PEPTIDE THERAPY INFORMED CONSENT

For Non-GLP-1 Peptide Treatments

What is Peptide Therapy?

Peptides are short chains of amino acids that serve as signaling molecules in the body. Peptide therapy involves the administration of specific peptides to support various physiological functions. Only peptides with a lawful compounding pathway may be prescribed at this practice.

CRITICAL REGULATORY NOTICE - FEBRUARY 2026

The FDA has significantly restricted peptide compounding. Many formerly available peptides have been removed from the FDA’s interim bulks list or rejected by the Pharmacy Compounding Advisory Committee (PCAC). BPC-157, TB-500 (thymosin beta-4), and several other popular peptides are now classified as Category 2 (identified safety concerns) and CANNOT be legally compounded. Only peptides that remain on the FDA’s 503A bulks list or are components of FDA-approved drugs may be compounded pursuant to a valid prescription. This practice only prescribes peptides that have a current legal compounding pathway.

REGULATORY STATUS OF COMMON PEPTIDES
May be compounded

Category 1 or component of approved drug

  • Sermorelin — growth hormone-releasing hormone analog
  • Other peptides currently on the FDA 503A Category 1 bulks list

Your prescriber will confirm the current regulatory status of any peptide recommended for your treatment, as the FDA bulks list is subject to change.

Cannot be legally compounded

Category 2 / Prohibited

  • BPC-157 — Category 2 since Sept 2023, no completed human trials
  • TB-500 (thymosin beta-4) — Category 2, zero human trials, may be a biologic (>40 amino acids)
  • AOD-9604, CJC-1295, Ipamorelin — removed from Category 2 but PCAC voted against bulks list inclusion
  • Thymosin alpha-1 — PCAC voted against inclusion; not available for routine compounding
  • Retatrutide, cagrilintide — not FDA-approved, not a component of any approved drug
 
RUO PRODUCTS ARE ILLEGAL FOR HUMAN USE

Products labeled “For Research Use Only – Not for Human Consumption” (RUO) are NOT prescribed at this practice. The FDA has stated that RUO labels are a “ruse to avoid FDA scrutiny.” Use of RUO products on patients constitutes distribution of unapproved new drugs. APIs used in compounding must be pharmaceutical grade from licensed sources. If you are obtaining peptides from non-pharmacy sources, inform your prescriber immediately.

3. BENEFITS
  • Support for tissue repair and recovery
  • Enhanced immune function
  • Improved sleep quality and growth hormone optimization
  • Support for cognitive function

Individual results vary. No specific outcomes are guaranteed. Many peptides lack long-term clinical trial data in humans.

4. RISKS AND SIDE EFFECTS
  • Injection site reactions: redness, swelling, pain, bruising
  • Nausea, headache, dizziness, flushing
  • Allergic reactions including anaphylaxis (rare)
  • Changes in blood pressure or heart rate
  • Water retention or joint discomfort
  • Fatigue, mood changes
  • Unknown long-term effects – many peptides lack completed human clinical trials
  • Batch-to-batch variability in compounded formulations
  • Drug interactions with current medications
5. ALTERNATIVES

Alternatives may include conventional pharmaceutical treatments, lifestyle modifications, surgical interventions, physical therapy, or no treatment. Your prescriber will discuss appropriate alternatives.

6. PATIENT ACKNOWLEDGMENTS
  • I understand that peptide therapy involves compounded medications that are NOT FDA-approved.
  • I understand that many formerly available peptides (including BPC-157 and TB-500) can no longer be legally compounded.
  • I have been informed of the potential risks, benefits, and alternatives.
  • I understand that results are not guaranteed and many peptides lack long-term human safety data.
  • I agree to report any adverse effects immediately.
  • I agree to attend all recommended follow-up appointments and laboratory monitoring.
  • I will not obtain or use RUO or non-pharmaceutical-grade peptide products.
  • I understand I may withdraw consent at any time.