# RxPepsDirect — Full Catalog

> RxPepsDirect is a telehealth platform that prescribes pharmaceutical-
> grade compounded peptides through Optimal Balance Pharmacy, a 503A-
> licensed compounding pharmacy. One flat $39 medical visit fee covers
> up to 3 peptides per order. The pharmacy bills patients directly at
> wholesale, RxPepsDirect takes no markup on medication. Licensed in
> 32 states including DC. Every compounded batch is independently
> tested by Eagle Analytical Services for sterility (ScanRDI) and
> bacterial endotoxin (USP <85>); every report is published.
> Operated by Peptide RX LLC. Medical Director: Dr. Jonathan Snipes,
> MD (NPI 1821250077). Lead Prescriber: Kim Callender, NP (NPI
> 1144661760).

**Pricing model:** $39 flat visit fee per order. No subscription, no
membership. Up to 3 peptides per visit. Pharmacy bills patients
directly at wholesale.

**Coverage:** 32 US states including DC. Eligibility checked during intake.

**Catalog:** 54 compounded peptide protocols across 7 therapeutic categories.

**Order:** Start at https://www.rxpepsdirect.com/get-script. Provider review within 24 hours.

**Quality program:** Every batch independently tested by Eagle Analytical
Services. Reports at https://www.rxpepsdirect.com/quality.

**Shipping:** FedEx Overnight in a reusable cooled travel case.
Peptides ship pre-mixed and ready to use. Syringes and alcohol swabs
included.

---

## Weight Loss & Metabolic

URL: https://www.rxpepsdirect.com/peptides/weight-loss

GLP-1 receptor agonists and metabolic peptides that support healthy weight management through proven mechanisms.

**Category-wide contraindications:**
- Personal/family history of medullary thyroid carcinoma (MTC)
- Multiple Endocrine Neoplasia syndrome type 2 (MEN2)
- Active pancreatitis
- Severe gastroparesis
- Pregnancy or breastfeeding
- Current use of insulin (flag for provider review)
- Active eating disorder history

### Semaglutide/B12

> The gold standard GLP-1 for weight management, paired with B12 for energy support.

- URL: https://www.rxpepsdirect.com/peptides/weight-loss/semaglutide-b12
- Price: From $25/1.2mg (pharmacy wholesale, no markup)
- Form: Injectable vial (2mL, 0.6mg/mL, 1.2mg total. Starter concentration; titration vials up to 30mg available)
- Starting dose: 25 units (0.15mg) twice weekly
- Beyond Use Date: Up to 120 Days from compounding (USP <797>)

**What it is:** Semaglutide is a GLP-1 receptor agonist. The same class of medication as Ozempic® and Wegovy®. Our compounded version pairs it with B12 to support energy levels during weight loss.

**How it works:** It mimics the GLP-1 hormone your body naturally produces after eating. This tells your brain you're full, slows digestion, and helps regulate blood sugar. Leading to steady, sustainable weight loss.

**Ideal for:** Adults with a BMI over 27 looking for pharmaceutical support alongside diet and exercise. Especially effective for those who struggle with portion control and cravings.

**Dosing protocol:** 25 units subcutaneous injection twice weekly. Titrate up concentration as tolerated. 25 units = 0.25mL × 0.6mg/mL = 0.15mg per injection (starter vial). Hold or step back dose if nausea. Hydration & protein mitigate side effects.

Full dose ladder (pharmacy passthrough at OBP wholesale, no markup): 1.2mg vial $25 · 2.4mg $30 · 4.4mg $42.68 · 6.8mg $65.96 · 8.2mg $79.54 · 11.2mg $108.64 · 12.5mg $121.25 · 15mg $145.50 · 20mg $194 · 30mg $291.

**Benefits:** Appetite Suppression, Blood Sugar Control, Steady Weight Loss, Energy Support (B12)

**Contraindications:** Not for those with personal/family history of thyroid cancer (MTC), MEN2 syndrome, active pancreatitis, or severe gastroparesis. Not suitable during pregnancy.

**Stacks with:** lipo-b, lipo-c, aod-9604, ondansetron
**Do not combine with:** tirzepatide-b12, semaglutide-glycine

---

### Semaglutide/B6 + Glycine

> Glycine-buffered semaglutide for patients who don't tolerate the B12 cofactor.

- URL: https://www.rxpepsdirect.com/peptides/weight-loss/semaglutide-glycine
- Price: From $175/10mg (pharmacy wholesale, no markup)
- Price note: Glycine carrier: reserved for patients with B-12 sensitivity, methylation issues, or histamine reactions. Higher carrier cost reflects formulation complexity, not the peptide itself.
- Form: Injectable vial (10mg or 30mg total at 5mg-2.5mg/mL. Semaglutide + B6/glycine)
- Starting dose: Per provider. Formulation reserved for B12-sensitive patients
- Beyond Use Date: 90 Days from compounding (USP <797>)

**What it is:** Semaglutide compounded with B6 and glycine instead of B12. Identical active ingredient and weight-loss mechanism as Semaglutide/B12. Chosen when a patient has reacted to B12 or when a provider wants a cleaner cofactor profile.

**How it works:** Same as Semaglutide/B12: mimics the GLP-1 hormone, suppresses appetite, slows gastric emptying. The B6/glycine carrier is pharmacologically inert with respect to weight loss.

**Ideal for:** Adults indicated for compounded semaglutide who have a known B12 sensitivity or whose provider has specifically requested the glycine formulation.

**Dosing protocol:** Dosing matches standard semaglutide. Provider titrates per patient response. Two vial sizes: 5mg/2.5mg/mL × 2mL = 10mg total ($175) and 5mg/2.5mg/mL × 6mL = 30mg total ($425).

**Benefits:** Appetite Suppression, Steady Weight Loss, B12-Free Cofactor, Glycine Buffer

**Contraindications:** Same as Semaglutide/B12: avoid with thyroid cancer history, MEN2, pancreatitis, gastroparesis, or pregnancy.

**Stacks with:** lipo-b, lipo-c, aod-9604, ondansetron
**Do not combine with:** semaglutide-b12, tirzepatide-b12, tirzepatide-glycine

---

### Tirzepatide/B12

> Dual GIP/GLP-1 receptor agonist for enhanced metabolic support with B12.

- URL: https://www.rxpepsdirect.com/peptides/weight-loss/tirzepatide-b12
- Price: From $45/12mg (pharmacy wholesale, no markup)
- Form: Injectable vial (2mL, 6mg/mL, 12mg total. Starter concentration; titration vials up to 180mg available)
- Starting dose: 25 units (1.5mg) twice weekly
- Beyond Use Date: Up to 120 Days from compounding (USP <797>)

**What it is:** Tirzepatide is a dual GIP/GLP-1 receptor agonist. The same class as Mounjaro® and Zepbound®. It targets two hormonal pathways instead of one, often producing stronger results.

**How it works:** By activating both GIP and GLP-1 receptors, tirzepatide provides a dual-action approach to appetite control, blood sugar regulation, and metabolic enhancement.

**Ideal for:** Adults seeking maximum pharmaceutical weight management support, especially those who may have plateaued on single-pathway GLP-1 medications.

**Dosing protocol:** 25 units subcutaneous injection twice weekly. Titrate up concentration as tolerated. 25 units = 0.25mL × 6mg/mL = 1.5mg per injection (starter vial). Hold or step back dose if nausea. Hydration & protein mitigate side effects.

Full dose ladder (pharmacy passthrough at OBP wholesale, no markup): 12mg vial $45 · 24mg $90 · 34mg $127.50 · 44mg $165 · 56mg $210 · 66mg $247.50 · 30mg/3mL $112.50 · 52.5mg $196.88 · 60mg $225 · 180mg $675.

**Benefits:** Dual-Pathway Action, Superior Weight Loss, Blood Sugar Regulation, B12 Energy Support

**Contraindications:** Same as semaglutide: avoid with thyroid cancer history, MEN2, pancreatitis, gastroparesis, or pregnancy.

**Stacks with:** lipo-b, lipo-c, ondansetron
**Do not combine with:** semaglutide-b12, semaglutide-glycine, tirzepatide-glycine

---

### Tirzepatide/B6 + Glycine

> Glycine-buffered tirzepatide for patients who don't tolerate the B12 cofactor.

- URL: https://www.rxpepsdirect.com/peptides/weight-loss/tirzepatide-glycine
- Price: From $225/60mg (pharmacy wholesale, no markup)
- Price note: Glycine carrier: reserved for patients with B-12 sensitivity, methylation issues, or histamine reactions. Higher carrier cost reflects formulation complexity, not the peptide itself.
- Form: Injectable vial (60mg or 180mg total at 15mg-2.5mg/0.5mL. Tirzepatide + B6/glycine)
- Starting dose: Per provider. Formulation reserved for B12-sensitive patients
- Beyond Use Date: 90 Days from compounding (USP <797>)

**What it is:** Tirzepatide compounded with B6 and glycine instead of B12. Identical active ingredient and weight-loss mechanism as Tirzepatide/B12. Chosen when a patient has reacted to B12 or when a provider wants a cleaner cofactor profile.

**How it works:** Same as Tirzepatide/B12: dual GIP and GLP-1 receptor activation for appetite control, blood sugar regulation, and metabolic enhancement. The B6/glycine carrier is pharmacologically inert with respect to weight loss.

**Ideal for:** Adults indicated for compounded tirzepatide who have a known B12 sensitivity or whose provider has specifically requested the glycine formulation.

**Dosing protocol:** Dosing matches standard tirzepatide. Provider titrates per patient response. Two vial sizes: 15mg-2.5mg/0.5mL × 2mL = 60mg total ($225) and 15mg-2.5mg/0.5mL × 6mL = 180mg total ($675).

**Benefits:** Dual-Pathway Action, Superior Weight Loss, B12-Free Cofactor, Glycine Buffer

**Contraindications:** Same as Tirzepatide/B12: avoid with thyroid cancer history, MEN2, pancreatitis, gastroparesis, or pregnancy.

