I keep getting the same question: "What peptides can I actually get through a telehealth clinic?"
Fair question. The answer used to be simple. Now it's complicated. So let me break down exactly what's available through the legitimate telehealth route versus what you'll need to source elsewhere.
This is the list I wish someone had given me six months ago.
PEPTIDES YOU CAN LEGALLY GET THROUGH TELEHEALTH
These peptides are legally available through telehealth clinics and 503A compounding pharmacies right now. A licensed provider can prescribe them, a compounding pharmacy can make them, and they'll ship to your door — all fully above board.
GLP-1s (Weight Loss):
Growth Hormone Support:
Sermorelin — The only legal GH secretagogue left. Weaker than CJC/Ipa but still moves the needle for sleep, recovery, and body composition.
Testosterone & Fertility Support:
Gonadorelin (GnRH/LHRH) — Stimulates LH and FSH. Solid option for maintaining testicular function on TRT or supporting natural testosterone production.
Sexual Health:
PT-141 / Bremelanotide (Vyleesi) — FDA-approved for sexual dysfunction. Works on the nervous system, not blood flow.
Cellular Energy & Longevity:
NAD+ — Injectable or IV. Cellular energy, mitochondrial function, anti-aging. This one's still fully available.
Other Compoundable Peptides:
VIP (Vasoactive Intestinal Peptide) — Gut health, CIRS/mold illness protocols
GHK-Cu (topical only) — Skin health, hair growth, collagen. Injectable version is banned, but topical is legal.
Glutathione — Master antioxidant, detox support
Thymulin — Immune modulation
5-Amino-1MQ (oral) — Weight loss, metabolism
FDA-Approved (Specific Indications):
Tesamorelin (Egrifta) — FDA-approved for HIV-related lipodystrophy. Reduces visceral fat. Can only be prescribed for that indication, but some clinics work with it.
That's the legal telehealth list. If a peptide isn't on here, you're not getting it through a legitimate, FDA-compliant clinic.
PEPTIDES YOU CANNOT LEGALLY GET THROUGH TELEHEALTH
Here's where it gets important. I need to be 100% clear with you.
These peptides are on the FDA's Category 2 list. As of September 2023, compounding pharmacies are prohibited from producing them. The FDA has stated they "may take enforcement action" against any pharmacy that does.
This isn't a gray area in the law — it's explicitly prohibited.
Healing & Recovery:
BPC-157 — The gut healing, tissue repair peptide everyone loves. Category 2.
TB-500 (Thymosin Beta-4) — Injury recovery, flexibility. Category 2.
Thymosin Alpha-1 — Immune modulation. Category 2.
KPV — Anti-inflammatory, gut healing. Category 2.
LL-37 — Antimicrobial peptide. Category 2.
GH Secretagogues:
CJC-1295 (with or without DAC) — Category 2.
Ipamorelin — Category 2.
GHRP-2 — Category 2 (injectable). Oral may still be available through some 503B facilities for non-injectable routes.
GHRP-6 — Category 2.
Hexarelin — Category 2.
MK-677 / Ibutamoren — Category 2. Not technically a peptide, but same restrictions.
Metabolic & Weight Loss:
AOD-9604 — Category 2.
MOTS-c — Category 2.
Retatrutide — Not FDA-approved. Cannot be compounded.
Cagrilintide — Not FDA-approved. Cannot be compounded.
Cognitive & Nootropic:
Longevity & Anti-Aging:
Tanning & Cosmetic:
Melanotan II — Category 2.
Melanotan I — Category 2.
Hormone Support:
Kisspeptin-10 — Category 2.
HCG — Reclassified as a biologic in 2020. Cannot be compounded.
Bioregulators (Khavinson Peptides):
Pinealon, Prostamax, Ovagen, Livagen, Pancragen, Cardiogen, Vilon, Testagen — None are FDA-approved or eligible for compounding.

Source: FDA.gov — Official Category 2 Bulk Drug Substances List
"BUT I KNOW A CLINIC THAT STILL OFFERS BPC-157..."
Yeah. Some do. Let me explain what's actually happening.
