verified Built for HRT clinicians

Longitudinal endocrine intelligence,
built for the way HRT is actually practiced.

Nivensa unifies lab trends, dosing history, and patient-reported vitality into a single workspace — so you stop reading bloodwork in isolation and start managing protocols with confidence.

Book a demo arrow_forward See pricing
lock HIPAA-aligned verified_user BAA available public PHIPA-compatible
7+
biomarkers tracked together in a single longitudinal view — testosterone, estradiol, SHBG, free T, hematocrit, and more.
<15 min
from uploading a new lab PDF to seeing the patient's updated trends — no manual data entry, no spreadsheets.
100%
of your patient's history, in one place. Stop reconciling labs across portals, faxes, and quarterly snapshots.
dashboard The platform

Everything HRT optimization needs.
Nothing it doesn't.

Purpose-built for the way modern testosterone, estrogen, and growth-hormone therapies are actually managed — not a generic EHR retrofitted with a lab tab.

document_scanner

OCR lab ingest

Drop in a Quest, LabCorp, LifeLabs, or Dynacare PDF. Nivensa extracts every marker, normalizes units, and slots the result into your patient's timeline — automatically.

stacked_line_chart

Longitudinal trends

Every biomarker rendered as a time-series with reference-range shading, edge-extrapolation, and drag-to-zoom — synced across all charts for a single moment-in-time view.

vaccines

Protocol-aware dosing

Compound timelines overlay testosterone, HGH, and ancillaries against bloodwork — so you see why a level moved, not just that it did.

balance

Vitality Balance Index

A 7-vector monthly questionnaire (libido, energy, strength, mood, sleep, recovery, aggression) quantifies the subjective response your labs alone can't show.

monitoring

Robust trend analytics

Theil–Sen slopes, volatility flags, and erythrocytosis alerts surface the patterns that matter — without burying you in noise from single-point outliers.

domain

Clinic-wide dashboard

Aggregate cohort trajectories, in-target percentages, and safety indicators across every patient on your panel — the view your medical director has been asking for.

bolt Lab ingest

From PDF to patient timeline in seconds.

No more retyping. No more copy-paste from lab portals. Drop the file, confirm the markers, and Nivensa does the rest — including unit conversion between SI and conventional reporting.

  • check_circleSupports major North American lab providers out of the box
  • check_circleMarker synonym mapping (handles "Testosterone, Total" vs "T, Total" vs "Total T")
  • check_circlePending-review queue for ambiguous entries — nothing posts without your eye on it
document_scanner Extract preview OCR confidence 98.4%
upload_file
labreport_2026-05-14.pdf
Processed in 4.2 seconds
Testosterone, Total28.7 nmol/L
Estradiol115 pmol/L
SHBG15.3 nmol/L
Hematocrit0.520 L/L
balance Vitality Balance Index

The signal your labs alone can't measure.

A monthly 7-slider questionnaire captures the subjective vectors that ultimately determine whether the protocol is working — libido, energy, strength, mood, sleep, recovery, aggression. Each scored 0–100 and tracked over time alongside the objective data.

  • check_circlePerformance vs. Restoration sub-vectors surface dissociated symptom domains
  • check_circleVector volatility flags identify high-SD domains before they undermine adherence
  • check_circleOne-tap monthly check-in — designed to be filled out on a phone in under 90 seconds
balance VBI · this month ↑ +4.03 pts/mo
55.2 VBI
Libido78
Energy72
Strength65
Sleep42
Mood18
Recovery58
Aggress.35
vaccines Protocol-aware dosing

See the protocol and the response in one frame.

Every dose change, frequency adjustment, and ester switch sits directly under the bloodwork it produced. Hover any period to see weekly equivalents, duration, and the labs that fell within it — pharmacokinetic context without leaving the chart.

  • check_circleCompound timeline merges consecutive same-dose periods for clean visualization
  • check_circleFrequency-aware: handles ED, EOD, E3.5D, twice-weekly, and arbitrary admin schedules
  • check_circleTestosterone, HGH, hCG, AIs, and ancillaries all charted together
vaccines Compound timeline 13 dose records
May '25Aug '25Nov '25Feb '26May '26
domain Clinic dashboard

Your whole panel, one glance.

