This information illustrates ideas about dosing as shown in the dosing tables, titration schedules, and stack protocols. These protocols are extremely general in nature and are not meant to be adopted for anyone's use of peptides. This is not medical advice and not reviewed by the FDA.
These were gathered using AI through internet sources, physician YouTube videos, scientific studies, etc. Although these sources seem credible, we cannot take any responsibility for the safety of using any peptides at any dosage for any individual who is not our patient and has not gone through our intake process and had their individual medical history assessed by our clinical team.
It is a companion to the Peptide Therapy Guide — Explanations, which explains in a general way what each peptide is and why it is prescribed. All dosing on this page is a starting reference only; a specific protocol for any patient is determined by Dr. Daniel Olivero, MD and our clinical team.
Important Disclaimer — Read Before Using This Reference
Dosing tables and titration schedules on this page are for reference only, intended for use by licensed prescribers. They are not a substitute for individualized clinical judgment.
This assessment and dosing information is not intended for use by unlicensed individuals or by licensed professionals who lack adequate training and experience in assessing patients for peptide therapy. All clinical decisions and dosing must be made in consultation with a licensed, experienced physician and a licensed, experienced compounding pharmacist, and should be supported by published clinical studies.
The information presented here has been compiled using Artificial Intelligence, statements from videos and websites by apparent qualified professionals, and available published research. We strongly encourage exhaustive independent research before considering any peptide.
Anyone starting a medication they have never taken before should take an extremely conservative approach. Without large-scale, long-term clinical studies, all medications carry the possibility of unknown or unreported side effects. These materials are provided only to help begin your research. They are not medical advice and should not be used as a substitute for professional medical care.
1. How Peptides Are Administered
Most peptide therapies are administered via subcutaneous injection—a small needle just under the skin, typically in the abdomen or thigh. The needles are tiny (30 or 31 gauge insulin syringes) and most patients report minimal discomfort. Some peptides are also available as oral capsules, intranasal sprays, topical creams, or IV/IM injections. All injectable medications include syringes and ship overnight directly from the pharmacy.
Storage & Handling
- Refrigerate reconstituted peptides at 36–46°F (2–8°C). Do not freeze.
- Protect from light and vibration.
- Use bacteriostatic water for reconstitution unless instructed otherwise by the pharmacy.
- Discard vials past the manufacturer/pharmacy beyond-use date.
- Rotate injection sites to reduce injection-site reactions.
- Always verify vial concentration before drawing up a dose.
General Prescribing Principles
- Start low. Titrate slowly. Match dose to tolerance and objective response.
- Verify current regulatory status and pharmacy availability before every prescription and every refill.
- The lowest effective dose is usually the right dose. Label ceilings are ceilings, not targets.
- Reassess at scheduled intervals with objective endpoints (weight, waist, labs, symptom scales). If there is no measurable benefit at reassessment, stop.
2. Stacked Peptide Protocols
Specific peptide combinations—called stacks—can produce synergistic effects that exceed what any single peptide would achieve alone. Your clinical team will recommend the right combination for your individual needs.
| Stack | Components & Typical Doses | Frequency / Cycle | Clinical Rationale |
|---|---|---|---|
| Accelerated Healing | BPC-157: 250–500 mcg TB-500: 750 mcg–2.5 mg |
