that arrives quietly alongside them, years before anyone mentions it.
Body composition, recovery and sleep. The dose is set on your IGF-1 and adjusted on repeat testing, never on how you happen to feel that week.
The oldest and cheapest option on this page, and for a good number of people the right one. Sixty years of safety data sit behind it.
Cholesterol, ApoB and the arterial risk that shows nothing at all until the day it does. The area where treating early changes the most, and where waiting costs the most.
Every plan: first review at three months, then once a year.
Laboratory figures are the Colegio de Microbiólogos minimum tariff, which is the legal floor in Costa Rica; your laboratory may charge above it, and anything your doctor adds for your own case is extra. Colon figures are converted at ₡500 to the dollar on 22 October 2026, and the rate moves. Package prices are indicative and include the clinic fee above. Medicines are dispensed by a licensed pharmacy and paid for there. Laboratory fees are paid to the laboratory.
The questions we are asked before anyone books. Educational, never a recommendation to take anything.
Eight are published. The Costa Rica group is written first, because those are the questions nobody here has answered.
Tell us what you want to change. We come back with appointment times. No payment is taken to book, and we never reply with a prescription.
Your request is with us. Nothing has been charged, and no prescription has been issued.
The next step is your health questionnaire. It takes about ten minutes, it is already filled in with what you have just told us, and your doctor reads it before you speak.
Start my health questionnaireYou can also do it later — we have emailed you the link.
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