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Where are you located?
Care options depend on the state you live in. Choose your state and we'll show you exactly what's available to you.
Choose the state where you'll physically be during your care.
Good news
Choose how you'd like care.
Dr. Lightning is licensed in , so you can choose full concierge care or our fast, treatment-only option.
Lightning VIP Concierge
Personalized care directly with Dr. Lightning.
- Visits with Dr. Lightning
- Labs reviewed one-on-one
- A root-cause plan built for you
- Ongoing follow-up and support
Lightning VIP Express
Just the treatment, prescribed online by our collaborative provider group.
- Weight loss, hormones & peptides
- Simple online ordering
- Reviewed by a licensed clinician
- Shipped to your door
Not in ?
Lightning VIP Express
Treatment, simplified.
Order online and get reviewed by a licensed clinician through our collaborative provider group, with no office visit required.
Located in ·
How Express works
Jump-start your labs
Some treatments need lab work before or soon after you start. Ordering your panel now means your results are ready when your clinician reviews your request, with no waiting. What are you starting?
Men's TRT Initial Panel
Required before your clinician can prescribe testosterone, enclomiphene or hCG. It checks your hormones, blood counts, PSA, thyroid and more so your treatment starts safely.
Prep: draw before 9 AM and fast beforehand (water is fine). You'll repeat a shorter maintenance panel at about 90 days, then yearly.
Women's TRT Initial Panel
Required before your clinician can prescribe testosterone for women. It gives your clinician the hormone baseline they need to dose you safely.
Prep: schedule a morning draw. You'll repeat a maintenance panel at about 90 days, then yearly.
GLP-1 Panel
You don't need labs to start a GLP-1, but this panel is required at about 90 days to keep going, then once a year. Getting it now gives your clinician a baseline to compare against. It checks blood counts, metabolic health, thyroid, B12 and A1c.
Tip: a morning, fasting draw gives the most accurate blood sugar results.
Peptides
Most peptides don't require lab work to start. If you're starting sermorelin, an optional thyroid panel is recommended every 6 to 12 months to keep your treatment on track.
How it works: add the panel to your cart and check out. Then choose Schedule Lab Appointment in your account to pick a location near you, and bring your requisition from Documents. Results post to your portal in about a week. Already have recent labs? Upload them to Documents after you order (men: within 6 months, women: within 12).
Before you continue
Check all four boxes above to unlock the Express catalog.
Know before you order
Your Express care team
Express is built to be fast and simple. Here's who does what, so you always get the quickest answer.
Message them in your patient portal
Your prescribing clinician and the support team answer in Messages, usually within 1 business day. They handle:
- Lab orders, results and next steps
- Prescriptions, dosing and side effects
- Refills, shipping and billing
We curate, you're in good hands
Dr. Lightning hand-selected the Express treatments and our collaborative provider group so you can get quality care without the wait.
Because your Express clinician manages your treatment, Lightning VIP can't change your orders, review your results or adjust prescriptions. Your portal is always the fastest way to get help.
Who is my provider on Express?
An independent, licensed clinician from our collaborative provider group, licensed in your state. They review your intake and labs, make every prescribing decision and manage your treatment.
Ordering through Express creates a patient–provider relationship with your prescribing clinician. It does not make you a patient of Dr. Lightning or Lightning VIP.
Why isn't Dr. Lightning my provider on Express?
Express is designed for generally healthy adults who want straightforward treatment and don't need close, one-on-one monitoring. That's what keeps it fast and affordable.
Dr. Lightning's personal care, including visits, one-on-one lab reviews and a root-cause plan, is reserved for her Concierge and Direct Primary Care members.
I submitted my labs. What happens next?
- Results post to your portal. They appear under Documents, usually within a week (allow up to 2 weeks for everything).
- Your clinician reviews them along with your order. If you haven't placed your treatment order yet, do that now so it's ready for review.
- Watch your Messages. Your clinician may have a question or send a short video-visit invite (required for testosterone). Replying quickly keeps your order moving.
Want a plain-language summary of your results? Ask for one in Messages.
Where do I send questions?
- Health or medication questions: message your clinician in the portal.
- Orders, shipping, billing or lab appointments: message the support team in the portal.
- Can't log in? Email support@altroapp.com with a screenshot. Use the same email you signed up with.
- Emergency? Call 911 or go to the nearest emergency room.
Why do my portal, emails and medication label say "Altro"?
Lightning VIP Express is powered by Altro Health, the clinical platform behind our collaborative provider group. Your portal, order emails and messages run through Altro, and your medication label shows the licensed U.S. pharmacy and your prescribing clinician. That's normal, and it's how your care stays connected.
How do refills and dose changes work?
Your treatment renews automatically, and you'll get an email before each charge. To pause, delay or cancel, message support at least a week before your next order. To ask about a dose change, complete your check-in or message your clinician. Changes are up to your clinician and aren't guaranteed.
Do I still need a primary care provider?
Yes. Express covers your specific treatment, not your overall health. Keep a primary care provider for physicals, preventive care, urgent concerns and anything outside your Express treatment.
Since Dr. Lightning isn't licensed to provide care in , please keep a local primary care provider you can see in person.
Want Dr. Lightning to manage your care?
Good news: Dr. Lightning is licensed in . If you'd like her to be your provider, with visits, labs ordered and reviewed one-on-one, and ongoing follow-up, become a member.
Express support
Fastest: send a message in your patient portal. The team handles orders, billing, shipping, labs and treatment questions.
Want a complete picture, with every result reviewed one-on-one? That's Lightning VIP Concierge →
Lightning VIP Express treatments are provided by independent, licensed clinicians through our collaborative provider group. Lightning VIP and Dr. Lightning do not evaluate, prescribe, dispense or manage Express treatments. Prescriptions are issued only when a clinician determines treatment is appropriate. Medications are sourced from U.S.-licensed 503A and 503B pharmacies.