RNK Sales Hub

Sales agents — changes are saved in your browser. Use “Export hub” (Knowledge Base tab) to publish for everyone.

Agent

Channel

Campaign

Provider

Type

Lead's original product

Upsell into

Product / Offer

This tab is for Nick only — agents don't use it. If you charged someone manually, just flag it in Calls Analytics with proof, and Nick adds the metadata.

Manual charge type

Creative / Message variant — optional

Select a product to see its price

Full link

Fill in the fields above — the link will appear here

→

To enable link shortening (one-time setup): paste your Cloudflare Worker URL below and click Save. It is stored in this browser, so you only do this once per device. Alternatively, hard-code it by setting the API_ENDPOINT variable near the top of the script block.

Product

Written by — who gets the credit

Short label

Message text

Log results as you go — Sent, Delivered, Replies, Clicks, Sales are editable; reply rate and conversion calculate themselves. Click a column header to sort. Everything is saved in your browser — use Export hub on the Knowledge Base tab to publish for the team.

Creative ID	Product	Written by	Label	Message	Sent	Deliv.	Repl.	Clicks	Sales	Reply %	Conv %

Using the Link Builder

Team (Sales / Support / Retention)

Pick your team from the tabs at the top of the Link Builder — it sets who appears in the Agent list and tags the link to your team so credit and reporting land in the right place. Your last-used team is remembered next time you open the hub.

Call vs. SMS

Always match the channel to how the conversation actually happened. If the purchase happened during a call, any SMS follow-up needs its own link with the SMS channel selected — don't reuse the call link.

Outbound vs. Cross-sell vs. Winback

Outbound = calling an assigned or old lead to sell the product they inquired about. Cross-sell = reaching out from a cross-sell list, or offering an upsell to someone who already bought their main product. Winback = re-engaging someone who previously cancelled.

Provider (OpenLoop vs. MDI)

Pick the provider the lead belongs to. MDI runs our GLP-1 midfunnel — Tirzepatide v5, with three offers (MF1 intro, MF2 same-price, MF3 winback). Everything else runs through OpenLoop. The provider is captured in the link, so keep it accurate.

Two builders, and how tracking works

The hub has two builders — toggle at the top. Midfunnel for leads with no front-end purchase that you closed (or cross-sold into a different product). Upsell for front-end purchasers you sold more to. What decides it is the origin of the lead: already had a front-end purchase = Upsell; if not = Midfunnel (even if you add more in the same call).

Everything packs into utm_campaign (Mixpanel only splits by that field). Format: type_campaign_provider_creative, all lowercase. Examples: mf_outbound_ol_nad-test-1, cross-sell_outbound_ol_nad-test-1, upsell_outbound_ol_nad-test-1. Type is mf / cross-sell / upsell. Campaign may contain underscores; the creative uses hyphens only.

Midfunnel: pick Type (MF Purchase, or Cross-Sell when they bought something other than what they came for — choose what they actually bought), then product, provider, creative, campaign. Upsell: pick the original product and the target; the builder drops in the product-to-product link (e.g. nad-b12-u). No custom link for that combo yet (e.g. Naltrexone)? It falls back to the target standard MF link, still tagged upsell.

You can add your own Campaign and Creative (creatives save to the shared pool). Type, Product and Provider are pick-from-list only. NAD+ (B) is the new m3 pricing test — use it only when a lead shows as Lead Type: NAD+ (B) at assignment.

Manual metadata tool + NAD+ (B) tracking

Manual metadata (third toggle): use it only when you charged the customer directly on their existing card in Stripe instead of sending a link (usually an upsell). Pick type + channel + your name and it generates the metadata JSON, e.g. {"utm_source":"sales","utm_medium":"call","utm_campaign":"upsell_manual","utm_term":"anthony"}. Copy it and paste into the subscription Metadata in Stripe under the key utm. Never hand-type it \u2014 wrong attribution comes from typos.

NAD+ (B): when you build a link for the NAD+ (B) m3 test, the builder auto-adds a -nadb tag to the campaign (e.g. mf_outbound-nadb_ol_...) so we can track that test separately. Nothing extra to do \u2014 just pick NAD+ (B).

Logging in Calls Analytics: log every manual-metadata case \u2014 flag it as manual and paste a proof link (chat screenshot or call recording) in the evidence column. Manual UPSELL charges: add the metadata yourself and log it. Anything else (a glitch, or the customer bought through a different link): do NOT add metadata yourself \u2014 just flag it in Calls Analytics for Nick to review and add.

Always shorten your links

Shortened links improve deliverability, especially over SMS. Don't send the long version with raw UTM parameters — always click Shorten link first.

Checking your own clicks NEW

Every link you build carries your name, so Mixpanel can show you exactly how your own messages performed — how many people clicked, how many reached checkout, and how many bought. You don't need anyone to run a report for you.

Where to find it

1. Open the Sales board

In Mixpanel, go to the Sales board in the left sidebar. Scroll to the bottom — there's a report called SMS.

2. Click into it and search your name

Open the SMS report and type your first name into the search box on the left. That filters the table down to your links only.

3. Set your date range

Use the buttons along the top — 7D, 30D, or Custom for a specific window. Match this to the period you actually want to judge.

What the columns mean

Users — people who clicked your link. This is your click count.

Begin Checkout — of those, how many started checkout.

Purchases — how many actually bought.

Revenue — what those purchases were worth.

Rows are split by campaign (outbound, follow-up, cross-sell), so you can see which type of outreach is carrying you.

⚠️ Don't read the Overall row as yours

The Overall row at the bottom does not respect the name filter — it's the whole team's total. Only add up your own rows. It's an easy mistake and it will make your numbers look several times better than they are.

Working out your click rate

Clicks ÷ messages sent, over the same period

Take your Users number from Mixpanel and divide it by how many outbound messages you sent in that same window. If you sent 400 messages in 7 days and Mixpanel shows 40 users, that's a 10% click rate.

Treat it as a good approximation rather than an exact figure — some people click more than once, some open a link days later. What matters is the trend and the comparison between your own messages, not the second decimal place.

Why bother

Click rate tells you something replies don't: whether your message actually created enough interest for someone to act. A message can get polite replies and still generate no clicks — that's a sign the hook is fine but the offer or the ask isn't landing. Very low clicks across everything you send usually points at deliverability rather than copy, and that's worth flagging early.

This gets much sharper with creative tracking

Now that every message you send can be tagged with a creative code in the Link Builder, you're no longer looking at one blended number. You can see which specific template drove the clicks and which fell flat — and repeat the one that worked. That's the fastest way to lift your own numbers, and it's how a creative earns its author a bonus.

MD Integrations (MDI) — GLP-1 Program ON HOLD

⏸️ Paused — do not contact these leads

All traffic to the MDI GLP-1 funnels is stopped. MDI isn't licensed in several states that are key for us, so we can't run it until that's resolved. MDI power lists are on pause — do not dial them, and do not pitch or send links to any MDI GLP-1 lead. This applies to MDI only; everything on OpenLoop continues as normal. The information below is kept for reference and will be updated when we resume.

We've added a second provider, MD Integrations (MDI), for our GLP-1 program. For the sales team, the day-to-day flow is essentially the same as OpenLoop — same call + SMS motion. The main things to know are below.

The offers — Tirzepatide v5 midfunnel

Three offers are live. Build each in the Link Builder with Provider = MDI — the right funnel link is selected for you.

