Which pathway addresses prolonged post-workout soreness?
Prolonged DOMS reflects recovery capacity. Candidates with documented GH-axis decline → sermorelin. Cellular-decline patterns → NAD+. Men with confirmed low testosterone → TRT. Sleep, protein, and deload weeks remain foundational.
Full answer
Recovery is downstream of sleep, protein, training load periodization, and hormonal context. Provider review screens these inputs first. Candidates with documented age-related GH decline whose primary signal is connective-tissue recovery may be evaluated for sermorelin. Patients with longevity-axis goals and cellular-decline patterns may be evaluated for NAD+. Men with confirmed low testosterone whose recovery improves with optimization may be evaluated for TRT. Every route is synchronous-video reviewed.
Educational. Not a substitute for individualized provider review.
- Sermorelin pathway — Primary source · oMeds
- Reviewed by Dr. Laura Purdy, MD, MBA · Clinical Director, oMeds · Last reviewed 2026-05-29