Compound Profiles

Evidence ratings assigned per use case — because a compound can have strong data for one application and weak data for another.

BPC-157

T2: Emerging Evidence

Body Protection Compound-157

Joint Pain & Recovery

Synthetic peptide derived from human gastric juice. Extensive positive animal data for tendon, ligament and gut healing. No large-scale human trials.

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Semaglutide

T1: Strong Evidence

GLP-1 Receptor Agonist

Weight Management

FDA-approved GLP-1 agonist with robust evidence for weight management, type 2 diabetes, and cardiovascular outcomes. Broad compounding effectively prohibited as of April 2026.

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Tirzepatide

T1: Strong Evidence

Dual GIP/GLP-1 Receptor Agonist

Weight Management

FDA-approved dual-action incretin mimetic. Superior weight loss vs semaglutide in head-to-head trial. Same compounding restrictions as semaglutide.

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PT-141

T1: Strong Evidence

Melanocortin Receptor Agonist (Bremelanotide)

Sexual Health

FDA-approved as Vyleesi for HSDD in premenopausal women. Acts on the central nervous system to increase sexual desire. Off-label use growing via compounding.

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CJC-1295 / Ipamorelin

T2: Emerging Evidence

Growth Hormone Secretagogue Combination

Sleep & Recovery

Growth hormone secretagogue combination with synergistic effects. Documented human data for GH elevation. PCAC reviewed both compounds in late 2024 and did not recommend them for the 503A bulks list.

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TB-500

T2: Emerging Evidence

Thymosin Beta-4 (synthetic fragment)

Joint Pain & Recovery

Synthetic Thymosin Beta-4. Frequently combined with BPC-157 for tissue repair through complementary mechanisms. Strongest human data is in ophthalmic applications.

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Thymosin Alpha-1

T1: Strong Evidence

Tα1 / Zadaxin (Immune Modulator)

Immune & Gut Health

Approved as Zadaxin in 35+ countries for hepatitis B and C. One of the strongest international evidence profiles in the peptide space. PCAC reviewed Tα1 in December 2024 and did not recommend it for the 503A bulks list.

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Semax

T2: Emerging Evidence

ACTH 4–10 Analog (Cognitive Nasal Peptide)

Cognitive Performance

Russian-approved cognitive nasal peptide that modulates dopamine/serotonin and upregulates BDNF. The strongest evidence-to-risk ratio in the cognitive category, with the caveat that most research is in Russian.

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Selank

T2: Emerging Evidence

Tuftsin Analog (Anxiolytic Nasal Peptide)

Mood & Anxiety

Nasal anxiolytic that modulates GABA without sedation, dependency, or tolerance. Referred to PCAC September 2024; remains Category 2 with no scheduled review. Frequently paired with Semax.

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DSIP

T3: Early / Anecdotal

Delta Sleep-Inducing Peptide (Emideltide)

Sleep & Recovery

Sleep-architecture peptide first isolated in 1977. Named for delta-wave sleep promotion. Thinnest evidence base of any compound on the July 2026 PCAC agenda — decades-old research, no modern controlled trials.

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Epitalon

T3: Early / Anecdotal

AEDG Tetrapeptide (Pineal-Derived)

Sleep & Recovery

Synthetic pineal peptide studied for sleep/circadian effects and telomerase activation. 25+ years of research, mostly from a single Russian institute. Sleep effects are the most credible practitioner-reported outcome; longevity claims outpace controlled evidence.

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GHK-Cu

T2: Emerging Evidence

Glycyl-L-Histidyl-L-Lysine Copper Peptide

Skin & Hair

Copper peptide with strong topical evidence for skin aging, scar reduction, and hair growth. Injectable systemic use has minimal clinical data. Second PCAC meeting before February 2027.

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MOTS-C

T2: Emerging Evidence

Mitochondrial-Derived Peptide

Weight Management

Mitochondrial-derived peptide that activates AMPK to improve insulin sensitivity and metabolic regulation. Sometimes called an ‘exercise mimetic.’ On the July 23, 2026 PCAC agenda.

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KPV

T2: Emerging Evidence

Lysine-Proline-Valine (α-MSH tripeptide)

Immune & Gut Health

Tripeptide fragment of alpha-MSH studied for inflammatory bowel applications. Strongest mechanistic case of any compound on the July 2026 PCAC agenda. No large-scale human trials.

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Dihexa

T3: Early / Anecdotal

Synthetic Hexapeptide (HGF/c-Met activator)

Cognitive Performance

The most hyped and least proven cognitive peptide. Foundational research has been retracted, no human trials exist, and the ‘millions of times more potent than BDNF’ claim traces back to compromised work. We cannot recommend it.

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PE-22-28

T3: Early / Anecdotal

Spadin Analog (TREK-1 Channel Inhibitor)

Cognitive Performance

Early-stage spadin analog targeting TREK-1 channels for mood and cognition. Almost entirely preclinical with minimal published data. Included for completeness.

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