Estrella Medical Centers
Performance

Clinician-Guided Performance Programs

For active patients seeking sustainable energy, focus, and recovery — with a personalized protocol from a licensed provider.

Starting at
$149
/month
billed monthly · cancel anytime
Energy optimization
Endurance support
Focus and clarity support
Recovery and performance support
Performance · Scene 4
Performance · Scene 3
Performance · Scene 2
Performance · Scene 1
Treatment options

What your provider
may consider.

Your specific protocol is determined by a licensed clinician based on your intake, medical history, labs, and goals. The compounds and pathways below are educational — not a recommendation or guarantee of outcome.

NAD+

Subcutaneous injection · IV · oral precursor

A coenzyme involved in cellular energy production. Considered in performance and recovery protocols.

Designed to support
  • Designed to support cellular energy metabolism
  • Studied for its role in mitochondrial function
  • Considered in performance and recovery protocols
Considerations · Route of administration is determined by your provider based on your intake and goals.

MOTS-c

Subcutaneous injection (compounded)

A mitochondrial-derived peptide studied in the context of exercise response and metabolic regulation.

Designed to support
  • Designed to support mitochondrial signaling
  • Studied in performance and metabolic contexts
  • Considered in protocols for active adults
Considerations · Compounded medication. Emerging research; not FDA-approved for any indication.

GHK-Cu

Topical · subcutaneous · IV (compounded)

A copper-binding tripeptide studied in tissue-health and recovery contexts.

Designed to support
  • Designed to support tissue health
  • Studied for its role in regenerative pathways
  • Considered alongside performance protocols
Considerations · Compounded medication. Route is selected by your provider based on goals.
Considered when

Patients who
consider this program.

  • Active adults pursuing sustainable energy without stimulants
  • Patients seeking endurance support under provider direction
  • Focus and clarity support as part of a broader protocol
  • Recovery-focused performance protocols
About this program

Several treatments referenced on this page may be compounded medications — preparations made by a state-licensed compounding pharmacy under a clinician's prescription. Compounded combinations are not FDA-approved. Treatment is determined by a licensed clinician based on your intake, medical history, labs, and goals. The information here is educational and is not a recommendation, diagnosis, or guarantee of outcome. Discuss benefits, risks, and alternatives with your provider.

Your first month

From intake
to ongoing care.

A clear, four-step path from your first questionnaire to continuous care. Pause, change, or cancel from your dashboard at any time.

  1. Day 0· ≈ 10 minutes

    Complete your intake

    A secure, online medical questionnaire covering your goals, medical history, current medications, and any prior labs. Submit photos or documents if relevant.

    You

    Complete the intake at your own pace. Your information is encrypted and reviewed only by your care team.

    Your provider

    We match you with a clinician licensed in your state.

  2. Within 24 hours· Provider review

    Clinician review & decision

    A licensed provider reviews your intake. If the program is appropriate, your protocol is determined. If more information or recent labs are needed, your provider will message you securely.

    You

    Watch for a secure message. Reply with any clarifying questions.

    Your provider

    Reviews your file. Confirms eligibility, dosage, and any clinically relevant adjustments. May request labs.

  3. Days 3–5· After approval

    Discreet shipment

    Your medication is dispensed by a partner state-licensed compounding pharmacy and shipped in plain packaging to the address on file. Most patients receive their kit within 3–5 business days of approval.

    You

    Receive your shipment. Watch the onboarding video and review dosing instructions.

    Your provider

    Sends an onboarding video, dosing instructions, and answers questions over secure messaging.

  4. Weeks 2–4 +· Ongoing care

    Continuous, supervised care

    Your provider stays involved — check-ins, refills, dose adjustments, and lab follow-up if needed. Everything is tracked in your dashboard. Pause, change, or cancel any time.

    You

    Message your provider as questions come up. Refill on schedule.

    Your provider

    Conducts check-ins, manages refills, reviews labs, and updates your protocol as needed.

Not sure if this program is right for you?

Take 10 minutes to complete the intake. A licensed provider reviews your file and replies, usually within 24 hours. There's no charge until a provider determines you're a fit.

In their words

Patients on
this program.

Selected accounts from patients on this and adjacent Estrella programs — published with consent, edited only for length.

What sold me is that this is a real medical group — not some random tele-pharmacy. Same Estrella doctors my parents have seen for years. That trust matters when you're putting something in your body.
Rafa M.
Rafa M.
Performance · Doral, FL
I've tried every diet. The difference here was actually having a doctor who looked at my whole picture — labs, meds, family history — and built me a plan I could keep up with. Down 32 lbs and my A1C is finally normal.
Marisol R.
Marisol R.
Weight Loss · Miami, FL
Energy is back. Sleep is back. Even the gym feels like it did 10 years ago. The provider sat with me on a video call for 25 minutes — no rush, all my questions answered. That's not how my old clinic worked.
Carlos D.
Carlos D.
Hormone Optimization · Hialeah, FL
What sold me is that this is a real medical group — not some random tele-pharmacy. Same Estrella doctors my parents have seen for years. That trust matters when you're putting something in your body.
Rafa M.
Rafa M.
Performance · Doral, FL
I've tried every diet. The difference here was actually having a doctor who looked at my whole picture — labs, meds, family history — and built me a plan I could keep up with. Down 32 lbs and my A1C is finally normal.
Marisol R.
Marisol R.
Weight Loss · Miami, FL
Energy is back. Sleep is back. Even the gym feels like it did 10 years ago. The provider sat with me on a video call for 25 minutes — no rush, all my questions answered. That's not how my old clinic worked.
Carlos D.
Carlos D.
Hormone Optimization · Hialeah, FL
Common questions

Everything you might be wondering.

Have something specific? You can also message your provider once you complete the intake.

How long until I see results?+
Outcomes vary. Most patients begin to notice changes within the first 4–8 weeks of consistent treatment, though timelines depend on the program and your individual response.
Are labs required?+
Some programs require recent lab work for safety and dosing. Your provider will let you know after reviewing your intake.
Are your providers licensed?+
Yes. Every patient is reviewed by a clinician credentialed in the state where you live.
How is medication shipped?+
Medications are dispensed by a partner pharmacy and shipped discreetly to the address on your account, usually within 3–5 business days of approval.
Is this subscription-based?+
Most programs are recurring subscriptions to support continuity of care. You can pause, change, or cancel through your dashboard at any time.
Ready when you are

See if performance is
right for you.

Ten minutes today. A licensed Estrella provider reads your file in full and replies, typically within twenty-four hours — with a recommendation, or a clear answer that treatment is not right for you yet.

More programs

Explore other
Estrella programs.

Each program built around a single objective. Browse the rest of the practice — every plan reviewed by the same medical group.

Begin intake