AV Marathon

Tadalafil 5 mg + Vardenafil 5 mg + Vitamin D3 200 IU +  Vitamin K2 1 mg (Compounded Rx)

What it is

A daily readiness formula: low-dose tadalafil for steady baseline confidence, a micro-dose of vardenafil to support responsiveness, and D3/K2 selected for long-term vascular support.

Who it’s for

You want spontaneity day-to-day without timing pills around activity.
You like a simple, once-daily routine with clinician follow-up.

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The statements on this page have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure or prevent any disease.

The FDA does not review or approve any compounded medications for safety or effectiveness. Off-label use must be prescribed and supervised by a licensed provider.

Why customers choose AV Marathon

Everyday spontaneity

Tadalafil daily helps maintain a steady baseline

Responsiveness Support

Micro-dose vardenafil complements the baseline.

Supportive Nutrients

D3 and K2 are included for vascular health context (not ED drugs).

What’s inside (per daily dose)

Tadalafil 5 mg

Daily baseline support
Vardenafil 5 mg

Short-acting PDE5 at micro-dose for responsiveness.
Vitamin D3 200 IU + Vitamin K2 1 mg

Supportive nutrients.

How it works

Daily tadalafil maintains background PDE5 inhibition for steady readiness. Vardenafil adds complementary potency for responsiveness. Vitamin D3 relates to endothelial/NO biology, and vitamin K2 (MK-7) activates matrix Gla protein (MGP), a regulator of vascular calcification. These nutrients are supportive, not medications for ED.

How to use

Take once daily at the same time, as directed.
Do not add other ED medicines unless your clinician instructs you to.
Your clinician will fine-tune the plan based on response.

What to expect

A predictable routine with ongoing check-ins.
Guidance on timing with meals (high-fat meals can delay absorption for some short-acting PDE5s).

Safety highlights

Do not use with nitrates or riociguat.
Use caution with alpha-blockers and strong CYP3A inhibitors.
Tell your clinician if you use warfarin or other anticoagulants (Marathon includes vitamin K2).
Compounded prescription; not an FDA-approved finished drug.

What Customers Are Saying About AV Marathon

Amazing company and amazing way to save money compared to going through a doctor.

Great Experience, All questions were answered and so much knowledge was presented.

I was paying over double at my doctor’s office for the same treatment. Ascend Vitality handled everything online, no hassle, and their team actually explained things clearly. Huge cost savings, and my results have been amazing.

Wasn’t sure about this at first but after being recommended i decided to try them out. arrived very fast, not only is it super convenient im saving money by going through ascend. results have been great so far and i’ve never felt better

Only available if prescribed after an online consultation with a healthcare provider. Benefits outlined are based on third-party studies. Plans are offered as a subscription service which can be canceled at any time. Actual product packaging may appear differently than shown. The FDA does not review or approve any compounded medications for safety or effectiveness. These treatments are individualized and do not guarantee specific results. Provider-determined, off-label use may apply.

You have questions?  Get answers

Frequently Asked Question

What is Ascend Vitality?

Ascend Vitality is a telehealth company that provides personalized medical care directly to your door. Our licensed providers work with you to help you reach your health and body goals, offering tailored treatments and ongoing support.

How does Ascend Vitality work?

Your path to treatment at Ascend Vitality begins with a simple online process. First, you’ll complete our comprehensive intake form where you’ll share information about your symptoms, medical history, and current health status. This information helps us understand your needs and ensures safe, appropriate care.

After submitting your intake form, a licensed healthcare provider will carefully review your information and develop a personalized treatment plan. Depending on your state’s requirements, your care will proceed in one of two ways:

For residents in states requiring face-to-face consultation, you’ll be prompted to schedule a video or audio visit with your provider. You’ll see available appointment times and can choose one that best fits your schedule. During this consultation, you’ll discuss your symptoms and treatment options directly with your provider.

For residents in states without video or audio visit requirements, your provider will review your information and send a detailed treatment recommendation directly to your secure message inbox through the Ascend Vitality platform. You can then review their recommendations and ask any questions you may have.

Who are the providers at Ascend Vitality?

Ascend Vitality works partner pharmacies and a private doctor network to write prescriptions and fulfill orders. You can find more information about our partner pharmacies by scrolling to our footer and visiting the ‘Partner Pharmacies’ link under the Contact section.

Does Ascend Vitality require insurance?

Not at all! Ascend Vitality doesn’t require insurance. We offer transparent pricing on treatments and your medical visit, ongoing shipments, and provider messaging are all included in one low price.

What states is Ascend Vitality available in?

Ascend Vitality is available in all U.S. states and Washington, D.C., excluding Louisiana, Mississippi, Kansas, New Mexico, and West Virginia.

Disclaimer: Only available if prescribed after an online consultation with a healthcare provider. Benefits outlined are based on third-party studies. Plans are offered as a subscription service which can be canceled at any time. Actual product packaging may appear differently than shown. The FDA does not review or approve any compounded medications for safety or effectiveness. These treatments are individualized and do not guarantee specific results. Provider-determined, off-label use may apply.

AV Marathon