**Stacks with:** lipo-b, lipo-c, ondansetron
**Do not combine with:** tirzepatide-b12, semaglutide-b12, semaglutide-glycine

---

### Ondansetron 4mg ODT

> Anti-nausea adjunct for GLP-1 patients. Generic Zofran orally disintegrating tablets.

- URL: https://www.rxpepsdirect.com/peptides/weight-loss/ondansetron
- Price: $37.50/30 tablets (pharmacy wholesale, no markup)
- Form: Orally disintegrating tablet (4mg × 30 tablets per pack)
- Starting dose: 1 tablet (4mg) every 8 hours as needed for nausea
- Beyond Use Date: N/A (manufactured drug, follow expiration on package)

**What it is:** Ondansetron is the generic name for Zofran®. The orally disintegrating tablet (ODT) form melts on the tongue, no water needed. Useful when nausea is acute. Prescribed as an adjunct to GLP-1 therapy for patients who experience breakthrough nausea during dose titration.

**How it works:** Ondansetron blocks serotonin (5-HT3) receptors in the gut and brain that trigger the nausea reflex. It does not treat nausea by sedating you. It interrupts the chemical signal directly.

**Ideal for:** Patients on semaglutide or tirzepatide who experience nausea during the first 4–8 weeks of titration, or whenever a dose increase brings it back. Use as needed, not on a schedule.

**Dosing protocol:** 1 tablet (4mg) dissolved on the tongue every 8 hours as needed. Maximum 3 tablets per 24 hours. Take 30–60 minutes before a GLP-1 injection if nausea is anticipated. 30 tablets per fill, $37.50.

**Benefits:** Fast-Acting, No Water Needed, Targets Nausea Pathway, Generic Pricing

**Contraindications:** Avoid in patients with congenital long QT syndrome. Use caution with other QT-prolonging medications. Not for chronic daily use.

**Stacks with:** semaglutide-b12, semaglutide-glycine, tirzepatide-b12, tirzepatide-glycine

---

### AOD-9604

> A modified fragment of human growth hormone that targets fat metabolism without growth effects.

- URL: https://www.rxpepsdirect.com/peptides/weight-loss/aod-9604
- Price: $80/6mg (pharmacy wholesale, no markup)
- Form: Injectable vial (5mL, 1.2mg/mL, 6mg total)
- Starting dose: 20 units (0.24mg)
- Beyond Use Date: 90 Days from compounding (USP <797>)

**What it is:** AOD-9604 is a modified amino acid fragment of hGH. Unlike full growth hormone, it specifically targets fat breakdown without affecting blood sugar or growth.

**How it works:** It stimulates the pituitary gland to speed up fat metabolism and inhibits lipogenesis (fat production). It does this without the broad effects of full HGH.

**Ideal for:** Those looking for targeted fat loss support without the systemic effects of growth hormone peptides. Works well as part of a comprehensive weight management protocol.

**Dosing protocol:** 20 units subcutaneous injection daily, Monday–Friday. 20 units = 0.2mL × 1.2mg/mL = 0.24mg per injection. 8–12 weeks on, 2–4 weeks off.

**Benefits:** Targeted Fat Loss, No Growth Effects, Well-Tolerated, Metabolic Support

**Contraindications:** Generally well-tolerated. Avoid during pregnancy.

**Stacks with:** semaglutide-b12, bpc-157, cjc-ipamorelin

---

### Lean Stack (AOD-9604/MOTs-C/Tesamorelin/Ipamorelin)

> Four-peptide body composition stack: lipolysis, mitochondrial support, visceral fat targeting, and clean GH pulse in one vial.

- URL: https://www.rxpepsdirect.com/peptides/weight-loss/lean-stack
- Price: $125/36mg (pharmacy wholesale, no markup)
- Form: Injectable vial (5mL, 1.2mg-2mg-2mg-2mg/mL, AOD-9604 6mg + MOTs-C 10mg + Tesamorelin 10mg + Ipamorelin 10mg total)
- Starting dose: 20 units (0.24mg AOD + 0.4mg MOTs-C + 0.4mg Tesa + 0.4mg Ipa)
- Beyond Use Date: 90 Days from compounding (USP <797>)

**What it is:** A premium four-peptide blend in a single vial. Combines fat-cell lipolysis, mitochondrial metabolic support, visceral fat reduction, and selective GH release.

**How it works:** Four mechanisms in one injection: AOD-9604 directly drives fat breakdown without GH side effects; MOTs-C improves cellular energy use; Tesamorelin pulls down visceral fat through GHRH-mediated GH release; Ipamorelin amplifies the GH pulse without raising cortisol or prolactin.

**Ideal for:** Patients seeking comprehensive body recomposition. Those with both visceral and subcutaneous fat concerns. Stack-oriented biohackers.

**Dosing protocol:** 20 units subcutaneous injection daily for 5 days, 2 days off. 20 units = 0.2mL delivering AOD-9604 0.24mg + MOTs-C 0.4mg + Tesamorelin 0.4mg + Ipamorelin 0.4mg per injection.

**Benefits:** Four-Way Synergy, Visceral + Subcutaneous, Metabolic Upgrade, Single Vial

**Contraindications:** Combined contraindications of all four components. Not for active cancer, pituitary tumors, or pregnancy. Monitor IGF-1.

**Stacks with:** bpc-157, 5-amino-1mq
**Do not combine with:** aod-9604, mots-c, tesamorelin, tesam-ipamorelin

---

### 5-Amino-1MQ

> An NNMT inhibitor that activates cellular energy pathways to boost metabolism.

- URL: https://www.rxpepsdirect.com/peptides/weight-loss/5-amino-1mq
- Price: $80/25mg (pharmacy wholesale, no markup)
- Form: Injectable vial (5mL, 5mg/mL, 25mg total)
- Starting dose: 20 units (1mg)
- Beyond Use Date: 90 Days from compounding (USP <797>)

**What it is:** 5-Amino-1MQ is a small molecule that inhibits the NNMT enzyme. By blocking this enzyme, it helps restore metabolic function in fat cells.

**How it works:** NNMT is overexpressed in fat tissue and contributes to metabolic slowdown. By inhibiting it, 5-Amino-1MQ helps increase cellular energy production and fat metabolism.

**Ideal for:** Those experiencing metabolic slowdown or looking to enhance fat metabolism alongside a healthy lifestyle. Often used as part of a comprehensive metabolic optimization stack.

**Dosing protocol:** 20 units subcutaneous injection daily. 20 units = 0.2mL × 5mg/mL = 1mg per injection. 8–12 weeks duration, may be cycled or extended.

**Benefits:** Metabolic Boost, NAD+ Support, Fat Cell Activation, Energy Production

**Contraindications:** Limited data on long-term safety. Avoid during pregnancy. Discuss with provider if on metabolic medications.

**Stacks with:** aod-9604, nad-plus-inject

---

### Tesofensine

> A triple monoamine reuptake inhibitor that suppresses appetite through central nervous system pathways.

- URL: https://www.rxpepsdirect.com/peptides/weight-loss/tesofensine
- Price: $2.25/cap (pharmacy wholesale, no markup)
- Form: Capsule (500mcg)
- Starting dose: 500mcg/day
- Beyond Use Date: 180 Days from compounding (USP <797>)

**What it is:** Tesofensine is a triple monoamine reuptake inhibitor originally developed for neurological conditions. It was found to have significant appetite-suppressing effects.

**How it works:** By increasing levels of norepinephrine, dopamine, and serotonin in the brain, it naturally reduces hunger signals and can increase resting metabolic rate.

**Ideal for:** Adults who need additional appetite control support. Often prescribed when GLP-1 medications alone aren't sufficient or aren't suitable.

**Dosing protocol:** 1 capsule (500mcg) daily, taken in the morning. Do not exceed prescribed dose.

**Benefits:** Appetite Control, Metabolic Boost, Oral Capsule, Triple-Action

**Contraindications:** Not suitable for those with uncontrolled hypertension, cardiovascular disease, history of stroke, or anxiety disorders. Avoid with MAOIs.

**Stacks with:** lipo-b, lipo-c
**Do not combine with:** semaglutide-b12, tirzepatide-b12

---

### Lipo-B (Cyanocobalamin/MIC)

> A lipotropic injection combining cyanocobalamin (B12) with methionine, inositol, and choline for fat metabolism.

- URL: https://www.rxpepsdirect.com/peptides/weight-loss/lipo-b
- Price: From $30/10ml (pharmacy wholesale, no markup)
- Form: Injectable vial (10mL or 30mL. Cyanocobalamin + methionine + inositol + choline)
- Starting dose: Per protocol
- Beyond Use Date: 90 Days from compounding (USP <797>)

**What it is:** Lipo-B is a lipotropic injection containing cyanocobalamin (B12), methionine, inositol, and choline (MIC). These nutrients support your body's natural fat metabolism pathways.

**How it works:** MIC compounds help your liver process fats more efficiently, while cyanocobalamin (B12) supports energy production. Together they optimize your body's fat-burning processes.

**Ideal for:** Anyone on a weight management protocol who wants to support their body's fat metabolism. Excellent add-on to GLP-1 therapy or standalone for metabolic support.

**Dosing protocol:** 1mL intramuscular or subcutaneous injection once weekly.

**Benefits:** Fat Metabolism, Energy Boost, Liver Support, Affordable

**Contraindications:** Generally very well-tolerated. Avoid if allergic to any component. Safe for most patients.

**Stacks with:** semaglutide-b12, tirzepatide-b12, aod-9604

---

### Lipo-C (Cyanocobalamin/MIC/L-Carnitine)

> Enhanced lipotropic injection adding L-carnitine to cyanocobalamin and MIC for improved energy and fat transport.

- URL: https://www.rxpepsdirect.com/peptides/weight-loss/lipo-c
- Price: From $35/10ml (pharmacy wholesale, no markup)
- Form: Injectable vial (10mL or 30mL. Cyanocobalamin + methionine + inositol + choline + L-carnitine)
- Starting dose: Per protocol
- Beyond Use Date: 90 Days from compounding (USP <797>)

**What it is:** Lipo-C builds on the Lipo-B formula by adding L-carnitine, an amino acid that helps transport fatty acids into mitochondria where they are burned for energy.