Aggregate trajectory bands show how many of your patients are improving, stable, or declining on the VBI. Safety indicators flag the percentage of your panel above HCT 0.52, below SHBG, or outside the testosterone target range — the metrics your clinic actually needs to track for compliance and outcomes reporting.

  • check_circlePer-patient Theil–Sen slopes classify every active case as improving / stable / declining
  • check_circleIn-target percentages computed against your clinic's own reference ranges
  • check_circleDate-range scoped — review last quarter, last year, or the full enrollment history
trending_up VBI trajectories 142 active patients
82 ↑ improving
40 → stable
20 ↓ decliningdown
In target
73%
HCT > 0.52
4%
VBI enrolled
91%
route Workflow

From first upload to your first insight, in three steps.

You can be reading a patient's full longitudinal profile before your next coffee gets cold.

1

Upload labs

Drop in any PDF from your patient's bloodwork history. OCR extracts every marker, normalizes units, and flags anything ambiguous for your review.

2

Nivensa charts everything

Trends, ratios, reference bands, dosing overlays — all auto-rendered. The full picture, ready before your patient walks in.

3

Decide with confidence

Slope verdicts, volatility flags, and target-range checks give you the analytic spine. You bring the clinical judgment — Nivensa brings the receipts.

sell Pricing

Transparent pricing.
Built to scale with your practice.

Every plan starts with a 14-day free trial — no credit card required. Cancel any time.

person

Solo

For independent practitioners running a focused HRT panel.

$ 299 /mo
per clinician · billed monthly
  • check 1 clinician seat
  • check Up to 50 active patients
  • check Unlimited OCR lab uploads
  • check Longitudinal trends & ratios
  • check Vitality Balance Index
  • check Theil–Sen slope analytics
  • check Email support
Launching September arrow_forward
Recommended
groups

Practice

For small clinics with multiple clinicians and shared workflows.

$ 239 /mo
per clinician · 2–5 seats · billed monthly
  • check Everything in Solo
  • check 2–5 clinician seats
  • check Up to 250 active patients
  • check Clinic-wide dashboard
  • check Multi-staff role permissions
  • check Shared protocol library
  • check Priority email & chat support
  • check Onboarding session included
Launching September arrow_forward
domain

Clinic Group

For multi-site practices that need cohort analytics and SSO.

$ 179 /mo
per clinician · 6+ seats · billed monthly
  • check Everything in Practice
  • check Unlimited seats & patients
  • check Multi-site cohort analytics
  • check SSO · SAML 2.0
  • check Custom reference ranges
  • check Dedicated success manager
  • check BAA included
  • check 99.9% uptime SLA
Talk to sales arrow_forward
corporate_fare

Enterprise

For hospitals, networks, and white-label deployments.

Custom
contact for pricing
  • check Everything in Clinic Group
  • check White-label · custom domain
  • check Full API access
  • check Advanced audit logs
  • check On-prem / private cloud option
  • check Custom EHR integrations
  • check Dedicated success engineer
  • check Custom SLA & security review
Contact sales arrow_forward

All plans include unlimited lab uploads, unlimited patient history retention, and free updates.
Need something different? Talk to us about a custom plan.

