Compound Therapy in California, Clinically-Prescribed Telehealth

How telehealth compound therapy works for California residents

Tides is a cash-pay telehealth practice. Every protocol is reviewed and prescribed by a licensed clinician before any compound is dispensed. California residents complete the entire process from home: intake online, labs at a local Quest or LabCorp, medication shipped to your address.

1. Intake. Structured medical intake covering goals, current medications, allergies, conditions, and recent labs.
2. Clinician review. Dr. Rachel Deutsch, DNP personally reviews every intake.
3. Required labs. Baseline panel drawn at any Quest Diagnostics or LabCorp in California.
4. Prescription + compounding. A 503A pharmacy compounds your protocol; it ships to your California address.
5. Refills with clinical touch. Routine refills auto-approve; every fourth refill routes back to the clinician for review.

Compounds available in California

The full Tides catalog is available to California patients. Every compound is prescription-only, compounded by a licensed 503A pharmacy, and dispensed under a clinical relationship, never sold as a "research chemical."

• SemaglutideGLP-1 receptor agonist for metabolic health.
• NAD+Cellular energy and longevity.
• GlutathioneSupports the body’s own antioxidant systems.
• CoQ10 (oral)Mitochondrial energy support, taken daily.
• MethylcobalaminEnergy and neurological support.
• TirzepatideDual-pathway weight management.
• Tirzepatide (oral)Needle-free metabolic support.
• TadalafilLong-acting ED support, dosed to fit your protocol.
• EnclomipheneNative testosterone support.

What Dr. Rachel reviews for California patients

Dr. Rachel Deutsch, DNP, personally reviews every California intake before a prescription is written. Her review covers:

• Goals and indications appropriate to the compound being requested
• Current medications and known interactions
• Allergies and prior reactions to compounded medications
• Pre-existing conditions that warrant additional labs or specialist consult
• Baseline lab results (or whether labs need to be drawn before prescribing)
• Dose selection and titration appropriate to clinical context

California-specific considerations

Where Tides serves patients in California

Tides ships to every California ZIP code, with patients in Los Angeles, San Diego, San Francisco, San Jose, and Sacramento relying on the same intake-to-shipment process. Patients in smaller California towns access the same Quest and LabCorp draw stations, the same compounding pharmacy, and the same clinician.