**How it works:** L-carnitine shuttles fatty acids into your cells' energy factories (mitochondria), while MIC compounds and cyanocobalamin (B12) support overall fat metabolism and energy levels.

**Ideal for:** Active individuals who want enhanced fat burning during exercise, or anyone looking for the metabolic benefits of Lipo-B with extra energy support.

**Dosing protocol:** 1mL intramuscular or subcutaneous injection once weekly.

**Benefits:** Enhanced Fat Burning, Mitochondrial Support, Energy Production, Exercise Recovery

**Contraindications:** Generally well-tolerated. Discuss with provider if you have thyroid conditions.

**Stacks with:** semaglutide-b12, tirzepatide-b12, aod-9604


---

## Muscle Growth & Body Composition

URL: https://www.rxpepsdirect.com/peptides/muscle-growth

Growth hormone secretagogues and anabolic support peptides for lean muscle development and body recomposition.

**Category-wide contraindications:**
- Active cancer or history of cancer (AUTO-DENY)
- Diabetic retinopathy
- Active carpal tunnel syndrome (flag)
- Pregnancy
- Pituitary tumor history (AUTO-DENY)
- Current use of insulin-like medications without provider review

### CJC-1295/Ipamorelin

> The gold standard growth hormone secretagogue stack for lean muscle and recovery.

- URL: https://www.rxpepsdirect.com/peptides/muscle-growth/cjc-ipamorelin
- Price: $100/10mg+10mg (pharmacy wholesale, no markup)
- Form: Injectable vial (5mL, 2mg-2mg/mL, 10mg+10mg total)
- Starting dose: 20 units (0.4mg/0.4mg)
- Beyond Use Date: 90 Days from compounding (USP <797>)

**What it is:** CJC-1295/Ipamorelin combines two peptides that work synergistically to stimulate your body's own growth hormone production. It's the most popular GH peptide stack.

**How it works:** CJC-1295 extends the life of growth hormone-releasing hormone, while Ipamorelin mimics ghrelin to trigger GH pulses. Together they produce a natural, pulsatile GH release pattern.

**Ideal for:** Adults looking to improve body composition, enhance recovery, improve sleep quality, and support lean muscle development. Popular among athletes and biohackers.

**Dosing protocol:** 20 units subcutaneous injection 5 nights per week. Dose in evening to align with natural GH peak and improve sleep. 20 units = 0.2mL × 2mg/mL = 0.4mg CJC-1295 + 0.4mg Ipamorelin per injection.

**Benefits:** Lean Muscle Growth, Fat Loss, Deep Sleep, Recovery

**Contraindications:** Not suitable for those with active cancer, pituitary tumors, or diabetic retinopathy. Avoid during pregnancy.

**Stacks with:** bpc-157, bpc-tb500, sermorelin

---

### Sermorelin

> A GHRH analog that stimulates your pituitary to produce more growth hormone naturally.

- URL: https://www.rxpepsdirect.com/peptides/muscle-growth/sermorelin
- Price: $80/15mg (pharmacy wholesale, no markup)
- Form: Injectable vial (5mL, 3mg/mL, 15mg total)
- Starting dose: 20 units (0.6mg)
- Beyond Use Date: 90 Days from compounding (USP <797>)

**What it is:** Sermorelin is a truncated form of GHRH (growth hormone-releasing hormone). It's one of the most studied and widely prescribed GH peptides.

**How it works:** It binds to GHRH receptors on the pituitary gland, stimulating your body to produce and release more of its own growth hormone in a natural pulsatile pattern.

**Ideal for:** Adults over 30 experiencing age-related GH decline. Those looking for gentle, natural GH support without the intensity of synthetic HGH.

**Dosing protocol:** 20 units subcutaneous injection daily, Monday–Friday. Take in evening to amplify natural nocturnal GH surge. 20 units = 0.2mL × 3mg/mL = 0.6mg per injection.

**Benefits:** Natural GH Boost, Anti-Aging, Sleep Quality, Body Composition

**Contraindications:** Not for those with active cancer, pituitary tumors. Use with caution in diabetic retinopathy.

**Stacks with:** ipamorelin, bpc-157, ghk-cu

---

### Sermorelin/Ipamorelin

> Combined GHRH + ghrelin mimetic for enhanced growth hormone stimulation.

- URL: https://www.rxpepsdirect.com/peptides/muscle-growth/sermorelin-ipamorelin
- Price: $100/15mg+18mg (pharmacy wholesale, no markup)
- Form: Injectable vial (5mL, 3mg-3.6mg/mL, 15mg+18mg total)
- Starting dose: 20 units (0.6mg/0.72mg)
- Beyond Use Date: 90 Days from compounding (USP <797>)

**What it is:** This combination pairs Sermorelin (GHRH analog) with Ipamorelin (ghrelin mimetic) in a single vial for convenience and synergistic GH stimulation.

**How it works:** Sermorelin stimulates GHRH receptors while Ipamorelin activates ghrelin receptors. Two different pathways that together produce a stronger, more natural GH pulse.

**Ideal for:** Those wanting the benefits of both peptides in a single, convenient injection. Great for body composition and recovery goals.

**Dosing protocol:** 20 units subcutaneous injection daily for 5 days, 2 days off. 20 units = 0.2mL × 3mg/mL = 0.6mg Sermorelin + 0.2mL × 3.6mg/mL = 0.72mg Ipamorelin per injection.

**Benefits:** Synergistic GH Release, Convenient Combo, Lean Muscle, Recovery

**Contraindications:** Same as other GH secretagogues: avoid with active cancer, pituitary tumors.

**Stacks with:** bpc-157, ghk-cu

---

### Tesamorelin

> FDA-studied GHRH analog known for reducing visceral fat and improving body composition.

- URL: https://www.rxpepsdirect.com/peptides/muscle-growth/tesamorelin
- Price: $100/15mg (pharmacy wholesale, no markup)
- Form: Injectable vial (5mL, 3mg/mL, 15mg total)
- Starting dose: 20 units (0.6mg)
- Beyond Use Date: 90 Days from compounding (USP <797>)

**What it is:** Tesamorelin is a GHRH analog that has been extensively studied, particularly for its ability to reduce visceral (belly) fat. It's one of the few peptides with significant clinical data.

**How it works:** It stimulates the pituitary to release GH, which then targets visceral fat stores. Clinical studies showed significant reduction in trunk fat without affecting subcutaneous fat the same way.

**Ideal for:** Adults concerned about visceral fat accumulation, metabolic health, and body composition. Particularly effective for those with excess abdominal fat.

**Dosing protocol:** 20 units subcutaneous injection daily for 5 days, 2 days off. Inject in evening to align with natural GH peak and improve sleep. 20 units = 0.2mL × 3mg/mL = 0.6mg per injection.

**Benefits:** Visceral Fat Reduction, Clinically Studied, Metabolic Health, Body Composition

**Contraindications:** Not for active cancer, pituitary tumors, or pregnancy. Monitor IGF-1 levels.

**Stacks with:** ipamorelin, bpc-157

---

### Tesamorelin High-Dose

> Concentrated tesamorelin for advanced users on extended protocols.

- URL: https://www.rxpepsdirect.com/peptides/muscle-growth/tesamorelin-high-dose
- Price: $200/24mg (pharmacy wholesale, no markup)
- Form: Injectable vial (3mL, 8mg/mL, 24mg total)
- Starting dose: 20 units (1.6mg)
- Beyond Use Date: 90 Days from compounding (USP <797>)

**What it is:** Higher-concentration tesamorelin (8mg/mL) for patients already titrated past standard 3mg/mL dosing or following extended protocols.

**How it works:** Delivers the same visceral fat-targeting GHRH pathway activation as standard Tesamorelin, at a higher per-mL concentration so larger doses can be drawn without burning through vials.

**Ideal for:** Established Tesamorelin users on extended protocols. Patients tolerating standard dosing who want fewer refills.

**Dosing protocol:** 20 units subcutaneous injection daily for 5 days, 2 days off. 20 units = 0.2mL × 8mg/mL = 1.6mg per injection. Provider-supervised escalation from 3mg/mL only.

**Benefits:** Higher Concentration, Extended Protocol, Fewer Refills, Visceral Fat Focus

**Contraindications:** Not for active cancer, pituitary tumors, or pregnancy. Monitor IGF-1 levels. Provider-supervised step-up from 3mg/mL only.

**Stacks with:** ipamorelin, bpc-157
**Do not combine with:** tesamorelin, tesam-ipamorelin

---

### Tesamorelin/Ipamorelin

> Premium GH secretagogue combination for maximum visceral fat reduction and body recomposition.

- URL: https://www.rxpepsdirect.com/peptides/muscle-growth/tesam-ipamorelin
- Price: $120/12mg+6mg (pharmacy wholesale, no markup)
- Form: Injectable vial (5mL, 2.4mg-1.2mg/mL, 12mg+6mg total)
- Starting dose: 20 units (0.48mg/0.24mg)
- Beyond Use Date: 90 Days from compounding (USP <797>)

**What it is:** The premium combination of Tesamorelin and Ipamorelin in one vial. Combines visceral fat targeting with clean, selective GH stimulation.

**How it works:** Tesamorelin targets visceral fat through GHRH-pathway GH release, while Ipamorelin adds a ghrelin-mediated GH pulse for broader body composition benefits.

**Ideal for:** Those seeking maximum body recomposition results. Popular among serious biohackers and those with significant visceral fat to address.

**Dosing protocol:** 20 units subcutaneous injection daily for 5 days, 2 days off. Inject in evening to align with natural GH peak. 20 units = 0.2mL × 2.4mg/mL = 0.48mg Tesamorelin + 0.2mL × 1.2mg/mL = 0.24mg Ipamorelin per injection.

**Benefits:** Maximum Recomposition, Dual Pathway, Visceral Fat Focus, Premium Stack

**Contraindications:** Same as individual GH secretagogues. Monitor IGF-1 levels regularly.

**Stacks with:** bpc-157

---

### Ibutamoren (MK-677)

> An oral growth hormone secretagogue that increases GH and IGF-1 through the ghrelin pathway.

