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Peptide Therapy

Physician-guided peptide therapy

Peptides are small proteins that act as messengers in the body. After a full consultation, Dr. Verma may prescribe peptides from licensed U.S. compounding pharmacies to support goals such as sleep, recovery, sexual health, skin and metabolism. We prescribe only peptides that can be lawfully prepared in the United States.

Consultations in Warrenton, Culpeper and Fairfax · (540) 680-2426

Prescribed by

Dr. Sagar Verma, MD, after a consultation

Prepared by

Licensed U.S. compounding pharmacies

Where

Warrenton, Culpeper and Fairfax

Written and medically reviewed by Dr. Sagar Verma, MD, triple board-certified in Internal Medicine, Obesity Medicine and Integrative Medicine · Last reviewed October 2026

“Peptides get a lot of hype. I use only peptides that can be lawfully prescribed in the United States, and I will always tell you honestly what the evidence does and does not show.”

Dr. Sagar Verma, MD
Founder and Medical Director

The basics

What are peptides?

Peptides are short chains of amino acids, the building blocks of protein. Your body makes thousands of them, and many act as signals that tell cells what to do, from releasing hormones to repairing tissue.

Some well-known medicines are peptides, including insulin and the GLP-1 weight loss medicines semaglutide and tirzepatide. Other peptides are prepared by compounding pharmacies, which make medicines for an individual patient based on a prescription.

Peptides are popular, and there is a lot of misleading information about them online. Many products sold online are labeled “for research only” and are not made for people. We prescribe only through licensed U.S. pharmacies, and only peptides that can lawfully be prepared for patients.

What we offer

Peptides we may prescribe

Every prescription follows a consultation, and your plan is based on your health history, goals and, when needed, lab results.

Sexual health

PT-141 (bremelanotide)

Works in the brain on pathways linked to sexual desire and arousal. It may support libido in women and men. An FDA-approved form exists for certain women; other uses are off-label.

Sexual health

Oxytocin

Often called the “bonding hormone.” It may support emotional closeness, arousal and intimacy. Use for sexual health is off-label.

Sleep and recovery

Sermorelin

Encourages your body’s own release of growth hormone. It may support sleep quality, recovery and energy.

Skin and hair

GHK-Cu (copper peptide)

A naturally occurring copper peptide used on the skin and scalp, often with microneedling. It may support collagen, skin repair and healthy-looking hair.

Weight and metabolism

GLP-1 medicines

Semaglutide and tirzepatide are peptide medicines for weight loss. We prescribe FDA-approved brands as part of our medical weight loss program.

Whole-person care

Your personal plan

Peptides work best alongside sleep, nutrition, exercise and, when needed, hormone care. We build them into a complete plan.

Peptides by goal

How peptides fit into your care

Weight and metabolism

GLP-1 peptide medicines within our medical weight loss program.

Learn more

Hormone health

Sermorelin may complement hormone therapy for sleep, recovery and energy.

Learn more

Sexual health

PT-141 and oxytocin as part of our men’s and women’s sexual health care.

Learn more

Skin and hair

GHK-Cu with microneedling, the Vampire Facial® and PRP hair restoration.

Learn more

Staying current

Peptides under FDA review

The rules for compounded peptides are changing. In July 2026, an FDA advisory committee voted in favor of allowing pharmacies to compound six peptides: BPC-157, TB-500, KPV, MOTS-c, Semax and Epitalon.

An advisory vote is a recommendation, not a final decision. These peptides cannot be lawfully compounded until the FDA completes its formal process, which can take many months. Until then, we do not prescribe them. Some other peptides, such as ipamorelin and kisspeptin-10, are on the FDA’s list of substances with significant safety concerns, and we do not offer them.

Dr. Verma follows these changes closely. When more peptides become available through a lawful route, we will update this page. Sign up for our newsletter to hear first.

Safety

Side effects and who should not use peptides

Possible side effects

Peptides may not be right for you if you

Common questions

No. Compounded medicines, including peptides, are not FDA-approved, and the FDA does not review them for safety, effectiveness or quality. Some peptides, such as semaglutide and tirzepatide, are available as FDA-approved brand-name medicines.

They are not currently lawful for U.S. pharmacies to compound. An FDA advisory committee voted in their favor in July 2026, but the FDA has not completed its process. We will update our offerings if that changes.

We advise against it. Many online peptides are sold “for research only,” are not made for people, and may be contaminated or mislabeled.

Most are small injections under the skin that you learn to give at home. Some come as a nasal spray, a dissolving tablet or a cream.

Often, yes. Labs help us choose safely and track your response.

Yes. Peptide therapy consultations are offered in Fairfax, as well as Warrenton and Culpeper.

Usually not. Peptide therapy is self-pay. We explain costs at your consultation.

About peptides. Peptides are prescribed only after a consultation, when your provider decides they are appropriate for you. Compounded peptides are not FDA-approved. Some uses described here are off-label. Peptide availability depends on FDA rules, which are changing, and this page may be updated. Possible side effects include injection-site reactions, nausea, flushing and headache. Individual results vary and are not guaranteed. Medical disclaimer.

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