Emerge Care
ED and sexual health

Defy Medical

Checked October 15, 2026 19 sources defymedical.com ↗

Defy Medical is a telemedicine practice offering testosterone and hormone therapy, ED treatment, weight-loss medication and peptides based on blood testing and consultations.

What it is

Defy lists men's services including TRT, ED treatment, Trimix and anabolic therapies.

It also offers women's hormone therapy, semaglutide/tirzepatide weight loss, peptides, thyroid care and ketamine therapy.

Care is based on consultations and blood testing; a Tampa clinic page is linked.

Defy's May 2026 NAD+ sheet lists six injectable NAD+ vials from several compounding pharmacies, priced $120-$190 per vial.

It also lists NAD+ nasal spray (from $55 per 15 mL) and NAD+ sublingual tablets.

Defy says NAD+ can be combined with B12, B-complex, glutathione and lipo-C injections; it also prescribes sermorelin and other peptides.

Patients near Tampa can have injections given at Defy's clinic; others self-inject at home.

Prescribes: Testosterone and other hormones, ED drugs including Trimix injections, GLP-1s, peptides; formulation details not stated on homepage. Compounded NAD+, sermorelin and other peptides, glutathione, B12 and lipotropic injections (not FDA-approved), plus hormone therapy.

What it costs

NAD+ 500 mg lyophilized vial (5 mL)$120 per vial13
NAD+ 1000 mg pre-mixed vial (10 mL)$182 per vial13
NAD+ nasal spray 300 mg/mL (15 mL)$55 per bottle (one pharmacy option; another is $200)13
NAD+ sublingual 100 mg tablets$52.50 per 1513

Insurance: Not stated on pages reviewed.

Prices change often. Check defymedical.com before you sign up.

By the numbers

  • Trustpilot: 4.8/5 from 4,214 reviews (95% five-star, 1% one-star), checked 2026-10-15.4
  • BBB: C- rating, not accredited, 4 complaints filed in the last 3 years.6

Pros and cons

Pros

  • Trustpilot 4.8/5 from about 4,200 reviews, with frequent praise for detailed lab explanations.2
  • Publishes per-vial NAD+ prices across several pharmacies and forms.13
  • Trustpilot 4.8/5 from about 4,214 reviews.2

Cons

  • Prices are not published on the homepage.1
  • Its iOS app has a low rating from a small number of ratings.3
  • Pricing is per vial rather than monthly, and Reddit users say shipping and syringes cost extra.19
  • iOS app rated 1.4/5 from 12 ratings.5

What users say

Common themes in public posts on Reddit, Trustpilot, the Better Business Bureau and app stores, summarised and linked. Individual experiences vary.

  • Reviewers say providers take time to explain labs and treatment options.2
  • A minority mention missed consult calls and slow prescription follow-up.2
  • TRT forum users frequently praise unhurried consults in which providers explain labs and listen.78
  • Upfront lab and consult costs and some price increases (for example on hCG) are a common concern.91011
  • One user reports Defy sent a prescription to a retail pharmacy so insurance could cover it.12
  • Trustpilot reviewers: lab results and options explained in plain terms.4
  • Trustpilot reviewers: unhurried consultations that answer every question.4
  • Trustpilot reviewers: individualized recommendations without upselling.4
  • Reddit users in GLP-1 and peptide communities often name Defy as one of the cheaper sources for NAD+, glutathione, B12/lipotropic blends and sermorelin.1518
  • Some Reddit users find Defy slow and its website and catalog hard to use, and note that prices are only visible after creating an account.15
  • Reddit users say sermorelin requires a paid consult and labs (including IGF-1), which some value as real monitoring.1617
  • At least one Reddit user felt Defy's 1000 mg NAD+ price was high compared with other telehealth sellers.14
  • Trustpilot reviewers praise clear explanations of lab results; complaints mention missed consult calls and slow prescription follow-up.2

Sources

  1. 1Defy Medical homepagedefymedical.com ↗
  2. 2Trustpilot: defymedical.comtrustpilot.com ↗
  3. 3App Store: Defy Medical Appapps.apple.com ↗
  4. 4Trustpilot: defymedical.comtrustpilot.com ↗
  5. 5App Store listingapps.apple.com ↗
  6. 6BBB business profilebbb.org ↗
  7. 7Reddit r/trt threadreddit.com ↗
  8. 8Reddit r/Testosterone threadreddit.com ↗
  9. 9Reddit r/Testosterone threadreddit.com ↗
  10. 10Reddit r/trt threadreddit.com ↗
  11. 11Reddit r/Testosterone threadreddit.com ↗
  12. 12Reddit r/Testosterone threadreddit.com ↗
  13. 13Defy Medical: NAD+ product sheet (PDF, May 2026)defymedical.com ↗
  14. 14Reddit r/tirzepatidecompound: 'Defy Medical has newly approved peptides' (comment on NAD+ price)reddit.com ↗
  15. 15Reddit r/tirzepatidecompound: comment on Defy pricing and slow servicereddit.com ↗
  16. 16Reddit r/tirzdeals: comment on Defy consult fee and labs for sermorelinreddit.com ↗
  17. 17Reddit r/Sermorelin: comment on Defy NP visit and IGF-1 labsreddit.com ↗
  18. 18Reddit r/tirzepatidecompound: 'New prices for Defy Medical'reddit.com ↗
  19. 19Reddit r/BigEasyWeightLoss: comment on Defy shipping and syringe chargesreddit.com ↗

Emerge Care is not affiliated with Defy Medical and earns nothing if you use it. Defy Medical and its logo are trademarks of their owner, used only to identify it. This page lists public facts with sources and is not medical advice or a recommendation. Spotted something wrong or out of date? Email hello@getemergeapp.com and we will fix it.

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