Feature Solo Practice Clinic Group Enterprise
Capacity
Clinician seats12–5UnlimitedUnlimited
Active patients50250UnlimitedUnlimited
Patient history retentionUnlimitedUnlimitedUnlimitedUnlimited
OCR uploads / monthUnlimitedUnlimitedUnlimitedUnlimited
Clinical analytics
Longitudinal trend chartscheckcheckcheckcheck
Theil–Sen slope analyticscheckcheckcheckcheck
Vitality Balance Index (VBI)checkcheckcheckcheck
Protocol-aware dosing timelinecheckcheckcheckcheck
Custom reference ranges——checkcheck
Multi-site cohort analytics——checkcheck
Collaboration & admin
Clinic-wide dashboard—checkcheckcheck
Multi-staff role permissions—checkcheckcheck
Shared protocol library—checkcheckcheck
SSO · SAML 2.0——checkcheck
Advanced audit logs———check
Security & compliance
HIPAA-aligned infrastructurecheckcheckcheckcheck
Encryption at rest & in transitcheckcheckcheckcheck
BAA availableAdd-onAdd-oncheckcheck
99.9% uptime SLA——checkcheck
On-prem / private cloud———check
Integrations & extensibility
API access——Read-onlycheck
EHR integrations (custom)———check
White-label / custom domain———check
Support
Email supportcheckcheckcheckcheck
Priority chat support—checkcheckcheck
Onboarding session—checkcheckcheck
Dedicated success manager——checkcheck
Dedicated success engineer———check
shield Security & compliance

Patient data, treated like patient data.

Nivensa is built on HIPAA-aligned infrastructure from day one. Your patients' records never leave encrypted channels, are never used to train external models, and remain fully exportable — on your terms, on your timeline.

lock
AES-256 at restEncrypted database & backups
vpn_lock
TLS 1.3 in transitEnd-to-end encrypted connections
badge
Role-based accessGranular per-clinician permissions
history
Full audit logEvery access, edit, and export tracked
public
PHIPA-compatibleCanadian deployment available
download
Always exportableYour data, your format, your timeline
help FAQ

The questions clinicians ask first.

Nivensa is built on HIPAA-aligned infrastructure with encryption at rest and in transit, role-based access controls, and full audit logging. We sign BAAs on Clinic Group and Enterprise plans by default, and as an add-on on Solo and Practice. Our hosting environment is also configured to support PHIPA / PIPEDA requirements for Canadian deployments.
No — Nivensa is a clinical decision-support layer specifically for longitudinal endocrine optimization, not a general-purpose EHR. It's designed to sit alongside your existing record system, giving you the bloodwork-and-protocol view an EHR can't render while your EHR keeps handling billing, encounters, and general charting. Enterprise plans support custom EHR integrations.
Yes. You can upload historical lab PDFs going back as far as you have records — Nivensa will OCR, normalize, and build the full retrospective timeline in one batch. Dosing history can be imported via CSV or entered through the protocol interface. Onboarding sessions on Practice and above include a hands-on data-migration walk-through.
Out of the box: Quest Diagnostics, LabCorp, LifeLabs, Dynacare, and most major hospital lab formats. The marker synonym mapping handles the dozens of ways labs report the same biomarker (e.g. "Testosterone, Total" vs. "Total T" vs. "T, total"). Using a non-standard format? Send us a sample and we'll typically add support within a week.
The current VBI is designed around a male TRT/HRT population and is most appropriate for that group. A female-HRT variant with menstrual-cycle and peri/post-menopausal vectors is on the near-term roadmap. Reach out if you'd like to help shape it.
Your data is yours. Export every patient record — labs, protocols, VBI history, charts — as CSV or PDF at any time, including after cancellation. We retain your data for 30 days post-cancellation as a recovery window, then permanently delete unless you've requested an extended retention period.
Solo: once your account's set up, you're live in minutes — upload your first lab and see the timeline. Practice and Clinic Group plans include a guided onboarding session (typically 45–60 minutes) covering bulk patient import, role permissions, custom reference ranges, and protocol-library setup. Enterprise onboarding is scoped per deployment.
Yes — every plan includes a 14-day free trial with no credit card required. Request a trial and we'll get you set up with the full feature set of your selected tier, so you can run real patients through the system before committing. Most clinicians are comfortable making the decision well before the trial ends.

See your first patient's trends in one short session.

Book a live walk-through with our team, and we'll set up your 14-day trial — no credit card required.

Book a demo arrow_forward Sign in
mail Get in touch

Prefer to send a message?

Tell us about your practice and what you're looking for — we reply personally, usually within one business day. Ready to see it live instead? Book a demo →