Some clinics and compounding pharmacies are still producing and prescribing Category 2 peptides. They're taking a calculated legal risk, betting that FDA enforcement will remain selective. And so far, the FDA has mostly targeted the biggest offenders — like Tailor Made Compounding, which was prosecuted by the DOJ and forced to forfeit $1.79 million for distributing BPC-157, CJC-1295, Ipamorelin, and other banned peptides.
But here's the reality:
It's not legal. The Alliance for Pharmacy Compounding has stated explicitly: "Those substances are listed in Category 2 and thus are ineligible for compounding; moreover, they do not meet any of the legal criteria for compounding."
It's not "off-label" prescribing. Off-label means using an FDA-approved drug for a different purpose. BPC-157 was never approved for anything. Prescribing it isn't off-label — it's prescribing an unapproved drug, which is a different legal category entirely.
Most legitimate clinics have stopped. After the Tailor Made prosecution and FDA's Category 2 designations, reputable telehealth providers and compliant pharmacies pulled these peptides from their offerings. The ones still doing it are operating in a legal gray zone.
Oral BPC-157 is a loophole some are using. Some practitioners argue that oral peptides fall under different supplement regulations. The FDA hasn't explicitly endorsed this, but it's a workaround some are exploring. You'll see "Pentadeca Short-Chain Amino Acids" marketed as the oral version.
Bottom line: If a telehealth clinic is offering you injectable BPC-157, CJC-1295, or Ipamorelin through a "legitimate compounding pharmacy" — ask questions. Ask which pharmacy. Ask how they're legally doing it. Because according to the FDA, the Alliance for Pharmacy Compounding, and the DOJ's enforcement actions, they shouldn't be.
WHY THE SPLIT HAPPENED
Quick context if you're wondering how we got here.
In September 2023, the FDA updated their "Category 2" list — a blacklist of substances that compounding pharmacies cannot legally use. Their reasoning: "risk for immunogenicity, peptide-related impurities, and limited safety-related information."
Translation: not enough human clinical trials and theoretical risk of immune reactions.
Before that, compounding pharmacies could make almost anything. I walked into a men's clinic in 2019 and got prescribed Ipamorelin without any issues. That same prescription is now illegal to fill at any compliant pharmacy.
The FDA didn't find evidence these peptides were harmful. They just decided that "not enough data" equals "banned until further notice." Meanwhile, the GLP-1s that make Big Pharma billions sailed through approval.
There's a chance this changes. RFK Jr. is now HHS Secretary and has publicly said he wants to "end the FDA's war on peptides." He's already removed experts from the FDA's compounding advisory panel. But as of today — December 2025 — nothing has officially shifted. Category 2 peptides remain prohibited from compounding.

THE BOTTOM LINE
Legally available through telehealth:
NOT legally available through telehealth (Category 2 / Not Approved):
GHK-Cu (injectable)
For the second list, research peptide companies are currently your only option. They operate under the "for research purposes only" framework. The quality is there if you source correctly — look for third-party COAs and established reputations. Crypto payments are becoming standard as these companies move away from traditional payment processors.
This is the landscape. Plan accordingly.
Stay optimized,
Lee
P.S. — Holiday peptide sales recap:
BioLongevity Labs — 55% off + 15% off with codes “LEE15” | Buy 3 Get 1 Free | 25% credit on $500+ | ⚠️ Switching to telehealth 2026
Limitless — 40% off with code “LEE20” | Staying RUO long-term
Paramount — 20% off sitewide with code “HOLIDAY20” | Fast shipping
BLL is switching to telehealth in 2026. If you want Category 2 peptides from them, this is it. Limitless and Paramount are staying RUO.
Stock up while you can.
Peptide Community & Member Perks
SOURCES:
FDA Category 2 Bulk Drug Substances List: fda.gov/drugs/human-drug-compounding/certain-bulk-drug-substances-use-compounding-may-present-significant-safety-risks
DOJ Tailor Made Compounding Sentencing: justice.gov/usao-edky/pr/nicholasville-compounding-pharmacy-and-its-owner-sentenced-unlawful-distribution
Alliance for Pharmacy Compounding Statement on Peptides (March 2024)
RFK Jr. Statement on FDA: x.com/RobertKennedyJr/status/1849925311586238737


