Age-Aging & Wellness, Costa Rica | MD Tourism, Costa Rica

US and global treatment centers.

Providing age management care since 2013.

Bio-Identical Hormone Therapy – US Citizen Doctors in Costa Rica

We help you improve energy, muscle tone, sleep, libido, and confidence using lifestyle modification with age management medicine.

Hormone deficiencies are treatable and affordable in Costa Rica. 

Treatment Centers Serving the Following Countries



Costa Rica


Free consultation – domestic & international options can save you money!

Board-Certified Doctors in Anti-Aging Medicine, American Academy of Anti-Aging.

Complete blood testing at our clinic or a local lab draw center near your home.

Medications prescribed from US or Costa Rica Compounding Pharmacies.

Anti-Aging and Wellness Services in Costa Rica

HGH COSTA RICA (San Jose) HGH and Testosterone Replacement Therapy Medical Experts.

HGH Prescriptions San Jose Costa Rica 60% Less. HGH in San Jose Costa Rica by Board Certified Physicians in Anti-Aging and Regenerative Medicine: Growth Hormone and Testosterone Replacement Therapy for all of the Americas


In 2013, the Anti-Aging and Wellness Medical group was first conceived by a US investor and medical doctor in Costa Rica. In 2015, the group began expanding further into medical tourism destinations like Tijuana and Panama. Our mission entailed assembling a team of highly qualified US and International doctors to serve the rapidly growing medical tourism market. Now we have treatment centers in Costa Rica, Mexico, Panama, and the US in Florida and Kentucky.  US & Foreign Medical Team.

Buy HGH Prescriptions in Costa Rica
Tijuana Treatment Center Dr. Rosales

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Anti-Aging Doctors: US, Mexico and Costa Rica!

Let’s face it – we are reaching epic proportions of obesity, heart disease, cancer, hypertension and diabetes. Isn’t it time you check out our unique approach to age management? Reach out to us today and see what our programs can do for you. You’ll be glad you did.

We offer hormone replacement therapies, weight-loss and lifestyle wellness programs that have shown to work.

Schedule a phone consult with us today!

Monthly HGH Plans starting as low as $550.
Initial Program Assessment $550.

Contact Us Today!

HGH Prescriptions San Jose Costa Rica 60% Less! 

Hormone Replacement Therapy for men and women. Same day service. Same day IGF-1 Blood Testing results. Same Day Prescriptions for HGH deficiency. No long waits. On-site treatment. Private & Confidential. 

Our board-certified doctors in anti-aging medicine prescribe hormone replacement therapy for men and women in Costa Rica for all of the Americas, including patients from New York, Florida, California, Texas, and other states. A direct flight from most major cities allow patients same day treatment in many cases.

We can support all of North America. The majority of our patients are medical tourists coming from the US and Canada. Why pay US prices for HGH therapy?  Many of you may already be on hormone therapy and you already know the protocols. Our doctors can review your prior lab exams if they are up to date, along with your prescription and medical history.

We are the better choice for medical tourism. Our Anti-Aging Board Certified Doctors can treat you more efficiently and effectively with the following advancements in same day lab testing and follow-up care through telemedicine technology. Here is how:

  • Our doctors must first establish a bona fide physician-patient relationship with all new patients. The first face-to-face physician consultation must be performed before treatment is prescribed at one of our treatment centers.
  • Once the program begins, we can conduct all follow-up blood testing, and future consultation visits via telemedicine technology. 
  • Programs usually last 3 months or 6 months. After that time, depending on your progress, an assessment is made as to what the next program is prescribed and if another follow up physical is required.

Note: Future blood testing is easily done near your home through the closest Quest Diagnostics or LabCorp Blood Testing Center for those patients residing in the United States. HGH Prescription San Jose Costa Rica 60% Less! Save with us!

For HGH in Costa Rica review Bioidentical Hormone Replacement Options:

  • Growth Hormone (HGH) Therapy for men and women.
  • Testosterone Replacement Therapy for both men and women.
  • DHEA Hormone Supplementation for adrenal support.
  • Estrogen hormone replacement therapy for women.
  • Progesterone hormone replacement therapy for women.

