Heva Health review

What it is

Heva Health is a LegitScript-certified functional-medicine telehealth practice offering compounded GLP-1 weight-loss treatment, a hormone-optimization program covering testosterone therapy and enclomiphene with anastrozole where clinically indicated, a comprehensive at-home blood panel, and a Concierge Care membership. Its care team is named on the site: Dr. Caroline Tade, NMD, Kasey Horrell, PA-C, Dr. Daniel Hall, DNP, NP-C, whose stated focus is men's hormone optimization and regenerative peptide therapies, and Kelly Moore, FNP. It also runs a separate supplement store whose products include an NMN formula. Pharmacies are described as FDA-registered and state-licensed, and labs as CLIA-certified.

How it works

Program-based rather than product-based, which is the substance of what is on offer. The hormone plans bundle medication, lab testing every 90 days, mobile phlebotomy for at-home blood draws, a provider-reviewed treatment plan and ongoing chat support into a single monthly price, with a three-month minimum and cancellation afterwards. That is the right shape for testosterone therapy specifically: it carries real monitoring requirements, and a program that includes quarterly bloodwork by default is materially safer than one that sells the medication and leaves the labs to you. The Concierge Care tier at $99 a month is a separate product covering labs, a provider consultation and a treatment plan, available in ten named states. Where the practice is weaker is peptide specificity. Two of its four named clinicians list peptide therapy among their specialties, but no peptide protocol is published, no peptide is priced, and the only peptide named anywhere on the live site is gonadorelin, which appears as the difference between the $149 and $199 hormone tiers rather than as a therapy you can buy on its own.

Pricing transparency

Clear on hormones, absent on peptides, and internally inconsistent in one place worth flagging. The hormone page publishes two plans: Core at $149 a month covering testosterone therapy or enclomiphene, anastrozole where clinically indicated, lab testing every 90 days, mobile phlebotomy, a provider-reviewed plan and chat support; and Enhanced at $199 a month adding gonadorelin for testicular-atrophy support. Both carry a three-month minimum, then cancel anytime, and all plans are billed monthly. The homepage separately advertises hormone optimization "from $99/mo", which is not the hormone plan price — $99 is the Concierge Care membership, a different product available in ten states. Weight loss starts at $149.99 and the one-time blood panel is $249. There is no peptide price at all beyond the $50 monthly difference the gonadorelin tier represents, so we are not quoting one. Ask what a peptide protocol would cost outside the hormone tiers, whether one exists as a standalone product, and which specific molecule is being proposed.

Branded vs compounded

Compounded; not FDA-approved. Prescription required only if a licensed provider finds it appropriate. Heva describes its pharmacies as FDA-registered and state-licensed without naming them, and compounded sterile products are not FDA-reviewed for purity and potency the way approved drugs are. Three evidence points are worth separating. Testosterone therapy has substantial human evidence in men with diagnosed hypogonadism, and it carries real monitoring requirements — hematocrit, PSA and lipids among them — and suppresses fertility; a program bundling quarterly labs is addressing a genuine clinical need rather than adding a feature. Enclomiphene has human data on raising endogenous testosterone while preserving fertility markers, but it is not an FDA-approved product for that indication. Gonadorelin is used here to counter testicular atrophy during testosterone therapy; its supportive human outcome evidence in that role is thinner than the confidence with which the category sells it, and it is not a growth-hormone or general-wellness peptide. Separately, and correcting the record: the only NAD⁺ product Heva sells is an oral NMN supplement in its store, not a prescription injection — and oral NR and NMN are in fact the NAD⁺ forms with human trial data, which show a reliably raised blood NAD⁺ level rather than a demonstrated clinical outcome. Individual results vary.

Pros and watch-outs

The evidence behind what Heva Health prescribes

We grade the molecules, not the marketing. Here is what the human data actually shows for each thing on their menu.

• TRT: what testosterone therapy is actually proven to do

  An FDA-approved therapy for diagnosed hypogonadism — with real but moderate benefits (sexual function, mood; not vitality), cardiovascular non-inferiority in TRAVERSE, and a real fertility trade-off.

• Enclomiphene: the evidence for restoring testosterone without replacing it

  Randomized trials, including two Phase III RCTs, show enclomiphene restores a man's own testosterone while preserving fertility — but it was never FDA-approved.

• Gonadorelin: real GnRH with a proven pump role — and an unproven TRT-adjunct pitch

  Gonadorelin is authentic synthetic GnRH with a legitimate diagnostic and pulsatile-pump fertility role — but the modern once-daily bolus use as an hCG substitute on TRT ignores the rhythm the evidence depends on.

• NAD+ precursors (NR and NMN): what the human trials actually show

  They raise NAD+ and look safe short-term — but human evidence is surrogate-marker level, and no trial shows they extend healthspan.

How Heva Health compares

A few alternatives worth a look, depending on what you’re optimizing for.

• Defy Medical

  The widest physician-supervised peptide menu with lab testing

  See Defy Medical →
• Marek Health

  Optimization-focused men wanting extensive labs and custom protocols, not just a script

  See Marek Health →
• Hone Health

  Men who want at-home biomarker testing and flexible delivery forms

  See Hone Health →