Compound Therapy in Iowa, Clinically-Prescribed Telehealth

How telehealth compound therapy works for Iowa residents

Tides is a cash-pay telehealth practice. Every protocol is reviewed and prescribed by a licensed clinician before any compound is dispensed. Iowa 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 Iowa.
4. Prescription + compounding. A 503A pharmacy compounds your protocol; it ships to your Iowa address.
5. Refills with clinical touch. Routine refills auto-approve; every fourth refill routes back to the clinician for review.

Compounds available in Iowa

The full Tides catalog is available to Iowa 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 Iowa patients

Dr. Rachel Deutsch, DNP, personally reviews every Iowa 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

Iowa-specific considerations

Where Tides serves patients in Iowa

Tides ships to every Iowa ZIP code, with patients in Des Moines, Cedar Rapids, Davenport, Sioux City, and Iowa City relying on the same intake-to-shipment process. Patients in smaller Iowa towns access the same Quest and LabCorp draw stations, the same compounding pharmacy, and the same clinician.