MF1 — Intro (discount)

$179 first month → $279/mo after.

myrnk.com/tirzepatide/v5/mf1

MF2 — Same price

$249/mo, same price at every dose.

myrnk.com/tirzepatide/v5/mf2

MF3 — Winback

$239/mo — for re-engaging someone who previously cancelled (use the Winback campaign).

myrnk.com/tirzepatide/v5/mf3

How leads reach you

No assignment for now — MDI GLP-1 leads drop into these Kixie powerlists:

365129 — GLP-1 leads (MDI)

365131 — GLP-1 leads (MDI) | Recycling

You can start calling and texting about 10 minutes after the patient registers, or as soon as they appear in the powerlist.

Identifying MDI leads in Tellescope

For now, identify them by the funnel. A dedicated tag is coming soon — you'll see it in Tellescope once it's live.

Critical difference vs. OpenLoop — fulfillment

MDI = prescription only, NOT shipping.

The pharmacy is a separate relationship we manage directly. Any shipping / delivery / tracking issue goes to the #support channel in Slack — not MDI. Everything clinical (the prescription, dose questions) is MDI; anything about the package reaching the patient is us + the pharmacy.

Why patients will like it (use these in your pitch)

Stronger clinical team, more control on our side, and noticeably better pricing than before. These are real advantages you can lead with.

MDI GLP-1 dosing reference

Dosing is set by the clinician — never advise a dose yourself. This is background so you can speak confidently. All GLP-1s are once-weekly subcutaneous injections; patients discard any remaining medication 28 days after puncturing the vial.

Tirzepatide / Pyridoxine (B6) — 22mg-4mg/mL

2.2 mg (10 units) weekly

4.4 mg (20 units) weekly

6.6 mg (30 units) weekly

8.8 mg (40 units) weekly

11 mg (50 units) weekly

13.2 mg (60 units) weekly

Semaglutide / Pyridoxine (B6)

1.5mg-8mg/mL → 0.21 mg (14 units) weekly

1.5mg-8mg/mL → 0.42 mg (28 units) weekly

5mg-8mg/mL → 0.88 mg (18 units) weekly

5mg-8mg/mL → 1.5 mg (30 units) weekly

5mg-8mg/mL → 2.1 mg (42 units) weekly

5mg-8mg/mL → 2.65 mg (53 units) weekly

Testosterone Program

1️⃣ Entry Point — Quiz / Intake

Patient goes through the TRT intake form.

Hard Disqualifiers (Immediate Exclusion)

Examples:

Current/suspected prostate cancer

Breast or testicular cancer

Hematocrit ≥ 52%

Uncontrolled BP ≥160/100

Severe untreated sleep apnea

Active cancer (<5 years remission except certain skin cancers)

PSA ≥4

Certain severe cardiac conditions

These patients do not proceed.

2️⃣ Eligibility Basics

To qualify for Testosterone:

Male

Age 25+

Must live in an approved state

Must have:

Low testosterone (per protocol definition)

At least one qualifying symptom

If the patient is in exclusion states → Testosterone unavailable → only Enclomiphene (separate funnel).

3️⃣ Lab Logic (Very Important - Product-Specific Rule)

Here is the critical part based on your funnel rules:

If the patient selects:

“I am currently on TRT or was on TRT within the last 30 days.”

Then:

They may upload their own labs

Labs must meet protocol criteria:

Within 30 days

Drawn 6–8 days after the last dose

Include the full required panel

If labs do not meet criteria → new labs are required

If the patient selects:

“I have never been on TRT.”

Then:

They CANNOT upload outside labs

They must purchase your lab kit

Labs are required before sync consult

This is a commercial rule layered on top of the medical protocol.

4️⃣ Labs Always Come Before First Consult

There is NO scenario where:

A patient has a sync visit before labs

Process order:

Quiz

Lab purchase or lab upload

Lab review

Sync consult (15 min)

If approved → 56-day prescription issued

5️⃣ After Treatment Starts

Day ~30–45:

Labs drawn

Around Day ~50:

Follow-up sync consult

Review labs

Adjust dose if needed

If stable → continue

Then: Quarterly labs + sync visits 84-day refills

If dose changes:

56-day prescription

Labs again in 30–45 days

6️⃣ Important Clinical Nuances You Must Know

Testosterone Eligibility Definition

Low T = < 500 ng/dL 500–699 may qualify IF:

Low free T OR

Free/total ratio < 2%

AND symptoms present

PSA Escalation Logic

PSA ≥4 → No TRT start Age-based cutoffs apply +1 increase → recheck +2 increase → hold & refer

Expect many support questions here.

Hematocrit Rules

New patients: ≥52% → cannot start

Existing: ≥53% → stop therapy

This will be a common escalation trigger.

Fertility Warning

Testosterone suppresses sperm production.

If the patient wants fertility:

Enclomiphene is preferred

Or consider Gonadorelin

This will be a major FAQ topic for the 25–35 age group.

Summary — TRT Flow (Clean Version)

Patient completes quiz

If prior TRT → may upload labs

If no prior TRT → must purchase labs

Labs reviewed

Sync visit (15 min)

If approved → medication prescribed

Ongoing labs + follow-ups per protocol

Guidance & Questions

How To Self-Administer Testosterone Injections: A Step-by-Step Guide

Materials you will need:

Testosterone vial (as prescribed)

Syringe (typically 1-3 mL) with needle (usually around 25-27 gauge, 0.5-1 inches long for subcutaneous and around 23 gauge, 1 inches long for intramuscular)

Note - In most cases, we will be prescribing via the subcutaneous route

Alcohol swabs

Sharps container for needle disposal

Band-aid (optional)

Cotton ball or gauze

Step 1: Prepare your injection area

Wash your hands: Thoroughly wash your hands with soap and water to prevent infection.

Gather supplies: Ensure you have all your materials laid out on a clean, flat surface.

Choose an injection site: Testosterone injections are typically given subcutaneously (into the fat beneath the skin of the abdomen, arm, or thigh) or intramuscularly (into the muscle).

Common intramuscular sites include:

Thigh (Vastus Lateralis Muscle): The outer middle portion of the thigh.

Gluteus (Upper Outer Quadrant): The upper outer portion of the buttock.

Deltoid (Shoulder Muscle): The thick, central portion of the shoulder muscle (less common for self-injection).

Common subcutaneous sites include:

Abdomen: In order to minimize pain and maximize absorption, this site is recommended only for volumes less than or equal to 0.3 mL. Use a 27 gauge 0.5 inch needle.

Gluteus/thigh/arm: Use a 25 or 27 gauge 0.5 inch needle. There are no volume restrictions on these sites.

Note - In most cases, we will be prescribing via the subcutaneous route

Tip: Rotate injection sites (e.g. right to left, glute to deltoid to thigh) to prevent tissue damage and irritation.

Step 2: Prepare the syringe

Clean the vial: Use an alcohol swab to clean the rubber stopper of the testosterone vial.

Draw air into the syringe: Pull the plunger back to draw air into the syringe equal to the dose of testosterone you will inject. This helps maintain pressure in the vial, making it easier to draw the medication.

Insert the needle into the vial: Push the needle through the rubber stopper of the vial.

Inject air into the vial: Push the plunger to inject the air into the vial. This step helps to equalize pressure inside the vial.

Draw the testosterone: With the needle still in the vial, turn the vial upside down and slowly pull back the plunger to draw the prescribed amount of testosterone into the syringe.

Remove air bubbles: Gently tap the syringe to move any air bubbles to the top. Push the plunger slightly to expel the air bubbles without losing any medication.

Change the needle (optional): If the needle used to draw the testosterone is dull or larger than the injection needle, you may switch to a new, smaller needle for the injection.

Step 3: Administer the injection (see written and video instructions for subcutaneous injection)

Clean the injection site: Use an alcohol swab to clean the skin at your chosen injection site. Allow it to dry completely.

Position the syringe: Hold the syringe like a dart at a 90-degree angle to the skin.