- URL: https://www.rxpepsdirect.com/peptides/muscle-growth/ibutamoren
- Price: From $1.65/cap (pharmacy wholesale, no markup)
- Form: Capsule (12.5mg or 25mg)
- Starting dose: 12.5-25mg/day
- Beyond Use Date: 180 Days from compounding (USP <797>)

**What it is:** Ibutamoren (MK-677) is an oral compound that mimics ghrelin, stimulating growth hormone release. It's unique because it's taken as a capsule, not an injection.

**How it works:** By activating the ghrelin receptor, it signals the pituitary to release GH. Unlike injectable peptides, its effects last 24 hours per dose, maintaining elevated GH and IGF-1.

**Ideal for:** Those who prefer oral dosing over injections. People looking for sustained GH elevation for muscle growth, recovery, and sleep improvement.

**Dosing protocol:** 1 capsule daily, taken in the evening to align with natural GH peak. Start at 12.5mg and assess tolerance.

**Benefits:** Oral Dosing, 24hr GH Elevation, Deep Sleep, Muscle Growth

**Contraindications:** May increase appetite significantly. Monitor blood sugar. Not for diabetics without careful management. Avoid with active cancer.

**Stacks with:** bpc-157, ghk-cu

---

### IGF-LR3

> A long-acting IGF-1 analog for targeted muscle growth and recovery at the cellular level.

- URL: https://www.rxpepsdirect.com/peptides/muscle-growth/igf-lr3
- Price: $145/1mg (pharmacy wholesale, no markup)
- Form: Injectable vial (5mL, 200mcg/mL, 1mg total)
- Starting dose: 20-40mcg/day
- Beyond Use Date: 180 Days from compounding (USP <797>)

**What it is:** IGF-LR3 is a modified version of Insulin-like Growth Factor 1 with a longer active life. It works directly at the muscle cell level to promote growth.

**How it works:** Unlike GH secretagogues that work upstream, IGF-LR3 binds directly to IGF-1 receptors on muscle cells, promoting hyperplasia (new cell growth) and hypertrophy (cell enlargement).

**Ideal for:** Advanced users seeking direct muscle growth support. Often used by athletes in recovery phases or those wanting to maximize lean tissue development.

**Dosing protocol:** 20-40mcg subcutaneous injection daily. Use for 4-6 week cycles. Monitor blood sugar.

**Benefits:** Direct Muscle Growth, Cell Hyperplasia, Extended Half-Life, Recovery

**Contraindications:** Not for those with active cancer or diabetes. Requires careful blood sugar monitoring. Provider supervision essential.

**Stacks with:** cjc-ipamorelin, bpc-157

---

### SLU-PP-332

> An ERRγ agonist that mimics the molecular effects of exercise on muscle endurance.

- URL: https://www.rxpepsdirect.com/peptides/muscle-growth/slu-pp-332
- Price: $3.00/cap (pharmacy wholesale, no markup)
- Form: Capsule (250mcg)
- Starting dose: 250mcg/cap
- Beyond Use Date: 180 Days from compounding (USP <797>)

**What it is:** SLU-PP-332 is a novel compound that activates the ERRγ receptor, which is responsible for many of the beneficial adaptations muscles make during exercise.

**How it works:** By activating ERRγ, it triggers the same genetic switches that exercise turns on. Increasing mitochondrial density, fat oxidation, and muscle endurance capacity.

**Ideal for:** Those looking to enhance exercise capacity and endurance. May benefit people who can't exercise at full capacity due to injury or recovery.

**Dosing protocol:** 1 capsule (250mcg) daily as directed by provider.

**Benefits:** Exercise Mimetic, Endurance, Fat Oxidation, Mitochondrial Density

**Contraindications:** Novel compound with limited long-term data. Discuss thoroughly with provider.

**Stacks with:** bpc-157, nad-plus-inject


---

## Recovery & Repair

URL: https://www.rxpepsdirect.com/peptides/recovery-repair

Tissue repair peptides and healing factors that accelerate recovery from injury, surgery, and inflammation.

**Category-wide contraindications:**
- Active malignancy (flag BPC-157. Require provider confirmation)
- Autoimmune conditions on immunosuppressants (flag for Thymosin Alpha-1)
- Pregnancy

### BPC-157

> A body protection compound that accelerates tissue repair in tendons, ligaments, muscle, and the GI tract.

- URL: https://www.rxpepsdirect.com/peptides/recovery-repair/bpc-157
- Price: $80/15mg (pharmacy wholesale, no markup)
- Form: Injectable vial (5mL, 3mg/mL, 15mg total)
- Starting dose: 20 units (0.6mg)
- Beyond Use Date: 90 Days from compounding (USP <797>)

**What it is:** BPC-157 (Body Protection Compound) is a 15-amino acid peptide derived from a protein found in human gastric juice. It has broad healing properties throughout the body.

**How it works:** It promotes the formation of new blood vessels (angiogenesis), upregulates growth factor receptors, and activates multiple healing pathways. Tendons, ligaments, muscles, and gut tissue.

**Ideal for:** Anyone recovering from injury, surgery, or dealing with chronic joint/tendon issues. Also popular for gut healing and overall tissue protection.

**Dosing protocol:** 20 units subcutaneous or intramuscular injection daily, Monday–Friday. 20 units = 0.2mL × 3mg/mL = 0.6mg per injection.

**Benefits:** Tissue Repair, Gut Health, Anti-Inflammatory, Joint Recovery

**Contraindications:** Flag for active malignancy. Discuss with provider. Generally well-tolerated.

**Stacks with:** bpc-tb500, ghk-cu, thymosin-alpha1

---

### BPC-157/TB-500

> The ultimate healing stack combining BPC-157's tissue repair with TB-500's systemic recovery.

- URL: https://www.rxpepsdirect.com/peptides/recovery-repair/bpc-tb500
- Price: $100/15mg+15mg (pharmacy wholesale, no markup)
- Form: Injectable vial (5mL, 3mg-3mg/mL, 15mg+15mg total)
- Starting dose: 20 units (0.6mg/0.6mg)
- Beyond Use Date: 90 Days from compounding (USP <797>)

**What it is:** This combination pairs BPC-157 with TB-500 (Thymosin Beta-4), creating a comprehensive healing protocol that works both locally and systemically.

**How it works:** BPC-157 drives local tissue repair and angiogenesis, while TB-500 reduces systemic inflammation, promotes cell migration to injury sites, and supports cardiac and neural repair.

**Ideal for:** Those with significant injuries, post-surgical recovery, or multiple areas needing repair simultaneously. The go-to recovery stack.

**Dosing protocol:** 20 units subcutaneous or intramuscular injection daily, Monday–Friday. 20 units = 0.2mL × 3mg/mL = 0.6mg BPC-157 + 0.6mg TB-500 per injection.

**Benefits:** Comprehensive Healing, Systemic Recovery, Anti-Inflammatory, Tissue Regeneration

**Contraindications:** Flag for active malignancy. Monitor with autoimmune conditions.

**Stacks with:** ghk-cu, cjc-ipamorelin

---

### BPC-157/TB-500/KPV

> Triple-action healing stack adding KPV's anti-inflammatory power to the BPC/TB foundation.

- URL: https://www.rxpepsdirect.com/peptides/recovery-repair/bpc-tb500-kpv
- Price: $120/15mg+15mg+15mg (pharmacy wholesale, no markup)
- Form: Injectable vial (5mL, 3mg-3mg-3mg/mL, 15mg+15mg+15mg total, no copper)
- Starting dose: 20 units (0.6mg/0.6mg/0.6mg)
- Beyond Use Date: 90 Days from compounding (USP <797>)

**What it is:** This triple stack adds KPV (a powerful anti-inflammatory peptide derived from alpha-MSH) to the BPC-157/TB-500 foundation for maximum healing and inflammation control.

**How it works:** BPC-157 repairs tissue, TB-500 promotes systemic recovery, and KPV suppresses inflammatory pathways (NFkB). Together they create a comprehensive healing environment.

**Ideal for:** Those with inflammatory conditions alongside injury. Gut healing protocols. Post-surgical recovery with significant inflammation.

**Dosing protocol:** 20 units subcutaneous or intramuscular injection daily, Monday–Friday. 20 units = 0.2mL × 3mg/mL = 0.6mg each of BPC-157, TB-500, and KPV per injection.

**Benefits:** Triple Healing, Powerful Anti-Inflammatory, Gut Repair, Systemic Recovery

**Contraindications:** Same as BPC-157/TB-500. Flag for autoimmune conditions.

**Stacks with:** ghk-cu

---

### Wolverine Stack (BPC-157/TB-500/KPV/GHK-Cu)

> The ultimate 4-peptide healing stack for maximum tissue repair, anti-aging, and recovery.

- URL: https://www.rxpepsdirect.com/peptides/recovery-repair/wolverine-stack
- Price: $120/15mg+50mg+15mg+15mg (pharmacy wholesale, no markup)
- Form: Injectable vial (5mL, 3mg-10mg-3mg-3mg/mL, BPC-157 15mg + GHK-Cu 50mg + KPV 15mg + TB-500 15mg total)
- Starting dose: 20 units (full stack)
- Beyond Use Date: 90 Days from compounding (USP <797>)

**What it is:** The 'Wolverine Stack' combines all four recovery peptides in one vial: BPC-157, TB-500, KPV, and GHK-Cu for the most comprehensive healing protocol available.

**How it works:** Each peptide targets a different aspect of healing: tissue repair, systemic recovery, inflammation control, and copper-mediated regeneration and remodeling.

**Ideal for:** Those seeking maximum healing support. Post-surgical patients. Athletes with significant recovery needs. Those dealing with multiple injury sites.

**Dosing protocol:** 20 units subcutaneous or intramuscular injection daily, Monday–Friday. 20 units = 0.2mL delivering BPC-157 0.6mg + GHK-Cu 2mg + KPV 0.6mg + TB-500 0.6mg per injection.