Costa Rica Vs. Mexico 2020 | Growth Hormone Therapy | Norditropin 10MG/30 IU Price

Everyone familiar with Latin America understands that one of the favorite pastimes of many Latinos is futbol (soccer). There is a passionate rivalry between Ticos and Mexico. 

Costa Rica has a small population for a country with such a large reputation in soccer. Currently, in 2020, the population is estimated at approximately 5.09 Million. That doesn’t include the part-time second home Americans who own second homes in Costa Rica. Many from the U.S. and Canada learned years ago the amazing lifestyle available to tourists, medical tourists, and adventure tourists in Costa Rica. Costa Rica has it all and more.

So when it comes to soccer, the Ticos and Mexico have established a fierce and famous rivalry. There is also a rivalry in Medical Tourism. Costa Rica is the No. 5 Medical Tourist destination in the World. Tijuana Mexico is the No. 1 Medical Tourist destination in the Americas. 

Most of it all began with dental, but over the past 10 years, medical tourism in Tijuana and Costa Rica has evolved immensely. 

Americans now are traveling by the tens of thousands each year to Costa Rica and Tijuana Mexico for:

  1. Anti-Aging Therapies like Hormone Replacement, HGH, weight-loss, and more.
  2. Dental Implants and complete dental cosmetic restoration. 
  3. Plastic surgery.
  4. Cellular-based therapies. 
  5. Lower priced brand-name prescription drugs.

Savvy North Americans from all over the U.S. and Canada have learned the benefits of exiting the expensive and complicated U.S. healthcare model for pay for what you get model. 

Few can argue that the U.S. healthcare system has some of the most highly trained doctors and rapid response for trauma care in the world. But America’s problems with health largely relies on managing age-related diseases like heart disease, diabetes, stroke, hypertension, and obesity. This is where we believe Costa Rica and Tijuana Mexico excel. 

When you have the power to take control of your own health care at affordable rates, the outcomes can be and will be much different than they are today. 


Why is a Hormone Therapy that Includes HGH Cost Less in Costa Rica and Tijuana Mexico?

The main HGH Cost more in the USA than in Costa Rica and Tijuana Mexico is because of Big-Pharma’s pricing models and middlemen called Pharmacy Benefit Managers. 

Pharmacy Benefit Managers (PBMs) are consulting groups who are tasked with negotiating the best rates between Big-Pharma and Insurance companies. But according to some news outlets, they may be actually all serving each other in a healthcare club where regulatory bodies enable protections. With these protections, they can set prices that are unreasonable when compared to other countries with the same medications by the same manufacturers. 

Brand name medications like Norditropin HGH are actually 1/3 the price in Tijuana Mexico and near 1/3 the price in Costa Rica – compared to the United States


Costa Rica HGH, USA, Mexico
HGH Manufacturers Global Market Share Slide
Click it to enlarge it.

U.S. Drug Pricing CNBC w/ EQRx

Key Takeaways January 13, 2020 Interview JP Morgan Health Conf.:

  • Company raises $200 million in startup funds to disrupt inflated US prescription drug pricing in the next 5 years?  
  • Meanwhile, visit us in Costa Rica or Tijuana Mexico. Save today. Same medication. Same manufacturer.

How HGH Prices Work in USA

Key Takeaways:

  • Pharmacy Benefit Managers (PBNs) and Big-Pharma pricing models result in brand-name prescription drugs costing 3-times more in the USA. 
  • Consider medical tourism. Visit one of our international treatment centers.
  • You don’t need to wait 5 years. We invite you to speak to our team about how we can save you 60% or more on your bio-identical hormone replacement therapy, including name-brand prescription growth hormone.

How it all Started in 2013 | Anti-Aging and Wellness, Elite Wellness Beyond Borders

James Richie, Co-Founder and Managing Director

James Richie, Co-Founder and Managing Director

James Richie funded the first Anti-Aging and Wellness Clinic in Golden Plaza, Escazú Costa Rica back in 2013. James had already purchased a second home in Costa Rica back in 2001 while working as CEO of an international wireless telecom company. His company invested in offshore software development in Costa Rica beginning in 2001. With so much expansion in cellular communications throughout the world, James began dividing his time equally between Chicago and San Jose Costa Rica from 2001 through 2017.

