Phase 1 — Welcome
NODE 1
Welcome + Flow Selection
"Hey, welcome to MELTS. I'm Cynthia. Quick question: is this just for you, or are you and a partner exploring together?"
👤 "Just me"
→
Solo Flow
Standard intake
👫 "Us — couples"
→
Couples Flow
Enables C1-C4 bundles
"Got it — let's get you dialed in. First, a few quick safety checks."
Reassurance Interstitial #1
Phase 2 — Safety Screening
NODE 3
Safety Gates (6 Sub-Gates)
"A few important health questions — these take 30 seconds."
💊
G1: Nitrates
Nitroglycerin, isosorbide, poppers
🔴 S4 ONLY
❤️
G2: Cardiac Event
Heart attack/stroke <6 months
🔴 EXIT
💉
G3: Alpha-Blockers
Tamsulosin, doxazosin, prazosin
🟡 LITE CAP
🫁
G4: Liver/Kidney
Hepatic or renal conditions
🟡 LITE CAP
🩸
G5: Blood Pressure
Unstable, very low, uncontrolled
🟡 LITE, NO Q
🧠
G6: Stroke/MI
Within 6-month window
🔴 EXIT
"All clear on safety ✅ Now let's see what would work best for you."
Reassurance Interstitial #2
Phase 3 — Signal Capture (CSQs)
NODE 4
Performance CSQ
"When the moment comes, does your body usually show up the way you want?"
✅ "Yes, every time"
→
Skip perf follow-up
Perf: HIGH | Psych: LOW
⚡ "Hit or miss"
→
Follow-up 4B ↓
Perf: MOD | Psych: MOD
😔 "Really struggling"
→
Follow-up 4B ↓
Perf: LOW | Psych: HIGH
🤷 "Haven't tried recently"
→
Avoidance flag
Perf: ? | Desire: FLAG
↳ Follow-up 4B — Triggers on "Hit or miss" / "Struggling"
"Is that more about a specific situation — like a new partner — or is it a general pattern?"
🎯 "Specific situations"
→
Psychogenic
Lower dose, S3 option
📉 "General pattern"
→
Organic
Higher tier, vascular
🔄 "Both, honestly"
→
Compound
Multi-mech: S2 or S8
NODE 5
Desire CSQ
"How's your drive been lately?"
🔥 "Burns bright"
→
Desire: HIGH
Skip desire follow-up
☀️ "Warm"
→
Desire: MOD
Hormonal: SCREEN
🌤️ "It's been fading"
→
Follow-up 5B ↓
Desire: LOW | Horm: FLAG
🌑 "Barely there"
→
Follow-up 5B ↓
Desire: VLOW | Horm: STRONG
↳ Follow-up 5B — Triggers on "Fading" / "Barely there"
"Has that been a gradual shift, or did it change suddenly?"
📉 "Gradual, over months"
→
Hormonal decline
→ S6 Vitality+ path
⚡ "Sudden, after stress"
→
Psychogenic
→ S4 Spark or S3
🤷 "I'm not sure"
→
Flag for provider
Multi-factor screen
Phase 4 — Context + Discriminators
NODE 6
Temporal Pattern
"When did you first start noticing these changes?"
📅 "Just recently (weeks)"
→
Psychogenic frame
Lower dose, S3/S4
📆 "Last few months"
→
Mixed etiology
Standard pathway
📆 "It's been years"
→
Chronic/organic
Aggressive tier, workup
🔄 "Comes and goes"
→
Situational
Perf anxiety, S3
NODE 7
Lifestyle Inference
"What does your morning energy look like?"
⚡ "Hit the ground running"
→
T: adequate
Horm: NORMAL
☕ "Takes me a while"
→
Mild fatigue
Horm: SCREEN
😴 "Barely have energy"
→
Strong T flag
→ S6 path, labs
NODE 8
Vascular Discriminator
"Do you notice morning erections? Even partial ones?"
✅ "Yes, regularly"
→
Vascular INTACT
ED = psychogenic likely
🔄 "Sometimes"
→
Partial vascular
Mixed, standard tier
❌ "Rarely or never"
→
Vascular impaired
Higher tier, workup
NODE 9
Barrier / Objection
"Before today, what held you back from looking into this?"
🤔 "Not sure it'll work"
→
Show evidence
Education mode
⚠️ "Side effects worry me"
→
Safety emphasis
Highlight 9 gates
💰 "Seems expensive"
→
Value compare
$/dose vs Rugiet
🆕 "Didn't think it was serious"
→
Normalize
Prevalence data
✨ "First time exploring"
→
Full onboarding
Gentle pacing
NODE 10
Treatment History
"Have you tried anything before? What worked, what didn't?"
🆕 "Never tried anything"
→
Treatment-naïve
→ LITE tier
✅ "Tried Viagra — worked"
→
PDE5i responsive
→ PRO tier (match dose)
❌ "Tried something — failed"
→
Non-responder
→ S2/S8 Quantum path
🌿 "Supplements only"
→
Rx-naïve
→ LITE tier
NODE 11
Goal Alignment
"Last one — what matters most to you?"
💪 "Strongest performance"
→
S1 Edge
MAX tier, performance
🔥 "More drive & wanting"
→
S2 Velocity / S4 Spark
Desire-first path
💕 "Closeness & connection"
→
S3 Connection
Bonding + anxiolysis
🔄 "Daily, no planning"
→
S5 Daily
Always-ready
🧬 "Fix the root cause"
→
S6 Vitality+
Hormonal optimization
"Based on everything you've shared, I have some ideas I'm excited about..."
Reassurance Interstitial #3
⚡ Algorithm — 6-Dimension Scoring
OUTPUT
Product Routing Matrix
S1
The Edge
Dual PDE5i — pure performance
Perf LOW + Desire HIGH
S2
Velocity
PDE5i + PT-141 — function + desire
Perf LOW + Desire LOW
S3
Connection
PDE5i + Oxytocin — bonding
Psych HIGH + connection goal
S4
Spark
PT-141 + OT — no PDE5i (unisex)
Nitrate block OR desire-only
S5
Daily
Tadalafil 5mg — always on
Always-ready goal
S6
Vitality+
Enclomiphene + Tad — root cause
Hormonal FLAG + energy LOW
S8 Q1
Quantum
Triple mech — PDE5i non-responder
Prior PDE5i failure (AI gate)
S8 Q2
Quantum+
Maximum intervention
Clinician-only escalation
LITE — Treatment-naïve / Safety flag
PRO — Prior PDE5i user / Standard
MAX — Aggressive / Refractory
COUPLES
Bundle Routing (if couples_mode = true)
C1 Together
His: S1 Edge
Her: W1 Bloom
C2 Desire Duo
His: S2 Velocity
Her: S4 Spark
C3 Connection+
His: S3 + Her: W1
Shared: W3 Glow Mist
C4 Spark Pack
His: S4 Spark
Her: S4 Spark
📋 Provider Handoff
HANDOFF
1-Page Provider Summary
🛡️
Safety Dashboard
6 gates: ✅✅✅✅✅✅
📊
6-Dim Radar
Perf/Desire/Psych/Vasc/Horm/Life
💊
Recommendation
Stack + Tier + Rationale
⚠️
Risk Flags
Interactions, comorbidities
🧠
Behavioral Signals
Time, hesitation, edits
✅
Provider Action
Approve / Modify / Reject