**Benefits:** Maximum Healing, Four-Way Synergy, Regeneration, Anti-Aging

**Contraindications:** Same as component peptides. Provider monitoring recommended.

**Stacks with:** cjc-ipamorelin

---

### BPC-157 Capsules

> Oral BPC-157 capsules. Ideal for gut healing and those who prefer oral over injectable.

- URL: https://www.rxpepsdirect.com/peptides/recovery-repair/bpc-157-caps
- Price: $2.50/cap (pharmacy wholesale, no markup)
- Form: Capsule (500mcg)
- Starting dose: 500mcg/cap
- Beyond Use Date: 180 Days from compounding (USP <797>)

**What it is:** The same BPC-157 peptide in convenient oral capsule form. Particularly effective for gut-related healing since it passes directly through the GI tract.

**How it works:** When taken orally, BPC-157 contacts the GI lining directly, making it especially effective for gut healing. Some systemic absorption also occurs for broader benefits.

**Ideal for:** Those with gut issues (IBS, leaky gut, GERD) or who simply prefer capsules over injections. Can be used alongside injectable BPC-157.

**Dosing protocol:** 1 capsule (500mcg) daily by mouth.

**Benefits:** Gut Healing, No Injections, Convenient, GI-Targeted

**Contraindications:** Same as injectable BPC-157. Flag for active malignancy.

**Stacks with:** bpc-157, bpc-tb500

---

### ARA-290

> An innate repair receptor agonist that promotes tissue repair and neuroprotection.

- URL: https://www.rxpepsdirect.com/peptides/recovery-repair/ara-290
- Price: $80/30mg (pharmacy wholesale, no markup)
- Form: Injectable vial (5mL, 6mg/mL, 30mg total)
- Starting dose: 20 units (1.2mg)
- Beyond Use Date: 90 Days from compounding (USP <797>)

**What it is:** ARA-290 is an 11-amino acid peptide that activates the innate repair receptor. It was developed from erythropoietin (EPO) research but without EPO's blood-thickening effects.

**How it works:** It activates repair pathways in damaged tissues, reduces inflammation, and has been shown to promote nerve repair and reduce neuropathic pain.

**Ideal for:** Those with neuropathy, nerve damage, or chronic pain conditions. Also used for general tissue repair and inflammation reduction.

**Dosing protocol:** 20 units subcutaneous injection daily. 20 units = 0.2mL × 6mg/mL = 1.2mg per injection. 4–12 weeks duration, may be cycled or extended.

**Benefits:** Neuroprotection, Tissue Repair, Pain Reduction, Anti-Inflammatory

**Contraindications:** Generally well-tolerated. Discuss with provider if on blood-related medications.

**Stacks with:** bpc-157, ghk-cu

---

### GHK-Cu

> A copper peptide that promotes wound healing, collagen synthesis, and tissue remodeling.

- URL: https://www.rxpepsdirect.com/peptides/recovery-repair/ghk-cu
- Price: $80/50mg (pharmacy wholesale, no markup)
- Form: Injectable vial (5mL, 10mg/mL, 50mg total)
- Starting dose: 20 units (2mg)
- Beyond Use Date: 90 Days from compounding (USP <797>)

**What it is:** GHK-Cu is a copper peptide naturally found in your blood. Levels decline with age. It's one of the most researched peptides for regeneration and anti-aging.

**How it works:** It activates thousands of genes involved in healing, promotes collagen and elastin production, attracts immune cells to injury sites, and has potent antioxidant effects.

**Ideal for:** Those seeking both recovery benefits and anti-aging effects. Excellent for skin health, wound healing, and post-procedural recovery.

**Dosing protocol:** 20 units subcutaneous injection as directed. 20 units = 0.2mL × 10mg/mL = 2mg per injection. Can also be used topically.

**Benefits:** Collagen Production, Wound Healing, Anti-Aging, Gene Activation

**Contraindications:** Avoid if allergic to copper. Generally very well-tolerated.

**Stacks with:** bpc-157, epithalon, bpc-tb500

---

### Thymosin Alpha-1

> An immune-modulating peptide that enhances T-cell function and supports immune recovery.

- URL: https://www.rxpepsdirect.com/peptides/recovery-repair/thymosin-alpha1
- Price: $80/15mg (pharmacy wholesale, no markup)
- Form: Injectable vial (5mL, 3mg/mL, 15mg total)
- Starting dose: 20 units (0.6mg)
- Beyond Use Date: 90 Days from compounding (USP <797>)

**What it is:** Thymosin Alpha-1 is a peptide naturally produced by the thymus gland. It's been approved in over 35 countries for immune modulation and has extensive clinical data.

**How it works:** It enhances the function of dendritic cells and T-cells, helping your immune system better identify and respond to threats while maintaining balanced immune regulation.

**Ideal for:** Those looking to optimize immune function, recovering from chronic infections, or seeking immune support during recovery protocols.

**Dosing protocol:** 20 units subcutaneous injection daily. Maintenance dosing: 2–3 times per week. Acute viral illness: daily for 7–14 days, then taper to maintenance. 20 units = 0.2mL × 3mg/mL = 0.6mg per injection.

**Benefits:** Immune Enhancement, T-Cell Support, Clinically Proven, Balanced Modulation

**Contraindications:** Flag if on immunosuppressants. Not for organ transplant recipients without careful monitoring.

**Stacks with:** bpc-157, nad-plus-inject


---

## Longevity & Anti-Aging

URL: https://www.rxpepsdirect.com/peptides/longevity

Cellular rejuvenation peptides that target the fundamental mechanisms of aging at the mitochondrial and telomeric level.

**Category-wide contraindications:**
- Active cancer (AUTO-DENY for NAD+)
- Current chemotherapy (AUTO-DENY)
- Severe liver/kidney disease (flag for provider review)

### NAD+ Injectable

> The cellular energy molecule. Injectable NAD+ for direct bioavailability and cellular rejuvenation.

- URL: https://www.rxpepsdirect.com/peptides/longevity/nad-plus-inject
- Price: $100/1000mg (pharmacy wholesale, no markup)
- Form: Injectable vial (10mL, 100mg/mL, 1000mg total)
- Starting dose: 20 units (20mg)
- Beyond Use Date: 90 Days from compounding (USP <797>)

**What it is:** NAD+ is a coenzyme found in every cell. It's essential for energy production, DNA repair, and sirtuin activation. Levels decline ~50% between ages 40-60.

**How it works:** Injectable NAD+ bypasses the digestive system for maximum bioavailability, directly replenishing cellular NAD+ stores to support mitochondrial function and longevity pathways.

**Ideal for:** Adults over 35 seeking cellular rejuvenation, improved energy, and cognitive clarity. Those interested in evidence-based longevity optimization.

**Dosing protocol:** 20 units subcutaneous injection daily, Monday–Friday. 20 units = 0.2mL × 100mg/mL = 20mg per injection. Each 10mL vial holds 50 injections at the starter dose. Infuse injection slowly.

**Benefits:** Cellular Energy, DNA Repair, Cognitive Clarity, Longevity

**Contraindications:** AUTO-DENY for active cancer and chemotherapy patients. Flag for severe liver/kidney disease.

**Stacks with:** epithalon, ghk-cu, mots-c

---

### NAD+ Nasal Spray

> Intranasal NAD+ delivery for rapid absorption and cognitive benefits without injection.

- URL: https://www.rxpepsdirect.com/peptides/longevity/nad-plus-nasal
- Price: $150/15ml (pharmacy wholesale, no markup)
- Form: Nasal spray (15mL, 10mg/0.1mL)
- Starting dose: 10mg/0.1ml
- Beyond Use Date: 30 Days from compounding (nasal spray formulation)

**What it is:** The same NAD+ in a convenient nasal spray format. Intranasal delivery allows rapid absorption through the nasal mucosa with some direct brain access.

**How it works:** Nasal spray delivery provides rapid absorption and some evidence suggests partial transport across the blood-brain barrier via olfactory pathways, potentially enhancing cognitive benefits.

**Ideal for:** Those who prefer non-injectable administration. People focusing on cognitive benefits of NAD+. Convenient daily maintenance dosing.

**Dosing protocol:** 1 spray in each nostril daily. 10mg per 0.1mL spray. Alternate nostrils and avoid lying down immediately after dosing.

**Benefits:** No Injection, Rapid Absorption, Cognitive Focus, Convenient

**Contraindications:** Same as injectable NAD+. Avoid with active cancer or chemotherapy.

**Stacks with:** epithalon, semax-selank

---

### Epithalon

> A telomerase-activating peptide that may help maintain telomere length. A key marker of cellular aging.

- URL: https://www.rxpepsdirect.com/peptides/longevity/epithalon
- Price: $80/10mg (pharmacy wholesale, no markup)
- Form: Injectable vial (5mL, 2mg/mL, 10mg total)
- Starting dose: 25 units (0.5mg)
- Beyond Use Date: 90 Days from compounding (USP <797>)

**What it is:** Epithalon (Epitalon) is a synthetic version of the naturally-occurring Epithalamin peptide produced by the pineal gland. It's the most studied telomerase activator.

**How it works:** It activates the enzyme telomerase, which adds protective sequences to the ends of chromosomes (telomeres). Longer telomeres are associated with younger cellular age.

**Ideal for:** Anyone interested in fundamental longevity science. Those looking to support cellular health at the most basic level. Chromosomal integrity.

**Dosing protocol:** 25 units subcutaneous injection daily, Monday–Friday. 25 units = 0.25mL × 2mg/mL = 0.5mg per injection. 8–12 weeks duration, may be cycled or extended.

**Benefits:** Telomere Support, Cellular Anti-Aging, Pineal Support, Sleep Quality

**Contraindications:** Generally well-tolerated. Discuss with provider if you have hormone-sensitive conditions.

**Stacks with:** ghk-cu, nad-plus-inject, mots-c

---

### Epithalon High-Dose

> High-concentration Epithalon for accelerated telomerase activation protocols.

