A 1970s medication with a modern second act. At a low nightly dose, naltrexone nudges your own endorphins and immune system toward balance — for inflammation, autoimmune symptoms, chronic pain and cravings. $59 a month, physician-prescribed.
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Standard naltrexone (50 mg) blocks opioids all day. At 1.5–4.5 mg taken at bedtime, it blocks receptors for only a few hours — and the body responds by increasing its own endorphin production and calming over-active immune signaling.
At Serene Med Spa in Barboursville, LDN is prescribed by our physicians after a consultation that reviews your symptoms, medications and history. It is used for autoimmune conditions such as Hashimoto’s and rheumatoid symptoms, fibromyalgia and chronic pain, inflammatory skin and gut conditions, and as a support for appetite and cravings in our weight-management program. Dosing starts low and steps up over a few weeks to limit vivid dreams, the most common early effect. The prescription is $59 per month, compounded by a licensed U.S. pharmacy and shipped to you. LDN is an off-label use; your physician will explain the evidence honestly, and it is prescribed only when appropriate. It cannot be combined with opioid pain medication.
Hashimoto’s, rheumatoid and other autoimmune conditions where fatigue and inflammation persist despite standard care.
Widespread pain and poor sleep; LDN is one of the better-studied uses.
Psoriasis, eczema and IBS-type symptoms in some patients.
Appetite and reward-driven eating; often paired with our weight-management program.
Lingering fatigue and brain fog after infection.
Some patients report steadier mood and deeper sleep as endorphins rebound.
A physician consultation reviewing your symptoms, medications (no opioids) and goals; labs if indicated.
A compounded capsule shipped to you; start at 1.5 mg nightly and step up to 4.5 mg over a few weeks.
Sleep and pain often shift within weeks; autoimmune and inflammatory benefits build over two to three months.
Monthly refills with a check-in; dose adjusted to response.
Dr. Robin Arora is board-certified in internal medicine and treats LDN as medicine, not a supplement: a real consultation, honest expectations about an off-label therapy, and monitoring. Published pricing at $59 a month, medication included.
Book a Consultation$59 / month
Compounded capsules, shipped to you
$99
Applied to your first month
Included
Prices are published and the consultation is complimentary. See the full price list.
$59 per month at Serene Med Spa in Barboursville, medication included, shipped from a licensed compounding pharmacy.
No. Naltrexone is an opioid blocker with no addictive potential and is not a controlled substance.
Vivid dreams or mild sleep disturbance in the first weeks are the most common, which is why we start low and step up. Headache or nausea are occasional and usually pass.
Usually yes, with one hard exception: any opioid pain medication (including tramadol and some cough medicines). Tell us everything you take.
Sleep and pain often change within a few weeks; inflammatory and autoimmune benefits typically take two to three months of consistent use.
Naltrexone is FDA-approved at 50 mg for alcohol and opioid dependence. Low-dose use is off-label, supported by a growing body of small trials and decades of safety data; your physician will discuss the evidence for your situation.
"Dr. Shweta Arora is skilled with fillers & Botox. She listens to your concerns and looks at your face to see what is needed! I look and feel 10 yrs younger after the first visit. She starts conservatively which is nice if it’s your first time. Love Serene Spa in Barboursville."
"Dr Arora is the best! So considerate and patient. Took the time to answer my many questions without trying to rush me out. Extremely thorough and knowledgeable. I recommend emphatically. He does not disappoint."
"Great service and great staff. Very helpful with any questions. I always leave feeling taken care of and looking my best."
★★★★★ Verified reviews from our patients on Google
Individual results may vary. Photos of our own patients, shared with consent.
Located just off I-64 in Barboursville, Serene Med Spa welcomes patients seeking low-dose naltrexone (LDN) therapy from across Cabell, Wayne, Lincoln and Putnam counties in West Virginia, Lawrence County, Ohio, and Boyd & Greenup counties in Kentucky — including the communities below.
Monthly payment plans through Cherry and CareCredit, with 0% APR options for qualified patients. Applying with Cherry doesn’t affect your credit score.
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