The questions,
answered.
A library of considered answers — written by our care team, refined for the men we serve.
Scroll
A library of considered answers — written by our care team, refined for the men we serve.
Skim by category or dive in. Each chapter is short enough to read in a sitting and detailed enough to actually answer the question.
You pick a treatment, answer a short set of health questions online, and a licensed US physician reviews your information. If treatment is appropriate, they write the prescription and your medication ships to your door in plain packaging.
The whole intake takes about five minutes. No office visit, no waiting room, no awkward conversation.
In most states, no. Maro uses an asynchronous online intake — you answer health questions on your own time and a US-licensed clinician reviews your file. No camera, no scheduling.
A handful of states require a synchronous visit by law for certain treatments. If you live in one of those states, your clinician will let you know and a quick video visit can be scheduled at no extra cost.
Yes. Every prescription on Maro is written by a US-licensed physician (MD or DO), Nurse Practitioner, or Physician Assistant — credentialed and actively licensed in your state.
Your clinician's name and license details are visible in your patient portal before any prescription is issued. You're not getting a prescription from an algorithm or an offshore call center.
Yes. Telehealth-prescribed treatment is legal in all 50 states. Maro operates through a HIPAA-compliant clinical platform with US-licensed clinicians and US-licensed pharmacies, following the same standards that govern any in-person prescription.
The medications themselves — sildenafil, tadalafil, finasteride, minoxidil, semaglutide, tirzepatide, sermorelin — are all legal prescription drugs in the United States. Compounded formulations are prepared by licensed 503A and 503B pharmacies that meet FDA and cGMP standards.
Yes. Once you're a patient, you can message your clinician directly from your portal. Side effects, dose questions, lifestyle changes that might affect treatment — all of it goes through one secure thread.
Replies typically come within hours, not days. The same clinician handles your file across refills, so you don't repeat your history every time.
Three things. First, the same clinician reviews your file every time — most platforms rotate you through whoever is on shift. Second, the protocols are written for outcomes, not subscription length: Maro Reserve combines sildenafil and tadalafil in one pill, the hair-loss formulation pairs finasteride with minoxidil, and our weight protocols include both semaglutide and tirzepatide.
Third, the experience is built to feel like working with a private clinician — not a checkout funnel. Plain unmarked packaging. Direct messaging. No upsells inside your portal.
Maro is available in all 50 states. Our clinical partners maintain active licensure in every state, and our pharmacy network ships nationwide.
Some treatments have state-specific rules — a few states require a synchronous video visit for certain prescriptions, and GLP-1s and peptides have additional clinical screening in some jurisdictions. If anything affects your eligibility, your clinician will tell you during intake.
Maro is built for adult men in the United States seeking prescription treatment for ED, hair loss, weight management, or performance support. Eligibility depends on your medical history, current medications, and the specific treatment you're requesting.
The intake walks through the questions a clinician would ask in person — cardiovascular history, current prescriptions, allergies, prior reactions. If treatment is appropriate, your clinician writes the prescription. If something in your history makes a particular treatment unsafe, they'll tell you and recommend an alternative when one exists.
Often, yes — but disclose everything in the intake. Some combinations are perfectly safe; others aren't. The clinician's review is specifically built to catch interactions before they become problems.
Two common ones to flag: nitrates (contraindicated with PDE5 inhibitors used for ED) and certain antidepressants or seizure medications. If a combination is unsafe, your clinician will tell you straight and either adjust the protocol or decline to prescribe.
You only pay if a prescription is issued. If your clinician determines a treatment isn't appropriate for your health profile, no prescription is written and no charge is made for the visit.
In most cases, your clinician can suggest an alternative — a different active ingredient, a different dose, or a referral to in-person care if that's the right call. The visit itself was always free.
Four categories, each with multiple options:
ED: Sildenafil, tadalafil, and Maro Reserve (a dual-active sildenafil 90 mg + tadalafil 5 mg formulation).
Hair Loss: Finasteride and minoxidil — written as a daily formulation that addresses both the underlying DHT signal and the regrowth process.
GLP-1 Weight Loss: Compounded semaglutide and tirzepatide — the same active ingredients used in Wegovy and Zepbound.
Performance: Sermorelin peptide therapy, a GHRH analogue that triggers your own pituitary growth hormone production.
The active ingredients are FDA-approved: sildenafil, tadalafil, finasteride, minoxidil, semaglutide, tirzepatide, and sermorelin acetate are each approved by the FDA in their commercial forms.
Some Maro protocols are compounded — meaning a US-licensed pharmacy combines or doses the FDA-approved active ingredients to a clinician's specification. The active ingredient is FDA-approved; the compounded combination itself is not separately FDA-evaluated. This is a long-standing, legal practice regulated under the FDA's 503A and 503B compounding framework.
Compounding means a US-licensed pharmacy prepares a medication to a specific formulation written by a clinician, rather than dispensing a pre-packaged commercial product.
It's how pharmacies have prepared customized prescriptions for over a century. In Maro's case, compounding is what allows for things like a single pill containing sildenafil 90 mg + tadalafil 5 mg, or a finasteride-and-minoxidil formulation written for daily use. The pharmacies that prepare these are 503A or 503B facilities operating under FDA and cGMP standards.