Insert the needle: In one quick motion, insert the needle into the fat (subcutaneous) or muscle (intramuscular). If subcutaneous, pinch the area of injection with a thumb and index finger prior to injecting so that the subcutaneous fat is more localized.

Note - In most cases, we will be prescribing via the subcutaneous route

Aspirate (optional): Some healthcare providers recommend pulling back slightly on the plunger after inserting the needle to check for blood. If blood appears, remove the needle and choose a different site.

Inject the testosterone: Slowly and steadily press the plunger to inject the testosterone. Take your time to avoid discomfort. Testosterone has a viscosity similar to honey, there will be some resistance. Continue with steady pressure until all medication is emptied from the syringe.

Withdraw the needle: Once all the medication is injected, quickly pull the needle out at the same angle it was inserted.

Step 4: Post-injection care

Apply pressure: Use a cotton ball or gauze to apply gentle pressure and massage to the injection site. A small band-aid can be applied if there is any bleeding.

Dispose of the needle: Place the used needle and syringe in a sharps container. Do not reuse needles.

Monitor the site: Watch for any signs of infection (redness, swelling, warmth, or itching), irritation, or excessive pain at the injection site. Contact your healthcare provider if you notice any unusual symptoms. Itching, mild redness, or feeling a lump at the injection site is sometimes experienced, especially after a subcutaneous injection.

Step 5: Post-injection monitoring and safety

Store the medication: Keep the testosterone vial stored at room temperature and away from direct sunlight or heat sources. If your testosterone crystallizes or has crystals in the vial, submerge in warm water for several minutes or utilize a hair dryer until crystals disappear. Your medication is still safe and effective to continue utilizing.

Record your injection: Keep a log of your injection, including the date, time, dose, and injection site.

Follow up with your healthcare provider: Regular blood tests and check-ups are essential to monitor your testosterone levels and adjust your dose as needed.

Tips for a successful injection:

Stay relaxed: Take deep breaths to relax before injection.

Use a new needle each time: Always use a fresh needle for each injection to reduce the risk of infection.

Rotate injection sites: Avoid using the same site repeatedly to prevent tissue damage.

Frequently Asked Questions - Hormone Replacement Therapy (HRT) with Testosterone

1. How does the lab process work?

Depending on a variety of factors including patient location and preference, labs will be conducted either in-person or at-home (via self-administered dried blood spot testing).

Most patients will only need one set of labs. However, depending on the results of the first set of labs, an additional confirmatory lab test may be necessary.

At-home labs should be completed between 8-10 AM while fasting (for 8-12 hours beforehand; water is okay) on the morning after the lab tests are delivered to the patient’s address. The lab kit should then be returned using the prepaid mailer.

To avoid testing errors, it is essential that the patient fill out the sample card until the designated line. They may be required to repeat the lab test if their results are unclear. We will contact the patient if this is necessary.

In-person labs should be completed as soon as possible between 8-10 AM while fasting for 8-12 hours beforehand (water is okay).

In order for the test results to be processed as quickly as possible such that they are ready to be discussed during the provider consultation, it is imperative that the above timeline is followed.

Avoid intercourse, biking, extended sitting, or heavy lifting/straining for 72 hours prior.

2. What is testosterone? Testosterone is a hormone primarily produced in the testes in men and, to a lesser extent, in the ovaries in women. It plays a crucial role in the development of male reproductive tissues, secondary sexual characteristics (such as muscle mass, bone density, and body hair), and overall well-being. In both men and women, testosterone is vital for maintaining muscle strength, energy levels, and libido.

3. How is testosterone administered? Testosterone can be administered through various methods, including:

Cream: Topical testosterone cream is applied to the skin, usually on areas with minimal hair, such as the inner arms or abdomen, but primarily the testicles. The hormone is absorbed through the skin and into the bloodstream over time.

Injection: Testosterone injections are typically administered intramuscularly (into the muscle) or subcutaneously (under the skin). The frequency of injections can vary, with some protocols requiring weekly or bi-weekly doses.

Note - In most cases, we will be prescribing via the subcutaneous route

Oral Dissolvable Tablets (ODTs): These are typically absorbed into the cheek/gums with a little water once to twice daily.

We also offer:

Enclomiphene -

The main indications for using off-label enclomiphene are patients who -

Have low testosterone with correlating symptoms

Want to preserve fertility

Want to avoid testosterone products, including injections

Have “secondary hypogonadism” (not due to causes related to high prolactin levels) with low testosterone and low-normal or low FSH/LH

Anastrozole -

Aromatase inhibitors, like the orally administered anastrozole, can help treat and reduce elevated estradiol levels in men with low testosterone. The goal is to decrease estradiol levels to levels within the normal male range and reduce associated symptoms of elevated estrogen (hot flashes, night sweats, irritability/mood lability, poor sleep, bloating/water retention, erection changes, or midsection weight gain).

When necessary, this can be co-administered with testosterone.

4. Why is it important to move injection sites? Rotating injection sites is essential to prevent tissue damage, irritation, or the development of scar tissue at the injection site. Repeated injections in the same area can lead to complications such as infections or lumps, making absorption of testosterone less effective.

5. What are the side effects of testosterone? Common side effects of testosterone therapy may include acne, oily skin, hair loss, increased body hair, mood changes, increased estradiol levels, testicular atrophy. More serious side effects can include an increase in red blood cell count, sleep apnea, or an enlarged prostate in men. Testosterone therapy may increase the risk of increased blood pressure. It’s important to monitor these effects with your healthcare provider to adjust treatment as necessary.

6. What are the benefits of testosterone? Testosterone replacement therapy can provide several benefits, including improved energy levels, increased muscle mass and strength, enhanced libido, improved mood and mental clarity, and better overall well-being. These benefits can significantly improve the quality of life for individuals with low testosterone levels who have associated symptoms.

7. What is the negative feedback loop? The negative feedback loop refers to the body's natural regulatory mechanism that maintains hormone balance. When testosterone levels rise due to hormone replacement therapy, the hypothalamus and pituitary gland may reduce the natural production of testosterone. This can lead to a reliance on therapy for maintaining testosterone levels and may affect one’s ability to get their partner pregnant.

8. How does testosterone affect fertility? Testosterone therapy can negatively impact fertility by suppressing the natural production of sperm. This is due to the aforementioned negative feedback loop, where the increased testosterone levels signal the body to reduce the production of luteinizing hormone (LH) and follicle-stimulating hormone (FSH), both of which are crucial for sperm production.

9. What is meant by transference when someone applies topical testosterone? Transference refers to the unintentional transfer of testosterone from one person to another through direct skin contact. If someone has applied topical testosterone and then touches another person, the hormone can transfer to that person’s skin, potentially causing unwanted effects. To prevent this, it’s important to wash hands thoroughly after application and avoid skin contact with others in the area where the cream was applied. In addition, testosterone can be transferred by vaporization for 4-6 hours after application. Thus, it is essential to avoid contact or proximity with small children after application.

10. What increases PSA levels?

Prostate-specific antigen (PSA) is a protein produced by the prostate gland, and its levels in the blood can be an indicator of prostate health. While elevated PSA levels can be associated with prostate cancer, they can also be influenced by several other factors:

Benign prostatic hyperplasia (BPH): An enlarged prostate, which is common in older men, can cause elevated PSA levels. BPH is a non-cancerous condition but can still lead to an increase in PSA.

Prostatitis: Inflammation or infection of the prostate gland, known as prostatitis, can cause a significant rise in PSA levels. This condition can be acute or chronic and may present with symptoms such as pelvic pain, urinary issues, or discomfort.

