FDA-Approved Peptide Therapy
Evidence-based peptide therapy for weight, metabolic health, sexual health, and bone health. Prescribed and monitored by a board-certified physician — not a wellness clinic or telehealth questionnaire. We prescribe only FDA-approved peptides.
Peptide therapy is offered to members of our Direct Primary Care or Concierge Longevity program. We do not prescribe on a stand-alone or single-encounter basis.
Why We Only Prescribe FDA-Approved Peptides
The peptide market is full of gray-market clinics prescribing research-grade peptides sourced from unregulated overseas labs. We don’t. We prescribe only peptides with an FDA-approved indication and a published evidence base — medications a physician can actually defend.
What We Prescribe
GLP-1 Receptor Agonists
Semaglutide (Ozempic, Wegovy) · Tirzepatide (Mounjaro, Zepbound) · Liraglutide (Saxenda, Victoza) — FDA-approved
The most rigorously studied peptide therapy on the market. FDA-approved for type 2 diabetes and chronic weight management (BMI ≥ 30, or ≥ 27 with a weight-related comorbidity). Substantial cardiovascular and renal benefit independent of weight loss. See our GLP-1 program page for details.
Bremelanotide (PT-141)
Vyleesi — FDA-approved
FDA-approved for hypoactive sexual desire disorder (HSDD) in premenopausal women. On-demand subcutaneous injection. Works centrally on melanocortin receptors rather than peripherally, so unlike PDE5 inhibitors it addresses desire rather than mechanics. Evidence base and safety profile from two pivotal phase 3 trials.
Tesamorelin
Egrifta — FDA-approved
Growth hormone-releasing hormone (GHRH) analog. FDA-approved for HIV-associated lipodystrophy with excess visceral adipose tissue. Reduces visceral fat through endogenous GH stimulation. Narrow FDA indication; we prescribe only for the approved use, not as a generic anti-aging or body-composition tool.
Teriparatide
Forteo — FDA-approved
Parathyroid hormone analog. FDA-approved for severe osteoporosis and glucocorticoid-induced osteoporosis. One of the few medications that builds bone rather than just slowing resorption. Used for 18–24 month courses in high-risk patients.
Our Prescribing Standard
We prescribe only FDA-approved peptides through licensed US pharmacies. We do not prescribe research-grade, gray-market, or unregulated compounded peptides.
If you’re currently taking a non-FDA-approved peptide and want a clinical conversation about the evidence and risks, we’re happy to have that discussion as part of your visit.
How the Program Works
1. Comprehensive Evaluation
We start with a full clinical evaluation: history, exam, baseline labs (metabolic, hormones, kidney, liver as indicated), and a clear picture of your goals. Peptide therapy is matched to a specific clinical indication — not prescribed on demand.
2. Right Peptide for the Indication
If you’re a candidate, we prescribe the FDA-approved peptide that matches your indication: GLP-1 for metabolic / weight; bremelanotide for sexual health; tesamorelin for HIV-related lipodystrophy; teriparatide for osteoporosis.
3. Ongoing Monitoring
Follow-up labs, dose adjustments, side-effect management, and continuity with your physician between visits. Long-term medications get long-term monitoring — not a fill-and-forget prescription.
Who Is a Candidate
Peptide therapy is appropriate when:
- There’s a defined clinical indication — you meet the FDA-approved criteria for the specific peptide, or have a well-supported off-label indication we can document.
- The risk/benefit math works for you — we screen for contraindications: pregnancy and lactation, personal or family history of medullary thyroid cancer or MEN-2, pancreatitis history, gastroparesis or significant gastrointestinal motility issues (for GLP-1s); cardiovascular concerns (for bremelanotide); hypercalcemia risk and prior radiation (for teriparatide).
- You want a physician relationship, not a one-off prescription — these are medications that work best with ongoing monitoring and dose titration.
Not every patient who asks for a peptide is a candidate, and we won’t prescribe outside the evidence base just because a patient is asking. If we don’t think a peptide is right for you, we’ll tell you why — and what we’d recommend instead.
