Novanni is the peptide, hormone and GLP-1 service line at Castellano Cosmetic Surgery Center. Your labs are read by a physician, your protocol is written for you, and your appointment is long enough to ask the second question.
Your first visit is free. Book online in about two minutes, or call the practice on (813) 872-6093.
The most talked-about medicines in metabolic health, prescribed the way they should be.
GLP-1 medicines work with hormones your body already makes — the signaling that tells you when you are full and helps regulate blood sugar. They have changed what is realistic in weight and metabolic care, and they are prescription medicines that belong under a physician’s supervision rather than behind a checkout button.
$149 monthly membership, plus your medication
The signaling molecules your body already uses, prescribed from your labs.
Peptides are short chains of amino acids — the messengers your body uses to regulate recovery, sleep, skin, and repair. Each one is chosen against your labs and your goals and prescribed only after your consultation. Peptide therapy runs as a $189 monthly concierge membership plus the peptides themselves, priced per compound — and two peptides together cost 20% less.
$189 monthly membership, plus each peptide
Most people who find us have already done the sensible things and want someone to look at the details properly.
You train, you sleep as well as life allows, and your bloodwork keeps coming back “normal” while you feel a step behind where you were. Normal is a wide range, and the middle of it is not where most people feel their best.
You would rather be told no with a reason than sold yes with a discount code. If a protocol is not right for you, we would prefer to say so and keep your trust.
You want to know what a molecule does, why it is in your protocol, and what would make us stop it. That conversation is the appointment, not an upsell after it.
Nothing is prescribed before your bloodwork is back. That single rule shapes the whole process.
Online in a couple of minutes, or by phone, and your first visit is free. No account to create — and if we are not the right fit for what you want, we will tell you plainly.
Forty-five minutes with your physician, unhurried. You will leave knowing what we are testing for and why, with your baseline labs ordered the same day.
Written once your labs are back, never before — the labs are what turn a general idea into your specific protocol. Your first month is ready to collect at the practice.
Each month you collect your next vial at the practice and check in with your physician — in person, or by a short telehealth call scheduled through the practice. We adjust as you go.
Which one fits is a conversation, not a checkbox — and more than one can run together when it makes sense.
For the body that still trains hard and takes longer to bounce back.
What this involves ↓Built for people who are still active and have noticed the recovery window stretching — the session that used to cost a day now costs three, and an old joint has opinions about the weather.
Peptides in this protocol act as signaling molecules. They bind receptors involved in tissue repair and local blood supply, which is the body’s own maintenance system rather than a stimulant layered on top of it. Your physician selects the combination against your labs, your training load, and the specific tissue you are asking to recover.
Most patients begin with a short daily subcutaneous injection using a very fine needle — we teach you in the room, and people are usually surprised how quickly it becomes unremarkable. You keep a simple log of sleep and soreness, and we review it together at your monthly check-ins against your baseline rather than against anyone else’s.
Monthly check-ins, in person or by telehealth
Every protocol is physician-supervised and prescribed only after an individual evaluation. Compounded medications are not FDA-approved products.
For men and women whose energy, mood, and drive have quietly drifted.
What this involves ↓For anyone who has watched their drive, mood, or body composition change over a few years without a single event to point at. We treat men and women, and the workup is different for each.
Hormones are the body’s slow messaging layer, and small shifts in that signaling show up as large changes in how you feel. We measure where yours actually sit, identify what is driving the pattern, and where appropriate support the axis rather than simply overriding it. Preserving your own production is a goal in itself, and it shapes which approach we choose.
This protocol is lab-led from start to finish. Expect a fuller baseline panel than you may be used to, a frank conversation about fertility and long-term plans before anything begins, and ongoing monitoring that continues for as long as you are treated. Adjustments are the normal course of treatment, not a sign something went wrong.
Monthly check-ins, in person or by telehealth, with monitoring throughout
Every protocol is physician-supervised and prescribed only after an individual evaluation. Compounded medications are not FDA-approved products.
For the flat afternoons and the sense of running on a smaller battery.
What this involves ↓For people whose mornings are fine and whose afternoons are not, and who would rather understand why than keep adding coffee to the problem.
This protocol works on cellular energy production — the mitochondrial machinery that turns what you eat into usable fuel, and the cofactors that machinery depends on. Availability of those cofactors declines with age, and this protocol is about supplying and supporting them while we correct anything in your labs that is quietly making the problem worse.
Some patients start with an in-clinic infusion, which takes about an hour and is deliberately run slowly because comfort depends almost entirely on pace. Others do better on an at-home regimen. We usually pair either with correcting whatever your baseline panel turns up, since sorting an unremarkable deficiency often does more than anything else we could add.
Weekly or monthly during the initial block, then reassessed
Every protocol is physician-supervised and prescribed only after an individual evaluation. Compounded medications are not FDA-approved products.
For visible results built on skin health rather than cover-up.
What this involves ↓For people who want their skin and hair to look like a well-run version of their own, and who have worked out that most of what is sold to them sits on the surface and washes off.
The protocol works at the level of the tissue itself: supporting the collagen and elastin scaffolding that gives skin its firmness, and addressing the follicular signaling behind thinning where that is what is driving it. Topical and systemic elements are combined depending on what your examination shows.
This is the protocol that most rewards patience. Skin turns over on its own schedule and hair on a slower one, so we photograph a consistent baseline under consistent lighting at your first visit and compare against it at twelve weeks — memory is unreliable here, and side-by-side images are not.
Monthly check-ins; comparison photographs at twelve weeks
Every protocol is physician-supervised and prescribed only after an individual evaluation. Compounded medications are not FDA-approved products.