BPC: 1–2x daily TB-500: 2x/week |
BPC-157 promotes angiogenesis and gut healing; TB-500 drives cell migration and tissue regeneration. Synergistic repair. |
| Comprehensive Repair & Anti-Inflammatory | BPC-157: 250 mcg TB-500: 1 mg GHK-Cu: 1–2 mg KPV: 250 mcg |
BPC daily; TB-500 2x/wk; GHK-Cu daily or 3–5x/wk; KPV daily | Full-spectrum healing: repair (BPC/TB), collagen stimulation (GHK-Cu), and targeted inflammation reduction (KPV). Effective for autoimmune-related inflammation and chronic gut issues. |
| Healing & Gut Inflammation | BPC-157: 250 mcg KPV: 200–500 mcg TB-500: 1 mg |
All components daily or as directed | Streamlined protocol for inflammatory bowel conditions and leaky gut with tissue healing support. |
| Targeted Fat Loss & GH | Tesamorelin: 1–2 mg Ipamorelin: 200–300 mcg |
Both daily at bedtime | Tesamorelin provides sustained GHRH stimulation for visceral fat reduction; Ipamorelin delivers clean GH pulses. Comprehensive body composition improvement. |
| Metabolic Optimization | AOD-9604: 300 mcg MOTS-c: 5 mg Tesamorelin: 1 mg |
AOD/Tes daily; MOTS-c 2–3x/week | Aggressive metabolic stack targeting fat loss from the fat cell (AOD), mitochondria (MOTS-c), and hormonal axis (Tesamorelin) simultaneously. |
| Fat Loss & Metabolic Support | AOD-9604: 300–600 mcg MOTS-c: 5–10 mg |
AOD daily; MOTS-c 2–3x/week | For patients on GLP-1 wanting additional metabolic support, or those not candidates for GH peptides. |
| Repair & Rejuvenation | BPC-157: 250 mcg TB-500: 1 mg GHK-Cu: 1–2 mg |
BPC daily; TB-500 2x/wk; GHK-Cu daily or 3–5x/wk | Combines internal healing with visible anti-aging benefits via collagen stimulation. |
| Anti-Aging & Longevity | GHK-Cu: 1–2 mg Epithalon: 5–10 mg |
Both daily for 10–20 day cycles | GHK-Cu supports visible repair; Epithalon activates telomerase for cellular-level longevity. |
| Cognitive & Neurological | Pinealon: 10 mg PE-22-28: 100–500 mcg Selank: 250–500 mcg |
All daily; cycle 10–20 days | Brain-focused nootropic stack targeting cognitive performance, mental clarity, and stress resilience. |
3. Dosing Reference Tables
Important: These are suggested starting points only. All dosing is determined and adjusted by Dr. Daniel Olivero, MD and the clinical team based on each patient's labs, health history, current medications, and treatment goals. Do not self-adjust dosing without physician approval.
GLP-1 & Weight Management Peptides
| Peptide | Route | Suggested Dose Range | Frequency | Notes |
|---|---|---|---|---|
| Semaglutide | SubQ | 0.25 mg titrated up to 2.4 mg | Once weekly | Titrate every 4 weeks per tolerance |
| Tirzepatide | SubQ | 2.5 mg titrated up to 15 mg | Once weekly | Titrate every 4 weeks per tolerance |
GLP-1 Titration Schedules & Vial Duration
Weeks of Supply = Total mg in Vial ÷ Weekly Dose (mg)
A note on microdosing: Many patients choose to stay at a lower dose than the maximum—sometimes called "microdosing." This approach can help reduce side effects and make each vial last significantly longer. There is no single "right" dose. Work with your healthcare provider to find what works best for you.
Semaglutide Titration
Starting dose: 0.25 mg/week
- Weeks 1–4: 0.25 mg/week
- Weeks 5–8: 0.5 mg/week
- Weeks 9–12: 1.0 mg/week
- Week 13+: Provider may increase to 1.7 mg or 2.4 mg/week if needed
| Vial Size | @ 0.25 mg/wk | @ 0.5 mg/wk | @ 1.0 mg/wk | @ 2.0 mg/wk | @ 2.4 mg/wk |
|---|---|---|---|---|---|
| 5 mg | 20 weeks | 10 weeks | 5 weeks | 2.5 weeks | ~2 weeks |
| 10 mg | 40 weeks | 20 weeks | 10 weeks | 5 weeks | ~4 weeks |
| 15 mg | 60 weeks | 30 weeks | 15 weeks | 7.5 weeks | ~6 weeks |
| 20 mg | 80 weeks | 40 weeks | 20 weeks | 10 weeks | ~8 weeks |
| 30 mg | 120 weeks | 60 weeks | 30 weeks | 15 weeks | 12.5 weeks |
Tirzepatide Titration
Starting dose: 2.5 mg/week
- Weeks 1–4: 2.5 mg/week
- Weeks 5–8: 5 mg/week
- Weeks 9–12: 7.5 mg/week if needed
- Week 13+: Provider may increase to 10 mg, 12.5 mg, or 15 mg/week
| Vial Size | @ 2.5 mg/wk | @ 5 mg/wk | @ 7.5 mg/wk | @ 10 mg/wk | @ 15 mg/wk |
