AV Rejuvenate

Starting at $99.99/month

As low as with 6-month plan

Tadalafil 5 mg + NMN 50 mg (Compounded Rx)

What it is

A simple, daily plan that pairs low-dose tadalafil with NMN—a precursor that raises NAD⁺ in humans—to support cellular and vascular health alongside everyday sexual readiness.

Who it’s for

You want spontaneity and a no-planning routine.
You like the idea of cellular support while using a ED pathway.

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The statements on this page have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure or prevent any disease.

The FDA does not review or approve any compounded medications for safety or effectiveness. Off-label use must be prescribed and supervised by a licensed provider.

Why customers choose AV Rejuvenate

Daily Ease

Tadalafil 5 mg supports steady readiness without timing pressure.

Cellular Support

NMN helps raise NAD⁺ levels in human trials; NAD⁺ relates to endothelial and metabolic health.

Clinician-Guided

We’ll adjust your plan based on your goals and response.

What’s inside (per dose)

Tadalafil 5 mg

Daily PDE5 support for spontaneity.
NMN 50 mg

Adjunct to support NAD⁺ biology.

How it works

Tadalafil maintains background PDE5 inhibition to enhance erectile response with stimulation. NMN (nicotinamide mononucleotide) helps increase NAD⁺—a cofactor central to cellular energy and endothelial function. While ED-specific RCTs for NMN are not established, human trials consistently show NAD+ increases and good short-term tolerability; we position NMN as an adjunct to your daily tadalafil.

How to use

Take once daily at the same time, as directed.
Do not add other ED medicines unless your clinician instructs you to.
Your clinician will fine-tune the plan based on response.

What to expect

A steady baseline rather than “on-demand” timing.
Check-ins with your care team for dose refinements.

Safety highlights

Do not use with nitrates or riociguat.
Tell your clinician about alpha-blockers, strong CYP3A inhibitors, and any significant heart/liver/kidney issues.
Compounded prescription; not an FDA-approved finished drug.

What Customers Are Saying About AV Rejuvenate

Amazing company and amazing way to save money compared to going through a doctor.

Great Experience, All questions were answered and so much knowledge was presented.

I was paying over double at my doctor’s office for the same treatment. Ascend Vitality handled everything online, no hassle, and their team actually explained things clearly. Huge cost savings, and my results have been amazing.

Wasn’t sure about this at first but after being recommended i decided to try them out. arrived very fast, not only is it super convenient im saving money by going through ascend. results have been great so far and i’ve never felt better

Only available if prescribed after an online consultation with a healthcare provider. Benefits outlined are based on third-party studies. Plans are offered as a subscription service which can be canceled at any time. Actual product packaging may appear differently than shown. The FDA does not review or approve any compounded medications for safety or effectiveness. These treatments are individualized and do not guarantee specific results. Provider-determined, off-label use may apply.

You have questions?  Get answers

Frequently Asked Question

What is Ascend Vitality?

Ascend Vitality is a telehealth company that provides personalized medical care directly to your door. Our licensed providers work with you to help you reach your health and body goals, offering tailored treatments and ongoing support.

How does Ascend Vitality work?

Your path to treatment at Ascend Vitality begins with a simple online process. First, you’ll complete our comprehensive intake form where you’ll share information about your symptoms, medical history, and current health status. This information helps us understand your needs and ensures safe, appropriate care.

After submitting your intake form, a licensed healthcare provider will carefully review your information and develop a personalized treatment plan. Depending on your state’s requirements, your care will proceed in one of two ways:

For residents in states requiring face-to-face consultation, you’ll be prompted to schedule a video or audio visit with your provider. You’ll see available appointment times and can choose one that best fits your schedule. During this consultation, you’ll discuss your symptoms and treatment options directly with your provider.

For residents in states without video or audio visit requirements, your provider will review your information and send a detailed treatment recommendation directly to your secure message inbox through the Ascend Vitality platform. You can then review their recommendations and ask any questions you may have.

Who are the providers at Ascend Vitality?

Ascend Vitality works partner pharmacies and a private doctor network to write prescriptions and fulfill orders. You can find more information about our partner pharmacies by scrolling to our footer and visiting the ‘Partner Pharmacies’ link under the Contact section.

Does Ascend Vitality require insurance?

Not at all! Ascend Vitality doesn’t require insurance. We offer transparent pricing on treatments and your medical visit, ongoing shipments, and provider messaging are all included in one low price.

What states is Ascend Vitality available in?

Ascend Vitality is available in all U.S. states and Washington, D.C., excluding Louisiana, Mississippi, Kansas, New Mexico, and West Virginia.

Disclaimer: Only available if prescribed after an online consultation with a healthcare provider. Benefits outlined are based on third-party studies. Plans are offered as a subscription service which can be canceled at any time. Actual product packaging may appear differently than shown. The FDA does not review or approve any compounded medications for safety or effectiveness. These treatments are individualized and do not guarantee specific results. Provider-determined, off-label use may apply.