For the person who catches everything going round and takes longest to shake it.
What this involves ↓For people who pick up every bug in the office, whose digestion has become something they plan around, or who are simply tired of feeling like their defences are running at half staff.
This protocol targets two connected systems: the signaling that regulates immune cell activity, and the integrity of the gut lining where a large share of that immune activity actually happens. Supporting the barrier and calming inflammatory signaling tends to move both together, which is why we rarely treat one without looking at the other.
We start by ruling things out, because a protocol is the wrong answer to a problem that needs a diagnosis. Assuming the workup is clear, most patients follow a defined block rather than an open-ended course, then step back to see what held.
Defined eight to twelve week block, then reassessed
Every protocol is physician-supervised and prescribed only after an individual evaluation. Compounded medications are not FDA-approved products.
For the tired that sleep alone has stopped fixing.
What this involves ↓For people who fall asleep fine and wake at three, or who sleep a full eight hours and wake up as though they negotiated with someone all night.
Sleep quality is governed by the same stress-response axis that governs how you handle load while awake, and when that axis is dysregulated the two problems reinforce each other. This protocol works on that signaling and on the inputs — cortisol rhythm, thyroid, and the nutritional cofactors involved in producing the neurotransmitters that let you settle.
We begin with two weeks of simple tracking before anything is prescribed, because sleep complaints and sleep data disagree more often than people expect. Where the pattern points to something a protocol will not fix — apnea in particular — we refer, and we would rather refer early than treat around it.
Monthly check-ins, in person or by telehealth
Every protocol is physician-supervised and prescribed only after an individual evaluation. Compounded medications are not FDA-approved products.
Every protocol is physician-supervised and prescribed only after an individual evaluation. Compounded medications are not FDA-approved products.
Lead physician
This service line is led by Dr. Heyd, who sees every patient personally and writes every protocol from your labs. There is no questionnaire that routes you to a product, and no algorithm deciding what you are prescribed.
He practices within Castellano Cosmetic Surgery Center, under the direction of Dr. Castellano — the same standard of assessment the practice has applied in Tampa for years, applied to how you feel rather than only to how you look.
Castellano Cosmetic Surgery Center, Tampa
Dr. Castellano founded Castellano Cosmetic Surgery Center in South Tampa and directs its fellowship in cosmetic surgery, accredited by the American Academy of Cosmetic Surgery — the program through which surgeons train under him after residency.
He is board certified by the American Board of Surgery and the American Board of Cosmetic Surgery. Novanni sits alongside the practice’s surgical and aesthetic work, and he oversees it with the same standard of assessment.
“The appointment is the treatment. Everything we prescribe comes after it, and some of the best appointments end without a prescription at all.”
Dr. Castellano
Direct-pay, no insurance billing, no contract. Cancel whenever you like.
Free
Forty-five minutes with your physician, with your baseline labs ordered the same day.
We hold a card on file when you book. Cancel or reschedule with at least 24 hours’ notice and there is no charge; a missed appointment without notice is $100.
$189 / month
For peptide therapy. Every month includes:
Plus your peptides, priced per compound from $160 a month.
$149 / month
For the GLP-1 program. The same monthly check-ins, pickup, and dose adjustments.
Plus your medication, priced by dose at your consultation.
20% off
When your protocol includes two peptides, the peptides cost 20% less each month. No minimum term and no cancellation fee.
Two at $160: $320 $256, plus the $189 membership — $445 a month in all
One peptide, all in, from $349 a month. GLP-1 medication and hormone therapy depend on the medication and dose, so your physician prices them with you at your consultation. See every treatment
It is free. You will spend about forty-five minutes with your physician going through your history, your goals, and anything you have tried before. We order baseline labs, and once those return we build a plan together. Nothing is prescribed on the first visit, because nothing should be prescribed before your bloodwork is back.
Your first visit is free. Peptide therapy is a concierge membership of $189 a month — your check-ins with your physician, your supply collected at the practice, and dose adjustments — plus the peptides themselves, priced per compound from $160 a month; two peptides together cost 20% less. The GLP-1 program is a $149 monthly membership plus your medication, priced by dose at your consultation. Hormone therapy is priced at your consultation too.
We hold a card on file when you book. Cancel or reschedule with at least 24 hours’ notice and there is no charge; a missed appointment without notice is $100.
No. This service line is direct-pay, which is what lets appointments run long and lets us spend the time on you rather than on prior authorizations. We provide an itemized receipt you can submit to an HSA or FSA, and many patients are reimbursed that way.
That depends entirely on the protocol and on you, and any practice that gives you a number without meeting you is guessing. Some patients notice changes in sleep and recovery within a few weeks; other goals take a full quarter to assess honestly. We check in every month precisely so we can tell the difference between progress and wishful thinking.
They are prepared for you individually by a licensed compounding pharmacy, rather than manufactured in fixed doses. That is what allows a protocol to be tailored to your labs. Compounded medications are not FDA-approved products, and your physician will explain what that means for your specific plan before anything is prescribed.
Yes. There is no contract and no minimum term. If you want to stop, tell us and we will help you taper properly where tapering matters — that conversation is part of the care, not an exit fee.
You collect your next month’s supply at the practice. The check-in itself can be in person or a short telehealth call with your physician, scheduled through the practice, whichever suits you that month.
Yes. When your protocol includes two peptides, the peptides cost 20% less each month. The membership stays the same.
Not currently. The practice treats patients located in Florida. It is in Tampa, and if you are moving to the area we are happy to schedule ahead of your arrival.
Book your first appointment online, or send us a short message and the practice will come back to you.