Peptide guide

Everything you need to know about peptides

From FDA-approved GLP-1s to trending “research peptides,” 42 profiles graded by real evidence — what each does, what studies show, regulatory status, and safety.

Last reviewed October 2026 · Educational only, not medical advice.

Peptide basics

How we grade evidence

A Established / approved

Supported by regulator-approved labeling or consistent large human trials.

B Human clinical data

Supported by published human trials, but not approved for this use or data are limited.

C Preliminary research

Animal, cell, or very small/uncontrolled human studies only.

D Anecdotal / community

Reported online or in practice; not validated by controlled research.

Most peptides marketed online are not FDA-approved. Never self-inject products labeled “research use only.”

Essential reads

6 min read

How to read peptide evidence

Why a rat study isn't a human result, and how to tell an approved dose from a forum dose.

The evidence ladder

Regulator-approved labels sit at the top: they reflect large randomized trials reviewed by agencies like the FDA or EMA. Below that are published human trials, then animal and cell studies, and finally anecdotal reports. Most peptides sold online sit on the bottom two rungs.

Animal results rarely translate

Doses, healing timelines, and biology differ between rodents and people. Many compounds that work in mice never show benefit in human trials — AOD-9604 is a well-documented example.

Watch for single-lab evidence

When nearly all studies on a compound come from one research group, independent replication is missing. This applies to BPC-157 and Epitalon.

Approved ≠ approved for your use

Tesamorelin is FDA-approved — but only for HIV-associated lipodystrophy. Off-label use relies on weaker evidence.

5 min read

Compounded vs approved peptides

What compounding pharmacies can and cannot guarantee, and what the FDA's Category 2 list means.

What compounding is

Pharmacies may prepare customized medications for individual patients. Compounded drugs are not FDA-approved, which means the agency has not verified their safety, effectiveness, or quality.

The FDA Category 2 list

In 2023 the FDA placed several peptides — including BPC-157, TB-4 fragments, GHK-Cu (injectable), KPV, MOTS-c, and Ipamorelin/CJC-1295 — on a list of bulk substances that may present significant safety risks, restricting their use in US compounding.

Research-use-only products

Products labeled ‘not for human consumption’ have no quality obligations for human use. Independent analyses have found under-dosing, contamination, and wrong substances.

Questions to ask

Is the active ingredient pharmaceutical grade? Is there a certificate of analysis from an independent lab? Is a licensed clinician supervising?

7 min read

GLP-1 medicines: the essentials

Semaglutide, tirzepatide, and what comes next — effectiveness, side effects, and what happens when you stop.

How they work

GLP-1–based drugs mimic gut hormones that signal fullness, slow stomach emptying, and help regulate blood sugar.

How well they work

In 68–72 week trials, semaglutide 2.4 mg produced ~15% mean weight loss and tirzepatide 15 mg ~21%. Individual response varies widely.

Common side effects

Nausea, vomiting, diarrhea, and constipation are common, especially during dose increases. Gallbladder problems and pancreatitis are less common but important risks.

Stopping

Most people regain a substantial portion of lost weight after stopping, so these are generally considered long-term treatments.

4 min read

Injection basics & safety

General principles for subcutaneous medicines prescribed by a clinician.

Only under supervision

This guide is general education. Follow the instructions from your prescriber and pharmacist for any injectable medication.

Storage

Most peptides require refrigeration and protection from light. Never use a product that has been frozen unless labeled for it, or that looks cloudy when it should be clear.

Sterility

Use new sterile needles every time, rotate injection sites, and dispose of sharps in an approved container.

Warning signs

Seek medical care for spreading redness, fever, severe abdominal pain, difficulty breathing, or facial swelling.

Peptide encyclopedia A–Z

42 results

Acetyl-L-Carnitine

ALCAR

Amino-acid derivative (not a peptide) involved in fatty-acid transport, with modest human data.

A Established / approvedSupplement / OTC

AOD-9604

hGH fragment 177–191 analogue

Modified growth-hormone fragment that failed to show meaningful weight loss in phase 2b trials.

