A care coordinator will use this to follow up within 24 hours.
Mailing address (for follow-up materials)
General health history
Basic background the physician needs to review.
Peptide candidacy screening
A few targeted questions so the physician can match the right peptide or combination to your goals.
Save your payment method
⚡ No charge today.
Your card is saved securely with Stripe. We only charge it after your physician determines your peptide protocol and you approve it — and only if a script is written. No approval, no charge. We ask up front because a physician consult and telemedicine visit have real cost, and a card on file confirms you're a serious candidate.
By continuing you authorize My4MLife and our network physicians to charge this saved payment method for the peptide protocol you approve after your consult. You can cancel anytime by emailing support@my4mlife.com.
Review and submit
Confirm everything looks right. After submission, our care coordinator will email you within 24 hours to schedule your consult and telemedicine visit.
No charge today — your card is on file.
Your consult and telemedicine visit are at no charge. The right peptide protocol — and its cost — are determined at your physician visit; you approve the protocol and price before your saved card is ever charged.
✓
Your intake is in.
Your card is saved securely — no charge has been made. Our care coordinator will email you within 24 hours to schedule your consult and telemedicine visit. Your physician determines the right peptide protocol during that visit, and you approve the protocol and price before your card is ever charged.
Medical Disclaimer: My4MLife provides access to telehealth services and prescription medications through licensed healthcare providers and pharmacies.
Compounded medications are not FDA-approved. Individual results may vary. GLP-1 medications are prescription-only and require a physician evaluation.
This website does not provide medical advice. Always consult with a qualified healthcare provider regarding your health.
Testimonials reflect individual experiences and are not guarantees of results. Images may use models for privacy.