Recent ejaculation: Sexual activity, particularly ejaculation, can temporarily elevate PSA levels. It is recommended to avoid sexual activity for 24 to 48 hours before a PSA test to avoid this influence.

Prostate manipulation: Any manipulation of the prostate, such as during a digital rectal exam (DRE) or recent urinary catheterization, can lead to a temporary increase in PSA levels.

Age: PSA levels naturally tend to increase with age, even in the absence of prostate cancer or other prostate conditions.

Testosterone therapy: While testosterone therapy can lead to an increase in PSA levels due to the hormone's effects on prostate tissue, this increase is usually within a normal range. However, significant or rapid rises in PSA during testosterone therapy warrant further investigation to rule out other causes.

Prostate cancer: Elevated PSA levels can be an indicator of prostate cancer, particularly when the increase is significant or when it occurs rapidly. However, PSA is not a definitive marker for cancer, and elevated levels can occur for benign reasons as well.

Enclomiphene Funnel

For Enclomiphene funnel - any patient can upload their labs, even if they have never been on Enclomiphene.

Enclomiphene Flow

1️⃣ Quiz

Male

Age 18+

Must meet symptom criteria

Cannot have liver disease

Cannot have pituitary tumors

Must not have contraindications

Enclomiphene is available in states where TRT may not be.

2️⃣ Lab Rules

The patient can upload labs EVEN if never been in therapy before

If labs meet criteria → proceed

If not → must purchase labs

3️⃣ Labs Before Consult (Still Mandatory)

Same as TRT: No sync visit before labs.

4️⃣ Consult

15-minute sync visit Review labs + symptoms If eligible → prescription issued

5️⃣ Key Clinical Differences

Stimulates natural testosterone production

Preserves fertility

Used in secondary hypogonadism

Less suppression risk vs TRT

It is often preferred for:

Younger men

Fertility preservation

Men avoiding injections

🚨 Critical Differences Between TRT and Enclomiphene Funnels

Feature	TRT	Enclomiphene
Age	25+	18+
Upload labs if never on therapy	❌ No	✅ Yes
Fertility safe	❌ Suppresses	✅ Preserves
State restrictions	Many	More flexible
Scheduled med	Yes	No

Important Safety Information

Enclomiphene

Important Safety Information

Off-label use: While enclomiphene is not FDA-approved, it has been studied for treatment of male hypogonadism and infertility. Be aware of regulatory status and source.

Monitoring: Regularly monitor testosterone and estradiol levels, semen parameters, and ensure no contraindications (like liver disease or tumors).

Indications/Use

Investigational use for secondary hypogonadism (hypogonadotropic hypogonadism) in men desiring fertility.

Acts as an estrogen receptor antagonist in the hypothalamus, leading to increased GnRH, LH, and FSH secretion → endogenous testosterone production and spermatogenesis.

Contraindications

Known hypersensitivity to enclomiphene or related compounds (e.g., clomiphene).

Liver disease or hepatic dysfunction.

Pituitary or hypothalamic tumors (as enclomiphene stimulates these pathways).

Caution in those with elevated prolactin levels. Usually recommend MRI to clear prior to starting.

Side Effects

Common: Hot flashes/night sweats (can occur with aromatization), mood swings, headache, visual disturbances (like blurred vision).

Gastrointestinal: Nausea, abdominal discomfort.

Reproductive: Testicular discomfort (due to increased activity), erection changes, potential for multiple pregnancies in women if used off-label (not relevant in men).

Thromboembolic risk: Rare but possible due to estrogen receptor modulation.

Long-term use: Limited data—caution with chronic use.

Other: Poor sleep, edema, nipple sensitivity.

Naltrexone (AUD)

Naltrexone (AUD) — Sales Playbook

Talk track, FAQ, and message templates for the alcohol use disorder program

Read this first — the tone that sells this product

This is not a typical medication. Alcohol is personal, and many patients feel shame or fear judgment. The single biggest driver of conversion here is making the person feel safe, understood, and in control. We lead with empathy and information, never pressure. Our own program is built on being judgment-free — the pitch has to sound the same way.

The offer at a glance

Product: Naltrexone (with Vitamin B6) for alcohol use disorder (AUD) — FDA-approved.

Price: $89 for the first month, then $149/month ongoing.

What's included: async medical evaluation with a licensed clinician, prescription when appropriate, and behavior-change coaching.

Link: myrnk.com/naltrexone (use the Link Builder to add your UTM + shorten it).

Here is also a provider’s Naltrexone AUD FAQ (just in case0

Know the Product Cold

You can't sell this with confidence if you can't answer basic questions. Here's the core you must know before dialing.

What naltrexone actually does

Reduces cravings for alcohol.

Decreases the pleasurable effects of drinking — alcohol simply feels less rewarding.

Supports long-term behavior change alongside coaching.

Not addictive, does not cause a “high,” and does NOT make you sick if you drink (that's a different drug — disulfiram).

You don't have to quit to start

This is the most important selling point and the biggest myth-buster. The patient sets the goal — drink less OR quit entirely. No pressure, no abstinence requirement. Many people keep drinking at first and simply notice it feels less rewarding, which naturally reduces intake over time.

How it's taken

Naltrexone 22.5 mg + Vitamin B6 45 mg.

1 capsule daily for the first 7 days (lower dose to let the body adjust), then 2 capsules daily going forward.

Some patients stay on the lower dose longer if they get side effects — that's normal and the clinician manages it.

Initial script: 161 capsules; refills: 168 capsules; each supply ≈ 12 weeks (84 days).

The Talk Track

A loose structure, not a word-for-word script. Adapt to the person. The flow: warm, judgment-free open → understand their goal → explain how it works → handle the fear → simple close.

1. Open — warm and non-judgmental

Agent: Hi [Name], this is [Agent] from RNK Health. You reached out about our program to help cut back on drinking — I just wanted to personally reach out, see what you're hoping to work on, and answer any questions. There's zero pressure here, and nothing you say is judged. Does it work now for a few minutes?

2. Understand their goal — let them talk

The more they talk, the more they convert. Ask open questions and listen. Do not lecture.

Agent: When you think about your drinking right now — are you looking to cut back and be more in control, or are you thinking about stopping altogether? Both are totally valid, and either way we can help.

Agent: Got it. And what's been the hardest part for you so far — is it the cravings, the habit, how much you're drinking without meaning to?

3. Explain how it works — tie it to what they said

Agent: So here's how this helps with exactly that. Naltrexone is an FDA-approved medication that works on the reward part of drinking — it takes the edge off cravings and makes alcohol feel a lot less rewarding. A lot of patients tell us they'll pour a drink out of habit and just… not feel like finishing it. It's not addictive, it doesn't give you any kind of high, and — this surprises people — it doesn't make you sick if you drink. So you're not signing up to quit cold turkey. You stay in control of the pace.

Agent: And you're not doing it alone — a licensed clinician reviews everything, and you get behavior coaching built in to help it actually stick.

4. Simple close — low friction

Agent: The way it works is you fill out a quick medical intake — takes about 10 minutes, all online — and a licensed clinician reviews it to make sure it's safe and right for you. The first month is $89, then $149 a month after that, and that covers the clinician, the medication, and the coaching. I can text you the link right now and stay on while you start it if you'd like. Want me to send it over?

Close tips

Always offer to text the link while on the call — warm handoff converts far better than “I'll think about it.”

Frame the intake as quick and safety-focused, not as a sales barrier.

Never push someone who's hesitant on the health side — offer to send info and follow up. Pressure backfires hard on this product.

FAQ & Objection Handling

Three columns: what the patient says, what you should do, and a ready-to-use response. Adapt the wording to sound like you.

