{
  "$schema": "https://mydosage.org/schema/export/v1.json",
  "version": "1.1.0",
  "generatedAt": "2026-07-22T21:15:31.983Z",
  "license": {
    "id": "CC-BY-SA-4.0",
    "url": "https://creativecommons.org/licenses/by-sa/4.0/",
    "attribution": "Mydosage contributors"
  },
  "counts": {
    "substances": 57,
    "products": 61,
    "conditions": 7,
    "profiles": 14,
    "protocols": 12,
    "forks": 13,
    "follows": 23,
    "adverseEventsApproved": 6
  },
  "substances": [
    {
      "slug": "semaglutide",
      "name": "Semaglutide",
      "aliases": [
        "Ozempic",
        "Wegovy",
        "Rybelsus"
      ],
      "family": "GLP-1 receptor agonist",
      "summary": "Long-acting GLP-1 analogue approved for type-2 diabetes and chronic weight management. The most rigorously studied peptide on this index.",
      "mechanism": "Agonist at the GLP-1 receptor; delays gastric emptying, increases glucose-dependent insulin secretion, suppresses appetite via central pathways.",
      "halfLife": "~7 days",
      "typicalDose": "0.25–2.4 mg/week, titrated",
      "routes": [
        "Subcutaneous",
        "Oral"
      ],
      "evidenceTier": "human-rct",
      "contraindications": [
        "Personal/family MTC",
        "MEN-2",
        "Pregnancy",
        "History of pancreatitis (caution)"
      ],
      "reportedUses": [
        {
          "conditionSlug": "weight-management",
          "tier": "human-rct"
        },
        {
          "conditionSlug": "addiction-cravings",
          "tier": "human-observational"
        },
        {
          "conditionSlug": "eating-disorders",
          "tier": "anecdotal"
        }
      ],
      "citations": [
        {
          "label": "Wilding et al., 2021 — STEP 1 — NEJM",
          "url": "https://pubmed.ncbi.nlm.nih.gov/33567185/"
        }
      ]
    },
    {
      "slug": "tirzepatide",
      "name": "Tirzepatide",
      "aliases": [
        "Mounjaro",
        "Zepbound"
      ],
      "family": "GIP / GLP-1 dual agonist",
      "summary": "Dual incretin receptor agonist with larger weight reduction than semaglutide in head-to-head trials.",
      "mechanism": "Co-agonist at GIP and GLP-1 receptors; delays gastric emptying, modulates appetite and glucose homeostasis.",
      "halfLife": "~5 days",
      "typicalDose": "2.5–15 mg/week, titrated",
      "routes": [
        "Subcutaneous"
      ],
      "evidenceTier": "human-rct",
      "contraindications": [
        "MTC",
        "MEN-2",
        "Pregnancy"
      ],
      "reportedUses": [
        {
          "conditionSlug": "weight-management",
          "tier": "human-rct"
        }
      ],
      "citations": [
        {
          "label": "Jastreboff et al., 2022 — SURMOUNT-1 — NEJM",
          "url": "https://pubmed.ncbi.nlm.nih.gov/35658024/"
        }
      ]
    },
    {
      "slug": "liraglutide",
      "name": "Liraglutide",
      "aliases": [
        "Saxenda",
        "Victoza"
      ],
      "family": "GLP-1 receptor agonist",
      "summary": "Daily GLP-1 analogue, first-in-class for chronic weight management. Older and shorter-acting than semaglutide.",
      "mechanism": "GLP-1 receptor agonist; albumin-binding extends half-life relative to native GLP-1.",
      "halfLife": "~13 h",
      "typicalDose": "0.6–3.0 mg/day",
      "routes": [
        "Subcutaneous"
      ],
      "evidenceTier": "human-rct",
      "contraindications": [
        "MTC",
        "MEN-2",
        "Pregnancy"
      ],
      "reportedUses": [
        {
          "conditionSlug": "weight-management",
          "tier": "human-rct"
        }
      ],
      "citations": [
        {
          "label": "Pi-Sunyer et al., 2015 — SCALE — NEJM",
          "url": "https://pubmed.ncbi.nlm.nih.gov/26132939/"
        }
      ]
    },
    {
      "slug": "dulaglutide",
      "name": "Dulaglutide",
      "aliases": [
        "Trulicity"
      ],
      "family": "GLP-1 receptor agonist",
      "summary": "Weekly GLP-1 analogue fused to an IgG4 Fc fragment for extended half-life. Approved for T2D and cardiovascular risk reduction.",
      "mechanism": "GLP-1 receptor agonist with Fc fragment for once-weekly dosing.",
      "halfLife": "~5 days",
      "typicalDose": "0.75–4.5 mg/week",
      "routes": [
        "Subcutaneous"
      ],
      "evidenceTier": "human-rct",
      "contraindications": [
        "MTC",
        "MEN-2",
        "Pregnancy"
      ],
      "reportedUses": [
        {
          "conditionSlug": "weight-management",
          "tier": "human-observational"
        }
      ],
      "citations": [
        {
          "label": "REWIND, 2019 — Lancet",
          "url": "https://pubmed.ncbi.nlm.nih.gov/31189511/"
        }
      ]
    },
    {
      "slug": "exenatide",
      "name": "Exenatide",
      "aliases": [
        "Byetta",
        "Bydureon"
      ],
      "family": "GLP-1 receptor agonist",
      "summary": "Synthetic version of exendin-4 (Gila monster). First-in-class GLP-1 agonist for T2D.",
      "mechanism": "GLP-1 receptor agonist; resistant to DPP-4 degradation.",
      "halfLife": "~2.4 h (IR), ~2 weeks (XR)",
      "typicalDose": "5–10 mcg BID or 2 mg/week",
      "routes": [
        "Subcutaneous"
      ],
      "evidenceTier": "human-rct",
      "contraindications": [
        "MTC",
        "MEN-2",
        "Severe renal impairment"
      ],
      "reportedUses": [
        {
          "conditionSlug": "weight-management",
          "tier": "human-rct"
        }
      ],
      "citations": [
        {
          "label": "DeFronzo et al., 2005 — Diabetes Care",
          "url": "https://pubmed.ncbi.nlm.nih.gov/15855581/"
        }
      ]
    },
    {
      "slug": "retatrutide",
      "name": "Retatrutide",
      "aliases": [
        "LY3437943"
      ],
      "family": "GIP / GLP-1 / glucagon triple agonist",
      "summary": "Triple-receptor agonist in late-stage trials with ~24% mean weight loss at 48 weeks. Not yet approved.",
      "mechanism": "Co-agonism at GIP, GLP-1, and glucagon receptors.",
      "halfLife": "~6 days",
      "typicalDose": "1–12 mg/week (trial)",
      "routes": [
        "Subcutaneous"
      ],
      "evidenceTier": "human-rct",
      "contraindications": [
        "Investigational — clinical trial only"
      ],
      "reportedUses": [
        {
          "conditionSlug": "weight-management",
          "tier": "human-rct"
        }
      ],
      "citations": [
        {
          "label": "Jastreboff et al., 2023 — NEJM",
          "url": "https://pubmed.ncbi.nlm.nih.gov/37366316/"
        }
      ]
    },
    {
      "slug": "cagrilintide",
      "name": "Cagrilintide",
      "aliases": [
        "AM833"
      ],
      "family": "Amylin analogue",
      "summary": "Long-acting amylin analogue investigated alone and combined with semaglutide (CagriSema) for weight loss.",
      "mechanism": "Amylin and calcitonin receptor agonist; slows gastric emptying and increases satiety.",
      "halfLife": "~7 days",
      "typicalDose": "0.16–2.4 mg/week (trial)",
      "routes": [
        "Subcutaneous"
      ],
      "evidenceTier": "human-rct",
      "contraindications": [
        "Investigational"
      ],
      "reportedUses": [
        {
          "conditionSlug": "weight-management",
          "tier": "human-rct"
        }
      ],
      "citations": [
        {
          "label": "Enebo et al., 2021 — Lancet",
          "url": "https://pubmed.ncbi.nlm.nih.gov/34324834/"
        }
      ]
    },
    {
      "slug": "orforglipron",
      "name": "Orforglipron",
      "aliases": [
        "LY3502970"
      ],
      "family": "Oral non-peptide GLP-1 agonist",
      "summary": "Small-molecule oral GLP-1 agonist in phase 3; no food/water restrictions unlike Rybelsus.",
      "mechanism": "Non-peptide GLP-1 receptor agonist.",
      "halfLife": "~29–49 h",
      "typicalDose": "3–45 mg/day (trial)",
      "routes": [
        "Oral"
      ],
      "evidenceTier": "human-rct",
      "contraindications": [
        "Investigational"
      ],
      "reportedUses": [
        {
          "conditionSlug": "weight-management",
          "tier": "human-rct"
        }
      ],
      "citations": [
        {
          "label": "Wharton et al., 2023 — NEJM",
          "url": "https://pubmed.ncbi.nlm.nih.gov/37367459/"
        }
      ]
    },
    {
      "slug": "survodutide",
      "name": "Survodutide",
      "aliases": [
        "BI 456906"
      ],
      "family": "GLP-1 / glucagon dual agonist",
      "summary": "Boehringer Ingelheim/Zealand dual agonist in late trials for obesity and MASH.",
      "mechanism": "Co-agonism at GLP-1 and glucagon receptors.",
      "halfLife": "~5 days",
      "typicalDose": "0.6–6.0 mg/week (trial)",
      "routes": [
        "Subcutaneous"
      ],
      "evidenceTier": "human-rct",
      "contraindications": [
        "Investigational"
      ],
      "reportedUses": [
        {
          "conditionSlug": "weight-management",
          "tier": "human-rct"
        }
      ],
      "citations": [
        {
          "label": "le Roux et al., 2024 — Lancet D&E",
          "url": "https://pubmed.ncbi.nlm.nih.gov/38437850/"
        }
      ]
    },
    {
      "slug": "ipamorelin",
      "name": "Ipamorelin",
      "aliases": [],
      "family": "Growth hormone secretagogue",
      "summary": "Selective GH secretagogue with minimal effect on cortisol or prolactin. Reported for sleep and recovery.",
      "mechanism": "Ghrelin (GHS-R1a) receptor agonist; pulses endogenous GH release.",
      "halfLife": "~2 h",
      "typicalDose": "200–300 mcg, 1–3× daily",
      "routes": [
        "Subcutaneous"
      ],
      "evidenceTier": "preclinical",
      "contraindications": [
        "Active malignancy",
        "Pregnancy"
      ],
      "reportedUses": [
        {
          "conditionSlug": "recovery-sleep",
          "tier": "anecdotal"
        }
      ],
      "citations": [
        {
          "label": "Raun et al., 1998 — Eur J Endocrinol",
          "url": "https://pubmed.ncbi.nlm.nih.gov/9678537/"
        }
      ]
    },
    {
      "slug": "cjc-1295-dac",
      "name": "CJC-1295 (with DAC)",
      "aliases": [
        "DAC:GRF"
      ],
      "family": "GHRH analogue (long-acting)",
      "summary": "GHRH analogue with drug-affinity complex extending half-life to days. Sustained elevation of GH/IGF-1.",
      "mechanism": "GHRH receptor agonist; DAC binds albumin in vivo for extended exposure.",
      "halfLife": "~6–8 days",
      "typicalDose": "1–2 mg/week",
      "routes": [
        "Subcutaneous"
      ],
      "evidenceTier": "preclinical",
      "contraindications": [
        "Active malignancy",
        "Pregnancy"
      ],
      "reportedUses": [
        {
          "conditionSlug": "recovery-sleep",
          "tier": "anecdotal"
        }
      ],
      "citations": [
        {
          "label": "Teichman et al., 2006 — JCEM",
          "url": "https://pubmed.ncbi.nlm.nih.gov/16352683/"
        }
      ]
    },
    {
      "slug": "cjc-1295-no-dac",
      "name": "CJC-1295 (no DAC)",
      "aliases": [
        "Modified GRF (1-29)",
        "Mod GRF"
      ],
      "family": "GHRH analogue (short-acting)",
      "summary": "Short-acting GHRH analogue used to pulse GH in combination with ghrelin mimetics.",
      "mechanism": "GHRH receptor agonist without albumin-binding modification.",
      "halfLife": "~30 min",
      "typicalDose": "100 mcg, 1–3× daily",
      "routes": [
        "Subcutaneous"
      ],
      "evidenceTier": "preclinical",
      "contraindications": [
        "Active malignancy",
        "Pregnancy"
      ],
      "reportedUses": [
        {
          "conditionSlug": "recovery-sleep",
          "tier": "anecdotal"
        }
      ],
      "citations": [
        {
          "label": "Sinha et al., 2013 — JCEM",
          "url": "https://pubmed.ncbi.nlm.nih.gov/23472217/"
        }
      ]
    },
    {
      "slug": "sermorelin",
      "name": "Sermorelin",
      "aliases": [
        "GRF 1-29",
        "Geref"
      ],
      "family": "GHRH analogue",