Pricing
Peptide therapy is offered through the Concierge Practice, where ongoing monitoring and continuity are part of the membership. GLP-1 weight management is also available under our standalone GLP-1 program.
Medication costs are separate and vary widely by peptide and pharmacy — from $4–30/month at Cost Plus Drugs for some, up to several hundred dollars/month for GLP-1s. We discuss the real cost during evaluation. See full membership pricing →
Why Private MD for Peptide Therapy
- Board-certified internist — not a med spa, wellness clinic, or compounding-pharmacy storefront. Your peptide therapy is managed by a physician trained in internal medicine with 20+ years of experience.
- FDA-approved only — no research-grade peptides, no overseas labs, no gray-market sourcing. Everything we prescribe comes through licensed US pharmacies.
- Evidence-based — we prescribe based on the published clinical trials and FDA labeling, not the latest podcast.
- Real evaluation first — full clinical workup, baseline labs, contraindication screening. No questionnaire-only assessments.
- Ongoing monitoring — follow-up labs, side-effect management, dose adjustments. Peptides are long-term medications, not a one-and-done prescription.
- Whole-patient care — we manage the rest of your health too. Your peptide therapy fits into the bigger picture, not the other way around.
- Hindi, Urdu, Punjabi spoken — care in the language you’re most comfortable with.
Frequently Asked Questions
What peptides do you prescribe?
FDA-approved peptides only: GLP-1 receptor agonists (semaglutide, tirzepatide, liraglutide) for metabolic and weight indications; bremelanotide (PT-141) for hypoactive sexual desire disorder in premenopausal women; tesamorelin for HIV-associated lipodystrophy; teriparatide for severe osteoporosis. We do not prescribe research-grade or unregulated peptides like BPC-157, TB-500, CJC-1295, ipamorelin, sermorelin, or epitalon.
Why won’t you prescribe BPC-157 or CJC-1295?
These peptides have not been evaluated by the FDA for human use, lack rigorous human clinical trial data, and many were placed on the FDA’s “do not compound” list in 2023–2024. The sources are often unregulated, with variable purity and unknown safety. We focus on peptides with published clinical evidence and an FDA-approved indication.
Are GLP-1 medications (Ozempic, Wegovy, Mounjaro) actually peptides?
Yes. Semaglutide, tirzepatide, and liraglutide are peptide-based medications — short chains of amino acids that mimic or augment naturally occurring incretin hormones. They’re among the most rigorously studied FDA-approved peptides on the market, with cardiovascular and renal outcomes data in addition to weight and glycemic outcomes.
Can I take FDA-approved peptides off-label for longevity?
In some cases, yes. Off-label prescribing is legal and common when there’s a well-supported clinical rationale. For example, tesamorelin’s mechanism (GHRH analog) has been discussed in non-HIV contexts. We’ll have an honest conversation about the evidence base for any off-label use — including the gaps and the regulatory considerations — before making a decision.
What about peptides for muscle, recovery, or healing?
The peptides most commonly promoted for these uses (BPC-157, TB-500, CJC-1295/ipamorelin) are not FDA-approved and don’t have rigorous human clinical trial data. We’re happy to discuss what the evidence does and doesn’t say, but we won’t prescribe them. For musculoskeletal recovery, we typically address the underlying issue with conventional treatment — PT, NSAIDs, targeted injections via orthopedics, sleep, nutrition.
How much do FDA-approved peptides cost?
Highly variable. GLP-1s typically run several hundred dollars per month at retail, with significant savings at Cost Plus Drugs, Amazon Pharmacy, or via insurance coverage when eligible. Bremelanotide is on-demand, so per-use cost is what matters. Tesamorelin and teriparatide are higher-cost specialty medications with specific FDA indications. We discuss the actual cost during evaluation so you can decide with full information.
Interested in Peptide Therapy?
Ready to evaluate whether peptide therapy is right for you, or just have questions? Tell us where you are and we’ll reach out.