Understanding & trust

Patient says…	Action plan	Sample response
Do I have to stop drinking completely?	Reassure — this is the #1 fear. Reinforce they set the goal.	Not at all — that's the best part. You decide what success looks like. Some people cut back, some stop fully, and plenty start by just drinking less. The medication works either way, at your pace.
Will it make me sick if I drink?	Bust the myth clearly — they're confusing it with disulfiram.	No — that's a different medication. Naltrexone won't make you sick if you drink. It just makes alcohol feel less rewarding, so the cravings and the “autopilot” drinking ease off over time.
Is this addictive? Will I get high?	Reassure plainly.	No on both. Naltrexone isn't addictive and doesn't cause any kind of high. It just quietly works on the craving and reward side.
Is this actually approved / legit?	Lead with FDA approval + licensed clinician.	Yes — naltrexone is FDA-approved specifically for alcohol use disorder, and everything goes through a licensed clinician who reviews your intake before anything is prescribed.

Safety & side effects

Patient says…	Action plan	Sample response
What are the side effects?	Be honest but calm — most are mild and early.	Most people get little or nothing. When there are side effects they're usually mild and in the first week or two — things like a headache, some nausea, or feeling a bit tired while your body adjusts. Your care team can help you manage any of it.
I'm worried about headaches / nausea	Normalize + give the practical tips from the clinical team.	Really common early on and usually mild. Taking it with food, drinking plenty of water, and taking it at the same time each day helps a lot. And if nausea is an issue, the clinician can add an as-needed anti-nausea medication.
Can anyone take it?	Be straight — not everyone qualifies, that's a safety feature.	Not everyone — and that's actually a good thing, it means it's being done safely. It's not right for people using opioids, with severe liver disease, or who are pregnant or breastfeeding, among a few others. That's exactly what the intake and clinician check for.
I take other medications	Don't advise — route to clinician.	Great thing to flag — put all of that in your intake and the clinician will review it directly to make sure everything's safe together before anything is prescribed.

Logistics & price

Patient says…	Action plan	Sample response
How much is it?	State it simply, bundle the value.	It's $89 for your first month, then $149 a month. That covers the licensed clinician, your medication, and the behavior coaching — all in one.
How does it get to me?	Set expectations simply.	After the clinician approves your intake, your medication ships to you, and your care team stays available for questions and refills along the way.
How long do I take it?	Frame as clinician-guided, ~12 weeks per supply.	Each supply covers about 12 weeks, and your clinician reviews how you're doing before refills. It's not forever — it's there to help you build the change.
Let me think about it	Don't push. Offer info + a follow-up.	Totally understand — it's a real decision. Let me text you the info so you have it, and I'll check back in a couple days. No pressure at all. Sound okay?

Safety escalation — important

If a patient ever expresses thoughts of self-harm or seems in crisis: stop selling immediately. Do not continue the pitch. Let them know support is available right now — they can call or text 988 (Suicide and Crisis Lifeline), or text CONNECT to 741741 — and follow the internal escalation process. A human being in distress always comes before any sale.

Message Templates (SMS)

Send with the Link Builder link (channel = SMS). Keep it warm, short, and judgment-free. Insert the shortened link where you see [LINK].

Naltrexone — outbound / new inquiry

Naltrexone SMS

Day 1 — after a missed call

Day 1 — after a good call

Day 2 — gentle follow-up

Naltrexone — reassurance follow-up (if they went quiet after asking about safety)

Message

Reassurance nudge

Coaching Notes for the Team

Lead with empathy, not the product. On this topic, the relationship is the sale.

Never diagnose or give medical advice. “The clinician will review that” is always a safe, honest answer.

Kill the two big myths every time: (1) you don't have to quit to start, (2) it won't make you sick if you drink.

Match the channel in the Link Builder to how you actually contacted them (call vs SMS) so attribution stays clean.

If someone is hesitant, send info and follow up — do not pressure. This product rewards patience.

If anyone shows signs of crisis, stop and share 988 / text CONNECT to 741741, then follow escalation. Always.

Cross-Sell Playbook

1. Cross-Sell Eligibility Criteria

When to Initiate a Cross-Sell

A cross-sell conversation may only be initiated when the patient is actively engaged in the call and appears open to conversation about additional products.

When NOT to Attempt a Cross-Sell

Do not attempt a cross-sell in any of the following situations:

The patient expressed dissatisfaction during the call

Patient mentioned financial concerns or price sensitivity

Patient indicated they had misclicked or purchased something by mistake

Patient appears rushed, distracted, or disengaged

Brad

Qualification Criteria

Before moving to cross-sell, the agent should be able to answer YES to:

Is the patient satisfied with their current treatment?

Did they leave (or agree to leave) a positive review?

Is the patient engaged and asking questions about their health goals?

Has the patient mentioned other health goals beyond their current treatment?

2. Conversation Hooks

Use these questions and transitions to move naturally into a cross-sell discussion. Never force it - let the patient lead.

Goal: capitalize on excitement right after the buying decision. The patient just committed to NAD+ — this is the warmest possible moment to plant a seed about what pairs well with it, while also setting expectations for what happens next.

Universal Opening Questions

TBD

Natural Transition Phrases

Use these to bridge from the review conversation into product exploration:

Agent: Hi [Name], this is [Agent] calling from MyRNK — congrats on getting started with [Product]! I just wanted to personally reach out, make sure everything's set on your end, and answer any questions before your first shipment goes out. Do you have a couple of minutes?

IF YES

Agent: Awesome. So just so you know what to expect — your medication ships from our compounding pharmacy and typically arrives within 3 to 5 business days from today. You'll get tracking info by email and text once it's on its way. While I have you, I'm also curious: besides what you're working on with [Product], are there any other health goals on your radar right now? Energy, recovery, weight, hormones, anything like that?

3. Pricing Reference

Use Midfunnel offers as the default - these are your best-converting price points. Winback prices are excluded from cross-sell use.

NAD+ Injectable

Offer	Initial	Rebill	Selling Point
NAD+ 6m Midfunnel (139)	$834	$834	$139/mo - same price every dose
NAD+ 6m Intro Midfunnel (129)	$774	$894	$129/mo first 6 months
NAD+ 3m Midfunnel (149)	$447	$547	$149/mo first 3 months
NAD+ 1m Midfunnel $199	$199	$199	$199/mo same price every dose
NAD+ 1m Intro $159/239	$159	$239	$159 first month

Sermorelin

Offer	Initial	Rebill	Selling Point
Sermorelin 6m Midfunnel (139)	$834	$834	$139/mo
Sermorelin 6m Intro Midfunnel (129)	$774	$894	$129/mo first 6 months
Sermorelin 3m Midfunnel (149)	$447	$547	$149/mo first 3 months
Sermorelin 1m Midfunnel & Winback $199	$199	$199	$199/mo
Sermorelin 1m Intro $159/239	$159	$239	$159 first month

Tirzepatide (GLP-1)

Offer	Initial	Rebill	Selling Point
Tirzepatide Midfunnel Intro $287/347	$287	$347	Best intro offer
Tirzepatide Midfunnel $329	$329	$329	Same price every month
Microdosing Tirzepatide $149/199	$149	$199	Entry-level option

Semaglutide (GLP-1)

Offer	Initial	Rebill	Selling Point
Semaglutide MF Intro $187/247	$187	$247	Best intro offer
Semaglutide MF $229	$229	$229	Same price every month

TRT

Offer	Initial	Rebill	Selling Point
TRT Injectable $189/239	$189	$239	Most popular TRT option
TRT Injectable + Lab Test $286/239	$286	$239	Includes lab test
TRT Oral $189/239	$189	$239	Oral option - no injections
TRT Oral + Lab Test $286/239	$286	$239	Oral + lab test