      "summary": "Synthetic GHRH(1-29) historically marketed as Geref. Common in US anti-aging compounding.",
      "mechanism": "Endogenous GHRH receptor agonist; physiologic GH pulses.",
      "halfLife": "~10–20 min",
      "typicalDose": "100–500 mcg/night",
      "routes": [
        "Subcutaneous"
      ],
      "evidenceTier": "human-rct",
      "contraindications": [
        "Active malignancy",
        "Hypothyroidism (uncontrolled)"
      ],
      "reportedUses": [
        {
          "conditionSlug": "recovery-sleep",
          "tier": "human-observational"
        }
      ],
      "citations": [
        {
          "label": "Walker, 2006 — Clin Interv Aging",
          "url": "https://pubmed.ncbi.nlm.nih.gov/18046889/"
        }
      ]
    },
    {
      "slug": "tesamorelin",
      "name": "Tesamorelin",
      "aliases": [
        "Egrifta"
      ],
      "family": "GHRH analogue (stabilised)",
      "summary": "Stabilised GHRH analogue approved for HIV-associated lipodystrophy; reduces visceral adipose tissue.",
      "mechanism": "GHRH receptor agonist with N-terminal modification for stability.",
      "halfLife": "~26–38 min",
      "typicalDose": "2 mg/day",
      "routes": [
        "Subcutaneous"
      ],
      "evidenceTier": "human-rct",
      "contraindications": [
        "Active malignancy",
        "Pregnancy",
        "Hypopituitarism"
      ],
      "reportedUses": [
        {
          "conditionSlug": "weight-management",
          "tier": "human-rct"
        }
      ],
      "citations": [
        {
          "label": "Falutz et al., 2010 — NEJM",
          "url": "https://pubmed.ncbi.nlm.nih.gov/17890231/"
        }
      ]
    },
    {
      "slug": "mk-677",
      "name": "MK-677",
      "aliases": [
        "Ibutamoren",
        "Oratrope"
      ],
      "family": "Oral ghrelin mimetic",
      "summary": "Orally active non-peptide ghrelin mimetic. Sustained GH/IGF-1 elevation but increases appetite and water retention.",
      "mechanism": "GHS-R1a agonist; oral small molecule.",
      "halfLife": "~4–6 h",
      "typicalDose": "10–25 mg/day",
      "routes": [
        "Oral"
      ],
      "evidenceTier": "human-rct",
      "contraindications": [
        "CHF",
        "Diabetes (caution)",
        "Active malignancy"
      ],
      "reportedUses": [
        {
          "conditionSlug": "recovery-sleep",
          "tier": "anecdotal"
        }
      ],
      "citations": [
        {
          "label": "Nass et al., 2008 — Ann Intern Med",
          "url": "https://pubmed.ncbi.nlm.nih.gov/19017919/"
        }
      ]
    },
    {
      "slug": "hexarelin",
      "name": "Hexarelin",
      "aliases": [],
      "family": "Growth hormone secretagogue",
      "summary": "Potent ghrelin mimetic, more cortisol and prolactin response than ipamorelin. Less used clinically.",
      "mechanism": "GHS-R1a agonist.",
      "halfLife": "~55 min",
      "typicalDose": "100–200 mcg, 2–3× daily",
      "routes": [
        "Subcutaneous"
      ],
      "evidenceTier": "preclinical",
      "contraindications": [
        "Pregnancy",
        "Active malignancy"
      ],
      "reportedUses": [
        {
          "conditionSlug": "recovery-sleep",
          "tier": "anecdotal"
        }
      ],
      "citations": [
        {
          "label": "Locatelli et al., 1994 — Endocrinology",
          "url": "https://pubmed.ncbi.nlm.nih.gov/7956983/"
        }
      ]
    },
    {
      "slug": "ghrp-2",
      "name": "GHRP-2",
      "aliases": [],
      "family": "Growth hormone secretagogue",
      "summary": "Ghrelin mimetic stronger than ipamorelin; moderate cortisol/prolactin rise.",
      "mechanism": "GHS-R1a agonist.",
      "halfLife": "~15–60 min",
      "typicalDose": "100–300 mcg, 2–3× daily",
      "routes": [
        "Subcutaneous"
      ],
      "evidenceTier": "preclinical",
      "contraindications": [
        "Pregnancy",
        "Active malignancy"
      ],
      "reportedUses": [
        {
          "conditionSlug": "recovery-sleep",
          "tier": "anecdotal"
        }
      ],
      "citations": [
        {
          "label": "Bowers, 1996 — JCEM",
          "url": "https://pubmed.ncbi.nlm.nih.gov/8550726/"
        }
      ]
    },
    {
      "slug": "ghrp-6",
      "name": "GHRP-6",
      "aliases": [],
      "family": "Growth hormone secretagogue",
      "summary": "First-generation ghrelin mimetic with marked hunger-stimulating effect.",
      "mechanism": "GHS-R1a agonist; potent appetite stimulation.",
      "halfLife": "~15–60 min",
      "typicalDose": "100–300 mcg, 2–3× daily",
      "routes": [
        "Subcutaneous"
      ],
      "evidenceTier": "preclinical",
      "contraindications": [
        "Pregnancy",
        "Active malignancy"
      ],
      "reportedUses": [
        {
          "conditionSlug": "recovery-sleep",
          "tier": "anecdotal"
        }
      ],
      "citations": [
        {
          "label": "Bowers, 1991 — Endocrinology",
          "url": "https://pubmed.ncbi.nlm.nih.gov/2026598/"
        }
      ]
    },
    {
      "slug": "bpc-157",
      "name": "BPC-157",
      "aliases": [
        "Body Protection Compound 157",
        "PL 14736"
      ],
      "family": "Gastric pentadecapeptide",
      "summary": "Synthetic 15-aa sequence derived from a gastric juice protein. Reported anecdotally for soft-tissue and tendon recovery.",
      "mechanism": "Modulates nitric oxide system, upregulates GH receptor; promotes angiogenesis preclinically.",
      "halfLife": "~30 min (subcutaneous, rodent)",
      "typicalDose": "200–500 mcg/day",
      "routes": [
        "Subcutaneous",
        "Oral (stable form)"
      ],
      "evidenceTier": "preclinical",
      "contraindications": [
        "Active malignancy (theoretical)",
        "Pregnancy — no human data"
      ],
      "reportedUses": [
        {
          "conditionSlug": "tendon-injury",
          "tier": "anecdotal"
        },
        {
          "conditionSlug": "joint-pain",
          "tier": "anecdotal"
        }
      ],
      "citations": [
        {
          "label": "Sikiric et al., 2018 — Curr Pharm Des",
          "url": "https://pubmed.ncbi.nlm.nih.gov/29879879/"
        }
      ]
    },
    {
      "slug": "tb-500",
      "name": "TB-500",
      "aliases": [
        "Thymosin Beta-4 fragment"
      ],
      "family": "Actin-sequestering peptide",
      "summary": "Synthetic fragment of Thymosin β4. Reported for recovery; small clinical trials in cardiac and ophthalmic contexts.",
      "mechanism": "Binds G-actin; regulates cytoskeletal organisation; endothelial migration preclinically.",
      "halfLife": "~2–3 h",
      "typicalDose": "2–5 mg/week, divided",
      "routes": [
        "Subcutaneous",
        "Intramuscular"
      ],
      "evidenceTier": "preclinical",
      "contraindications": [
        "Active malignancy (theoretical)",
        "Pregnancy"
      ],
      "reportedUses": [
        {
          "conditionSlug": "tendon-injury",
          "tier": "anecdotal"
        }
      ],
      "citations": [
        {
          "label": "Goldstein et al., 2012 — Ann NY Acad Sci",
          "url": "https://pubmed.ncbi.nlm.nih.gov/23045969/"
        }
      ]
    },
    {
      "slug": "thymosin-beta-4",
      "name": "Thymosin β4 (full)",
      "aliases": [
        "TB4",
        "Timbetasin"
      ],
      "family": "Actin-sequestering peptide",
      "summary": "Full-length 43-aa Tβ4. Distinct from the TB-500 fragment; clinical trials in dry-eye and cardiac repair.",
      "mechanism": "G-actin sequestering; modulates inflammation and angiogenesis.",
      "halfLife": "~2 h",
      "typicalDose": "Investigational",
      "routes": [
        "Subcutaneous",
        "Ophthalmic"
      ],
      "evidenceTier": "human-observational",
      "contraindications": [
        "Pregnancy"
      ],
      "reportedUses": [
        {
          "conditionSlug": "tendon-injury",
          "tier": "anecdotal"
        }
      ],
      "citations": [
        {
          "label": "Sosne et al., 2010 — Ann NY Acad Sci",
          "url": "https://pubmed.ncbi.nlm.nih.gov/20536942/"
        }
      ]
    },
    {
      "slug": "kpv",
      "name": "KPV",
      "aliases": [
        "α-MSH(11-13)"
      ],
      "family": "Tripeptide (α-MSH fragment)",
      "summary": "C-terminal α-MSH tripeptide with anti-inflammatory action; investigated for IBD and skin inflammation.",
      "mechanism": "Inhibits NF-κB and pro-inflammatory cytokine signalling.",
      "halfLife": "Short",
      "typicalDose": "200–500 mcg/day (anecdotal)",
      "routes": [
        "Oral",
        "Topical",
        "Subcutaneous"
      ],
      "evidenceTier": "preclinical",
      "contraindications": [
        "Pregnancy"
      ],
      "reportedUses": [
        {
          "conditionSlug": "joint-pain",
          "tier": "anecdotal"
        }
      ],
      "citations": [
        {
          "label": "Dalmasso et al., 2008 — Gastroenterology",
          "url": "https://pubmed.ncbi.nlm.nih.gov/18242208/"
        }
      ]
    },
    {
      "slug": "larazotide",
      "name": "Larazotide",
      "aliases": [
        "AT-1001"
      ],
      "family": "Tight-junction modulator (octapeptide)",
      "summary": "Investigational tight-junction regulator for coeliac disease; reduces zonulin-mediated permeability.",
      "mechanism": "Antagonises zonulin-induced opening of intestinal tight junctions.",
      "halfLife": "Short (gut-restricted)",
      "typicalDose": "0.5–8 mg with meals (trial)",
      "routes": [
        "Oral"
      ],
      "evidenceTier": "human-rct",
      "contraindications": [
        "Pregnancy (no data)"
      ],
      "reportedUses": [],
      "citations": [
        {
          "label": "Leffler et al., 2015 — Gastroenterology",
          "url": "https://pubmed.ncbi.nlm.nih.gov/26226577/"
        }
      ]
    },
    {
      "slug": "ghk-cu",
      "name": "GHK-Cu",
      "aliases": [
        "Copper Tripeptide-1"
      ],
      "family": "Copper-binding tripeptide",
      "summary": "Naturally occurring copper-binding tripeptide. Topical use studied for skin remodelling; injectable use is anecdotal.",
      "mechanism": "Modulates wound-healing gene expression; binds copper(II) with high affinity.",
      "halfLife": "Short (minutes, plasma)",
      "typicalDose": "1–2 mg/day (anecdotal, injectable)",
      "routes": [
        "Topical",
        "Subcutaneous"
      ],
      "evidenceTier": "human-observational",
      "contraindications": [
        "Wilson's disease",
        "Copper sensitivity"
      ],
      "reportedUses": [
        {
          "conditionSlug": "recovery-sleep",
          "tier": "anecdotal"
        }
      ],
      "citations": [
        {
          "label": "Pickart & Margolina, 2018 — Int J Mol Sci",
          "url": "https://pubmed.ncbi.nlm.nih.gov/29879733/"
        }
      ]
    },
    {
      "slug": "argireline",
      "name": "Argireline",
      "aliases": [
        "Acetyl Hexapeptide-3",
        "Acetyl Hexapeptide-8"
      ],
      "family": "Topical cosmetic hexapeptide",
      "summary": "Cosmetic hexapeptide marketed as a topical anti-wrinkle agent. Modest effect in controlled studies.",
      "mechanism": "Mimics SNAP-25 N-terminus; competitively inhibits SNARE assembly in vitro.",
      "halfLife": "Topical, not systemic",
      "typicalDose": "5–10% topical",
      "routes": [
        "Topical"
      ],
      "evidenceTier": "human-observational",
      "contraindications": [
        "None significant (topical)"
      ],
      "reportedUses": [],
      "citations": [
        {
          "label": "Wang et al., 2013 — JCDS",
          "url": "https://pubmed.ncbi.nlm.nih.gov/23906223/"
        }
      ]
    },
    {
      "slug": "matrixyl",
      "name": "Matrixyl",
      "aliases": [
        "Palmitoyl Pentapeptide-4",
        "Pal-KTTKS"
      ],
      "family": "Topical cosmetic peptide",
      "summary": "Palmitoylated collagen fragment marketed for topical anti-aging. Increases collagen synthesis in vitro.",