- URL: https://www.rxpepsdirect.com/peptides/longevity/epithalon-hd
- Price: $130/50mg (pharmacy wholesale, no markup)
- Form: Injectable vial (5mL, 10mg/mL, 50mg total)
- Starting dose: 25 units (2.5mg)
- Beyond Use Date: 90 Days from compounding (USP <797>)

**What it is:** The same Epithalon peptide at a higher concentration (10mg/ml vs 2mg/ml) for those on intensive longevity protocols or who prefer fewer injections.

**How it works:** Same mechanism as standard Epithalon. Telomerase activation. But at a higher concentration for more intensive protocols.

**Ideal for:** Experienced users on established longevity protocols who want higher per-injection dosing. Provider-guided escalation only.

**Dosing protocol:** 25 units subcutaneous injection daily, Monday–Friday. 25 units = 0.25mL × 10mg/mL = 2.5mg per injection. 8–12 weeks duration, may be cycled or extended.

**Benefits:** Intensive Protocol, Higher Concentration, Fewer Injections, Telomere Support

**Contraindications:** Same as standard Epithalon. Provider must approve escalation.

**Stacks with:** ghk-cu, nad-plus-inject

---

### GHK-Cu

> A copper peptide that activates thousands of regenerative genes. Dual-listed for longevity benefits.

- URL: https://www.rxpepsdirect.com/peptides/longevity/ghk-cu-longevity
- Price: $80/50mg (pharmacy wholesale, no markup)
- Form: Injectable vial (5mL, 10mg/mL, 50mg total)
- Starting dose: 20 units (2mg)
- Beyond Use Date: 90 Days from compounding (USP <797>)

**What it is:** GHK-Cu is dual-listed here for its significant anti-aging properties. Beyond tissue repair, it activates genes associated with youthful gene expression patterns.

**How it works:** Research shows GHK-Cu can shift gene expression patterns in older tissue toward a younger profile, affecting collagen, antioxidant defense, and cellular regeneration.

**Ideal for:** Those pursuing comprehensive longevity protocols. Excellent paired with telomere and mitochondrial peptides for a multi-pathway approach.

**Dosing protocol:** 20 units subcutaneous injection as directed by provider. 20 units = 0.2mL × 10mg/mL = 2mg per injection.

**Benefits:** Gene Activation, Anti-Aging, Collagen, Regeneration

**Contraindications:** Avoid if allergic to copper. Generally very well-tolerated.

**Stacks with:** epithalon, nad-plus-inject, mots-c

---

### GHK-Cu + Epithalon

> Combined copper peptide and telomerase activator for comprehensive cellular anti-aging.

- URL: https://www.rxpepsdirect.com/peptides/longevity/ghk-epithalon
- Price: $100/50mg+10mg (pharmacy wholesale, no markup)
- Form: Injectable vial (5mL, 10mg-2mg/mL, GHK-Cu 50mg + Epithalon 10mg total)
- Starting dose: 20 units (2mg GHK-Cu + 0.4mg Epithalon)
- Beyond Use Date: 90 Days from compounding (USP <797>)

**What it is:** A convenient single-vial combination of GHK-Cu and Epithalon, targeting two fundamental mechanisms of cellular aging simultaneously.

**How it works:** GHK-Cu rejuvenates gene expression patterns while Epithalon maintains telomere length. Addressing aging at both the gene expression and chromosomal level.

**Ideal for:** Those wanting a streamlined longevity protocol without multiple vials. The 'anti-aging essentials' in one injection.

**Dosing protocol:** 20 units subcutaneous injection daily, Monday–Friday. 20 units = 0.2mL × 10mg/mL = 2mg GHK-Cu + 0.2mL × 2mg/mL = 0.4mg Epithalon per injection.

**Benefits:** Dual Anti-Aging, Convenient Combo, Gene + Telomere, Streamlined

**Contraindications:** Same as individual components. Avoid copper allergy.

**Stacks with:** nad-plus-inject, mots-c

---

### MOTS-C

> A mitochondrial-derived peptide that enhances metabolic function and exercise capacity.

- URL: https://www.rxpepsdirect.com/peptides/longevity/mots-c
- Price: $80/10mg (pharmacy wholesale, no markup)
- Form: Injectable vial (5mL, 2mg/mL, 10mg total)
- Starting dose: 20 units (0.4mg)
- Beyond Use Date: 90 Days from compounding (USP <797>)

**What it is:** MOTS-C is a peptide encoded within the mitochondrial genome. It's one of the few known 'mitochondrial-derived peptides' and plays a key role in metabolic regulation.

**How it works:** It activates AMPK (the cellular energy sensor), regulates glucose and fat metabolism, and has been shown to improve exercise capacity and metabolic flexibility.

**Ideal for:** Those interested in metabolic health optimization and mitochondrial function. Particularly relevant for age-related metabolic decline.

**Dosing protocol:** 20 units subcutaneous injection daily, Monday–Friday. 20 units = 0.2mL × 2mg/mL = 0.4mg per injection. Store at room temperature.

**Benefits:** Mitochondrial Health, Metabolic Support, Exercise Capacity, AMPK Activation

**Contraindications:** Generally well-tolerated. Discuss with provider if diabetic.

**Stacks with:** nad-plus-inject, epithalon, ss-31

---

### MOTS-C High-Dose

> High-concentration MOTS-C for intensive mitochondrial and metabolic optimization protocols.

- URL: https://www.rxpepsdirect.com/peptides/longevity/mots-c-hd
- Price: $130/50mg (pharmacy wholesale, no markup)
- Form: Injectable vial (5mL, 10mg/mL, 50mg total)
- Starting dose: 20 units (2mg)
- Beyond Use Date: 90 Days from compounding (USP <797>)

**What it is:** The same MOTS-C peptide at a higher concentration for intensive metabolic optimization protocols.

**How it works:** Same AMPK activation and metabolic regulation at higher concentrations for those on advanced longevity protocols.

**Ideal for:** Experienced users seeking intensive mitochondrial optimization. Provider-guided escalation.

**Dosing protocol:** 20 units per provider protocol. 20 units = 0.2mL × 10mg/mL = 2mg per injection.

**Benefits:** Intensive Protocol, Higher Concentration, Metabolic Optimization, Advanced

**Contraindications:** Same as standard MOTS-C. Provider must approve escalation.

**Stacks with:** nad-plus-inject, epithalon

---

### Elamipretide (SS-31)

> A mitochondria-targeted peptide that stabilizes the inner membrane for optimal energy production.

- URL: https://www.rxpepsdirect.com/peptides/longevity/ss-31
- Price: $100/75mg (pharmacy wholesale, no markup)
- Form: Injectable vial (5mL, 15mg/mL, 75mg total)
- Starting dose: 20 units (3mg)
- Beyond Use Date: 90 Days from compounding (USP <797>)

**What it is:** SS-31 (Elamipretide) is a cell-permeable peptide that concentrates in mitochondria, specifically targeting the inner membrane where energy production occurs.

**How it works:** It binds to cardiolipin, a phospholipid in the inner mitochondrial membrane, stabilizing the electron transport chain and reducing reactive oxygen species (ROS) production.

**Ideal for:** Those focused on mitochondrial health, cellular energy production, and reducing oxidative stress. Excellent for age-related mitochondrial decline.

**Dosing protocol:** 20 units subcutaneous injection daily. 20 units = 0.2mL × 15mg/mL = 3mg per injection. 8–12 weeks duration, may be cycled or extended.

**Benefits:** Mitochondrial Targeted, Energy Production, Reduced Oxidative Stress, Cellular Health

**Contraindications:** Generally well-tolerated. Discuss with provider for any mitochondrial disease history.

**Stacks with:** nad-plus-inject, mots-c, epithalon


---

## Cognitive & Brain Health

URL: https://www.rxpepsdirect.com/peptides/cognitive

Nootropic peptides and brain-health compounds for focus, memory, neuroprotection, and cognitive performance.

**Category-wide contraindications:**
- G6PD deficiency (AUTO-DENY for Methylene Blue)
- Current use of SSRIs/SNRIs + Methylene Blue (AUTO-DENY. Serotonin syndrome risk)
- MAO inhibitor use (AUTO-DENY)
- Lithium use (flag for Semax/Selank)
- Active psychosis or schizophrenia

### Dihexa

> A potent cognitive enhancer that promotes synaptic connectivity and neuroplasticity.

- URL: https://www.rxpepsdirect.com/peptides/cognitive/dihexa
- Price: From $3.50/cap (pharmacy wholesale, no markup)
- Form: Capsule (5mg or 25mg)
- Starting dose: 5mg/cap
- Beyond Use Date: 180 Days from compounding (USP <797>)

**What it is:** Dihexa is a synthetic peptide derived from angiotensin IV. In research, it has shown remarkable ability to enhance cognitive function and promote new neural connections.

**How it works:** It activates the HGF/MET receptor system, which drives the formation of new synaptic connections (synaptogenesis). Research suggests it may be millions of times more potent than BDNF at promoting synaptic connectivity.

**Ideal for:** Those seeking cognitive enhancement, improved memory formation, and neural connectivity. Often used by professionals and students wanting peak mental performance.

**Dosing protocol:** 1 capsule (5mg) daily by mouth. Take in morning to avoid possible sleep disruption.

**Benefits:** Synaptogenesis, Memory Enhancement, Neuroplasticity, Cognitive Performance

**Contraindications:** Limited long-term human data. Not for those with active psychosis. Discuss all psychiatric medications with provider.

**Stacks with:** semax-selank, nad-plus-inject

---

### DSIP

> Delta Sleep Inducing Peptide. Naturally promotes deep, restorative sleep architecture.

- URL: https://www.rxpepsdirect.com/peptides/cognitive/dsip
- Price: $80/10mg (pharmacy wholesale, no markup)
- Form: Injectable vial (5mL, 2mg/mL, 10mg total)
- Starting dose: 5-15 units (0.1-0.3mg)
- Beyond Use Date: 90 Days from compounding (USP <797>)

**What it is:** DSIP (Delta Sleep Inducing Peptide) is a naturally-occurring neuropeptide that promotes deep, restorative sleep. The phase where most recovery and memory consolidation occurs.