Enclomiphene

Offer	Initial	Rebill	Selling Point
Enclomiphene $159/239 Midfunnel	$159	$239	Best intro price
Enclomiphene $189/239 Midfunnel	$189	$239	Standard midfunnel
Enclomiphene $159/239 + Lab Test $97 MF	$256	$239	With lab test
Enclomiphene $189/239 + Lab Test $50 MF	$239	$239	With lab test (lower fee)

DNA Bio-Blueprint & Add-Ons

Offer	Initial	Rebill	Selling Point
DNA Bio-Blueprint	$299	N/A	One-time - pairs with everything
Injectable B12 Complex	$97	$197	First month $97, then $197/mo

Pricing Tips for Agents

Lead with the Intro Midfunnel price - the lower first-month price makes it easy to say yes

For 6-month plans: emphasize the per-month cost, not the total ("just $129/month," not "$774 upfront")

DNA at $299 is a one-time cost - always frame it as a lifetime investment, not a monthly commitment

B12 at $97 first month is a great low-barrier entry point - easy add-on for any patient

For TRT/Enclomiphene: mention that the lab test is included, so they don't have to organize it separately

4. Product-Specific Cross-Sell Scripts

Each script below follows the same 3-step flow:

Step 1 - Transition: Introduce the product naturally based on what the patient just shared.

Step 2 - Full Pitch (after patient says "yes, tell me more"): 2-3 talking points that build the case - benefits, social proof, what to expect.

Step 3 - Price Close: Present the midfunnel price as a patient-exclusive rate, then ask for the link.

NAD+ Injectable

Pain Points & Goals

Low energy and chronic fatigue
Brain fog, lack of mental clarity
Slow recovery after workouts
General aging, longevity goals
Metabolic sluggishness

Value Propositions

Cellular energy at the mitochondrial level
Supports DNA repair and healthy aging
Enhances mental clarity and cognition
Complements every other treatment

Cross-sell: NAD+ patient → Sermorelin

Step 1 - Transition

Agent: Since your energy is already improving on NAD+, a lot of patients in your situation find that adding Sermorelin helps take things to the next level - things like recovery, body composition, and sleep. Especially if you're active or work out. Is that something you'd want to know more about?

Step 2 - Full Pitch (patient says "yes")

Agent: So Sermorelin works by stimulating your body's own natural growth hormone - it doesn't add anything synthetic, it just tells your body to produce more of what it already makes. Most patients notice deeper sleep within the first 2-3 weeks, and then the physical changes - better recovery, more muscle definition, less fat around the midsection - follow over the next couple of months.

Agent: What's interesting about combining it with NAD+ is that they work through completely different pathways. NAD+ is doing its thing at the cellular energy level, and Sermorelin is working at the hormonal level. A lot of our patients who do both say it's the most noticeable difference they've felt in years - like everything is just working together.

Agent: The clinical team handles everything - they review your labs if needed and set the right dosing for you. You don't have to figure any of that out yourself.

Step 3 - Price Close

Agent: Since you're already a patient with us, I can get you on our exclusive patient pricing - it's $159 for the first month, and $239 after that. Most patients find that the sleep improvement alone in the first month makes it a no-brainer to continue. Want me to send you the link right now?

Cross-sell: NAD+ patient → B12

Step 1 - Transition

Agent: A lot of our NAD+ patients add B12 to the mix because it gives that extra energy push - especially for that mid-afternoon dip. It works through a different pathway so they really complement each other. Would you want to hear a bit more about it?

Step 2 - Full Pitch (patient says "yes")

Agent: So B12 injectable is different from the B12 supplements you'd buy at the pharmacy - because it bypasses your digestive system entirely. Most people actually absorb very little oral B12, especially if they have a gene variant called MTHFR, which about 45% of people carry without knowing. The injectable version goes straight into your system, so you feel it much faster.

Agent: Patients typically notice it within the first week - better sustained energy, clearer mood, and a lot of them say they just feel more even throughout the day. It's also the simplest thing to add because it's such a low commitment - it's a small injection you do at home, takes 30 seconds.

Step 3 - Price Close

Agent: As an existing patient, your first month is just $97 - that's our exclusive patient rate, and it's honestly the most affordable thing we offer. Then it's $197/month after that. Most patients say it's the easiest yes they've made. Want me to send you the link?

Sermorelin

Pain Points & Goals

Difficulty building/maintaining muscle
Slow recovery after exercise
Increased body fat, especially in the midsection
Poor sleep quality
Desire to feel younger, more capable

Value Propositions

Stimulates natural growth hormone release
Supports lean muscle and fat loss
Improves sleep depth and recovery
Powerful anti-aging combo with TRT & NAD+

Cross-sell: Sermorelin patient → NAD+

Step 1 - Transition

Agent: Since you're already seeing results with Sermorelin, a lot of patients in your situation find that adding NAD+ really amplifies everything - more energy, faster recovery, sharper focus. It's one of the most popular combinations we see. Is that something you'd want to know more about?

Step 2 - Full Pitch (patient says "yes")

Agent: So Sermorelin is working at the hormonal level - stimulating GH production. NAD+ works at a completely different level - it's about cellular energy. It's a molecule that every single cell in your body needs to produce energy, and levels naturally decline with age. When you boost NAD+, your mitochondria function better, you recover faster, and your brain runs more efficiently.

Agent: The combination is powerful because they're not overlapping - they're addressing the same goals through different pathways. Patients who add NAD+ to their Sermorelin protocol usually describe it as feeling more complete, like the last piece clicked into place.

Agent: It's also a simple injection you do at home on your own schedule - nothing changes about how you're already doing your Sermorelin.

Step 3 - Price Close

Agent: Since you're already a patient, I can offer you our exclusive patient pricing - $159 first month, $239 after. Or if you want to go straight to the 3-month plan, it works out to $149/month billed quarterly. Want me to send you the link for whichever fits better?

GLP-1 Medications (Tirzepatide & Semaglutide)

Pain Points & Goals

Struggling to lose weight
Food noise, appetite control
Blood sugar or metabolic concerns
Desire for sustainable weight loss

Value Propositions

Clinically proven appetite suppression
Significant weight loss incl. visceral fat
Tirzepatide: dual receptor (GIP + GLP-1)
Weekly injection, easy routine

Cross-sell: GLP-1 patient → B12

Step 1 - Transition

Agent: One thing a lot of our GLP-1 patients notice as the weight starts coming off is that their energy can dip a bit - which makes sense, your body is adjusting to eating less. B12 injectable is something that really helps with that. Would you want to hear more?

Step 2 - Full Pitch (patient says "yes")

Agent: So injectable B12 is very different from the oral supplements - it goes straight into your system because it bypasses digestion entirely. It directly supports your metabolism and red blood cell production, which is especially relevant when you're in a calorie deficit and your body needs to stay efficient.

Agent: Most patients feel the difference within the first week - better sustained energy, better mood, and a lot of them say they feel less depleted at the end of the day. It basically keeps your engine running cleanly while the GLP-1 is doing its work.

Agent: It's also one of the simplest things to add - small injection at home, takes 30 seconds, and it doesn't interfere with anything you're already doing.

Step 3 - Price Close

Agent: As an existing patient I can get you on our exclusive rate - just $97 for the first month, then $197 after. Most patients say it's the easiest add-on they've ever made. Want me to send you the link right now?

Cross-sell: GLP-1 patient → NAD+

Step 1 - Transition

Agent: A lot of our weight loss patients add NAD+ to support their metabolism at the cellular level - it can really help with the fatigue and mental fog that sometimes comes with being in a deficit. Would you want to hear more about it?

