Three ingredients for the 3 things they measured missing. Shilajit builds new thread, pearl slows what dissolves it, and bamboo silica ties it together. Aimed at the band that holds you closed, not at the muscle you have already trained to the floor.
"I stopped carrying a spare set of clothes in the car after six years of it. I can sneeze in a shop now without the little check afterwards. This is the first thing that has actually held."
Most women notice better energy and lighter mornings within the first few weeks. The band itself is a slower change, because it is a material being rebuilt rather than a muscle being trained. The human trials that measured this tissue changing ran 8 to 14 weeks, so we built the Buy 2 Get 1 and Buy 3 Get 2 options around that full window.
The Trifecta brings the 3 things the band was measured short of: shilajit to build new type 1 collagen, pearl to slow the enzyme that dissolves it, and bamboo silica for the cross-links that tie the strands together.
It is designed to replace the calcium-and-D routine, not add to it. If you love your D3, it sits fine alongside, but most women take the Trifecta on its own.
For almost everyone, none. The Trifecta is three clean ingredients, purified Altai shilajit, tested pearl powder and bamboo silica, with no fillers, binders or harsh additives, and they absorb best taken with food.
A small number of women notice a little extra steady energy in the first week as their mineral levels come up. Every batch is third-party lab tested, with a heavy-metal load far below safety limits.
The Trifecta is whole-food nutrition, three natural ingredients, not a drug, so for most women it sits comfortably alongside their daily routine.
If you take prescription blood thinners, start with one capsule a day and reply to your order confirmation. Our team will walk you through it personally so you feel completely sure.
Every order is backed by our 90 day money back guarantee. Take it daily for the full 90 days, and if nothing has changed, reply to your order confirmation and ship the product back to us. Once it arrives we refund you in full. The risk sits with us, not you.
Three capsules with breakfast, every day. Consistency is what rebuilds a material. Every order also includes our digital guide, The Rebuild Protocol, delivered instantly so you can start protecting your frame the same day your order ships.
Every batch is sent to an accredited, independent laboratory. We publish the actual results, exactly as the lab reported them. Nothing rounded, nothing hidden.
California Proposition 65 compliant. Every heavy metal in our report sits far below the safe-harbor limits, so this product carries no Prop 65 exposure warning. And the fulvic and humic acids that make shilajit work are natural chelators, so the trace amounts that do remain stay bound and inert.
Heavy metals — per serving
All four heavy metals sit far below USP safety limits. The fulvic and humic acids in shilajit are natural chelators, so the trace amounts that remain stay bound and inert.
Your urethra is held closed by a band of tissue. That band is made of collagen, and it is what your pelvic floor muscle pulls against.
You can pull a drawstring as tight as you like. If the elastic underneath has lost its snap, the waistband still gapes. You have spent 40 years being told to pull harder on a drawstring.
In 1997 they measured it. The Bristol Urological Institute took tissue from women who leak and women who do not. Fewer threads. Thin ones. Not tied. All 3 at once.
The Trifecta answers all three — more thread, the thick kind, tied together. And it adds no estrogen to you at all.
The Altai mountain resin is not a hormone and it adds no estrogen to you. In an 8 week human trial the marker for building new type 1 collagen came back at nearly double, and the marker for losing it dropped. Type 1 is the thick strong thread. That is 2 of the 3 shortages out of one ingredient.
Your body makes an enzyme whose job is to cut worn collagen apart. Yours never slowed down when the building did. Pearl was tested against that exact enzyme and it slows it. One ingredient puts thread in, the other stops it going out the door.
Thread on its own is not a band. It only holds when the threads are locked to each other, and those locks were the third thing on the Bristol list. Silica is the mineral your body makes them out of. Build all the collagen in the world and if nothing ties it, it is still soft.
The women who leaked had less total collagen, less of the thick load-bearing type 1 relative to the stretchy kind, and fewer of the cross-links that tie the strands together. Their own words for it were a defect in their connective tissue. And the detonation is who they were. Those women were young, and not one of them had ever given birth. So it was never the babies, it was never the weight, and it was never the 40 years of exercises you did or did not keep up.
Read the study on PubMedSix months of oestradiol, placebo controlled, in postmenopausal women with proven stress incontinence. They biopsied this exact tissue before and after. Total collagen went down. The mature cross-links went down. And MMP-2, the enzyme that dissolves collagen, went up. Two of the 3 things Bristol found short moved further the wrong way. That is not an argument against your cream, it is the reason the cream never reached the leaking. It was aimed at something else a biological switch. That is why the hormone and the exercises were both aimed somewhere other than the band.
Read the study on PubMedNine weeks in I sneezed hard in the middle of a shop, on a full bladder, and nothing happened. I did not even check. I realised about twenty minutes later that I had not thought about it at all.
Bristol measured 3 shortages at once. Fewer threads, thin ones, not tied. So it takes 3 things, and each one is aimed at a different one of them. Meet them.