**How it works:** It modulates sleep architecture to increase time spent in delta (deep) sleep, regulate cortisol release, and normalize circadian rhythms without the dependency risks of sleep medications.

**Ideal for:** Those with poor sleep quality, difficulty achieving deep sleep, or disrupted circadian rhythms. Shift workers and high-stress professionals.

**Dosing protocol:** 5-15 units subcutaneous injection daily. Start low, adjust after 7–14 days based on response. 10 units = 0.1mL × 2mg/mL = 0.2mg per injection. 4–12 weeks common, may cycle or continue long term.

**Benefits:** Deep Sleep, No Dependency, Circadian Support, Recovery

**Contraindications:** Generally well-tolerated. Discuss with provider if on sleep medications.

**Stacks with:** semax-selank, cjc-ipamorelin

---

### Semax/Selank Nasal Spray

> Russian-developed nootropic combo. Semax for focus and Selank for anxiolytic calm.

- URL: https://www.rxpepsdirect.com/peptides/cognitive/semax-selank
- Price: $150/spray (pharmacy wholesale, no markup)
- Form: Nasal spray (15mL, 2.5mg/2.5mg per mL)
- Starting dose: 2.5mg/2.5mg
- Beyond Use Date: 30 Days from compounding (nasal spray formulation)

**What it is:** This combination pairs two Russian-developed nootropic peptides: Semax (focus, BDNF, cognitive enhancement) and Selank (anti-anxiety, calm focus, immune modulation).

**How it works:** Semax increases BDNF and modulates dopamine/serotonin for enhanced focus and learning. Selank enhances GABA activity for calm focus without sedation. Together: alert but calm.

**Ideal for:** Those seeking cognitive enhancement with stress reduction. Perfect for high-pressure professionals who need focus without anxiety. Great for studying and creative work.

**Dosing protocol:** 1 spray in each nostril daily (250mcg per spray).

**Benefits:** Focus + Calm, BDNF Support, Anxiolytic, Nootropic

**Contraindications:** Flag if on lithium. Discuss with provider if on psychiatric medications. Avoid with active psychosis.

**Stacks with:** dihexa, nad-plus-nasal

---

### Methylene Blue 5mg

> Low-dose mitochondrial electron carrier for neuroprotection and cognitive enhancement.

- URL: https://www.rxpepsdirect.com/peptides/cognitive/mb-5
- Price: $1.75/cap (pharmacy wholesale, no markup)
- Form: Capsule (5mg)
- Starting dose: 5mg/cap
- Beyond Use Date: 180 Days from compounding (USP <797>)

**What it is:** At low doses, Methylene Blue acts as a mitochondrial enhancer and neuroprotectant. It's one of the oldest synthetic compounds in medicine with newfound cognitive applications.

**How it works:** It serves as an alternative electron carrier in the mitochondrial electron transport chain, boosting ATP production. It also inhibits tau aggregation and has antioxidant properties.

**Ideal for:** Those seeking subtle cognitive enhancement and neuroprotection. Starting dose for methylene blue beginners.

**Dosing protocol:** 1 capsule (5mg) daily by mouth in the morning.

**Benefits:** Neuroprotection, Mitochondrial Support, Low Dose, Starter

**Contraindications:** AUTO-DENY: G6PD deficiency (hemolytic anemia risk), SSRIs/SNRIs (serotonin syndrome), MAOIs.

**Stacks with:** nad-plus-inject, dihexa
**Do not combine with:** SSRIs, SNRIs, MAOIs

---

### Methylene Blue 10mg

> Standard-dose methylene blue for established users seeking cognitive and mitochondrial benefits.

- URL: https://www.rxpepsdirect.com/peptides/cognitive/mb-10
- Price: $2.00/cap (pharmacy wholesale, no markup)
- Form: Capsule (10mg)
- Starting dose: 10mg/cap
- Beyond Use Date: 180 Days from compounding (USP <797>)

**What it is:** Standard dose Methylene Blue for those who have established tolerance at 5mg and are ready for the standard nootropic dose.

**How it works:** Same mechanism as 5mg. Mitochondrial enhancement and neuroprotection. At the standard therapeutic dose for cognitive benefits.

**Ideal for:** Established methylene blue users looking for standard cognitive enhancement dosing.

**Dosing protocol:** 1 capsule (10mg) daily by mouth in the morning.

**Benefits:** Standard Dose, Cognitive Enhancement, Neuroprotection, Mitochondrial

**Contraindications:** Same as 5mg: AUTO-DENY for G6PD, SSRIs/SNRIs, MAOIs.

**Stacks with:** nad-plus-inject, dihexa
**Do not combine with:** SSRIs, SNRIs, MAOIs

---

### Methylene Blue 15mg

> Enhanced-dose methylene blue for experienced users in provider-guided protocols.

- URL: https://www.rxpepsdirect.com/peptides/cognitive/mb-15
- Price: $2.25/cap (pharmacy wholesale, no markup)
- Form: Capsule (15mg)
- Starting dose: 15mg/cap
- Beyond Use Date: 180 Days from compounding (USP <797>)

**What it is:** Enhanced dose Methylene Blue for experienced users under provider guidance.

**How it works:** Same mechanism at enhanced dose. Provider must approve escalation from standard dosing.

**Ideal for:** Experienced users with established tolerance under direct provider guidance.

**Dosing protocol:** 1 capsule (15mg) daily by mouth in the morning. Provider monitoring required.

**Benefits:** Enhanced Dose, Provider-Guided, Intensive Protocol, Experienced Users

**Contraindications:** Same as lower doses. Provider approval required for dose escalation.

**Stacks with:** nad-plus-inject
**Do not combine with:** SSRIs, SNRIs, MAOIs

---

### Methylene Blue 25mg

> Maximum-dose methylene blue for advanced protocols under strict provider supervision.

- URL: https://www.rxpepsdirect.com/peptides/cognitive/mb-25
- Price: $2.50/cap (pharmacy wholesale, no markup)
- Form: Capsule (25mg)
- Starting dose: 25mg/cap
- Beyond Use Date: 180 Days from compounding (USP <797>)

**What it is:** Maximum dose Methylene Blue for advanced users on intensive protocols with strict provider oversight.

**How it works:** Same mechanism at maximum therapeutic dose. Beyond this, methylene blue can become pro-oxidant rather than antioxidant.

**Ideal for:** Advanced users only. Strict provider supervision required. Must have established tolerance at lower doses.

**Dosing protocol:** 1 capsule (25mg) daily by mouth in the morning. Strict provider monitoring.

**Benefits:** Maximum Dose, Advanced Protocol, Strict Supervision, Intensive

**Contraindications:** Same as all MB. Provider must approve. Regular lab monitoring required.

**Stacks with:** nad-plus-inject
**Do not combine with:** SSRIs, SNRIs, MAOIs

---

### NAD+ Injectable

> Injectable NAD+ dual-listed for its significant cognitive and neuroprotective benefits.

- URL: https://www.rxpepsdirect.com/peptides/cognitive/nad-plus-inject-cognitive
- Price: $100/1000mg (pharmacy wholesale, no markup)
- Form: Injectable vial (10mL, 100mg/mL, 1000mg total)
- Starting dose: 20 units (20mg)
- Beyond Use Date: 90 Days from compounding (USP <797>)

**What it is:** NAD+ is dual-listed here for its significant cognitive benefits. Beyond cellular energy, it's critical for neuronal health and cognitive function.

**How it works:** NAD+ supports neuronal mitochondrial function, activates sirtuins involved in neuroprotection, and supports DNA repair in brain tissue.

**Ideal for:** Those seeking cognitive enhancement as part of a broader longevity protocol. See Longevity category for full details.

**Dosing protocol:** See Longevity listing for full protocol details.

**Benefits:** Cognitive Support, Neuroprotection, Cellular Energy, Dual-Listed

**Contraindications:** AUTO-DENY for active cancer and chemotherapy.

**Stacks with:** dihexa, semax-selank, epithalon


---

## Sexual Health & Vitality

URL: https://www.rxpepsdirect.com/peptides/sexual-health

Peptides and compounds that support libido, arousal, and intimate connection through natural hormonal pathways.

**Category-wide contraindications:**
- Uncontrolled hypertension (flag PT-141)
- Cardiovascular disease (flag for PT-141)
- Pregnancy (AUTO-DENY oxytocin in non-labor context)
- Current use of PDE5 inhibitors + PT-141 (flag for provider review)

### PT-141 (Bremelanotide)

> The only FDA-studied peptide for hypoactive sexual desire. Works through central nervous system pathways.

- URL: https://www.rxpepsdirect.com/peptides/sexual-health/pt-141
- Price: $75/10mg (pharmacy wholesale, no markup)
- Form: Injectable vial (5mL, 2mg/mL, 10mg total)
- Starting dose: 20 units (0.4mg)
- Beyond Use Date: 90 Days from compounding (USP <797>)

**What it is:** PT-141 (Bremelanotide) is a melanocortin receptor agonist. Unlike Viagra or Cialis, it works in the brain. On desire itself. Rather than just blood flow.

**How it works:** It activates melanocortin-4 receptors in the brain's hypothalamus, stimulating the neural pathways responsible for sexual desire and arousal. It addresses desire, not just mechanics.

**Ideal for:** Men and women experiencing low libido or hypoactive sexual desire disorder (HSDD). Those who want to address the psychological component of sexual health.

**Dosing protocol:** 20 units subcutaneous injection 45 minutes before sexual activity. 20 units = 0.2mL × 2mg/mL = 0.4mg per injection. Do not use more than once per 24 hours.

**Benefits:** Desire Enhancement, Works in the Brain, Both Sexes, FDA-Studied

**Contraindications:** Flag for uncontrolled hypertension and cardiovascular disease. Transient blood pressure elevation can occur. Flag if using PDE5 inhibitors.

**Stacks with:** kisspeptin, oxytocin-nasal

---

### PT-141 Nasal Spray

> Intranasal PT-141 for convenient, needle-free sexual desire enhancement.