B Human clinical dataUnapproved / research

BPC-157

Body Protection Compound-157 · pentadecapeptide

The most-discussed repair peptide — extensive rodent data, almost no published human trials.

C Preliminary researchUnapproved / research

BPC-157 + TB-500

“Wolverine stack”

Popular recovery combination — no human trials of either component for musculoskeletal injury, or of the combination.

D Anecdotal / communityUnapproved / research

Cagrilintide

Long-acting amylin analogue · sold as “Amylix”

Investigational long-acting amylin analogue studied alone and combined with semaglutide (CagriSema).

B Human clinical dataInvestigational

CJC + Ipamorelin + DSIP

Adds DSIP to the GH-release pairing; unstudied as a combination.

D Anecdotal / communityUnapproved / research

CJC-1295

Modified GRF (1-29) without DAC (“Mod GRF”) · with DAC variant

GHRH analogue that raises GH and IGF-1; the DAC version had human phase 1/2 data before development stopped.

B Human clinical dataUnapproved / research

CJC-1295 + Ipamorelin

Popular GHRH + ghrelin-mimetic pairing; rationale is physiological, but combination trials don't exist.

C Preliminary researchUnapproved / research

Dihexa

PNB-0408

Angiotensin IV–derived research compound that improved cognition in rats; no human trials.

C Preliminary researchUnapproved / research

DSIP

Delta Sleep-Inducing Peptide

Nonapeptide isolated in 1977 from rabbits; small human trials show inconsistent effects on sleep.

C Preliminary researchUnapproved / research

EDTA + Xylitol Nasal Spray

Nasal hygiene spray (not a peptide). Xylitol sprays have small studies for sinus symptoms.

B Human clinical dataSupplement / OTC

Enclomiphene

trans-clomiphene citrate

Oral SERM (not a peptide) that raises testosterone in secondary hypogonadism while preserving sperm counts.

B Human clinical dataUnapproved / research

Epitalon

Epithalon · Ala-Glu-Asp-Gly

Synthetic tetrapeptide from Russian gerontology research; claims rest on a small group's studies.

C Preliminary researchUnapproved / research

GHK-Cu (Copper Peptide)

Glycyl-L-histidyl-L-lysine copper

Naturally occurring copper tripeptide with modest clinical evidence for topical skin aging — injectables are unstudied.

B Human clinical dataUnapproved / research

Glow Triple Peptide

BPC-157 / TB-500 / GHK-Cu

Compounded three-peptide blend marketed for skin and repair; not studied as a combination.

D Anecdotal / communityUnapproved / research

Humanin

Mitochondria-derived peptide discovered in Alzheimer's research; human administration has not been studied.

C Preliminary researchUnapproved / research

IGF-1 LR3

Long R3 IGF-1

Modified long-acting IGF-1 used in cell culture; never tested in humans. Mecasermin (Increlex) is the approved IGF-1.

A Established / approvedUnapproved / research

Ipamorelin

Selective ghrelin-receptor agonist that releases GH without large cortisol/prolactin effects; failed in phase 2 for ileus.

B Human clinical dataUnapproved / research

Kisspeptin

Kisspeptin-10 / -54

Upstream regulator of GnRH studied for fertility, hypogonadism, and sexual brain processing.

B Human clinical dataInvestigational

KLOW Blend

BPC-157 / TB-500 / GHK-Cu / KPV

Four-peptide compounded stack adding anti-inflammatory KPV; no clinical data on the combination.

D Anecdotal / communityUnapproved / research

KPV

Lys-Pro-Val · α-MSH(11-13)

Anti-inflammatory tripeptide from α-MSH, active in mouse colitis models; no human trials.

C Preliminary researchUnapproved / research

Melanotan II

MT-II · listed as “MII”

Unapproved non-selective melanocortin agonist used for tanning; linked to safety warnings from regulators.