      "mechanism": "Stimulates collagen I, III, and fibronectin synthesis in fibroblasts.",
      "halfLife": "Topical",
      "typicalDose": "3–5% topical",
      "routes": [
        "Topical"
      ],
      "evidenceTier": "human-observational",
      "contraindications": [
        "None significant"
      ],
      "reportedUses": [],
      "citations": [
        {
          "label": "Robinson et al., 2005 — Int J Cosmet Sci",
          "url": "https://pubmed.ncbi.nlm.nih.gov/18492182/"
        }
      ]
    },
    {
      "slug": "snap-8",
      "name": "SNAP-8",
      "aliases": [
        "Acetyl Octapeptide-3"
      ],
      "family": "Topical cosmetic peptide",
      "summary": "Extended Argireline variant; same mechanism in vitro, longer sequence.",
      "mechanism": "SNAP-25 N-terminal mimetic.",
      "halfLife": "Topical",
      "typicalDose": "5–10% topical",
      "routes": [
        "Topical"
      ],
      "evidenceTier": "anecdotal",
      "contraindications": [
        "None significant"
      ],
      "reportedUses": [],
      "citations": []
    },
    {
      "slug": "melanotan-1",
      "name": "Melanotan I",
      "aliases": [
        "Afamelanotide",
        "Scenesse"
      ],
      "family": "α-MSH analogue",
      "summary": "Linear α-MSH analogue (afamelanotide), approved as Scenesse for erythropoietic protoporphyria.",
      "mechanism": "Melanocortin-1 receptor agonist; stimulates eumelanin production.",
      "halfLife": "~30 min (free); implant releases over months",
      "typicalDose": "16 mg implant every 2 months",
      "routes": [
        "Subcutaneous implant"
      ],
      "evidenceTier": "human-rct",
      "contraindications": [
        "Pregnancy",
        "Active melanoma"
      ],
      "reportedUses": [],
      "citations": [
        {
          "label": "Langendonk et al., 2015 — NEJM",
          "url": "https://pubmed.ncbi.nlm.nih.gov/26132941/"
        }
      ]
    },
    {
      "slug": "melanotan-2",
      "name": "Melanotan II",
      "aliases": [
        "MT-II"
      ],
      "family": "α-MSH analogue (cyclic)",
      "summary": "Cyclic α-MSH analogue, the parent of bremelanotide. Unapproved; significant adverse-event profile.",
      "mechanism": "Non-selective melanocortin receptor agonist (MC1, MC3, MC4, MC5).",
      "halfLife": "~33 min",
      "typicalDose": "Not recommended — adverse-event risk",
      "routes": [
        "Subcutaneous"
      ],
      "evidenceTier": "preclinical",
      "contraindications": [
        "Pregnancy",
        "Personal/family melanoma",
        "History of moles/dysplastic nevi"
      ],
      "reportedUses": [],
      "citations": [
        {
          "label": "Hadley & Dorr, 2006 — Peptides",
          "url": "https://pubmed.ncbi.nlm.nih.gov/16356597/"
        }
      ]
    },
    {
      "slug": "pt-141",
      "name": "PT-141",
      "aliases": [
        "Bremelanotide",
        "Vyleesi"
      ],
      "family": "α-MSH analogue (MC4)",
      "summary": "Cyclic α-MSH analogue approved as Vyleesi for hypoactive sexual desire disorder in premenopausal women.",
      "mechanism": "Melanocortin-4 receptor agonist; central pro-erectile/libido pathway.",
      "halfLife": "~2.7 h",
      "typicalDose": "1.75 mg, on-demand",
      "routes": [
        "Subcutaneous"
      ],
      "evidenceTier": "human-rct",
      "contraindications": [
        "Uncontrolled hypertension",
        "Cardiovascular disease"
      ],
      "reportedUses": [],
      "citations": [
        {
          "label": "Kingsberg et al., 2019 — Obstet Gynecol",
          "url": "https://pubmed.ncbi.nlm.nih.gov/31403600/"
        }
      ]
    },
    {
      "slug": "setmelanotide",
      "name": "Setmelanotide",
      "aliases": [
        "Imcivree"
      ],
      "family": "α-MSH analogue (MC4 selective)",
      "summary": "MC4R-selective agonist approved for rare monogenic obesity (POMC, LEPR, BBS).",
      "mechanism": "Selective melanocortin-4 receptor agonist.",
      "halfLife": "~11 h",
      "typicalDose": "2–3 mg/day",
      "routes": [
        "Subcutaneous"
      ],
      "evidenceTier": "human-rct",
      "contraindications": [
        "Pregnancy",
        "Pre-existing depression (caution)"
      ],
      "reportedUses": [
        {
          "conditionSlug": "weight-management",
          "tier": "human-rct"
        }
      ],
      "citations": [
        {
          "label": "Clément et al., 2020 — Lancet D&E",
          "url": "https://pubmed.ncbi.nlm.nih.gov/33189156/"
        }
      ]
    },
    {
      "slug": "selank",
      "name": "Selank",
      "aliases": [],
      "family": "Tuftsin analogue (anxiolytic)",
      "summary": "Russian synthetic heptapeptide marketed for anxiety; limited Western trials.",
      "mechanism": "Modulates GABA system and serotonin turnover; immunomodulatory.",
      "halfLife": "Short",
      "typicalDose": "250–500 mcg, 1–3× daily",
      "routes": [
        "Intranasal",
        "Subcutaneous"
      ],
      "evidenceTier": "human-observational",
      "contraindications": [
        "Pregnancy"
      ],
      "reportedUses": [],
      "citations": [
        {
          "label": "Medvedev et al., 2015 — Bull Exp Biol Med",
          "url": "https://pubmed.ncbi.nlm.nih.gov/26033595/"
        }
      ]
    },
    {
      "slug": "semax",
      "name": "Semax",
      "aliases": [],
      "family": "ACTH(4-10) analogue",
      "summary": "Russian synthetic heptapeptide derived from ACTH; nootropic and neuroprotective claims.",
      "mechanism": "Modulates BDNF, dopamine, and serotonin systems; neuroprotective in stroke models.",
      "halfLife": "Short",
      "typicalDose": "200–600 mcg, 1–3× daily",
      "routes": [
        "Intranasal"
      ],
      "evidenceTier": "human-observational",
      "contraindications": [
        "Pregnancy"
      ],
      "reportedUses": [],
      "citations": [
        {
          "label": "Gusev et al., 2005 — Stroke",
          "url": "https://pubmed.ncbi.nlm.nih.gov/15919889/"
        }
      ]
    },
    {
      "slug": "cerebrolysin",
      "name": "Cerebrolysin",
      "aliases": [],
      "family": "Porcine brain peptide complex",
      "summary": "Peptide mixture from pig brain; used in Europe and Asia for stroke and dementia. Not FDA-approved.",
      "mechanism": "Mixed neurotrophic and neuromodulatory effects.",
      "halfLife": "Variable",
      "typicalDose": "5–30 mL/day IV (clinical)",
      "routes": [
        "Intravenous",
        "Intramuscular"
      ],
      "evidenceTier": "human-rct",
      "contraindications": [
        "Epilepsy (caution)",
        "Severe renal impairment"
      ],
      "reportedUses": [],
      "citations": [
        {
          "label": "Bornstein et al., 2018 — CNS Drugs",
          "url": "https://pubmed.ncbi.nlm.nih.gov/29696507/"
        }
      ]
    },
    {
      "slug": "dihexa",
      "name": "Dihexa",
      "aliases": [
        "PNB-0408",
        "N-hexanoic-Tyr-Ile-(6) aminohexanoic amide"
      ],
      "family": "Angiotensin IV analogue",
      "summary": "Investigational small peptide claimed to potentiate HGF/c-Met signalling. No human data.",
      "mechanism": "HGF/c-Met signal augmentation in preclinical models.",
      "halfLife": "Unknown (human)",
      "typicalDose": "Experimental",
      "routes": [
        "Oral",
        "Topical (experimental)"
      ],
      "evidenceTier": "preclinical",
      "contraindications": [
        "Active malignancy (theoretical, c-Met)",
        "No human safety data"
      ],
      "reportedUses": [],
      "citations": [
        {
          "label": "Benoist et al., 2014 — JPET",
          "url": "https://pubmed.ncbi.nlm.nih.gov/24403093/"
        }
      ]
    },
    {
      "slug": "fgl",
      "name": "FGL",
      "aliases": [
        "FG Loop peptide"
      ],
      "family": "NCAM-derived peptide",
      "summary": "NCAM-derived mimetic studied in cognition and neuroinflammation models.",
      "mechanism": "FGFR activation via NCAM mimicry.",
      "halfLife": "Short",
      "typicalDose": "Experimental",
      "routes": [
        "Subcutaneous (research)"
      ],
      "evidenceTier": "preclinical",
      "contraindications": [
        "No human safety data"
      ],
      "reportedUses": [],
      "citations": [
        {
          "label": "Secher et al., 2006 — Neuroscience",
          "url": "https://pubmed.ncbi.nlm.nih.gov/16513272/"
        }
      ]
    },
    {
      "slug": "p21",
      "name": "P21",
      "aliases": [
        "CNTFR fragment"
      ],
      "family": "CNTF-derived peptide",
      "summary": "Experimental neurogenic peptide. Anecdotal cognitive use; no human trials.",
      "mechanism": "CNTF receptor-mediated neurogenesis (preclinical).",
      "halfLife": "Short",
      "typicalDose": "Experimental",
      "routes": [
        "Intranasal",
        "Subcutaneous"
      ],
      "evidenceTier": "preclinical",
      "contraindications": [
        "No human safety data"
      ],
      "reportedUses": [],
      "citations": [
        {
          "label": "Chohan et al., 2011 — J Alzheimers Dis",
          "url": "https://pubmed.ncbi.nlm.nih.gov/21971402/"
        }
      ]
    },
    {
      "slug": "dsip",
      "name": "DSIP",
      "aliases": [
        "Delta Sleep-Inducing Peptide"
      ],
      "family": "Nonapeptide (sleep modulator)",
      "summary": "Endogenous nonapeptide associated with delta-wave sleep. Effects on sleep architecture are inconsistent in human trials.",
      "mechanism": "Unclear; possible GABAergic and opioid modulation.",
      "halfLife": "~7 min",
      "typicalDose": "100–500 mcg pre-sleep",
      "routes": [
        "Subcutaneous",
        "Intranasal"
      ],
      "evidenceTier": "human-observational",
      "contraindications": [
        "Pregnancy"
      ],
      "reportedUses": [
        {
          "conditionSlug": "recovery-sleep",
          "tier": "anecdotal"
        }
      ],
      "citations": [
        {
          "label": "Schneider-Helmert & Schoenenberger, 1983 — Experientia",
          "url": "https://pubmed.ncbi.nlm.nih.gov/6873112/"
        }
      ]
    },
    {
      "slug": "epitalon",
      "name": "Epitalon",
      "aliases": [
        "Epithalon",
        "AEDG"
      ],
      "family": "Pineal tetrapeptide",
      "summary": "Russian synthetic pineal-gland tetrapeptide. Marketed for longevity; evidence largely Russian/in-house.",
      "mechanism": "Reported telomerase activation in cell culture; pineal axis modulation.",
      "halfLife": "Short",
      "typicalDose": "5–10 mg/day for 10–20 days, cyclic",
      "routes": [
        "Subcutaneous"
      ],
      "evidenceTier": "preclinical",
      "contraindications": [
        "Pregnancy",
        "Active malignancy (theoretical)"
      ],
      "reportedUses": [
        {
          "conditionSlug": "recovery-sleep",
          "tier": "anecdotal"
        }
      ],
      "citations": [
        {
          "label": "Khavinson et al., 2003 — Neuroendocrinol Lett",
          "url": "https://pubmed.ncbi.nlm.nih.gov/14523355/"
        }
      ]
    },
    {
      "slug": "thymosin-alpha-1",
      "name": "Thymosin α1",
      "aliases": [
        "Zadaxin",
        "Tα1"
      ],
      "family": "Thymic peptide (28-aa)",
      "summary": "Thymic-origin peptide marketed as Zadaxin in 30+ countries (not US) for chronic hepatitis B/C and as adjuvant.",
      "mechanism": "Modulates T-cell maturation and innate immunity via TLR signalling.",
      "halfLife": "~2 h",
      "typicalDose": "1.6 mg, 2× weekly",
      "routes": [
        "Subcutaneous"
      ],
      "evidenceTier": "human-rct",
      "contraindications": [
        "Active organ transplant (caution — immunostimulation)"
      ],
      "reportedUses": [],
      "citations": [
        {
          "label": "Camerini & Garaci, 2010 — Ann NY Acad Sci",
          "url": "https://pubmed.ncbi.nlm.nih.gov/20536926/"
        }
      ]
    },
    {
      "slug": "thymulin",
