Peptide TherapyPeptide Therapy

Peptides are short chains of amino acids that act as signals in the body, telling cells to release a hormone, repair tissue, or change how they use energy. Peptide therapy uses specific peptides, prescribed by a provider and prepared by a compounding pharmacy, to support goals like energy, recovery, or body composition. At Randali it always follows an evaluation and lab work.

Sermorelin and NAD+. These are the peptides a licensed compounding pharmacy can lawfully prepare and a provider can lawfully prescribe today. We do not offer BPC-157, KPV, TB-500, MOTS-c, Epitalon, or Semax, because as of August 2026 they cannot be lawfully prescribed or compounded in the United States.

The FDA removed six peptides, including BPC-157 and TB-500, from its Category 2 safety list in April 2026, and an FDA advisory committee voted favorably on them in July 2026. That vote is advisory only. The FDA must still issue a proposed rule, take public comment, and publish a final rule before these can be added to the 503A bulks list and compounded lawfully. Vendors selling them as "research use only" are working around that, not complying with it.

The peptides we offer are compounded preparations, not FDA-approved finished drug products, and their use for wellness goals is off-label. Sermorelin has the strongest footing of any growth hormone peptide because it was previously FDA-approved as Geref for diagnosing growth hormone deficiency; that approval was withdrawn in 2009 at the manufacturer's request for business reasons, not safety. There is no FDA-approved injectable NAD+.

Yes, for most plans. Peptide therapy is self-administered at home with a very fine subcutaneous needle, similar to an insulin or GLP-1 pen. We train you on technique, site rotation, and storage before you start, and patients almost always find it easier than they expected.

Any changes tend to develop gradually, often over several weeks to a few months, and they vary considerably between individuals. Peptide therapy is adjusted over time based on how you respond and what your labs show, so follow-up is part of the process rather than optional.

Be careful here. Sermorelin and most peptides discussed in this category are prohibited by the World Anti-Doping Agency regardless of whether you hold a valid prescription. If you compete under WADA or a similar body, tell your provider before starting anything.

Randali is in Lancaster, PA and welcomes patients from Lititz, Ephrata, Manheim, and surrounding communities. Your consultation determines whether peptide therapy is appropriate for you.

For appropriately screened patients the peptides we offer are generally well tolerated, which is exactly why the evaluation matters. The most common effects are injection-site reactions. Sermorelin can cause flushing, headache, or fluid retention, and warrants screening for malignancy. NAD+ injections can cause flushing or nausea. Long-term safety data for wellness use is limited, and we'd rather say so than imply otherwise.

It's priced as a monthly program covering the compounded prescription, injection training, and follow-up visits. Labs are billed separately and are sometimes covered by insurance. Because dosing and duration are individual, your provider confirms your exact pricing at consultation.

Generally no. Compounded peptides prescribed for wellness goals are typically not covered, and you should plan on paying out of pocket. Baseline and follow-up lab work is sometimes covered depending on your plan and the reason for testing.