B Human clinical dataUnapproved / research

MGF (Mechano Growth Factor)

IGF-1Ec splice variant · PEG-MGF

IGF-1 splice variant expressed in muscle after loading; evidence is limited to cell and animal studies.

C Preliminary researchUnapproved / research

MOTS-c

Mitochondrial ORF of the 12S rRNA type-c

Mitochondria-derived peptide that improves insulin sensitivity and exercise capacity in mice — human data are minimal.

C Preliminary researchUnapproved / research

NAD+

Nicotinamide adenine dinucleotide

Essential coenzyme (not a peptide) that declines with age; human benefit of supplementation remains unproven.

B Human clinical dataUnapproved / research

Oxytocin

Pitocin (IV)

Hypothalamic hormone approved for labour induction; intranasal social and sexual effects remain mixed.

A Established / approvedFDA approved

Peptide Golden Gut Support

BPC-157 + KPV + curcumin + L-glutamine

Oral capsule blend; curcumin and glutamine have modest human data, the peptides do not.

B Human clinical dataUnapproved / research

PT-141 (Bremelanotide)

Vyleesi

FDA-approved melanocortin agonist for low sexual desire in premenopausal women.

A Established / approvedFDA approved

PT-141 + Oxytocin

Compounded intranasal combination of bremelanotide and oxytocin. The combination itself has not been studied.

D Anecdotal / communityUnapproved / research

Retatrutide

LY3437943 · sold as “GLP-X3”

Investigational GIP / GLP-1 / glucagon triple agonist with the largest weight reductions reported in a phase 2 obesity trial.

B Human clinical dataInvestigational

Selank

Tuftsin analogue · TP-7

Russian-approved anxiolytic peptide; small trials suggest benzodiazepine-like calm without sedation.

B Human clinical dataApproved outside US

Semaglutide

Ozempic · Wegovy · Rybelsus

FDA-approved GLP-1 receptor agonist for type 2 diabetes, chronic weight management, and cardiovascular risk reduction.

A Established / approvedFDA approved

Semax

ACTH(4-10) analogue · Met-Glu-His-Phe-Pro-Gly-Pro

Russian-approved nootropic and neuroprotective nasal peptide; minimal research outside Russia.

B Human clinical dataApproved outside US

Semax + Oxytocin

Compounded nasal combination; no published human data on the pairing.

D Anecdotal / communityUnapproved / research

Semax + Selank

Compounded focus-plus-calm nasal blend; not studied as a combination.

D Anecdotal / communityUnapproved / research

Sermorelin

GRF (1-29) · formerly Geref

First 29 amino acids of GHRH; previously FDA-approved for pediatric GH deficiency, discontinued in 2008.

A Established / approvedUnapproved / research

SLU-PP-332

Estrogen-related receptor (ERR) agonist · listed as “SLUPP-332”

Small-molecule ERR agonist (not a peptide) studied as an exercise mimetic in mice only.

C Preliminary researchUnapproved / research

SS-31 (Elamipretide)

Forzinity · MTP-131 · Bendavia

Mitochondria-targeting tetrapeptide; received FDA accelerated approval for Barth syndrome in 2025.

A Established / approvedFDA approved

TB-500 / Thymosin Beta-4

Tβ4 · also listed as “Thymosin Beta”

Actin-binding peptide; full-length Tβ4 has phase 2 data in eye and wound healing. TB-500 fragments have none.

B Human clinical dataUnapproved / research

Tesamorelin

Egrifta

FDA-approved GHRH analogue for reducing excess abdominal fat in HIV-associated lipodystrophy.

A Established / approvedFDA approved

Thymosin Alpha-1

Thymalfasin · Zadaxin

Immunomodulating thymic peptide approved in 30+ countries for hepatitis B/C and as a vaccine adjuvant.

B Human clinical dataApproved outside US

Tirzepatide

Mounjaro · Zepbound

FDA-approved dual GIP/GLP-1 agonist for type 2 diabetes, obesity, and obstructive sleep apnea.

A Established / approvedFDA approved

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