For centuries it has seeped from the rock of the Altai mountains, a mineral resin the old texts called the destroyer of weakness. Inside it: fulvic acid and more than 80 trace minerals your body still recognizes.

The empresses of China took it every day for their skin. The reason is the protein woven through it, and what that protein was measured doing to the enzyme that cuts collagen apart.

Bamboo is the fastest-growing plant on earth, and it can bow flat in a typhoon and spring straight back without snapping. Its secret is silica, and bamboo is the richest natural source of it there is.
Each of the three actives has its own research behind it, and each one answers a different one of the 3 shortages Bristol measured. Swipe through.
Take 3 capsules daily with food. Most women take all three with breakfast and never think about it again.
Better absorbed when taken with a meal. Give it the full window. Many women notice the difference between weeks 8 and 12 as the rebuilding signal returns.The three ingredients inside the Trifecta
† Daily Value not established.
Other Ingredients: None but the three. Purified Altai shilajit, tested pearl powder and bamboo silica, with no fillers, binders, flow agents or artificial additives.
Suggested Use: Take 3 capsules daily with breakfast, or as directed. Better absorbed with food. The minerals are concentrated, so if you take a blood thinner or thyroid medication, space this a couple of hours apart from those.
Third-party lab tested for purity. All four heavy metals come back far below USP safety limits. California Proposition 65 compliant.
We are a family-owned company out of Florida, and we put our name on every bottle. Give it a real try. If you do not feel the difference, we will refund you. The rebuilding window is real, so we want you to have the time to feel it.
Day money back guarantee
Of every sale goes to charity
Made in an FDA-registered, cGMP facility

Real people, not a call center. Our family team will give you a straight answer about the leaking, your medications, or your order, never a runaround or a handoff.
Shilajit is a whole food, not a drug, and it has been used safely for centuries. It is rich in minerals, so if you take a blood thinner or a thyroid medication, simply space it a couple of hours apart from those, the same way you would with any mineral-rich food. We are always happy to walk you through it personally through our contact page. We will give you a straight answer, not a runaround.
Yes, and they work better together. Your D3, K2 and calcium hand your body raw materials for bone, which is a different tissue from the one that holds you closed. This works on the collagen band itself. Most women keep their usual D3, K2 and calcium and simply add Optimum, three capsules with breakfast.
Kegels and pelvic floor therapy train the muscle, and for most women the muscle is not the problem. Pads and liners catch what comes through and were never pretending to repair anything. A sling moves the plumbing without putting the material back, which is why one can work at first and be failing again 5 years later. This is the first thing aimed at the band itself.
The band rebuilds on a slower clock than how you feel day to day. Many women notice better energy and lighter mornings in the first few weeks, while the structural changes build over the weeks that follow. Most feel the real shift between weeks 8 and 12, which is exactly why the Buy 2 Get 1 Free supply tends to be the right starting point.
No. There are no added hormones of any kind, and this formula makes no estrogen claim at all. It works on the collagen directly, building more of it, slowing what dissolves it, and tying it together. That is why it sits alongside a vaginal estrogen cream rather than replacing it, and why women already using one can take it.
Our resin comes from the Altai mountains, one of the few places on earth where shilajit forms with this mineral richness. Every batch is third-party tested at an accredited lab, and we publish the full report. All four heavy metals come back far below the USP safety limits, and the product is California Proposition 65 compliant.
You have a full 90 days, and there is a reason for that number. This is rebuilding a material, not loaning you a dry afternoon. The trials that measured this tissue changing ran 8 to 14 weeks, so 90 days is the full window those women needed with room on the end of it. If nothing has changed by then, write to susan@liveoptimum.co or call us, ship the product back to us, and once it arrives we refund you in full. We would rather you feel taken care of than hold onto a sale.
| Outcome Marker | Result |
|---|---|
| Total collagen concentration | Significantly reduced (p < 0.0001) |
| Type I : type III collagen ratio | Decreased (p = 0.0008) |
| Mature cross-link density | Significantly reduced (p < 0.0001) |
| Parity of incontinent cohort | Nulliparous, none had given birth |
| Outcome Marker | Result |
|---|---|
| Total periurethral collagen | Decreased (p = 0.0054) |
| Mature cross-links | Decreased (p = 0.0009) |
| MMP-2 (collagen-degrading enzyme) | Increased (p = 0.0017) |
| Outcome Marker | Result |
|---|---|
| MMP-2 activity | Inhibited |
| TIMP-1 expression | Upregulated |
| Outcome Marker | Result |
|---|---|
| Pro-C1a1 (type 1 collagen synthesis) | Increased ~94% |
| Hydroxyproline (collagen breakdown) | Decreased ~29% |