The active ingredient is the same. Compounded semaglutide contains the same molecule as Wegovy and Ozempic; compounded tirzepatide contains the same molecule as Zepbound and Mounjaro.
What's different is the formulation and the manufacturer. Branded GLP-1s are produced by Novo Nordisk and Eli Lilly. Compounded versions are prepared by US-licensed 503A and 503B pharmacies based on a clinician's prescription. Compounded medications are not FDA-evaluated as combination products, and they're not interchangeable with the branded versions for insurance purposes — but the underlying active ingredient is the same molecule, and the clinical evidence on the active ingredient applies.
You don't have to decide alone — that's what your clinician is for. The intake collects the medical context, your goals, and any constraints (other medications, history, lifestyle). Your clinician matches you to the option that fits.
For ED specifically: sildenafil is the fast-onset option for situational use; tadalafil offers up to a 36-hour window; Maro Reserve combines both. For weight loss: tirzepatide tends to produce stronger results in clinical data, though semaglutide is appropriate for many patients and has a longer track record. The treatment pages on the site walk through each option in detail.
Every prescription medication has potential side effects, and Maro's clinical review is specifically designed to flag risk before any prescription is written. Your clinician walks through your history to assess whether a given protocol is appropriate.
Common side effects vary by category — PDE5 inhibitors can cause headache or flushing; finasteride has a small risk of sexual side effects; GLP-1s commonly cause nausea, especially during dose escalation; sermorelin can cause injection-site irritation. The full side-effect profile is reviewed before you start, and your clinician is one message away if anything changes.
Yes. Maro operates under HIPAA, and our clinical platform is SOC-2 compliant with end-to-end encryption on health information. Your intake, your messages, and your prescription history are accessible only to you and your clinician.
We don't sell your data. We don't share it with advertisers. We don't disclose your treatment to insurance carriers because we don't bill insurance. The only people who see your file are the people directly involved in your care.
Yes. Every shipment goes out in plain, unmarked packaging — no Maro logo, no product name, no indication of what's inside. The return address is the pharmacy's, not anything that would identify the brand or treatment category.
If you're shipping to a workplace or shared address, this is intentional. The package looks like any other delivery.
One transparent monthly price per protocol. That price includes the clinician visit, the prescription, the medication itself, refills on the cadence your clinician sets, and shipping. No copays. No surprise add-ons.
Maro is cash-pay through Stripe. Affirm is available at checkout if you'd prefer to spread payments out over time. The price you see at checkout is the price you pay.
Maro doesn't bill insurance. Most insurance plans don't cover compounded medications or off-label use, and the prior-authorization process typically takes weeks. Going cash-pay removes that entire bottleneck.
HSA and FSA cards are accepted. Prescription medication is an eligible expense under both, and Maro is set up to process those cards directly through Stripe at checkout. Save your receipts if you need them for reimbursement.
Yes. You can pause, adjust, or cancel your plan from your portal in two clicks. No phone tree, no script to read, no retention specialist.
If you cancel mid-cycle, any medication that has already been shipped is yours to keep. Future shipments stop immediately.
Once your clinician approves treatment, your prescription is sent to the partner pharmacy and typically ships within 1–3 business days. Standard delivery arrives 3–5 business days from there — so most patients have medication in hand within about a week of completing intake.
Some compounded formulations take an extra day or two to prepare. If anything affects the timeline, you'll see it in your portal.
Yes to PO boxes in most cases — some pharmacies require a physical address for certain medications, and your portal will let you know if that applies to your prescription.
APO and FPO addresses are supported for most non-refrigerated treatments. GLP-1s, which require cold-chain shipping, generally can't ship to APO/FPO. If you're stationed overseas, message your clinician before placing the order so we can confirm logistics for your treatment.
Standard packages don't require a signature, so they're left at your door like any other delivery. The packaging is plain and unmarked, so there's no concern about a roommate or doorman seeing what's inside.
Refrigerated shipments (GLP-1s) include cold packaging that holds temperature for up to 48 hours, so a same-day pickup isn't required. If you'll be away longer than that, you can pause shipments from your portal.
It depends on the protocol. Compounded semaglutide and tirzepatide are shipped cold and should be refrigerated upon arrival. Sermorelin is also typically refrigerated.
ED medications, finasteride, and minoxidil formulations are stable at room temperature. Specific storage instructions ship with every order and are also available in your portal.
Automatic. Once you're on a protocol, refills ship on the cadence your clinician set — typically every 30, 60, or 90 days depending on the plan you chose. You don't need to reorder, and you don't need to call anyone.
You'll get a notification before each refill ships, with the option to pause, adjust the dose with your clinician, or cancel. No work required to keep treatment going; two clicks to stop.
Message your clinician through the portal and we'll resolve it. Lost packages are replaced once the carrier confirms non-delivery — usually within 1–2 business days of the report.
If your medication arrives damaged or in compromised packaging — a broken vial, a leaking package, a cold-chain shipment that wasn't cold on arrival — don't use it. Take a quick photo and message us. A replacement ships at no charge.
Real people read every message — clinicians for medical questions, our care team for everything else. We aim to reply within twenty-four hours, often much sooner.