Step 2 - Full Pitch (patient says "yes")

Agent: NAD+ is essentially a molecule your cells need to produce energy - it's what your mitochondria run on. Levels decline naturally with age, and when you're in a calorie deficit they can drop further. Supplementing with injectable NAD+ is basically giving your cells the fuel they need to stay efficient while your body is in weight loss mode.

Agent: Patients combining it with GLP-1 often say they feel mentally sharper and more even throughout the day - less of that foggy, dragging feeling. And because it supports cellular metabolism, it can actually help with the quality of your weight loss, not just the speed.

Step 3 - Price Close

Agent: Since you're already a patient, your exclusive rate is $159 for the first month, $239 after. Or $149/month on the 3-month plan. A lot of patients prefer the 3-month since you really start to feel the cumulative effect by month 2. Want me to send you the link?

Injectable B12 Complex

Pain Points & Goals

Persistent fatigue and low energy
Mood fluctuations
Nutritional gaps
Looking for a simple, affordable add-on

Value Propositions

Fast-acting - bypasses digestive system
Supports nerve function, metabolism, RBCs
Works with NAD+, GLP-1, TRT
Lowest price point - easiest add-on

Cross-sell: B12 patient → NAD+

Step 1 - Transition

Agent: Since you're already getting great results from B12, a lot of patients in your situation add NAD+ to take the energy benefits to the next level. It works through a completely different pathway and they really complement each other. Is that something you'd want to hear more about?

Step 2 - Full Pitch (patient says "yes")

Agent: So while B12 is giving your metabolism and nervous system what they need to run, NAD+ goes deeper - it's working at the mitochondrial level, which is where your cells actually generate energy. Think of B12 as the fuel and NAD+ as the engine upgrade.

Agent: Patients who add NAD+ to their B12 protocol usually describe the combination as feeling more complete - sustained energy that lasts all day rather than just a boost. And because NAD+ also supports DNA repair and cognitive function, a lot of patients notice better focus and mental clarity as a bonus.

Agent: It's the same format as your B12 - injectable, done at home, fits right into your existing routine.

Step 3 - Price Close

Agent: As an existing patient I can give you the exclusive patient rate - $159 first month, $239 after. Want me to send you the link right now while we're on the call?

TRT (Testosterone Replacement Therapy)

Pain Points & Goals

Low energy and motivation
Decreased libido
Difficulty building muscle
Mood issues, irritability
General sense of decline or feeling "off"

Value Propositions

Restores testosterone to optimal levels
Improves energy, mood, libido, body comp
Pairs with Enclomiphene for fertility protection
Complements NAD+ and Sermorelin

Cross-sell: TRT patient → Enclomiphene

Step 1 - Transition

Agent: One thing I want to flag that's worth knowing - TRT can over time suppress your body's natural testosterone production and affect fertility. A lot of our TRT patients add Enclomiphene specifically to protect against that. Is that something that would be relevant for you?

Step 2 - Full Pitch (patient says "yes")

Agent: So Enclomiphene works by stimulating your pituitary gland to signal the testes to keep producing testosterone naturally - essentially telling your body not to shut down its own production. When you're on TRT your body gets the signal that there's enough testosterone so it slows down its own production. Enclomiphene counteracts that signal.

Agent: The practical result is that you maintain fertility and your natural hormonal function alongside your TRT. It's one of the most common combinations we see among patients who are planning to have children or just want to keep their body's natural systems active.

Agent: It's also oral - no additional injections. So it's really easy to add to your existing routine.

Step 3 - Price Close

Agent: As an existing patient I can get you on our exclusive rate - $159 for the first month, $239 after. If you want to include the lab test upfront so the clinical team has your baseline, it's $256 total and covers everything. Want me to send you the link?

Cross-sell: TRT patient → NAD+

Step 1 - Transition

Agent: TRT and NAD+ are actually one of the most popular combinations we see - they work through completely different pathways but both contribute to how you feel and perform. Would you want to hear more about what NAD+ adds on top of TRT?

Step 2 - Full Pitch (patient says "yes")

Agent: So TRT is optimizing your hormones - getting your testosterone to where it should be. NAD+ works at the cellular level - it's what your mitochondria use to produce energy. Even with optimal testosterone, if your cellular energy production is depleted, you won't feel as good as you could. That's where NAD+ fills the gap.

Agent: Patients who combine TRT and NAD+ often say they feel like they're operating at a different level - not just stronger or more energetic, but more recovered, sharper mentally, and they notice better results from their workouts. The combination is greater than the sum of its parts.

Step 3 - Price Close

Agent: Since you're already a patient I can offer you the exclusive patient rate - $159 first month, $239 after, or $149/month on the 3-month plan. Want me to send you the link right now?

Enclomiphene

Pain Points & Goals

Low T symptoms without wanting TRT
Fertility concerns alongside T optimization
Stimulate natural testosterone production
Currently on TRT, concerned about fertility

Value Propositions

Stimulates natural T production (no exogenous hormones)
Preserves fertility - unlike TRT
Works standalone or alongside TRT
Oral - no injections required

Cross-sell: Enclomiphene patient → NAD+

Step 1 - Transition

Agent: NAD+ pairs really nicely with Enclomiphene - it supports energy and cellular health from a completely different angle, and a lot of patients notice the combined effect is quite significant. Would you want to hear more about it?

Step 2 - Full Pitch (patient says "yes")

Agent: So Enclomiphene is stimulating your body's natural hormone production - that's the hormonal side. NAD+ operates at the cellular level - it's the molecule your mitochondria use to produce energy. When you combine hormonal optimization with cellular energy optimization, patients typically feel a more complete transformation.

Agent: A lot of our Enclomiphene patients add NAD+ because they want to maximize the results - better energy, faster recovery, sharper focus. The clinical team can walk you through how to integrate both into your protocol.

Step 3 - Price Close

Agent: As an existing patient I can get you on our exclusive rate - $159 first month, $239 after. Want me to send the link right now while we're talking?

DNA Bio-Blueprint - Universal Add-On ($299 one-time)

Why it pairs with everything:

Tells the patient exactly how their body absorbs vitamins, processes stress, and responds to exercise

MTHFR mutation (carried by 45% of people) affects B12 absorption - DNA reveals if they have it

COMT gene determines how they process stress hormones - directly relevant to mood and recovery

One-time cost, lifetime value - genes never change

Personalizes the entire existing protocol - makes every other product they're taking more effective

Step 1 - Transition

Agent: Since you're already seeing great results, have you ever thought about getting a full picture of your genetics? We have a DNA kit that tells you exactly how your body works - how you absorb nutrients, process stress, respond to exercise. It personalizes everything you're already doing. Want me to tell you a bit more?

Step 2 - Full Pitch (patient says "yes")

Agent: So the kit looks at over 80 genes that affect things like how you absorb vitamins - for example, 45% of people have a variant called MTHFR that affects how they process B12 and folate, and most of them have no idea. It also looks at your COMT gene which controls how you process stress hormones, your fitness genes - injury risk, recovery speed - and how your body metabolizes different foods.

Agent: What patients love about it is that it removes all the guesswork. Instead of wondering why something isn't working or trying different approaches, you actually know what your body responds to. And since it includes two private coaching sessions, someone walks you through your results and helps you apply them to your protocol.

Agent: And it's a one-time thing - your genes never change, so this is literally a lifetime investment. Most patients say it's the most eye-opening thing they've done for their health.

Step 3 - Price Close

Agent: It's $299 one-time - not a subscription, no recurring charge. Just a single investment that gives you a personalized blueprint for life. Since you're already a patient, I can send you the link right now. Want me to do that?

5. Product Compatibility Cheat Sheet

Quick reference - identify cross-sell opportunities based on what the patient is already taking.