|---|---|---|---|---|---|
| 5 mg | 2 weeks | 1 week | ~5 days | ~3.5 days | ~2.3 days |
| 10 mg | 4 weeks | 2 weeks | ~1.3 weeks | 1 week | ~4.7 days |
| 15 mg | 6 weeks | 3 weeks | 2 weeks | 1.5 weeks | 1 week |
| 20 mg | 8 weeks | 4 weeks | ~2.7 weeks | 2 weeks | ~1.3 weeks |
| 30 mg | 12 weeks | 6 weeks | 4 weeks | 3 weeks | 2 weeks |
| 50 mg | 20 weeks | 10 weeks | ~6.7 weeks | 5 weeks | ~3.3 weeks |
Growth Hormone Support Peptides
| Peptide | Route | Suggested Dose Range | Frequency | Notes |
|---|---|---|---|---|
| Sermorelin | SubQ | 200–500 mcg | Daily at bedtime | Cycle 5 days on / 2 days off or as directed |
| Tesamorelin | SubQ | 1–2 mg | Daily | FDA-approved for visceral fat; empty stomach |
| CJC-1295 (no DAC) / Ipamorelin | SubQ | CJC: 100–300 mcg / Ipa: 200–300 mcg | 1–3x daily (commonly at bedtime) | Empty stomach; no food 30 min after. CJC with DAC is dosed weekly, not daily. |
| IGF-1 LR3 | SubQ | 20–80 mcg | Daily (cycle 4–6 wks on, 2–4 off) | Potent; monitor blood glucose and IGF-1 levels |
Fat Metabolism & Metabolic Peptides
| Peptide | Route | Suggested Dose Range | Frequency | Notes |
|---|---|---|---|---|
| AOD-9604 | SubQ | 300–600 mcg | Daily on empty stomach | Does not raise blood sugar; often combined with MOTS-c |
| MOTS-c | SubQ | 5–10 mg | 2–3x per week | Mitochondrial peptide; investigational for most uses |
Tissue Repair & Recovery Peptides
| Peptide | Route | Suggested Dose Range | Frequency | Notes |
|---|---|---|---|---|
| BPC-157 | SubQ | 250–500 mcg | 1–2x daily | Inject near injury site when possible; often stacked with TB-500 |
| TB-500 (Thymosin Beta-4) | SubQ | 750 mcg–2.5 mg | 2x/week (loading), then weekly | Loading phase 4–6 weeks, then maintenance |
| TB-4 Fragment | SubQ | 200–400 mcg | Daily or every other day | Truncated form; similar benefits at lower dose |
| KPV | SubQ / Oral | 200–500 mcg | Daily | Anti-inflammatory; especially useful for gut inflammation |
Immune Support Peptides
| Peptide | Route | Suggested Dose Range | Frequency | Notes |
|---|---|---|---|---|
| Thymosin Alpha-1 | SubQ | 1.6 mg | 2–3x per week | Well-studied; used internationally for chronic infections |
Anti-Aging, Skin & Longevity Peptides
| Peptide | Route | Suggested Dose Range | Frequency | Notes |
|---|---|---|---|---|
| GHK-Cu | SubQ / Topical | 1–2 mg SubQ or topical as directed | Daily or 3–5x/week | Collagen stimulation; hair and skin rejuvenation |
| Epithalon | SubQ | 5–10 mg | Daily for 10–20 day cycles | Telomerase activation; cycle 2–3x per year |
| NAD+ | IV / SubQ | IV: 250–500 mg; SubQ: 50–200 mg | IV: 1–2x/month; SubQ: 2–3x/week | Coenzyme; supports mitochondrial function and DNA repair |
Sexual Health Peptides
| Peptide | Route | Suggested Dose Range | Frequency | Notes |
|---|---|---|---|---|
| PT-141 (Bremelanotide) | SubQ | 1–2 mg | As needed, 45 min prior to activity | Max 1 dose per 24 hrs; no more than 8 doses/month; may cause flushing/nausea |
Cognitive & Neurological Support Peptides
| Peptide | Route | Suggested Dose Range | Frequency | Notes |
|---|---|---|---|---|
| Cerebrolysin | IM / IV | 5–10 mL | Daily for 10–20 day cycles | Porcine-derived; primarily studied in Europe/Asia |
| Selank | Intranasal | 250–500 mcg | 1–3x daily | Anxiolytic; no sedation; supports focus and clarity |
| Pinealon | SubQ / Oral | 10–20 mg | Daily for 10–20 day cycles | Bioregulator; supports sleep and neuroprotection |
| PE-22-28 | SubQ / Intranasal | 100–500 mcg | Daily | BDNF pathway; investigational antidepressant properties |
4. Safety Monitoring & Side Effects
Most side effects are mild and temporary:
- Injection site redness or irritation
- Mild headache
- Water retention (particularly with growth hormone peptides)
- Increased hunger (with GH peptides)
- Flushing or nausea (particularly with PT-141)
- Gastrointestinal symptoms (with GLP-1 agonists, especially during titration)
Serious side effects are rare with proper dosing and regulated sourcing. If you experience anything unusual, contact our office immediately at (908) 598-0509.
