Men's HealthAsad K. Niazi, MD, MPH
Board Certification
Internal Medicine (ABIM)
Alma Mater
Texas Tech University – Foster School of Medicine
Daily tablet
Daily low-dose vasodilator for bigger pumps, better recovery, and improved performance
Larger supplies unlock the lowest per-dose pricing.
Treatment plan includes no-cost medical evaluation
Daily support for blood flow, training, and recovery.
Larger supplies unlock the best per-dose pricing.
$90 total
Larger supplies unlock the lowest per-dose pricing.
$175 total
Larger supplies unlock the lowest per-dose pricing.
Save 3%$270 total
Larger supplies unlock the lowest per-dose pricing.
Save 25%Start
Answer a few questions about your health and goals.
⏱ 5-10 minutes
Review
They decide whether treatment is appropriate. No video visit required in 41 states.
⏱ <4 business hours
Delivered
One of our trusted pharmacy partners discreetly ships your medication to your doorstep.
⏱ <1 week*
*Timelines shown reflect our average turnaround times and are not guaranteed.
You've got a solid program, a real pre-workout stacked, and you're still leaving gains on the table. Here's the bottleneck: your blood vessels.
Daily 5mg tadalafil blocks PDE5, the enzyme that constricts blood vessels. That means more nitric oxide signaling, wider vessels, and more oxygen and nutrients reaching working muscle — before, during, and after your session.
It's not a hack. It's physiology.
Better blood flow. Bigger pumps. Faster recovery. Tap a pin to see what daily tadalafil does for each.
Tadalafil works by blocking PDE5, the enzyme that breaks down cGMP in smooth muscle cells. More cGMP means more nitric oxide activity, wider vessels, and more delivery to working tissue.
This isn't bro science. It's peer-reviewed research from journals including JCEM, Clinical and Translational Science, and British Journal of Clinical Pharmacology.
Tadalafil amplified salivary testosterone AND cortisol responses to maximal exercise vs. cortisol-only rise in placebo.
Di Luigi, L., et al. (2008). J Clin Endocrinol Metab, 93(9), 3510–3514.
Short-term daily PDE5 treatment increased skeletal muscle protein synthesis and reduced fatigue in humans. The protein synthesis response was of similar magnitude to 100–200 mg/week testosterone injection.
Sheffield-Moore, M., et al. (2013). Clin Transl Sci, 6(6), 463–468.
PDE5 inhibition reduced muscle damage markers and improved endurance over 4 weeks.
Venckunas, T., et al. (2019). J Appl Physiol, 127(1), 48–58.
Tadalafil reduced arterial stiffness and systolic blood pressure during recovery from exercise in humans.
Rosano, G. M., et al. (2006). Br J Clin Pharmacol.
4.8 average. Patients love us. And we work hard to earn it.
Men's HealthBoard Certification
Internal Medicine (ABIM)
Alma Mater
Texas Tech University – Foster School of Medicine
LongevityBoard Certification
Family Medicine (ABFM)
Alma Mater
Xavier University School of Medicine
LongevityBoard Certification
Family Medicine (ABFM)
Alma Mater
Xavier University School of Medicine
Men's HealthBoard Certification
Physical Medicine and Rehabilitation (ABPMR)
Alma Mater
Lake Erie College of Osteopathic Medicine
Oversight
Physician reviewed
Dose
Daily low-dose vasodilator for bigger pumps, better recovery, and improved performance
Frequency
Daily tablet
Included
Medication, supplies, expedited shipping
Related Reading
Deeper dives from our editorial team — pricing, dosing, and the research behind it.
Answer a few simple questions to check eligibility.
Our treatments contain active pharmaceutical ingredients that conform to USP (United States Pharmacopeia) monograph standards and are custom-compounded by licensed 503A and 503B pharmacies to meet your individual needs. Compounded medications are not FDA-approved finished drug products. The suggested formulations are provided for reference only and are based on formulations that have historically been prescribed by duly licensed prescribers. All medications are prepared in accordance with a valid prescription from a licensed healthcare provider following a medical consultation.
Our licensed medical providers will evaluate your health history and goals to determine the most appropriate treatment option for you. Prescriptions are subject to medical evaluation and are not guaranteed. If we are unable to prescribe treatment after your consultation, you pay zero. Independent clinical services provided by: Arora Health & Aesthetics • Seattle, WA https://www.arora-health.com • Providers Licensed in all 50 States + DC. Lone Star Virtual Health PLLC • Katy, TX https://www.lonestarvirtualhealth.com/contact • Providers Licensed in all 50 States + DC.