- URL: https://www.rxpepsdirect.com/peptides/sexual-health/pt-141-nasal
- Price: $99 (pharmacy wholesale, no markup)
- Form: Nasal spray (15mL, 2.5mg/spray)
- Starting dose: 2.5mg/spray
- Beyond Use Date: 30 Days from compounding (nasal spray formulation)

**What it is:** The same PT-141 in nasal spray form for those who prefer needle-free administration. Rapid absorption through nasal mucosa.

**How it works:** Same mechanism as injectable PT-141. Melanocortin-4 receptor activation in the brain. Delivered via convenient nasal spray.

**Ideal for:** Those who want PT-141's benefits without injection. More convenient for on-demand use.

**Dosing protocol:** 1 spray 45 minutes prior to sexual activity. 2.5mg per spray.

**Benefits:** No Injection, Convenient, On-Demand, Rapid Onset

**Contraindications:** Same as injectable PT-141. Flag for hypertension and cardiovascular disease.

**Stacks with:** kisspeptin, oxytocin-nasal

---

### Kisspeptin

> A hypothalamic hormone that naturally stimulates the reproductive axis and enhances desire.

- URL: https://www.rxpepsdirect.com/peptides/sexual-health/kisspeptin
- Price: $80/5mg (pharmacy wholesale, no markup)
- Form: Injectable vial (5mL, 1mg/mL, 5mg total)
- Starting dose: 20 units (0.2mg)
- Beyond Use Date: 90 Days from compounding (USP <797>)

**What it is:** Kisspeptin is a naturally-occurring hormone that triggers the release of GnRH (gonadotropin-releasing hormone). It's the 'master switch' of the reproductive system.

**How it works:** It activates GnRH neurons in the hypothalamus, which cascade into increased LH and FSH release, naturally boosting testosterone/estrogen and sexual desire.

**Ideal for:** Those seeking a natural hormonal approach to sexual desire. Also being studied for fertility support. Works well paired with PT-141.

**Dosing protocol:** 20 units subcutaneous injection daily. 20 units = 0.2mL × 1mg/mL = 0.2mg per injection. 8–12 weeks duration, may be cycled or extended.

**Benefits:** Natural Hormonal, Reproductive Axis, Desire Enhancement, Fertility Support

**Contraindications:** Discuss with provider if on hormone therapy. Monitor hormone levels.

**Stacks with:** pt-141, oxytocin-nasal

---

### Oxytocin Troche 50IU

> Sublingual oxytocin for enhanced bonding, intimacy, and emotional connection.

- URL: https://www.rxpepsdirect.com/peptides/sexual-health/oxytocin-50
- Price: $4.00/troche (pharmacy wholesale, no markup)
- Form: Troche (sublingual, 50 IU)
- Starting dose: 50 IU
- Beyond Use Date: 180 Days from compounding (USP <797>)

**What it is:** Oxytocin is often called the 'love hormone' or 'bonding hormone.' This sublingual troche delivers it for enhanced emotional connection and intimacy.

**How it works:** Oxytocin promotes feelings of trust, bonding, and emotional connection. Sublingual delivery allows absorption through the mouth lining for relatively rapid effects.

**Ideal for:** Couples seeking enhanced emotional and physical intimacy. Those working on relationship connection. Can complement PT-141 for a comprehensive approach.

**Dosing protocol:** Dissolve 1 troche sublingually 30 minutes before sexual activity or as needed.

**Benefits:** Bonding, Emotional Connection, Intimacy, Sublingual

**Contraindications:** AUTO-DENY during pregnancy (outside labor context). Generally well-tolerated otherwise.

**Stacks with:** pt-141, kisspeptin

---

### Oxytocin Troche 120IU

> Higher-dose sublingual oxytocin for enhanced bonding effects.

- URL: https://www.rxpepsdirect.com/peptides/sexual-health/oxytocin-120
- Price: $4.00/troche (pharmacy wholesale, no markup)
- Form: Troche (sublingual, 120 IU)
- Starting dose: 120 IU
- Beyond Use Date: 180 Days from compounding (USP <797>)

**What it is:** The same oxytocin troche at a higher dose (120 IU) for those needing stronger effects or who have established tolerance at 50 IU.

**How it works:** Same bonding and connection mechanism at a higher dose for more pronounced effects.

**Ideal for:** Those who have used 50 IU and want stronger effects, or provider-recommended higher dosing.

**Dosing protocol:** Dissolve 1 troche sublingually 30 minutes before sexual activity or as needed.

**Benefits:** Higher Dose, Enhanced Bonding, Stronger Effects, Sublingual

**Contraindications:** Same as 50 IU. AUTO-DENY during pregnancy.

**Stacks with:** pt-141, kisspeptin

---

### Oxytocin Nasal Spray

> Intranasal oxytocin for rapid bonding effects and social anxiety reduction.

- URL: https://www.rxpepsdirect.com/peptides/sexual-health/oxytocin-nasal
- Price: $35/15ml (pharmacy wholesale, no markup)
- Form: Nasal spray (15mL, 100 IU/mL)
- Starting dose: 100 IU/ml
- Beyond Use Date: 30 Days from compounding (nasal spray formulation)

**What it is:** Oxytocin in nasal spray form for rapid absorption. Intranasal delivery may provide more direct access to brain pathways than sublingual.

**How it works:** Nasal spray delivery allows rapid absorption through nasal mucosa, with some evidence of direct transport to the brain via olfactory pathways.

**Ideal for:** Those wanting rapid-onset oxytocin effects. Also used for social anxiety and emotional regulation beyond intimate contexts.

**Dosing protocol:** Spray 1-2 intranasally 30 minutes before sexual activity or as needed.

**Benefits:** Rapid Onset, Nasal Delivery, Social Anxiety, Versatile

**Contraindications:** Same as troches. AUTO-DENY during pregnancy.

**Stacks with:** pt-141, semax-selank


---

## Immune Optimization

URL: https://www.rxpepsdirect.com/peptides/immune

Immune-modulating peptides that enhance your body's natural defense and recovery systems.

**Category-wide contraindications:**
- Organ transplant recipients on immunosuppressants (flag)
- Active autoimmune flare (flag for provider review)

### Thymosin Alpha-1

> Dual-listed immune peptide. Approved in 35+ countries for immune modulation and T-cell enhancement.

- URL: https://www.rxpepsdirect.com/peptides/immune/thymosin-alpha1-immune
- Price: $80/15mg (pharmacy wholesale, no markup)
- Form: Injectable vial (5mL, 3mg/mL, 15mg total)
- Starting dose: 20 units (0.6mg)
- Beyond Use Date: 90 Days from compounding (USP <797>)

**What it is:** Thymosin Alpha-1 is dual-listed here as the primary immune optimization peptide. Approved in over 35 countries for various immune conditions.

**How it works:** Enhances dendritic cell and T-cell function, improving your immune system's ability to identify and respond to threats while maintaining balance.

**Ideal for:** Those seeking immune optimization, recovering from illness, or wanting proactive immune support. See Recovery & Repair for full details.

**Dosing protocol:** 20 units subcutaneous injection daily. Maintenance: 2–3 times per week. 20 units = 0.2mL × 3mg/mL = 0.6mg per injection.

**Benefits:** Immune Enhancement, T-Cell Support, Globally Approved, Balanced Response

**Contraindications:** Flag for organ transplant recipients and autoimmune flares. Discuss immunosuppressant use.

**Stacks with:** bpc-157, nad-plus-inject, ara-290

---

### ARA-290

> Dual-listed innate repair receptor agonist for immune recovery and tissue protection.

- URL: https://www.rxpepsdirect.com/peptides/immune/ara-290-immune
- Price: $80/30mg (pharmacy wholesale, no markup)
- Form: Injectable vial (5mL, 6mg/mL, 30mg total)
- Starting dose: 20 units (1.2mg)
- Beyond Use Date: 90 Days from compounding (USP <797>)

**What it is:** ARA-290 is dual-listed for its immune recovery properties. It activates repair pathways that support immune-mediated healing.

**How it works:** Activates the innate repair receptor, supporting the immune system's role in tissue repair and recovery without suppressing immune function.

**Ideal for:** Those wanting immune support alongside tissue repair. See Recovery & Repair for full details.

**Dosing protocol:** 20 units subcutaneous injection daily. 20 units = 0.2mL × 6mg/mL = 1.2mg per injection.

**Benefits:** Immune Recovery, Tissue Protection, Non-Suppressive, Dual-Listed

**Contraindications:** Generally well-tolerated. Discuss with provider for specific conditions.

**Stacks with:** thymosin-alpha1, bpc-157

---

### KPV (in BPC Combos)

> Potent anti-inflammatory tripeptide available in BPC-157 combination formulations.

- URL: https://www.rxpepsdirect.com/peptides/immune/kpv-combo
- Price: Via combo (pharmacy wholesale, no markup)
- Form: Via combination vial
- Starting dose: Per combo
- Beyond Use Date: Inherits BUD of the parent combination vial

**What it is:** KPV is a tripeptide derived from alpha-MSH with powerful anti-inflammatory properties. Available in our BPC-157 combination vials.

**How it works:** It directly suppresses the NF-kB inflammatory pathway, one of the master regulators of inflammation. This provides potent immune modulation without immunosuppression.

**Ideal for:** Those with inflammatory conditions who are already using BPC-157 stacks. See our BPC-157/TB-500/KPV combo under Recovery & Repair.

**Dosing protocol:** Per combo formulation. See BPC-157/TB-500/KPV listing.

**Benefits:** Anti-Inflammatory, NF-kB Suppression, Combo Available, Immune Modulation

**Contraindications:** Available via BPC combo formulations. Discuss with provider.

**Stacks with:** bpc-157, bpc-tb500


---

## Contact

- Support: support@rxpepsdirect.com
- Web: https://www.rxpepsdirect.com
- Legal entity: Peptide RX LLC, 1441 Wazee Street, Denver, CO 80202

_This file is generated from src/data/peptides.ts. Do not edit by hand;
re-run scripts/generate-llms-full.ts to refresh._