The medical estabilishment is hung up on 'above all, do no harm'. This means that if you don't have a disease, you generally don't 'deserve' a cure, since any cure or procedure tends to have some risk element in it, and if you don't have a disease then the risk is considered unacceptable.
There are a bunch of substances that likely do improve things for healthy adults, but they won't get allowed to be marketed as such before they are proven safe&effective; and they won't get proven safe&effective because you can't do proper clinical trials to measure the effects on healthy people because of the possible downsides, etc. You can make and market 'dietary supplements' to the extent that they provably don't do anything significantly different and more effective than dietary choices; if it works really well, then it's a drug with a whole different regulation.
You can make, test, verify and sell a medicine to improve cognitive function in people with a specific mental deficiency. You aren't really allowed (legally and ethically) to do proper medical tests on how some drug does/doesn't improve the same cognitive function in healthy adults and market & distribute it to them.
You can make, test, verify and sell a medicine to fix erectile dysfunction. You aren't really allowed (legally and ethically) to do proper medical tests if some powerful drug changes sex to be more enjoyable for healthy adults, although it's quite likely that such drugs do exist.