      "name": "Thymulin",
      "aliases": [
        "FTS"
      ],
      "family": "Zinc-dependent thymic peptide",
      "summary": "Zinc-bound thymic peptide with immunomodulatory and analgesic properties in animal models.",
      "mechanism": "Zinc-dependent modulation of T-cell differentiation.",
      "halfLife": "Short",
      "typicalDose": "Experimental",
      "routes": [
        "Subcutaneous"
      ],
      "evidenceTier": "preclinical",
      "contraindications": [
        "No human safety data"
      ],
      "reportedUses": [],
      "citations": [
        {
          "label": "Dardenne, 2002 — Eur J Clin Microbiol",
          "url": "https://pubmed.ncbi.nlm.nih.gov/12172783/"
        }
      ]
    },
    {
      "slug": "ss-31",
      "name": "SS-31",
      "aliases": [
        "Elamipretide",
        "Bendavia",
        "MTP-131"
      ],
      "family": "Mitochondrial-targeted tetrapeptide",
      "summary": "Cardiolipin-binding tetrapeptide investigated for mitochondrial disease, heart failure, and dry AMD.",
      "mechanism": "Binds inner-mitochondrial cardiolipin; stabilises respiratory chain and reduces ROS.",
      "halfLife": "~2–3 h",
      "typicalDose": "40 mg/day (clinical)",
      "routes": [
        "Subcutaneous"
      ],
      "evidenceTier": "human-rct",
      "contraindications": [
        "Pregnancy"
      ],
      "reportedUses": [],
      "citations": [
        {
          "label": "Karaa et al., 2018 — Neurology",
          "url": "https://pubmed.ncbi.nlm.nih.gov/29980635/"
        }
      ]
    },
    {
      "slug": "mots-c",
      "name": "MOTS-c",
      "aliases": [],
      "family": "Mitochondrial-derived peptide (16-aa)",
      "summary": "Mitochondrially-encoded peptide implicated in insulin sensitisation and metabolic regulation.",
      "mechanism": "AMPK activation; folate/methionine cycle modulation.",
      "halfLife": "Short",
      "typicalDose": "Experimental",
      "routes": [
        "Subcutaneous"
      ],
      "evidenceTier": "preclinical",
      "contraindications": [
        "No human safety data"
      ],
      "reportedUses": [],
      "citations": [
        {
          "label": "Lee et al., 2015 — Cell Metab",
          "url": "https://pubmed.ncbi.nlm.nih.gov/25738459/"
        }
      ]
    },
    {
      "slug": "humanin",
      "name": "Humanin",
      "aliases": [],
      "family": "Mitochondrial-derived peptide (24-aa)",
      "summary": "Mitochondrial-encoded peptide with cytoprotective effects in neurons.",
      "mechanism": "Binds Bax to inhibit apoptosis; activates STAT3.",
      "halfLife": "Short",
      "typicalDose": "Experimental",
      "routes": [
        "Subcutaneous"
      ],
      "evidenceTier": "preclinical",
      "contraindications": [
        "No human safety data"
      ],
      "reportedUses": [],
      "citations": [
        {
          "label": "Yen et al., 2013 — Trends Endocrinol Metab",
          "url": "https://pubmed.ncbi.nlm.nih.gov/23541159/"
        }
      ]
    },
    {
      "slug": "kisspeptin-10",
      "name": "Kisspeptin-10",
      "aliases": [
        "KP-10"
      ],
      "family": "Hypothalamic peptide",
      "summary": "GnRH-releasing kisspeptin fragment; investigated for HPG-axis stimulation and fertility.",
      "mechanism": "KISS1R agonist; triggers GnRH pulsatility.",
      "halfLife": "Very short (minutes)",
      "typicalDose": "Experimental",
      "routes": [
        "Subcutaneous",
        "IV"
      ],
      "evidenceTier": "human-rct",
      "contraindications": [
        "Pregnancy",
        "Hormone-sensitive malignancy"
      ],
      "reportedUses": [],
      "citations": [
        {
          "label": "Abbara et al., 2015 — JCEM",
          "url": "https://pubmed.ncbi.nlm.nih.gov/26447969/"
        }
      ]
    },
    {
      "slug": "gonadorelin",
      "name": "Gonadorelin",
      "aliases": [
        "GnRH"
      ],
      "family": "GnRH decapeptide",
      "summary": "Synthetic GnRH used clinically for diagnostic testing and HPG stimulation.",
      "mechanism": "GnRH receptor agonist; pulsatile use maintains LH/FSH; continuous use suppresses.",
      "halfLife": "~10–40 min",
      "typicalDose": "100 mcg pulsatile or 100 mcg test dose",
      "routes": [
        "Subcutaneous",
        "IV"
      ],
      "evidenceTier": "human-rct",
      "contraindications": [
        "Hormone-sensitive tumours",
        "Pregnancy"
      ],
      "reportedUses": [],
      "citations": [
        {
          "label": "Belchetz et al., 1978 — Science",
          "url": "https://pubmed.ncbi.nlm.nih.gov/100024/"
        }
      ]
    },
    {
      "slug": "hcg",
      "name": "HCG",
      "aliases": [
        "Human chorionic gonadotropin",
        "Pregnyl",
        "Ovidrel"
      ],
      "family": "Glycoprotein hormone",
      "summary": "Glycoprotein hormone used for ovulation induction and male hypogonadism. Strictly clinical.",
      "mechanism": "LH receptor agonist; stimulates ovarian steroidogenesis and testicular Leydig cells.",
      "halfLife": "~24–36 h",
      "typicalDose": "500–5000 IU per protocol",
      "routes": [
        "Subcutaneous",
        "Intramuscular"
      ],
      "evidenceTier": "human-rct",
      "contraindications": [
        "Hormone-sensitive tumours",
        "Pregnancy"
      ],
      "reportedUses": [],
      "citations": [
        {
          "label": "FDA — Pregnyl label",
          "url": "https://www.accessdata.fda.gov/drugsatfda_docs/label/2018/017016s033lbl.pdf"
        }
      ]
    },
    {
      "slug": "oxytocin",
      "name": "Oxytocin",
      "aliases": [
        "Pitocin",
        "Syntocinon"
      ],
      "family": "Nonapeptide hormone",
      "summary": "Posterior pituitary nonapeptide. Clinical use for labour induction; off-label intranasal use for social/anxiety modulation.",
      "mechanism": "OXT receptor agonist; uterine contraction and central social/affective modulation.",
      "halfLife": "~1–6 min (IV)",
      "typicalDose": "Clinical only",
      "routes": [
        "IV",
        "Intranasal (off-label)"
      ],
      "evidenceTier": "human-rct",
      "contraindications": [
        "Pregnancy outside labour induction",
        "Cardiovascular disease (caution)"
      ],
      "reportedUses": [],
      "citations": [
        {
          "label": "MacDonald et al., 2011 — Psychoneuroendocrinology",
          "url": "https://pubmed.ncbi.nlm.nih.gov/21208749/"
        }
      ]
    },
    {
      "slug": "aod-9604",
      "name": "AOD-9604",
      "aliases": [
        "hGH 177-191"
      ],
      "family": "GH fragment (C-terminal)",
      "summary": "Modified hGH 177-191 fragment originally trialled for obesity; missed endpoints in phase 3.",
      "mechanism": "Claimed lipolytic action via β3-adrenergic pathway; mechanism contested.",
      "halfLife": "Short",
      "typicalDose": "250–500 mcg/day",
      "routes": [
        "Subcutaneous",
        "Oral"
      ],
      "evidenceTier": "human-rct",
      "contraindications": [
        "Pregnancy"
      ],
      "reportedUses": [
        {
          "conditionSlug": "weight-management",
          "tier": "human-rct"
        }
      ],
      "citations": [
        {
          "label": "Heffernan et al., 2001 — Endocrinology",
          "url": "https://pubmed.ncbi.nlm.nih.gov/11606465/"
        }
      ]
    },
    {
      "slug": "fragment-176-191",
      "name": "Fragment 176-191",
      "aliases": [
        "HGH Frag 176-191"
      ],
      "family": "GH fragment (C-terminal)",
      "summary": "Related GH C-terminal fragment widely sold as a weight-loss peptide. Clinical evidence weak.",
      "mechanism": "Claimed lipolytic via β3-adrenergic activation; preclinical only.",
      "halfLife": "Short",
      "typicalDose": "250–500 mcg/day (anecdotal)",
      "routes": [
        "Subcutaneous"
      ],
      "evidenceTier": "preclinical",
      "contraindications": [
        "Pregnancy"
      ],
      "reportedUses": [],
      "citations": []
    },
    {
      "slug": "5-amino-1mq",
      "name": "5-Amino-1MQ",
      "aliases": [],
      "family": "Small-molecule NNMT inhibitor",
      "summary": "Small-molecule NNMT inhibitor sold alongside peptides; preclinical lipolysis and metabolic effects.",
      "mechanism": "Selective NNMT inhibition; raises NAD+ and SAM.",
      "halfLife": "~2 h",
      "typicalDose": "50–150 mg/day (anecdotal)",
      "routes": [
        "Oral"
      ],
      "evidenceTier": "preclinical",
      "contraindications": [
        "Pregnancy",
        "No human safety data"
      ],
      "reportedUses": [
        {
          "conditionSlug": "weight-management",
          "tier": "anecdotal"
        }
      ],
      "citations": [
        {
          "label": "Neelakantan et al., 2017 — Biochem Pharmacol",
          "url": "https://pubmed.ncbi.nlm.nih.gov/29074052/"
        }
      ]
    },
    {
      "slug": "tesofensine",
      "name": "Tesofensine",
      "aliases": [
        "NS2330"
      ],
      "family": "Triple monoamine reuptake inhibitor (small molecule)",
      "summary": "Investigational triple-reuptake inhibitor for obesity. Not a peptide — flagged for completeness because it is sold by RUO suppliers.",
      "mechanism": "Serotonin, noradrenaline, dopamine reuptake inhibition.",
      "halfLife": "~9 days",
      "typicalDose": "0.25–1 mg/day (trial)",
      "routes": [
        "Oral"
      ],
      "evidenceTier": "human-rct",
      "contraindications": [
        "Cardiovascular disease",
        "Psychiatric history"
      ],
      "reportedUses": [
        {
          "conditionSlug": "weight-management",
          "tier": "human-rct"
        }
      ],
      "citations": [
        {
          "label": "Astrup et al., 2008 — Lancet",
          "url": "https://pubmed.ncbi.nlm.nih.gov/18950853/"
        }
      ]
    },
    {
      "slug": "adipotide",
      "name": "Adipotide",
      "aliases": [
        "FTPP"
      ],
      "family": "Pro-apoptotic chimeric peptide",
      "summary": "Chimeric peptide targeting white-adipose vasculature. Phase 1 in obese humans; renal toxicity signal.",
      "mechanism": "Targets prohibitin on adipose endothelium and induces apoptosis.",
      "halfLife": "Short",
      "typicalDose": "Investigational",
      "routes": [
        "Subcutaneous"
      ],
      "evidenceTier": "human-observational",
      "contraindications": [
        "Renal impairment",
        "Pregnancy"
      ],
      "reportedUses": [
        {
          "conditionSlug": "weight-management",
          "tier": "human-observational"
        }
      ],
      "citations": [
        {
          "label": "Kolonin et al., 2004 — Nat Med",
          "url": "https://pubmed.ncbi.nlm.nih.gov/15170216/"
        }
      ]
    },
    {
      "slug": "igf-1-lr3",
      "name": "IGF-1 LR3",
      "aliases": [
        "Long R3 IGF-1"
      ],
      "family": "Insulin-like growth factor analogue",
      "summary": "Long-acting IGF-1 analogue with reduced IGFBP binding. Widely sold by RUO suppliers.",
      "mechanism": "IGF-1R agonist with extended half-life.",
      "halfLife": "~20–30 h",
      "typicalDose": "20–100 mcg/day (anecdotal)",
      "routes": [
        "Subcutaneous"
      ],
      "evidenceTier": "preclinical",
      "contraindications": [
        "Active malignancy",
        "Diabetic retinopathy",
        "Pregnancy"
      ],
      "reportedUses": [],
      "citations": [
        {
          "label": "Tomas et al., 1993 — JCE",
          "url": "https://pubmed.ncbi.nlm.nih.gov/8467344/"
        }
      ]
    },
    {
      "slug": "igf-1-des",
      "name": "IGF-1 DES",
      "aliases": [
        "DES(1-3) IGF-1"
      ],
      "family": "Insulin-like growth factor analogue",
      "summary": "Short-acting IGF-1 analogue with high potency at sites of injection.",
      "mechanism": "IGF-1R agonist; reduced IGFBP affinity allows localised action.",
      "halfLife": "~20–30 min",
      "typicalDose": "30–100 mcg/day",
      "routes": [
        "Subcutaneous"
