Frequently Asked Questions

  • What is Low Dose Naltrexone (LDN)?

    LDN is a therapy that uses a low dose of the medication naltrexone to help support the immune system and reduce inflammation. Many patients use LDN for conditions such as chronic pain, autoimmune disorders, and Mast Cell Activation Syndrome (MCAS).
    Learn more here: Why LDN?

  • In which states is LDN Direct available?

    We serve patients in all U.S. states except Oregon.
    This includes Washington, D.C.

  • Who will I see for my consultation, and what is the cost?

    Dr. Sajad Zalzala (MD): $109

    Jade Arellano (staff assistant): $79

    Book Here

  • How long does my prescription last?

    Your initial consultation includes:

    An initial prescription to help you titrate (start low and gradually increase).

    One dose change, if needed.

    Coverage for up to 6 months from your consult date.

  • What happens after 6 months?

    You’ll need a follow-up visit every 6 months to continue your prescription.

    Follow-up visits cost $69.
    Request a refill or follow-up here: LDN Refills

  • How much does the medication itself cost?

    Medication costs vary depending on the pharmacy you choose. We recommend these trusted compounding pharmacies:

    Art of Medicine

    CareFirst Specialty Pharmacy

    Valiant Compounding

    Belmar Pharma Solutions

  • How do I get started?

    You can begin the process by completing our secure intake form and scheduling your consultation.
    Start here: Get LDN