James has been a biotech and longevity enthusiast and investor since the 1990s. He began bioidentical hormone replacement for himself in 2004. As a high-tech entrepreneur and engineer, his focus is delivering high-quality, affordable, common-sense, evidence-based medical treatments that have a lasting impact on patients' health and age-markers.

Since 2013, Anti-Aging and Wellness have expanded to Tijuana Mexico, Panama, and the United States.

James has always made it a priority to hire the right physicians for the right purpose. In Costa Rica we have a US Citizen who is a physician at our clinic. In Tijuana Mexico, we have a dual US / Mexican citizen physician. Both doctors have lived and studied in the USA.

Having high-quality talented doctors who have lived, trained, and experienced life both in the United States and abroad helps us to deliver high-quality care. Especially when it comes to caring for medical tourism patients from the U.S. and Canada. We understand your concerns about the quality of care in unfamiliar places. We strive to go above and beyond for you. We aim to meet or exceed the standard of care of comparable clinics in the USA.

Who are the U.S. Citizen Medical Doctors Licensed in Costa Rica and Tijuana Mexico?

Dr. Jeff Ugalde, MD - Costa Rica

Dr. Jeff Ugalde, MD - Costa Rica

Dr. Ugalde comes from a diverse background with dual citizenship in Costa Rica and the United States. As a young boy, he used to accompany his mother, a nurse, on missions to Nicaraguan refugee camps during the Nicaraguan civil war. It was there where he was first encountered how medicine positively affects the lives of others. He was instantly hooked. He did his undergraduate work in Community Health at the University of Utah and completed his medical degree at the Universidad Internacional de las Americas, Costa Rica in 2002.

Dr. Ugalde is Board-certified in Anti-Aging and Regenerative Medicine by the American Academy of Anti-Aging Medicine (A4M).

Go Costa Rica
Dr. Paola Rosales, MD - Tijuana Mexico

Dr. Paola Rosales, MD - Tijuana Mexico

Dr. Rosales is a graduate of the Autonomous University of Baja California, Tijuana, Mexico- Medical Doctor. She attended High School in Southern California and holds dual US/Mexican Citizenship. She is trained and experienced in Aesthetic Medical Solutions and worked heavily with Botox, Dysport, and Restylane-L in Carnival Cruise Line’s “on-ship” MedSpa.

Dr. Rosales has also gone through extensive training in Anti-Aging Modalities such as bio-identical hormone replacement therapy for both men and women. Dr. Rosales assisted with the preparation of up to date somatropin for sale price information in Tijuana Mexico.

Go Tijuana MX

James Richie Interview Corey Coates - International Radio

James Richie, investor, and co-founder of the Anti-Aging and Wellness Clinic is interviewed back in 2014 by Corey Coates of Overseas Radio in Costa Rica. Back then few recognized the obesity epidemic, keto, paleo, hormone replacement to the degree we do today. 

Why settle for less. We can deliver high-quality care for less than expensive prescription drug prices in the USA. When treated by us, you’ll receive the same medications by the same manufacturers. 

Additionally, new research regarding longevity and metabolic health is being released at an accelerated pace. Famous scientists like Harvard anti-aging researcher Dr. David Sinclair, Ph.D., and USC’s Valter Longo, Ph.D., among others are finally connecting the dots on what’s required to reboot energy metabolism and slow (or reverse) the signs of cellular aging. 

Anti-Aging Interview with Co-Founder

Costa Rica HGH Injection Pen $550

Hormone Optimization



Golden Plaza Escazú

Our main Costa Rica Medical Center began in 2013, by a US investor and Costa Rican doctor. Since that time, the Anti-Aging and Wellness Medical group has expanded to Tijuana Mexico, Panama and the United States. Each clinic is staffed with a MD who is a US Citizen except for Panama.

Start Now and Save 60% or More!

Get started today! We’ll work with you every step of the way. 

How It All Gets Started

Phone Consultation

It all starts with a phone or telemedicine consultation. We discuss your issues and goals, then determine the next steps.

Lab Work + Exam

The next steps are to get you a comprehensive blood test and a face-to-face medical exam with one of our medical staff. 

Start Program

Step 3 is where our board-certified doctors customize a treatment program for you and optimize it over time. 

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HGH Plans as low as $550/m Estimated

Initial Assessment Only $550

Note: Estimates of monthly program fees based on standard entry-level treatment for most individuals.