      ],
      "evidenceTier": "preclinical",
      "contraindications": [
        "Active malignancy",
        "Hypoglycaemia risk"
      ],
      "reportedUses": [],
      "citations": []
    },
    {
      "slug": "mecasermin",
      "name": "Mecasermin",
      "aliases": [
        "Increlex"
      ],
      "family": "Recombinant human IGF-1",
      "summary": "Recombinant hIGF-1 approved for severe primary IGF-1 deficiency.",
      "mechanism": "IGF-1R agonist; replaces deficient endogenous IGF-1.",
      "halfLife": "~5.8 h",
      "typicalDose": "0.04–0.12 mg/kg BID",
      "routes": [
        "Subcutaneous"
      ],
      "evidenceTier": "human-rct",
      "contraindications": [
        "Active malignancy",
        "Closed epiphyses (for growth)",
        "Hypoglycaemia risk"
      ],
      "reportedUses": [],
      "citations": [
        {
          "label": "FDA — Increlex label",
          "url": "https://www.accessdata.fda.gov/drugsatfda_docs/label/2007/021839s003lbl.pdf"
        }
      ]
    },
    {
      "slug": "follistatin-344",
      "name": "Follistatin-344",
      "aliases": [
        "FST-344"
      ],
      "family": "Myostatin/activin antagonist",
      "summary": "Soluble follistatin isoform sequestering myostatin and activin. Gene-therapy work in trials; injectable peptide use is anecdotal.",
      "mechanism": "Sequesters myostatin/activin from receptor binding.",
      "halfLife": "Variable",
      "typicalDose": "Anecdotal",
      "routes": [
        "Subcutaneous"
      ],
      "evidenceTier": "preclinical",
      "contraindications": [
        "Pregnancy",
        "No human safety data"
      ],
      "reportedUses": [],
      "citations": [
        {
          "label": "Lee et al., 2010 — PNAS",
          "url": "https://pubmed.ncbi.nlm.nih.gov/20064942/"
        }
      ]
    }
  ],
  "products": [
    {
      "slug": "wegovy",
      "name": "Wegovy",
      "brandName": "Wegovy",
      "manufacturer": "Novo Nordisk",
      "vendor": "Novo Nordisk",
      "substanceSlugs": [
        "semaglutide"
      ],
      "strengthMg": 2.4,
      "strengthUnit": "mg",
      "packSize": "Pre-filled pen, 4 doses",
      "doseLabel": "0.25 / 0.5 / 1.0 / 1.7 / 2.4 mg pen",
      "jurisdiction": "US / EU / UK",
      "category": "medicine",
      "regulatoryStatus": "FDA-approved · EMA · MHRA",
      "approvedFor": [
        "Chronic weight management",
        "Cardiovascular risk reduction"
      ],
      "prescriptionOnly": true,
      "rxUrl": "https://www.accessdata.fda.gov/drugsatfda_docs/label/2024/215256s015lbl.pdf",
      "coaStatus": "verified",
      "provenance": 100,
      "quality": 88,
      "provenanceN": 50,
      "qualityN": 1200,
      "notes": "Novo Nordisk pen; full pharmacopeial QC; covered by Medicare in qualifying patients (2024).",
      "imageUrl": "/pens/wegovy-2-4.png",
      "makerSlug": "novo-nordisk",
      "accentColor": "#0A4DA0",
      "penClicksEnabled": true,
      "variants": [
        {
          "label": "0.25 mg",
          "strengthMg": 0.25,
          "strengthUnit": "mg",
          "imageUrl": "/pens/wegovy-0-25.png",
          "color": "#9CA3AF",
          "penTotalMg": 1,
          "clickMg": 0.0125,
          "fullDoseClicks": 20,
          "dosesPerPen": 4
        },
        {
          "label": "0.5 mg",
          "strengthMg": 0.5,
          "strengthUnit": "mg",
          "imageUrl": "/pens/wegovy-1.png",
          "color": "#5BB3E0",
          "penTotalMg": 2,
          "clickMg": 0.025,
          "fullDoseClicks": 20,
          "dosesPerPen": 4
        },
        {
          "label": "1.0 mg",
          "strengthMg": 1,
          "strengthUnit": "mg",
          "imageUrl": "/pens/wegovy-1.png",
          "color": "#3FA85B",
          "penTotalMg": 4,
          "clickMg": 0.05,
          "fullDoseClicks": 20,
          "dosesPerPen": 4
        },
        {
          "label": "1.7 mg",
          "strengthMg": 1.7,
          "strengthUnit": "mg",
          "imageUrl": "/pens/wegovy-1-7.png",
          "color": "#E89A2B",
          "penTotalMg": 6.8,
          "clickMg": 0.085,
          "fullDoseClicks": 20,
          "dosesPerPen": 4
        },
        {
          "label": "2.4 mg",
          "strengthMg": 2.4,
          "strengthUnit": "mg",
          "imageUrl": "/pens/wegovy-2-4.png",
          "color": "#C2185B",
          "penTotalMg": 9.6,
          "clickMg": 0.12,
          "fullDoseClicks": 20,
          "dosesPerPen": 4
        }
      ]
    },
    {
      "slug": "ozempic",
      "name": "Ozempic",
      "brandName": "Ozempic",
      "manufacturer": "Novo Nordisk",
      "vendor": "Novo Nordisk",
      "substanceSlugs": [
        "semaglutide"
      ],
      "strengthMg": 2,
      "strengthUnit": "mg",
      "packSize": "Pre-filled pen, 4 doses",
      "doseLabel": "0.25 / 0.5 / 1.0 / 2.0 mg pen",
      "jurisdiction": "US / EU / UK",
      "category": "medicine",
      "regulatoryStatus": "FDA-approved · EMA · MHRA",
      "approvedFor": [
        "Type 2 diabetes",
        "Cardiovascular risk reduction in T2D"
      ],
      "prescriptionOnly": true,
      "rxUrl": "https://www.accessdata.fda.gov/drugsatfda_docs/label/2024/209637s023lbl.pdf",
      "coaStatus": "verified",
      "provenance": 100,
      "quality": 85,
      "provenanceN": 50,
      "qualityN": 980,
      "notes": "Same molecule as Wegovy; on-label for T2D rather than weight management.",
      "imageUrl": "/pens/ozempic-1.png",
      "makerSlug": "novo-nordisk",
      "accentColor": "#1B4FA0",
      "penClicksEnabled": true,
      "variants": [
        {
          "label": "0.25 / 0.5 mg",
          "strengthMg": 0.5,
          "strengthUnit": "mg",
          "imageUrl": "/pens/ozempic-0-5.png",
          "color": "#D5403B",
          "penTotalMg": 2,
          "clickMg": 0.0125,
          "fullDoseClicks": 20,
          "dosesPerPen": 4
        },
        {
          "label": "1.0 mg",
          "strengthMg": 1,
          "strengthUnit": "mg",
          "imageUrl": "/pens/ozempic-1.png",
          "color": "#1B4FA0",
          "penTotalMg": 4,
          "clickMg": 0.05,
          "fullDoseClicks": 20,
          "dosesPerPen": 4
        },
        {
          "label": "2.0 mg",
          "strengthMg": 2,
          "strengthUnit": "mg",
          "imageUrl": "/pens/ozempic-1.png",
          "color": "#7A1B1B",
          "penTotalMg": 8,
          "clickMg": 0.1,
          "fullDoseClicks": 20,
          "dosesPerPen": 4
        }
      ]
    },
    {
      "slug": "rybelsus",
      "name": "Rybelsus",
      "brandName": "Rybelsus",
      "manufacturer": "Novo Nordisk",
      "vendor": "Novo Nordisk",
      "substanceSlugs": [
        "semaglutide"
      ],
      "strengthMg": 14,
      "strengthUnit": "mg",
      "packSize": "30 tablets",
      "doseLabel": "3 / 7 / 14 mg oral tablet",
      "jurisdiction": "US / EU / UK",
      "category": "medicine",
      "regulatoryStatus": "FDA-approved · EMA · MHRA",
      "approvedFor": [
        "Type 2 diabetes"
      ],
      "prescriptionOnly": true,
      "rxUrl": "https://www.accessdata.fda.gov/drugsatfda_docs/label/2023/213051s010lbl.pdf",
      "coaStatus": "verified",
      "provenance": 100,
      "quality": 76,
      "provenanceN": 40,
      "qualityN": 320,
      "notes": "Oral semaglutide; requires dosing on empty stomach with limited water.",
      "makerSlug": "novo-nordisk",
      "accentColor": "#0A4DA0"
    },
    {
      "slug": "mounjaro",
      "name": "Mounjaro",
      "brandName": "Mounjaro",
      "manufacturer": "Eli Lilly",
      "vendor": "Eli Lilly",
      "substanceSlugs": [
        "tirzepatide"
      ],
      "strengthMg": 15,
      "strengthUnit": "mg",
      "packSize": "Pre-filled pen, 4 doses",
      "doseLabel": "2.5 / 5 / 7.5 / 10 / 12.5 / 15 mg pen",
      "jurisdiction": "US / EU / UK",
      "category": "medicine",
      "regulatoryStatus": "FDA-approved · EMA · MHRA",
      "approvedFor": [
        "Type 2 diabetes"
      ],
      "prescriptionOnly": true,
      "rxUrl": "https://www.accessdata.fda.gov/drugsatfda_docs/label/2024/215866s011lbl.pdf",
      "coaStatus": "verified",
      "provenance": 100,
      "quality": 87,
      "provenanceN": 45,
      "qualityN": 740,
      "notes": "Lilly KwikPen; on-label for T2D.",
      "imageUrl": "/pens/mounjaro-5.png",
      "makerSlug": "eli-lilly",
      "accentColor": "#7A2E2E",
      "variants": [
        {
          "label": "2.5 mg",
          "strengthMg": 2.5,
          "strengthUnit": "mg",
          "imageUrl": "/pens/mounjaro-2-5.png",
          "color": "#CFCFCF"
        },
        {
          "label": "5 mg",
          "strengthMg": 5,
          "strengthUnit": "mg",
          "imageUrl": "/pens/mounjaro-5.png",
          "color": "#7AB36F"
        },
        {
          "label": "7.5 mg",
          "strengthMg": 7.5,
          "strengthUnit": "mg",
          "imageUrl": "/pens/mounjaro-7-5.png",
          "color": "#5BB3E0"
        },
        {
          "label": "10 mg",
          "strengthMg": 10,
          "strengthUnit": "mg",
          "imageUrl": "/pens/mounjaro-10.png",
          "color": "#E89A2B"
        },
        {
          "label": "12.5 mg",
          "strengthMg": 12.5,
          "strengthUnit": "mg",
          "imageUrl": "/pens/mounjaro-kwikpen.png",
          "color": "#C2185B"
        },
        {
          "label": "15 mg",
          "strengthMg": 15,
          "strengthUnit": "mg",
          "imageUrl": "/pens/mounjaro-15.png",
          "color": "#7A2E2E"
        }
      ]
    },
    {
      "slug": "zepbound",
      "name": "Zepbound",
      "brandName": "Zepbound",
      "manufacturer": "Eli Lilly",
      "vendor": "Eli Lilly",
      "substanceSlugs": [
        "tirzepatide"
      ],
      "strengthMg": 15,
      "strengthUnit": "mg",
      "packSize": "Pre-filled pen, 4 doses",
      "doseLabel": "2.5 / 5 / 7.5 / 10 / 12.5 / 15 mg pen",
      "jurisdiction": "US",
      "category": "medicine",
      "regulatoryStatus": "FDA-approved",
      "approvedFor": [
        "Chronic weight management",
        "Obstructive sleep apnea with obesity"
      ],
      "prescriptionOnly": true,
      "rxUrl": "https://www.accessdata.fda.gov/drugsatfda_docs/label/2024/217806s002lbl.pdf",
      "coaStatus": "verified",
      "provenance": 100,
      "quality": 88,
      "provenanceN": 40,
      "qualityN": 690,
      "notes": "Same molecule as Mounjaro; on-label for weight management and OSA.",
      "imageUrl": "/assets/pen-autoinject-BX7VkYMx.jpg",
      "makerSlug": "eli-lilly",
      "accentColor": "#1F5F4A",
      "variants": [
        {
          "label": "2.5 mg",
          "strengthMg": 2.5,
          "strengthUnit": "mg",
          "imageUrl": "/assets/pen-autoinject-BX7VkYMx.jpg",
          "color": "#CFCFCF"
        },
        {
          "label": "5 mg",
          "strengthMg": 5,
          "strengthUnit": "mg",
          "imageUrl": "/assets/pen-autoinject-BX7VkYMx.jpg",
          "color": "#7AB36F"
        },
        {
          "label": "7.5 mg",
          "strengthMg": 7.5,
          "strengthUnit": "mg",
          "imageUrl": "/assets/pen-autoinject-BX7VkYMx.jpg",
          "color": "#5BB3E0"
        },
        {
          "label": "10 mg",
          "strengthMg": 10,
          "strengthUnit": "mg",
          "imageUrl": "/assets/pen-autoinject-BX7VkYMx.jpg",
          "color": "#E89A2B"
        },
        {
          "label": "12.5 mg",
          "strengthMg": 12.5,
          "strengthUnit": "mg",
          "imageUrl": "/assets/pen-autoinject-BX7VkYMx.jpg",
          "color": "#C2185B"
        },
        {
          "label": "15 mg",
          "strengthMg": 15,
          "strengthUnit": "mg",
          "imageUrl": "/assets/pen-autoinject-BX7VkYMx.jpg",
          "color": "#1F5F4A"
        }
      ]
    },
    {
      "slug": "saxenda",
      "name": "Saxenda",
      "brandName": "Saxenda",
      "manufacturer": "Novo Nordisk",
      "vendor": "Novo Nordisk",
      "substanceSlugs": [
        "liraglutide"
      ],
      "strengthMg": 3,
