Tirzepatide Microdose (Injections)
Activates both GLP-1 and GIP receptors.
What Bryan takesSupport longevityHave better sex
Daily TadalafilGeneric for Cialis®
From $24/mo$40/mo
Can help relax blood vessels, supporting sexual function, vascular health, and healthy aging.
Medication Type
HSA/FSA reimbursable
Founded by Bryan Johnson
No insurance required
Fast, discreet shipping
Licensed US pharmacies
Unlimited follow-up with licensed physicians
HSA/FSA reimbursable
No insurance required
Licensed US pharmacies
Founded by Bryan Johnson
Fast, discreet shipping
Unlimited follow-up with licensed physicians
$0
Membership fees
“Tadalafil enhances my endothelial function, reduces my inflammation markers, and potentially protects me against age-related cardiovascular and metabolic decline.”
Why Tadalafil
Blood vessels tighten as you age. Tadalafil helps keep them open.
With tadalafil
Without tadalafil
May lower early death risk
A study of over 29,000 men found tadalafil users had a 44% lower risk of dying from any cause compared to non-users. Groups were matched for blood pressure, diabetes, and cholesterol medications.
Source: Kloner et al., "The Association of Tadalafil Exposure With Lower Rates of Major Adverse Cardiovascular Events and Mortality," Clinical Cardiology (2024)
Charts and graphics are illustrative representations intended to communicate published research findings and the known pharmacologic properties of the referenced medication. Visualizations may simplify, normalize, or model study data for educational purposes and should not be interpreted as guarantees of individual clinical outcomes or expected results.
HOW TADALAFIL WORKS
Opens blood vessels. Supports circulation.
Tadalafil works on one enzyme in your vascular system. This single action supports vascular health, sexual function, and longevity.
PDE5 inhibited
Tadalafil inhibits PDE5, the enzyme that breaks down cGMP, the chemical signal that keeps blood vessels relaxed.
cGMP preserved
cGMP can then stay active longer. This helps blood vessels stay relaxed which can help keep circulation running smoothly.
Vascular function supported
This vasodilation effect has been shown to help support sexual function (the FDA-approved use). But the same effect works throughout your vascular system. Daily low-dose use may also support cardiovascular and endothelial health.
How Immortals Medicine works
From intake to your door in three to seven days
Step 1Medical intake
Answer a guided set of questions covering your medical history, current medications, goals, and treatment preferences.
A few minutes
Step 2Doctor review
A U.S.-licensed, board-certified physician reviews your intake and recommends a medication, if appropriate.*
Within 72 hours
Step 3Fast shipping
Approved medications ship directly to your door in discreet packaging.
2-5 business days
Step 4Unlimited messaging
Your doctor is available by message any time for additional support. Video consults available.
Up to 12 months
Get Started
The same prescription framework as Bryan Johnson's medical team.
*Some states may require a synchronous audio and/or video consultation prior to a prescription being approved.
Keep exploring longevity.
Semaglutide Microdose (Injections)
Activates the GLP-1 pathway at lower doses.
Sermorelin (Injections)
Stimulates the pituitary gland's natural release of growth hormone.
NAD+ (Injections)
Can replenish NAD+ levels, which naturally decline with age.
Glutathione (Injections)
Can help defend cells against oxidative damage.
NAD+ (Nasal Spray)
Can replenish NAD+ levels, which naturally decline with age.
Glutathione (Nasal Spray)
Can help defend cells against oxidative damage.
Peptide Skin Complex (4-in-1)
Helps reduce fine lines, fade dark spots, and brighten skin tone.
Why Immortals Medicine
Precision medicine protocols to support longevity
Proactive care
Doctor-led treatment plans designed around your goals. No wait lists. No insurance required.
Transparent pricing
No membership fees, no hidden costs. You pay only after a doctor prescribes treatment.
Board-certified doctors
Access to specialist physicians, licensed in your state. Unlimited messaging for up to 12 months.
Curated by longevity experts
Every protocol is built by medical experts, based on longevity research from Bryan Johnson's science team.
COMMON QUESTIONS
Questions, answered
This page is intended for educational purposes only and is not intended to provide medical advice, diagnosis or treatment. Medication eligibility and prescriptions are determined solely by licensed medical providers based on clinical appropriateness. Not all individuals will qualify for medication-based treatment. Always consult a licensed healthcare professional before beginning any wellness program