Actives at the strength your skin actually needs.
Compounded Tretinoin, hydroquinone, niacinamide. Dermatologist-grade formulations, titrated for you.
Plainly stated.
Tretinoin (all-trans retinoic acid) is the most studied molecule in dermatology. It accelerates cell turnover, normalizes follicular keratinization, and rebuilds dermal collagen over months of consistent use. The OTC retinols sold next to the moisturizers are 100× weaker.
Compounded blends let your physician layer hydroquinone (for hyperpigmentation), niacinamide (for sebum and barrier), or azelaic acid (for redness and inflammatory acne) into one nightly application — sized to your skin type and goal.
Titration matters. Strong tretinoin used incorrectly is a recipe for irritation, not results. Your physician will start you at the dose your skin can tolerate and walk the strength up over months.
Medical reviewer · VYTAL.RX Physician Network
No setup fees.
No insurance games.
Includes physician review, monthly check-ins, async messaging, and free shipping. Cancel from your dashboard, any time.
Be the first one in.
Our Skin program — compounded Tretinoin and prescription topicals — is in final medical-review now. Drop your email and you’ll be first in line when intake opens. No spam. One launch note, then you decide.
Four steps.
Intake
Honest history. No upsell scripts.
Physician review
A US-licensed physician reads every intake.
Dispensing
USP <795> compounding pharmacy ships direct.
Ongoing care
Skip, swap, pause, cancel. From the dashboard.
Three more doors.
Weight Loss
Compounded Semaglutide and Tirzepatide. The same molecules as Ozempic, Wegovy, Mounjaro, and Zepbound — dispensed at a fraction of the price, titrated to your baseline.
Performance
Generic Sildenafil and Tadalafil, on demand or daily. Same molecules as Viagra and Cialis, dispensed without the awkward.
Hair
Finasteride, Minoxidil, and prescription topicals. Alone or stacked. Combined protocols that work — not gummies that won't.