      "strengthUnit": "mg",
      "packSize": "Multi-dose pen, 5×3 mL",
      "doseLabel": "0.6–3.0 mg/day pen",
      "jurisdiction": "US / EU / UK",
      "category": "medicine",
      "regulatoryStatus": "FDA-approved · EMA · MHRA",
      "approvedFor": [
        "Chronic weight management"
      ],
      "prescriptionOnly": true,
      "rxUrl": "https://www.accessdata.fda.gov/drugsatfda_docs/label/2020/206321s016lbl.pdf",
      "coaStatus": "verified",
      "provenance": 100,
      "quality": 72,
      "provenanceN": 40,
      "qualityN": 410,
      "notes": "Daily injection; older than semaglutide.",
      "imageUrl": "/assets/pen-multidose-m6T0YJCF.jpg",
      "makerSlug": "novo-nordisk",
      "accentColor": "#0A4DA0",
      "variants": [
        {
          "label": "0.6 mg",
          "strengthMg": 0.6,
          "strengthUnit": "mg",
          "imageUrl": "/assets/pen-multidose-m6T0YJCF.jpg",
          "color": "#5BB3E0"
        },
        {
          "label": "1.2 mg",
          "strengthMg": 1.2,
          "strengthUnit": "mg",
          "imageUrl": "/assets/pen-multidose-m6T0YJCF.jpg",
          "color": "#3FA85B"
        },
        {
          "label": "1.8 mg",
          "strengthMg": 1.8,
          "strengthUnit": "mg",
          "imageUrl": "/assets/pen-multidose-m6T0YJCF.jpg",
          "color": "#E89A2B"
        },
        {
          "label": "2.4 mg",
          "strengthMg": 2.4,
          "strengthUnit": "mg",
          "imageUrl": "/assets/pen-multidose-m6T0YJCF.jpg",
          "color": "#C2185B"
        },
        {
          "label": "3.0 mg",
          "strengthMg": 3,
          "strengthUnit": "mg",
          "imageUrl": "/assets/pen-multidose-m6T0YJCF.jpg",
          "color": "#0A4DA0"
        }
      ]
    },
    {
      "slug": "victoza",
      "name": "Victoza",
      "brandName": "Victoza",
      "manufacturer": "Novo Nordisk",
      "vendor": "Novo Nordisk",
      "substanceSlugs": [
        "liraglutide"
      ],
      "strengthMg": 1.8,
      "strengthUnit": "mg",
      "packSize": "Multi-dose pen, 2×3 mL",
      "doseLabel": "0.6 / 1.2 / 1.8 mg/day pen",
      "jurisdiction": "US / EU / UK",
      "category": "medicine",
      "regulatoryStatus": "FDA-approved · EMA · MHRA",
      "approvedFor": [
        "Type 2 diabetes"
      ],
      "prescriptionOnly": true,
      "rxUrl": "https://www.accessdata.fda.gov/drugsatfda_docs/label/2020/022341s035lbl.pdf",
      "coaStatus": "verified",
      "provenance": 100,
      "quality": 70,
      "provenanceN": 40,
      "qualityN": 380,
      "notes": "Same molecule as Saxenda; on-label for T2D.",
      "imageUrl": "/assets/pen-multidose-m6T0YJCF.jpg",
      "makerSlug": "novo-nordisk",
      "accentColor": "#0A4DA0",
      "variants": [
        {
          "label": "0.6 mg",
          "strengthMg": 0.6,
          "strengthUnit": "mg",
          "imageUrl": "/assets/pen-multidose-m6T0YJCF.jpg",
          "color": "#5BB3E0"
        },
        {
          "label": "1.2 mg",
          "strengthMg": 1.2,
          "strengthUnit": "mg",
          "imageUrl": "/assets/pen-multidose-m6T0YJCF.jpg",
          "color": "#3FA85B"
        },
        {
          "label": "1.8 mg",
          "strengthMg": 1.8,
          "strengthUnit": "mg",
          "imageUrl": "/assets/pen-multidose-m6T0YJCF.jpg",
          "color": "#0A4DA0"
        }
      ]
    },
    {
      "slug": "trulicity",
      "name": "Trulicity",
      "brandName": "Trulicity",
      "manufacturer": "Eli Lilly",
      "vendor": "Eli Lilly",
      "substanceSlugs": [
        "dulaglutide"
      ],
      "strengthMg": 4.5,
      "strengthUnit": "mg",
      "packSize": "Pre-filled pen, single use",
      "doseLabel": "0.75 / 1.5 / 3.0 / 4.5 mg/week pen",
      "jurisdiction": "US / EU / UK",
      "category": "medicine",
      "regulatoryStatus": "FDA-approved · EMA · MHRA",
      "approvedFor": [
        "Type 2 diabetes",
        "Cardiovascular risk reduction"
      ],
      "prescriptionOnly": true,
      "rxUrl": "https://www.accessdata.fda.gov/drugsatfda_docs/label/2022/125469s041lbl.pdf",
      "coaStatus": "verified",
      "provenance": 100,
      "quality": 78,
      "provenanceN": 35,
      "qualityN": 290,
      "notes": "Auto-injector; weekly.",
      "imageUrl": "/assets/pen-autoinject-BX7VkYMx.jpg",
      "makerSlug": "eli-lilly",
      "accentColor": "#1B5FA0",
      "variants": [
        {
          "label": "0.75 mg",
          "strengthMg": 0.75,
          "strengthUnit": "mg",
          "imageUrl": "/assets/pen-autoinject-BX7VkYMx.jpg",
          "color": "#5BB3E0"
        },
        {
          "label": "1.5 mg",
          "strengthMg": 1.5,
          "strengthUnit": "mg",
          "imageUrl": "/assets/pen-autoinject-BX7VkYMx.jpg",
          "color": "#1B5FA0"
        },
        {
          "label": "3.0 mg",
          "strengthMg": 3,
          "strengthUnit": "mg",
          "imageUrl": "/assets/pen-autoinject-BX7VkYMx.jpg",
          "color": "#E89A2B"
        },
        {
          "label": "4.5 mg",
          "strengthMg": 4.5,
          "strengthUnit": "mg",
          "imageUrl": "/assets/pen-autoinject-BX7VkYMx.jpg",
          "color": "#C2185B"
        }
      ]
    },
    {
      "slug": "byetta",
      "name": "Byetta",
      "brandName": "Byetta",
      "manufacturer": "AstraZeneca",
      "vendor": "AstraZeneca",
      "substanceSlugs": [
        "exenatide"
      ],
      "strengthMg": 0.01,
      "strengthUnit": "mg",
      "packSize": "Multi-dose pen",
      "doseLabel": "5 / 10 mcg BID pen",
      "jurisdiction": "US / EU",
      "category": "medicine",
      "regulatoryStatus": "FDA-approved · EMA",
      "approvedFor": [
        "Type 2 diabetes"
      ],
      "prescriptionOnly": true,
      "rxUrl": "https://www.accessdata.fda.gov/drugsatfda_docs/label/2020/021773s054lbl.pdf",
      "coaStatus": "verified",
      "provenance": 100,
      "quality": 64,
      "provenanceN": 30,
      "qualityN": 210,
      "notes": "BID immediate-release form.",
      "makerSlug": "astrazeneca",
      "accentColor": "#7A1B1B"
    },
    {
      "slug": "bydureon-bcise",
      "name": "Bydureon BCise",
      "brandName": "Bydureon BCise",
      "manufacturer": "AstraZeneca",
      "vendor": "AstraZeneca",
      "substanceSlugs": [
        "exenatide"
      ],
      "strengthMg": 2,
      "strengthUnit": "mg",
      "packSize": "Single-dose autoinjector",
      "doseLabel": "2 mg/week autoinjector",
      "jurisdiction": "US / EU",
      "category": "medicine",
      "regulatoryStatus": "FDA-approved · EMA",
      "approvedFor": [
        "Type 2 diabetes"
      ],
      "prescriptionOnly": true,
      "rxUrl": "https://www.accessdata.fda.gov/drugsatfda_docs/label/2017/209210s000lbl.pdf",
      "coaStatus": "verified",
      "provenance": 100,
      "quality": 65,
      "provenanceN": 25,
      "qualityN": 180,
      "notes": "Weekly extended-release form."
    },
    {
      "slug": "egrifta-sv",
      "name": "Egrifta SV",
      "brandName": "Egrifta SV",
      "manufacturer": "Theratechnologies",
      "vendor": "Theratechnologies",
      "substanceSlugs": [
        "tesamorelin"
      ],
      "strengthMg": 2,
      "strengthUnit": "mg",
      "packSize": "Single-dose vial",
      "doseLabel": "2 mg/day vial",
      "jurisdiction": "US",
      "category": "medicine",
      "regulatoryStatus": "FDA-approved",
      "approvedFor": [
        "HIV-associated lipodystrophy"
      ],
      "prescriptionOnly": true,
      "rxUrl": "https://www.accessdata.fda.gov/drugsatfda_docs/label/2019/213005s000lbl.pdf",
      "coaStatus": "verified",
      "provenance": 100,
      "quality": 70,
      "provenanceN": 20,
      "qualityN": 95,
      "notes": "On-label for HIV lipodystrophy."
    },
    {
      "slug": "vyleesi",
      "name": "Vyleesi",
      "brandName": "Vyleesi",
      "manufacturer": "Cosette Pharmaceuticals",
      "vendor": "Cosette Pharmaceuticals",
      "substanceSlugs": [
        "pt-141"
      ],
      "strengthMg": 1.75,
      "strengthUnit": "mg",
      "packSize": "Single-use autoinjector",
      "doseLabel": "1.75 mg/0.3 mL on-demand",
      "jurisdiction": "US",
      "category": "medicine",
      "regulatoryStatus": "FDA-approved",
      "approvedFor": [
        "Hypoactive sexual desire disorder (premenopausal women)"
      ],
      "prescriptionOnly": true,
      "rxUrl": "https://www.accessdata.fda.gov/drugsatfda_docs/label/2019/210557s000lbl.pdf",
      "coaStatus": "verified",
      "provenance": 100,
      "quality": 62,
      "provenanceN": 18,
      "qualityN": 130,
      "notes": "On-demand autoinjector."
    },
    {
      "slug": "imcivree",
      "name": "Imcivree",
      "brandName": "Imcivree",
      "manufacturer": "Rhythm Pharmaceuticals",
      "vendor": "Rhythm Pharmaceuticals",
      "substanceSlugs": [
        "setmelanotide"
      ],
      "strengthMg": 10,
      "strengthUnit": "mg/mL",
      "packSize": "Multi-dose vial 10 mg/mL",
      "doseLabel": "2–3 mg/day SC",
      "jurisdiction": "US / EU",
      "category": "medicine",
      "regulatoryStatus": "FDA-approved · EMA",
      "approvedFor": [
        "POMC / PCSK1 / LEPR / BBS obesity"
      ],
      "prescriptionOnly": true,
      "rxUrl": "https://www.accessdata.fda.gov/drugsatfda_docs/label/2024/213793s006lbl.pdf",
      "coaStatus": "verified",
      "provenance": 100,
      "quality": 70,
      "provenanceN": 10,
      "qualityN": 60,
      "notes": "Specialty drug; narrow indication."
    },
    {
      "slug": "scenesse",
      "name": "Scenesse",
      "brandName": "Scenesse",
      "manufacturer": "Clinuvel",
      "vendor": "Clinuvel",
      "substanceSlugs": [
        "melanotan-1"
      ],
      "strengthMg": 16,
      "strengthUnit": "mg",
      "packSize": "Single SC implant",
      "doseLabel": "16 mg implant every 2 months",
      "jurisdiction": "US / EU",
      "category": "medicine",
      "regulatoryStatus": "FDA-approved · EMA",
      "approvedFor": [
        "Erythropoietic protoporphyria"
      ],
      "prescriptionOnly": true,
      "rxUrl": "https://www.accessdata.fda.gov/drugsatfda_docs/label/2019/210797s000lbl.pdf",
      "coaStatus": "verified",
      "provenance": 100,
      "quality": 75,
      "provenanceN": 8,
      "qualityN": 50,
      "notes": "Subcutaneous implant administered by clinician."
    },
    {
      "slug": "cerebrolysin-ever",
      "name": "Cerebrolysin",
      "brandName": "Cerebrolysin",
      "manufacturer": "EVER Pharma",
      "vendor": "EVER Pharma",
      "substanceSlugs": [
        "cerebrolysin"
      ],
      "strengthMg": 215.2,
      "strengthUnit": "mg/mL",
      "packSize": "5 / 10 mL ampoule",
      "doseLabel": "5–30 mL/day IV",
      "jurisdiction": "EU / Asia (not US)",
      "category": "medicine",
      "regulatoryStatus": "Approved (AT, DE, RU, CN, others)",
      "approvedFor": [
        "Stroke",
        "Dementia (varies by jurisdiction)"
      ],
      "prescriptionOnly": true,
      "rxUrl": "https://www.everpharma.com/en/cerebrolysin",
      "coaStatus": "verified",
      "provenance": 95,
      "quality": 60,
      "provenanceN": 15,
      "qualityN": 220,
      "notes": "Approved in Europe/Asia; not approved in US."
    },
    {
      "slug": "increlex",
      "name": "Increlex",
      "brandName": "Increlex",
      "manufacturer": "Ipsen",
      "vendor": "Ipsen",
      "substanceSlugs": [
        "mecasermin"
      ],
      "strengthMg": 10,
      "strengthUnit": "mg/mL",
      "packSize": "4 mL vial",
      "doseLabel": "0.04–0.12 mg/kg BID",
      "jurisdiction": "US / EU",
      "category": "medicine",
      "regulatoryStatus": "FDA-approved · EMA",
      "approvedFor": [
        "Severe primary IGF-1 deficiency"
      ],
      "prescriptionOnly": true,
      "rxUrl": "https://www.accessdata.fda.gov/drugsatfda_docs/label/2007/021839s003lbl.pdf",
      "coaStatus": "verified",
      "provenance": 100,
      "quality": 70,
      "provenanceN": 10,
      "qualityN": 40,
      "notes": "Specialty paediatric Rx."
