Peptides, in the right order.

A full biomarker panel first — your baseline, properly read. Then, if it is right for you, a medicine registered with the Ministry of Health and dispensed by an authorised pharmacy. Never the other way round.

The basics

What a peptide is

A short chain of amino acids that your body already makes, and uses to carry instructions from one organ to another. Insulin is one. The shape it folds into is what lets it fit a receptor.

A message, not a substance

Semaglutide copies a gut hormone that tells the brain you have eaten.

Registered, not research-grade

Most peptides sold online read “research use only”. Ours are registered with the Ministry of Health.

Not all of them are peptides

Testosterone is a hormone. Metformin is a tablet. The evidence decides, not the word.

one amino acid 3.6 to a turn the shape
How it works

Four steps, and a doctor at every one

Nothing is prescribed before you are assessed and your biomarkers are read.

  1. 1

    Assessment

    Thirty minutes by video with a physician. History, medications, what you want to change.

  2. 2

    Biomarkers

    A full panel, drawn at a laboratory near you. Measured, not guessed.

  3. 3

    Your plan

    Your doctor reads the results with you and decides whether medicine is right at all.

  4. 4

    Monitoring

    Reviews at one, three and eight months, with a check-in from your phone between.

Who reads your results

Two physicians and a molecular biologist

A panel is only worth what the person reading it knows. These are the people who would read yours.

Dr. Luis Chacón

Dr. Luis Chacón

Prescribing physician

A Costa Rican physician in general practice, with a year of clinical training through the CCSS across primary care, hospital and ambulatory settings. He works daily with chronic pain, sleep disorders and inflammatory conditions, taking an evidence-based approach, and prescribes on what he finds rather than on what is asked for.

M.D., Universidad de Ciencias Médicas (UCIMED)
MED18961 — Colegio de Médicos y Cirujanos de Costa Rica
Dr. Sebastián Waugh

Dr. Sebastián Waugh

Longevity medicine

A physician specialising in regenerative and longevity medicine at RMI‑International, where he designs treatment protocols with a stated focus on safety and precision. He also provides emergency care, adult and paediatric, at Hospital Clínica Bíblica. His master’s thesis was on photobiomodulation.

B.S. · M.D., Universidad de Costa Rica · M.Sc. Anti‑Aging Medicine and Longevity, Universitat de Barcelona
M.B.A. Big Data and Business Analytics, Aden Business School (in progress)
MED18093 — Colegio de Médicos y Cirujanos de Costa Rica
Laura Flanagan

Laura Flanagan

Biomarkers

Over thirty years in scientific research as a molecular biologist, now working in functional nutrition. She specialises in functional blood chemistry analysis — reading a panel for the subclinical drift that sits inside the reference range and gets reported as normal. That is the part of this clinic most people underestimate.

B.S., M.S. · Certified Functional Nutrition Counselor, Functional Nutrition Alliance
Member, National Association of Drugless Practitioners

Every prescription is written by a physician registered with the Colegio de Médicos y Cirujanos de Costa Rica, after an individual assessment, and dispensed by a licensed pharmacy.

Treatments

Six ways in, one way of working

Every one of them starts with the same assessment and the same seven‑marker panel — blood count, fasting glucose, HbA1c, lipids, liver and kidney function, and thyroid. Which you end up on is your doctor’s decision, not a choice you make on a website.

Everyone starts here

The Clinic Fee

The same for every patient, whatever your plan.

Initial assessment, 30 minutes$90₡41,000
Doctor reviews and check‑ins$45/mo₡20,500
Baseline panel, seven markersfrom $223₡101,500
Repeat panel, three markersfrom $116₡53,000
Sometimes the answer is no medicine.The fee buys the assessment and the reading of your results, not a prescription. If your panel says treatment is not right for you, your doctor will say so — and we would rather tell you that here than after you have paid.
Most asked for

Metabolic

Weight, insulin resistance, pre-diabetes and the cardiovascular risk that travels with them. The area where the evidence is strongest and the change shows up soonest.

TrackedHbA1c, fasting glucose, lipids, liver enzymes, kidney function, blood pressure
from $395per monthapprox. ₡180,000 per month
For men

Men’s hormones

Fatigue, lost strength, poor sleep, low mood. Prescribed only where your biomarkers support it, and monitored closely because this one has to be.

TrackedTotal and free testosterone, oestradiol, haematocrit, PSA, lipids
from $185per monthapprox. ₡84,000 per month
For women

Women’s hormones

Perimenopause and menopause. Sleep, temperature and mood, and the bone and heart risk that arrives quietly alongside them, years before anyone mentions it.

TrackedFSH, oestradiol, thyroid function, lipids, vitamin D and calcium
from $165per monthapprox. ₡75,000 per month
Body composition

Growth and recovery

Body composition, recovery and sleep. The dose is set on your IGF-1 and adjusted on repeat testing, never on how you happen to feel that week.

TrackedIGF-1, fasting glucose, HbA1c, thyroid function, lipids
from $490per monthapprox. ₡223,000 per month
The low-cost route

Metformin

The oldest and cheapest option on this page, and for a good number of people the right one. Sixty years of safety data sit behind it.

TrackedHbA1c, fasting glucose, renal function, vitamin B12, liver enzymes
from $70per monthapprox. ₡32,000 per month

Laboratory figures are the Colegio de Microbiólogos minimum tariff, which is the legal floor in Costa Rica; your laboratory may charge above it, and anything your doctor adds for your own case is extra. Colon figures are converted at ₡455 to the dollar on 18 October 2026, and the rate moves. Package prices are indicative and include the clinic fee above. Medicines are dispensed by a licensed pharmacy and paid for there. Laboratory fees are paid to the laboratory.

Resources

Fifty answers, written by the clinic

The questions we are asked before anyone books. Educational, never a recommendation to take anything.

What we measure

14

Conditions

12

Treatments

8

Practical

4
  • How to prepare for a fasting blood test
  • Reading your own lab report
  • What to expect from a video consultation
  • Questions worth asking about any new medicine

Eight are published. The Costa Rica group is written first, because those are the questions nobody here has answered.

Open the library

Schedule an appointment

Start with a conversation

Tell us what you want to change. We will come back with appointment times. No payment is taken to book.

Message us on WhatsApp

Nothing you send is a medical record until you are a patient. Writing to us does not create a doctor–patient relationship, and nothing here is a prescription.

Also from Cura Vida

The cannabis clinic

Both clinics are Cura Vida Clinics Costa Rica S.R.L. — one company, one set of physicians, one medical record. The cannabis clinic has been seeing patients across the country by video since 2024. This is not a new company learning how to do it; it is the same one, treating something else.

Visit the cannabis clinic
  • The same prescribing physicians
  • The same consent and medical records
  • The same booking and reminders
  • Prescriptions through Receta Digital in both