Can I change what is in the stack?

Yes. Your provider can swap or pause an item in the stack at any check-in.

How is the bundle price set?

Every stack is priced below buying its items separately, so you save by bundling at both the monthly and 3-month supply lengths.

Where is Shred Stack available?

Shred Stack is available in every state except Alabama, Mississippi, Ohio, or South Carolina. Availability is checked before it is added to your cart.

How do I get started?

Complete a short online medical intake. A US-licensed clinician reviews your history, then either issues a prescription, requests labs, or recommends an alternative.

Where does my treatment come from?

Every prescription is dispensed by a US-licensed pharmacy and ships in discreet, temperature-controlled packaging when required.

Can I change my dose or cancel?

Yes. Programs are month to month. You can pause, adjust your dose with your provider, or cancel at any time with no fees.

Who do I contact with questions?

You can message your care team directly, or call us at +1 425-728-6182. Most questions are answered the same day during clinic hours.

Shred Stack

A combined weight management and recovery protocol, designed to support fat loss while preserving lean muscle.

One prescription, one shipment
Save by bundling
Dosing reviewed and adjusted at every check-in

Select your supply

Billed every 90 days, cancel anytime.

Shipping State

Prescribed by a US-licensed provider
Compounded at a US 503(a) pharmacy
Shipped cold, ready to use
HSA / FSA eligible

Prescription treatments are dispensed only when clinically appropriate after provider review. Compounded medications are not FDA approved.

Round Out Your Plan

Commonly prescribed together.

Lipotropic nutrients plus B12 for fat metabolism and energy

From $149/mo

Get Started

A copper peptide that supports skin, hair, and whole-body tissue renewal.

From $163/mo

Get Started

1 / 2

What's in the Shred Stack

Every item is prescribed to you after provider review and shipped together.

Tirzepatide 10 mg Injection

Once-weekly GLP-1 and GIP for appetite regulation and metabolic support.

Sermorelin Injection

Supports the body's own growth hormone release for lean muscle, recovery, and sleep.

Wolverine 1 (BPC-157 / TB-500)

Tendon, ligament, and soft-tissue repair while training continues.

The Science

How the Shred Stack Works Together

Losing weight quickly often means losing muscle along with fat. This stack pairs a GLP-1 for appetite regulation with sermorelin, which supports the body's own growth hormone release, studied for preserving lean muscle and supporting recovery as calories drop.

Wolverine 1 adds BPC-157 and TB-500, two of the most widely studied recovery peptides, so tendons and soft tissue get support while you keep training.

All three are prescribed together by one provider, shipped together, and adjusted together at check-ins. The 90-day option uses the tirzepatide starter bundle so your dose steps up month by month.

Weight managementLean muscle

Weight managementLean muscleOne protocol

Why People Choose the Shred Stack

Potential Benefits of the Shred Stack

The Shred Stack is prescribed as one protocol, with every item reviewed and adjusted together by your provider.

Appetite Control

May reduce hunger and food cravings.

Lean Muscle

May support muscle as weight comes off.

Training Recovery

May shorten recovery time between sessions.

One Protocol

Three prescriptions, one order, one provider.

Individual results vary and are not guaranteed.

How the Shred Stack Works

What the stack does in the body over time.

Day 1

The GLP-1 activates its receptors, slowing digestion and signaling fullness to the brain, while the rest of the stack begins its own work.

30 Days

Appetite and food cravings may quiet as your starting dose takes effect.

3 Months

As your dose is adjusted, steady weight loss and healthier blood sugar may follow.

6 Months

Continued appetite regulation supports sustained progress toward your goal.

1 Year and Beyond

Your provider adjusts each item in the stack for maintenance and long-term metabolic health.

Timeline reflects the general mechanism and published research. Individual results vary and are not guaranteed.

How Optera Works

100% online care, personalized dosing, and treatment delivered to your door.

Build your protocol and share your health history.

Get Started

Our providers review and prescribe if it's right for you.

Pre-Qualify

Patient messaging an Optera provider on a tablet

Compounded and shipped cold to your door.

Shop Protocols

The Optera Standard

What you can count on with every order.

No gray-market labeling

“Research use only” products sold by Optera

Regulated pharmacies

503(a)

Every prescription compounded at a licensed US pharmacy

Clinician-guided

100%

Of prescriptions reviewed by a licensed provider

Safety Information

Any Risks?

Side effects are possible with any medication. Read the full safety information for every product in this stack and discuss all medications with your provider.
Compounded medication
Compounded products are not FDA approved. Every item in this stack is compounded at a US-licensed 503(a) pharmacy. They are not brand-name products and have not been evaluated for the same safety and effectiveness.
Thyroid warning
In animal studies, tirzepatide caused thyroid C-cell tumors. It is not known whether it does so in people. Do not use tirzepatide if you or a family member have had medullary thyroid carcinoma or Multiple Endocrine Neoplasia syndrome type 2. Tell your provider right away about a lump or swelling in the neck, hoarseness, or trouble swallowing.
Common side effects
From tirzepatide: nausea, vomiting, diarrhea, constipation, stomach pain, and reduced appetite, most often when starting or after a dose increase. From the peptides: injection site redness or discomfort, headache, flushing, and fatigue. Tell your provider about any side effect you think is related to this stack.
Serious side effects
From tirzepatide: pancreatitis (severe stomach pain that may spread to the back), gallbladder problems, kidney problems from dehydration, low blood sugar (especially with insulin or sulfonylureas), changes in vision for people with diabetes, and allergic reactions. Stop and contact your care team if any of these occur.
Talk to your provider first
If you are pregnant, breastfeeding, or planning to become pregnant, if you have a history of pancreatitis, gallstones, or gastroparesis, if you have a history of cancer or thyroid disease, if you have kidney or liver disease, if you take insulin or other diabetes medication, or if you are being treated for a chronic medical condition.
When to stop
Stop and contact your care team if you experience a severe reaction. For a medical emergency, call 911.

Learn More About the Shred Stack

Ready When You Are

Answer a few questions and a licensed provider will tell you whether this is a fit.

Check If I Qualify

Shred Stack

Round Out Your Plan

Lipo-B (MIC + B12)

GHK-Cu

What's in the Shred Stack

How the Shred Stack Works Together