    },
    {
      "slug": "zadaxin",
      "name": "Zadaxin",
      "brandName": "Zadaxin",
      "manufacturer": "SciClone Pharmaceuticals",
      "vendor": "SciClone Pharmaceuticals",
      "substanceSlugs": [
        "thymosin-alpha-1"
      ],
      "strengthMg": 1.6,
      "strengthUnit": "mg",
      "packSize": "Single-dose vial",
      "doseLabel": "1.6 mg, 2× weekly",
      "jurisdiction": "EU / Asia / LatAm (not US)",
      "category": "medicine",
      "regulatoryStatus": "Approved in 30+ countries (not US)",
      "approvedFor": [
        "Chronic hepatitis B",
        "Chronic hepatitis C (adjunct)"
      ],
      "prescriptionOnly": true,
      "rxUrl": "https://www.sciclone.com/zadaxin",
      "coaStatus": "verified",
      "provenance": 95,
      "quality": 62,
      "provenanceN": 12,
      "qualityN": 80,
      "notes": "Not approved in US; common in EU/Asia."
    },
    {
      "slug": "pregnyl",
      "name": "Pregnyl",
      "brandName": "Pregnyl",
      "manufacturer": "Organon",
      "vendor": "Organon",
      "substanceSlugs": [
        "hcg"
      ],
      "strengthMg": 0.1,
      "strengthUnit": "IU",
      "packSize": "1500–10000 IU vial",
      "doseLabel": "500–10000 IU per protocol",
      "jurisdiction": "US / EU / UK",
      "category": "medicine",
      "regulatoryStatus": "FDA-approved · EMA · MHRA",
      "approvedFor": [
        "Ovulation induction",
        "Male hypogonadism",
        "Cryptorchidism"
      ],
      "prescriptionOnly": true,
      "rxUrl": "https://www.accessdata.fda.gov/drugsatfda_docs/label/2018/017016s033lbl.pdf",
      "coaStatus": "verified",
      "provenance": 100,
      "quality": 70,
      "provenanceN": 20,
      "qualityN": 110,
      "notes": "Urinary-derived hCG."
    },
    {
      "slug": "ovidrel",
      "name": "Ovidrel",
      "brandName": "Ovidrel",
      "manufacturer": "Merck Serono",
      "vendor": "Merck Serono",
      "substanceSlugs": [
        "hcg"
      ],
      "strengthMg": 0.25,
      "strengthUnit": "mg",
      "packSize": "Pre-filled syringe",
      "doseLabel": "250 mcg (≈6500 IU) single dose",
      "jurisdiction": "US / EU / UK",
      "category": "medicine",
      "regulatoryStatus": "FDA-approved · EMA · MHRA",
      "approvedFor": [
        "Ovulation induction"
      ],
      "prescriptionOnly": true,
      "rxUrl": "https://www.accessdata.fda.gov/drugsatfda_docs/label/2018/021149s016lbl.pdf",
      "coaStatus": "verified",
      "provenance": 100,
      "quality": 72,
      "provenanceN": 15,
      "qualityN": 80,
      "notes": "Recombinant hCG."
    },
    {
      "slug": "geref",
      "name": "Geref",
      "brandName": "Geref",
      "manufacturer": "EMD Serono (legacy)",
      "vendor": "EMD Serono",
      "substanceSlugs": [
        "sermorelin"
      ],
      "strengthMg": 0.5,
      "strengthUnit": "mg",
      "packSize": "Single-dose vial",
      "doseLabel": "0.03 mg/kg/day SC",
      "jurisdiction": "US (discontinued 2008)",
      "category": "medicine",
      "regulatoryStatus": "FDA-approved (discontinued)",
      "approvedFor": [
        "Paediatric growth hormone deficiency"
      ],
      "prescriptionOnly": true,
      "rxUrl": "https://www.accessdata.fda.gov/scripts/cder/daf/index.cfm?event=overview.process&ApplNo=019863",
      "coaStatus": "verified",
      "provenance": 95,
      "quality": 55,
      "provenanceN": 8,
      "qualityN": 25,
      "notes": "Commercially discontinued; reference only."
    },
    {
      "slug": "pitocin",
      "name": "Pitocin",
      "brandName": "Pitocin",
      "manufacturer": "JHP Pharmaceuticals",
      "vendor": "JHP Pharmaceuticals",
      "substanceSlugs": [
        "oxytocin"
      ],
      "strengthMg": 0.01,
      "strengthUnit": "IU",
      "packSize": "10 IU/mL vial",
      "doseLabel": "Labour induction IV",
      "jurisdiction": "US",
      "category": "medicine",
      "regulatoryStatus": "FDA-approved",
      "approvedFor": [
        "Labour induction",
        "Postpartum haemorrhage"
      ],
      "prescriptionOnly": true,
      "rxUrl": "https://www.accessdata.fda.gov/drugsatfda_docs/label/2014/018261s031lbl.pdf",
      "coaStatus": "verified",
      "provenance": 100,
      "quality": 75,
      "provenanceN": 30,
      "qualityN": 200,
      "notes": "Hospital-administered only."
    },
    {
      "slug": "hallandale-semaglutide-2mg-ml",
      "name": "Compounded Semaglutide 2 mg/mL",
      "brandName": "Hallandale Semaglutide",
      "manufacturer": "Hallandale Pharmacy",
      "vendor": "Hallandale Pharmacy",
      "substanceSlugs": [
        "semaglutide"
      ],
      "strengthMg": 2,
      "strengthUnit": "mg/mL",
      "packSize": "5 mL vial",
      "doseLabel": "2 mg/mL, 5 mL vial",
      "jurisdiction": "US — 503A",
      "category": "compounded",
      "regulatoryStatus": "503A",
      "approvedFor": [],
      "prescriptionOnly": true,
      "rxUrl": "",
      "coaStatus": "verified",
      "provenance": 82,
      "quality": 76,
      "provenanceN": 22,
      "qualityN": 156,
      "notes": "Pharmacist-attested potency; commonly paired with B12 or B6."
    },
    {
      "slug": "empower-semaglutide-2-5mg-ml",
      "name": "Compounded Semaglutide 2.5 mg/mL",
      "brandName": "Empower Semaglutide",
      "manufacturer": "Empower Pharmacy",
      "vendor": "Empower Pharmacy",
      "substanceSlugs": [
        "semaglutide"
      ],
      "strengthMg": 2.5,
      "strengthUnit": "mg/mL",
      "packSize": "4 mL vial",
      "doseLabel": "2.5 mg/mL, 4 mL vial",
      "jurisdiction": "US — 503A",
      "category": "compounded",
      "regulatoryStatus": "503A",
      "approvedFor": [],
      "prescriptionOnly": true,
      "rxUrl": "",
      "coaStatus": "verified",
      "provenance": 84,
      "quality": 77,
      "provenanceN": 25,
      "qualityN": 180,
      "notes": "Empower also operates a 503B outsourcing facility; verify which licence ships your order."
    },
    {
      "slug": "olympia-semaglutide-2mg-ml",
      "name": "Compounded Semaglutide 2 mg/mL",
      "brandName": "Olympia Semaglutide",
      "manufacturer": "Olympia Pharmacy",
      "vendor": "Olympia Pharmacy",
      "substanceSlugs": [
        "semaglutide"
      ],
      "strengthMg": 2,
      "strengthUnit": "mg/mL",
      "packSize": "2.5 mL vial",
      "doseLabel": "2 mg/mL, 2.5 mL vial",
      "jurisdiction": "US — 503A",
      "category": "compounded",
      "regulatoryStatus": "503A",
      "approvedFor": [],
      "prescriptionOnly": true,
      "rxUrl": "",
      "coaStatus": "verified",
      "provenance": 78,
      "quality": 73,
      "provenanceN": 18,
      "qualityN": 132,
      "notes": "Direct-to-clinician compounded semaglutide."
    },
    {
      "slug": "belmarrx-semaglutide",
      "name": "Compounded Semaglutide",
      "brandName": "BelmarRx Semaglutide",
      "manufacturer": "BelmarRx",
      "vendor": "BelmarRx",
      "substanceSlugs": [
        "semaglutide"
      ],
      "strengthMg": 2,
      "strengthUnit": "mg/mL",
      "packSize": "5 mL vial",
      "doseLabel": "2 mg/mL, 5 mL vial",
      "jurisdiction": "US — 503A",
      "category": "compounded",
      "regulatoryStatus": "503A",
      "approvedFor": [],
      "prescriptionOnly": true,
      "rxUrl": "",
      "coaStatus": "claimed",
      "provenance": 70,
      "quality": 68,
      "provenanceN": 12,
      "qualityN": 90,
      "notes": "Smaller-volume compounder; longer turnaround."
    },
    {
      "slug": "empower-tirzepatide-10mg-ml",
      "name": "Compounded Tirzepatide 10 mg/mL",
      "brandName": "Empower Tirzepatide",
      "manufacturer": "Empower Pharmacy",
      "vendor": "Empower Pharmacy",
      "substanceSlugs": [
        "tirzepatide"
      ],
      "strengthMg": 10,
      "strengthUnit": "mg/mL",
      "packSize": "2 mL vial",
      "doseLabel": "10 mg/mL, 2 mL vial",
      "jurisdiction": "US — 503A",
      "category": "compounded",
      "regulatoryStatus": "503A",
      "approvedFor": [],
      "prescriptionOnly": true,
      "rxUrl": "",
      "coaStatus": "verified",
      "provenance": 80,
      "quality": 74,
      "provenanceN": 20,
      "qualityN": 145,
      "notes": "FDA removed tirzepatide from shortage in 2024 — verify pharmacy is still compounding lawfully."
    },
    {
      "slug": "hallandale-tirzepatide",
      "name": "Compounded Tirzepatide",
      "brandName": "Hallandale Tirzepatide",
      "manufacturer": "Hallandale Pharmacy",
      "vendor": "Hallandale Pharmacy",
      "substanceSlugs": [
        "tirzepatide"
      ],
      "strengthMg": 10,
      "strengthUnit": "mg/mL",
      "packSize": "2 mL vial",
      "doseLabel": "10 mg/mL, 2 mL vial",
      "jurisdiction": "US — 503A",
      "category": "compounded",
      "regulatoryStatus": "503A",
      "approvedFor": [],
      "prescriptionOnly": true,
      "rxUrl": "",
      "coaStatus": "verified",
      "provenance": 78,
      "quality": 72,
      "provenanceN": 16,
      "qualityN": 110,
      "notes": "Shortage status changed in 2024; check current FDA list."
    },
    {
      "slug": "strive-tirzepatide",
      "name": "Compounded Tirzepatide",
      "brandName": "Strive Tirzepatide",
      "manufacturer": "Strive Pharmacy",
      "vendor": "Strive Pharmacy",
      "substanceSlugs": [
        "tirzepatide"
      ],
      "strengthMg": 10,
      "strengthUnit": "mg/mL",
      "packSize": "2 mL vial",
      "doseLabel": "10 mg/mL, 2 mL vial",
      "jurisdiction": "US — 503A",
      "category": "compounded",
      "regulatoryStatus": "503A",
      "approvedFor": [],
      "prescriptionOnly": true,
      "rxUrl": "",
      "coaStatus": "claimed",
      "provenance": 68,
      "quality": 66,
      "provenanceN": 10,
      "qualityN": 65,
      "notes": "Direct-to-consumer through telehealth networks."
    },
    {
      "slug": "empower-sermorelin-15mg",
      "name": "Compounded Sermorelin 15 mg",
      "brandName": "Empower Sermorelin",
      "manufacturer": "Empower Pharmacy",
      "vendor": "Empower Pharmacy",
      "substanceSlugs": [
        "sermorelin"
      ],
      "strengthMg": 15,
      "strengthUnit": "mg",
      "packSize": "Lyophilised vial",
      "doseLabel": "15 mg lyophilised vial",
      "jurisdiction": "US — 503A",
      "category": "compounded",
      "regulatoryStatus": "503A",
      "approvedFor": [],
      "prescriptionOnly": true,
      "rxUrl": "",
      "coaStatus": "verified",
      "provenance": 82,
      "quality": 70,
      "provenanceN": 14,
      "qualityN": 75,
      "notes": "Common in US anti-aging clinics."
    },
    {
      "slug": "tailormade-sermorelin-cjc",
      "name": "Sermorelin / CJC-1295 blend",
      "brandName": "Tailor Made Sermorelin+CJC",
      "manufacturer": "Tailor Made Compounding",
      "vendor": "Tailor Made Compounding",
      "substanceSlugs": [
        "sermorelin",
        "cjc-1295-no-dac"
      ],
      "strengthMg": 9,
      "strengthUnit": "mg",
      "packSize": "Lyophilised vial",
      "doseLabel": "Sermorelin 3 mg + CJC 6 mg vial",
      "jurisdiction": "US — 503A",
      "category": "compounded",
      "regulatoryStatus": "503A",
      "approvedFor": [],
      "prescriptionOnly": true,
      "rxUrl": "",
      "coaStatus": "claimed",
      "provenance": 70,
      "quality": 65,
      "provenanceN": 9,
      "qualityN": 55,
      "notes": "Combo product; clinical evidence for combination is thin."
    },
    {
      "slug": "empower-tesamorelin-10mg",
      "name": "Compounded Tesamorelin 10 mg",
      "brandName": "Empower Tesamorelin",
      "manufacturer": "Empower Pharmacy",
      "vendor": "Empower Pharmacy",
      "substanceSlugs": [
        "tesamorelin"
      ],
      "strengthMg": 10,
      "strengthUnit": "mg",
      "packSize": "Lyophilised vial",
      "doseLabel": "10 mg lyophilised vial",
      "jurisdiction": "US — 503A",
      "category": "compounded",
      "regulatoryStatus": "503A",
      "approvedFor": [],
      "prescriptionOnly": true,
      "rxUrl": "",
      "coaStatus": "verified",
      "provenance": 80,
      "quality": 68,
      "provenanceN": 10,
      "qualityN": 45,
      "notes": "Off-label use outside HIV indication."