Product	Pairs Well With	Why It Works
NAD+	B12 Complex	Amplifies energy; B12 supports metabolism while NAD+ works at the cellular level
NAD+	Sermorelin	NAD+ fuels cellular energy; Sermorelin supports recovery and GH - a powerful anti-aging combo
NAD+	TRT	TRT restores hormones; NAD+ maximizes cellular performance and recovery
NAD+	DNA Blueprint	DNA reveals which supplements actually work for that patient's specific body
GLP-1	B12 Complex	B12 counters the energy dip from reduced caloric intake during GLP-1
GLP-1	NAD+	NAD+ supports metabolic function and energy during weight loss
GLP-1	DNA Blueprint	DNA uncovers how the patient processes food and metabolizes fat
TRT	Enclomiphene	Enclomiphene protects fertility and natural production while on TRT
TRT	NAD+	Comprehensive men's health protocol - hormones + cellular energy
TRT	Sermorelin	Hormonal and GH optimization - muscle, recovery, body composition
TRT	DNA Blueprint	DNA identifies how a patient metabolizes testosterone and responds to training
Sermorelin	NAD+	Recovery and energy from two different pathways - highly complementary
Sermorelin	TRT	Full hormonal optimization stack - most popular men's health combination
B12	NAD+	Classic energy pairing - most accessible entry point into a broader protocol
B12	DNA Blueprint	DNA shows MTHFR mutation affecting B12 absorption - makes B12 more targeted
Enclomiphene	NAD+	Natural testosterone support + cellular energy - good starting protocol for men
Any Product	DNA Blueprint	Pairs with everything - personalizes the entire protocol regardless of current treatment

6. Follow-Up SMS Templates

Use these when a patient says, "I'll think about it." Always include your personal tracking link. Send SMS #1 within 2-4 hours of the call.

Universal Sequence (Any Product)

SMS #1 - Same Day (2-4 hours after call)

Hi [First Name]! It was great chatting with you earlier. Just wanted to drop you a quick note - if you have any questions about [Product] or want to learn more before deciding, feel free to reply here anytime. Here's the link when you're ready: [LINK] - [Agent Name], RNK Health

SMS #2 - 48 Hours Later (if no response)

Hey [First Name], just following up on our conversation about [Product]. A lot of patients who pair it with [Current Product] notice [key benefit] within the first few weeks. No pressure - just wanted to make sure you had the link handy: [LINK] - [Agent Name], RNK Health

SMS #3 - 5 Days Later (final follow-up)

Hi [First Name]! Last follow-up from me - I wanted to make sure you had everything you need. If you'd like to chat with one of our clinical specialists first, just reply, and I'll set that up. Otherwise, here's the link: [LINK] - Hope you're feeling great! - [Agent Name], RNK Health

Product-Specific SMS

DNA Bio-Blueprint

Hi [First Name]! Quick follow-up on the DNA Blueprint. Just a reminder - your genes never change, so this is a one-time investment that works for life. It tells you exactly how your body processes nutrients, responds to stress, and which supplements actually work for you. Here's the link: [LINK] - [Agent Name], RNK Health

Sermorelin

Hey [First Name]! Following up on Sermorelin. Patients who combine it with [Current Product] typically notice improvements in sleep and recovery within 4-6 weeks. Intro price is just $159 for the first month - here's the link: [LINK] - [Agent Name], RNK Health

TRT

Hi [First Name]! Just wanted to follow up on TRT. I know it can feel like a big decision, but our clinical team makes it really straightforward - they'll review everything before moving forward. Intro price is $189 first month. Here's the link: [LINK] - [Agent Name], RNK Health

B12 Complex

Hey [First Name]! Quick follow-up on B12 - just $97 for the first month and most patients notice the energy difference within the first week or two. It's the easiest add-on we offer. Here's the link: [LINK] - [Agent Name], RNK Health

7. Role-Play Examples

Just as an example, how it can looks like. The goal is consultative - not pushy. Let the patient lead, match their energy.

Use Case 1: NAD+ Patient → DNA Blueprint + B12

Patient Profile: Sarah, 42. On NAD+ 2 months. Positive survey. Left 5-star review during call. Mentions 3pm energy slump and stress.

Agent: Sarah, I'm so glad the NAD+ has been working well for you! Since you're already feeling better, can I ask - are there any other areas where you feel like you want more support? Like energy throughout the day, stress, sleep?

Patient: Honestly, my energy is better but I still hit a wall around 3pm. And I've been a bit stressed lately.

Agent: That's really common and good to know. A couple of things come to mind. First - have you heard of our B12 injectable? A lot of NAD+ patients add it because it gives that extra push, especially for that afternoon dip. Works through a different pathway so they really complement each other.

Patient: Oh interesting, I didn't know about that.

Agent: And since you mentioned stress - we actually have a DNA kit that looks at your COMT gene, which directly affects how your body processes stress hormones. It basically tells you why you feel stressed and what actually helps your specific body. A lot of patients find it really eye-opening. Would you be open to hearing more about either of those?

Patient: Yeah, the DNA thing sounds really cool. Maybe the B12 too - let me think about it.

Agent: Totally, no rush at all! I'll send you a quick text with the links so you have them when you're ready. Sound good?

Outcome: Send SMS #1 within 2-4 hours with both links (DNA + B12). DNA link first since that had more interest.

Use Case 2: GLP-1 Patient → B12 + NAD+

Patient Profile: Mark, 51. On Tirzepatide 6 weeks. Down 14 lbs. Positive review. Mentions low energy.

Agent: Mark, 14 pounds in 6 weeks is incredible - you're really putting in the work. How's your energy been holding up through all of this?

Patient: Honestly, kind of low. I think it's just eating less but I've been dragging a bit.

Agent: That's actually one of the most common things we hear from GLP-1 patients. When you're in a calorie deficit your body is working hard and energy can take a hit. Two things our patients have found really helpful - B12 injectable, which gives a really fast energy boost and it's just $97 for the first month. And NAD+, which works at the cellular level. A lot of GLP-1 patients do both and say it makes a big difference day to day.

Patient: I've heard of B12 shots. That might actually be worth trying.

Agent: Absolutely - it's simple, fast-acting, and most patients notice it within the first week or two. Want me to send you the link right now?

Patient: Sure, that works.

Agent: Perfect, sending it now! And I'll include the NAD+ link too just in case you want to look at it later.

Outcome: Patient said yes - send both links immediately. B12 first since that was the confirmed interest.

Use Case 3: TRT Patient → Enclomiphene + DNA Blueprint

Patient Profile: James, 37. On TRT 3 months. Feeling great. Recently married, mentioned wanting kids in a couple of years.

Agent: James, it's awesome to hear TRT has made such a difference for you. You mentioned you just got married - congrats! Are you and your wife thinking about kids at any point?

Patient: Yeah, probably in the next couple of years.

Agent: Good to know - I actually want to flag something worth knowing. TRT can affect natural testosterone production and fertility over time. A lot of our patients in your situation add Enclomiphene, which helps preserve natural production and protect fertility while staying on TRT. It's a really common combination. Intro offer is $159 for the first month - want me to send you the info?

Patient: Oh wow, I didn't know that. Yeah, I'd want to know more.

Agent: Absolutely, I'll send that over. And one more thing - since you're already investing in your health, have you thought about doing a DNA test? We have a kit that looks at how your body metabolizes testosterone and responds to training. Given you're on TRT the insights can be really personalized. It's $299 one-time since your genes never change.

Patient: That's actually really interesting. I'd look into that.

Agent: Perfect! I'll send links for both. Really appreciate the kind words and the review today - you're going to love where this goes!

Outcome: Two strong yeses - send both links immediately. Enclomiphene first (more urgent need), then DNA.

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