5. Regulatory Climate & Making Informed Choices
A Note on the Regulatory Climate
The peptide therapy landscape continues to evolve. Some peptides have full FDA approval. Others are available through licensed compounding pharmacies under current regulations. Still others exist in a regulatory grey area.
We strongly encourage every patient to conduct their own exhaustive research before pursuing any peptide therapy. We do not recommend purchasing peptides from online research-chemical vendors or unverified sources.
We are not anti-pharmaceutical industry. Large pharmaceutical companies have developed many important and life-changing medicines. At the same time, we believe patients benefit from transparency about the full picture — including publicly documented cases of large fines, lawsuits, political contributions, and the movement of officials between regulatory agencies and industry.
Our approach is one of common-sense healthcare choices. We work exclusively with licensed U.S. compounding pharmacies, require medical evaluation and ongoing oversight, and adjust protocols as regulations change.
Third-Party Research Sources
We encourage patients and prescribers to review independent, publicly available reporting on pharmaceutical policy and industry conduct.
- OpenSecrets.org — Pharma lobbying & contributions
- ProPublica — Investigative reporting on pharma
- U.S. Department of Justice — Pharmaceutical settlements & fines
- FDA Ethics — Post-government employment rules
- KFF Health News — Pharma policy & influence
- STAT News — Independent biopharma reporting
6. References & Key Literature
- Wilding JPH, et al. "Once-Weekly Semaglutide in Adults with Overweight or Obesity." N Engl J Med. 2021;384(11):989-1002. (STEP-1)
- Aronne LJ, et al. "Tirzepatide as Compared with Semaglutide for the Treatment of Obesity." N Engl J Med. 2025;393:26-36. (SURMOUNT-5)
- Stanley TL, et al. "Visceral Fat Reduction with Tesamorelin Is Associated With Improved Liver Enzymes." Analysis of Phase III registration data. PMC. 2018.
- Teichman SL, et al. "Prolonged stimulation of growth hormone (GH) and insulin-like growth factor I secretion by CJC-1295." J Clin Endocrinol Metab. 2006;91(3):799-805.
- Heffernan M, et al. "The effects of human GH and its lipolytic fragment (AOD9604) on lipid metabolism." Endocrinology. 2001;142(12):5182-9.
- Lu H, et al. "MOTS-c: A promising mitochondrial-derived peptide for metabolic disease." PMC. 2022;14:9905433.
- Pickart L, et al. "GHK Peptide as a Natural Modulator of Multiple Cellular Pathways in Skin Regeneration." PMC. 2014;6:4508379.
- Pickart L, et al. "Regenerative and Protective Actions of the GHK-Cu Peptide in the Light of the New Gene Data." PMC. 2018;10:6073405.
- Comprehensive review of Thymosin alpha-1 literature. PMC. 2020;11:7747025.
- TESTS Trial. "The efficacy and safety of thymosin α1 for sepsis." BMJ. 2025;388:e082583.
- FDA. NDA 210557 — Vyleesi (bremelanotide) Approval Package. June 2019.
- Clayton AH, et al. "Bremelanotide for female sexual dysfunction." Obstet Gynecol. 2019;134(5):1030-1038. (RECONNECT)
- Goldstein I, Goldstein S. "Use of Bremelanotide (Vyleesi) in Men with Sexual Dysfunctions." J Sex Med. 2024 (Abstract).
- Lee & Padgett. "BPC-157 and TB4 for knee pain." Retrospective study, 2021.
- Lee et al. "Intravesicular BPC-157 for interstitial cystitis." Pilot study, 2024.
- Lee & Burgess. "IV BPC-157 safety in healthy adults." Pilot study, 2025.
- Coskun T, et al. "LY3437943, a novel triple glucagon, GIP, and GLP-1 receptor agonist." Cell Metab. 2022;34(9):1234-e12479.
The Bottom Line
Before starting any peptide protocol, speak with your prescribing physician. Do your homework. Read about the peptides that interest you. Understand what the evidence supports and where the science is still emerging. An educated patient is a safer patient—and that is exactly what we want for everyone we treat.
This document is for educational purposes only and does not constitute medical advice. Peptide therapies should only be used under the supervision of a qualified healthcare provider. Some peptides discussed are investigational and not FDA-approved for all described uses. Regulatory status and availability are subject to change. All medications are prepared and dispensed by licensed FDA-registered compounding pharmacies. These statements have not been evaluated by the FDA. Always consult with your medical provider before starting or modifying any treatment protocol.