    },
    {
      "slug": "empower-bpc-157-legacy",
      "name": "BPC-157 5 mg (compounded, legacy)",
      "brandName": "Empower BPC-157",
      "manufacturer": "Empower Pharmacy",
      "vendor": "Empower Pharmacy",
      "substanceSlugs": [
        "bpc-157"
      ],
      "strengthMg": 5,
      "strengthUnit": "mg",
      "packSize": "Lyophilised vial",
      "doseLabel": "5 mg lyophilised vial",
      "jurisdiction": "US — 503A (historical)",
      "category": "compounded",
      "regulatoryStatus": "503A (FDA flagged 2023)",
      "approvedFor": [],
      "prescriptionOnly": true,
      "rxUrl": "",
      "coaStatus": "verified",
      "provenance": 72,
      "quality": 70,
      "provenanceN": 14,
      "qualityN": 92,
      "notes": "FDA placed BPC-157 on Category 2 of the 503A bulks list in 2023, restricting compounding. Historical reference."
    },
    {
      "slug": "empower-ipamorelin-10mg",
      "name": "Compounded Ipamorelin 10 mg",
      "brandName": "Empower Ipamorelin",
      "manufacturer": "Empower Pharmacy",
      "vendor": "Empower Pharmacy",
      "substanceSlugs": [
        "ipamorelin"
      ],
      "strengthMg": 10,
      "strengthUnit": "mg",
      "packSize": "Lyophilised vial",
      "doseLabel": "10 mg lyophilised vial",
      "jurisdiction": "US — 503A (historical)",
      "category": "compounded",
      "regulatoryStatus": "503A (FDA flagged 2023)",
      "approvedFor": [],
      "prescriptionOnly": true,
      "rxUrl": "",
      "coaStatus": "verified",
      "provenance": 75,
      "quality": 68,
      "provenanceN": 11,
      "qualityN": 47,
      "notes": "Ipamorelin was placed on Category 2 of the 503A bulks list in 2023."
    },
    {
      "slug": "revive-pt-141-10mg",
      "name": "Compounded PT-141 10 mg",
      "brandName": "Revive Rx PT-141",
      "manufacturer": "Revive Rx",
      "vendor": "Revive Rx",
      "substanceSlugs": [
        "pt-141"
      ],
      "strengthMg": 10,
      "strengthUnit": "mg",
      "packSize": "Lyophilised vial",
      "doseLabel": "10 mg vial",
      "jurisdiction": "US — 503A",
      "category": "compounded",
      "regulatoryStatus": "503A",
      "approvedFor": [],
      "prescriptionOnly": true,
      "rxUrl": "",
      "coaStatus": "claimed",
      "provenance": 68,
      "quality": 60,
      "provenanceN": 8,
      "qualityN": 38,
      "notes": "Sold via telehealth networks; verify pharmacy licence."
    },
    {
      "slug": "empower-oxytocin-nasal",
      "name": "Compounded Oxytocin nasal",
      "brandName": "Empower Oxytocin Nasal",
      "manufacturer": "Empower Pharmacy",
      "vendor": "Empower Pharmacy",
      "substanceSlugs": [
        "oxytocin"
      ],
      "strengthMg": 0.04,
      "strengthUnit": "IU/spray",
      "packSize": "Nasal spray 10 mL",
      "doseLabel": "40 IU/mL nasal spray",
      "jurisdiction": "US — 503A",
      "category": "compounded",
      "regulatoryStatus": "503A",
      "approvedFor": [],
      "prescriptionOnly": true,
      "rxUrl": "",
      "coaStatus": "verified",
      "provenance": 75,
      "quality": 62,
      "provenanceN": 10,
      "qualityN": 55,
      "notes": "Off-label nasal preparation."
    },
    {
      "slug": "peptide-sciences-bpc-157-5mg",
      "name": "BPC-157 5 mg vial",
      "brandName": "Peptide Sciences BPC-157",
      "manufacturer": "Peptide Sciences",
      "vendor": "Peptide Sciences",
      "substanceSlugs": [
        "bpc-157"
      ],
      "strengthMg": 5,
      "strengthUnit": "mg",
      "packSize": "Lyophilised vial",
      "doseLabel": "5 mg lyophilised",
      "jurisdiction": "US — RUO",
      "category": "research",
      "regulatoryStatus": "RUO",
      "approvedFor": [],
      "prescriptionOnly": false,
      "rxUrl": "",
      "coaStatus": "verified",
      "provenance": 78,
      "quality": 71,
      "provenanceN": 14,
      "qualityN": 92,
      "notes": "Third-party HPLC published per batch. For laboratory research only."
    },
    {
      "slug": "peptide-sciences-ipamorelin-5mg",
      "name": "Ipamorelin 5 mg vial",
      "brandName": "Peptide Sciences Ipamorelin",
      "manufacturer": "Peptide Sciences",
      "vendor": "Peptide Sciences",
      "substanceSlugs": [
        "ipamorelin"
      ],
      "strengthMg": 5,
      "strengthUnit": "mg",
      "packSize": "Lyophilised vial",
      "doseLabel": "5 mg lyophilised",
      "jurisdiction": "US — RUO",
      "category": "research",
      "regulatoryStatus": "RUO",
      "approvedFor": [],
      "prescriptionOnly": false,
      "rxUrl": "",
      "coaStatus": "verified",
      "provenance": 74,
      "quality": 68,
      "provenanceN": 11,
      "qualityN": 47,
      "notes": "Consistent third-party potency reports across last 8 batches."
    },
    {
      "slug": "peptide-sciences-tb-500-5mg",
      "name": "TB-500 5 mg vial",
      "brandName": "Peptide Sciences TB-500",
      "manufacturer": "Peptide Sciences",
      "vendor": "Peptide Sciences",
      "substanceSlugs": [
        "tb-500"
      ],
      "strengthMg": 5,
      "strengthUnit": "mg",
      "packSize": "Lyophilised vial",
      "doseLabel": "5 mg lyophilised",
      "jurisdiction": "US — RUO",
      "category": "research",
      "regulatoryStatus": "RUO",
      "approvedFor": [],
      "prescriptionOnly": false,
      "rxUrl": "",
      "coaStatus": "verified",
      "provenance": 76,
      "quality": 65,
      "provenanceN": 12,
      "qualityN": 60,
      "notes": "Published HPLC reports per lot."
    },
    {
      "slug": "peptide-sciences-semaglutide-5mg",
      "name": "Semaglutide 5 mg vial",
      "brandName": "Peptide Sciences Semaglutide",
      "manufacturer": "Peptide Sciences",
      "vendor": "Peptide Sciences",
      "substanceSlugs": [
        "semaglutide"
      ],
      "strengthMg": 5,
      "strengthUnit": "mg",
      "packSize": "Lyophilised vial",
      "doseLabel": "5 mg lyophilised",
      "jurisdiction": "US — RUO",
      "category": "research",
      "regulatoryStatus": "RUO",
      "approvedFor": [],
      "prescriptionOnly": false,
      "rxUrl": "",
      "coaStatus": "verified",
      "provenance": 70,
      "quality": 60,
      "provenanceN": 10,
      "qualityN": 55,
      "notes": "Reconstitution required. For laboratory research only."
    },
    {
      "slug": "peptide-sciences-tirzepatide-10mg",
      "name": "Tirzepatide 10 mg vial",
      "brandName": "Peptide Sciences Tirzepatide",
      "manufacturer": "Peptide Sciences",
      "vendor": "Peptide Sciences",
      "substanceSlugs": [
        "tirzepatide"
      ],
      "strengthMg": 10,
      "strengthUnit": "mg",
      "packSize": "Lyophilised vial",
      "doseLabel": "10 mg lyophilised",
      "jurisdiction": "US — RUO",
      "category": "research",
      "regulatoryStatus": "RUO",
      "approvedFor": [],
      "prescriptionOnly": false,
      "rxUrl": "",
      "coaStatus": "verified",
      "provenance": 70,
      "quality": 62,
      "provenanceN": 8,
      "qualityN": 38,
      "notes": "For laboratory research only."
    },
    {
      "slug": "peptide-sciences-cjc-dac-5mg",
      "name": "CJC-1295 DAC 5 mg vial",
      "brandName": "Peptide Sciences CJC-1295 DAC",
      "manufacturer": "Peptide Sciences",
      "vendor": "Peptide Sciences",
      "substanceSlugs": [
        "cjc-1295-dac"
      ],
      "strengthMg": 5,
      "strengthUnit": "mg",
      "packSize": "Lyophilised vial",
      "doseLabel": "5 mg lyophilised",
      "jurisdiction": "US — RUO",
      "category": "research",
      "regulatoryStatus": "RUO",
      "approvedFor": [],
      "prescriptionOnly": false,
      "rxUrl": "",
      "coaStatus": "verified",
      "provenance": 72,
      "quality": 64,
      "provenanceN": 9,
      "qualityN": 42,
      "notes": "Long-acting GHRH analogue."
    },
    {
      "slug": "peptide-sciences-ghk-cu-50mg",
      "name": "GHK-Cu 50 mg vial",
      "brandName": "Peptide Sciences GHK-Cu",
      "manufacturer": "Peptide Sciences",
      "vendor": "Peptide Sciences",
      "substanceSlugs": [
        "ghk-cu"
      ],
      "strengthMg": 50,
      "strengthUnit": "mg",
      "packSize": "Lyophilised vial",
      "doseLabel": "50 mg lyophilised",
      "jurisdiction": "US — RUO",
      "category": "research",
      "regulatoryStatus": "RUO",
      "approvedFor": [],
      "prescriptionOnly": false,
      "rxUrl": "",
      "coaStatus": "verified",
      "provenance": 74,
      "quality": 66,
      "provenanceN": 10,
      "qualityN": 38,
      "notes": "Copper peptide."
    },
    {
      "slug": "peptide-sciences-pt-141-10mg",
      "name": "PT-141 10 mg vial",
      "brandName": "Peptide Sciences PT-141",
      "manufacturer": "Peptide Sciences",
      "vendor": "Peptide Sciences",
      "substanceSlugs": [
        "pt-141"
      ],
      "strengthMg": 10,
      "strengthUnit": "mg",
      "packSize": "Lyophilised vial",
      "doseLabel": "10 mg lyophilised",
      "jurisdiction": "US — RUO",
      "category": "research",
      "regulatoryStatus": "RUO",
      "approvedFor": [],
      "prescriptionOnly": false,
      "rxUrl": "",
      "coaStatus": "verified",
      "provenance": 70,
      "quality": 60,
      "provenanceN": 8,
      "qualityN": 30,
      "notes": "Bremelanotide. Research only."
    },
    {
      "slug": "core-peptides-tb-500-5mg",
      "name": "TB-500 5 mg vial",
      "brandName": "Core Peptides TB-500",
      "manufacturer": "Core Peptides",
      "vendor": "Core Peptides",
      "substanceSlugs": [
        "tb-500"
      ],
      "strengthMg": 5,
      "strengthUnit": "mg",
      "packSize": "Lyophilised vial",
      "doseLabel": "5 mg lyophilised",
      "jurisdiction": "US — RUO",
      "category": "research",
      "regulatoryStatus": "RUO",
      "approvedFor": [],
      "prescriptionOnly": false,
      "rxUrl": "",
      "coaStatus": "claimed",
      "provenance": 52,
      "quality": 64,
      "provenanceN": 8,
      "qualityN": 41,
      "notes": "COA claimed but not independently posted. Two batch disputes resolved 2025."
    },
    {
      "slug": "core-peptides-bpc-157-5mg",
      "name": "BPC-157 5 mg vial",
      "brandName": "Core Peptides BPC-157",
      "manufacturer": "Core Peptides",
      "vendor": "Core Peptides",
      "substanceSlugs": [
        "bpc-157"
      ],
      "strengthMg": 5,
      "strengthUnit": "mg",
      "packSize": "Lyophilised vial",
      "doseLabel": "5 mg lyophilised",
      "jurisdiction": "US — RUO",
      "category": "research",
      "regulatoryStatus": "RUO",
      "approvedFor": [],
      "prescriptionOnly": false,
      "rxUrl": "",
      "coaStatus": "claimed",
      "provenance": 55,
      "quality": 62,
      "provenanceN": 9,
      "qualityN": 48,
      "notes": "COA on request."
    },
    {
      "slug": "core-peptides-semaglutide-3mg",
      "name": "Semaglutide 3 mg vial",
      "brandName": "Core Peptides Semaglutide",
      "manufacturer": "Core Peptides",
      "vendor": "Core Peptides",
      "substanceSlugs": [
        "semaglutide"
      ],
      "strengthMg": 3,
      "strengthUnit": "mg",
      "packSize": "Lyophilised vial",
      "doseLabel": "3 mg lyophilised",
      "jurisdiction": "US — RUO",
      "category": "research",
      "regulatoryStatus": "RUO",
      "approvedFor": [],
      "prescriptionOnly": false,
      "rxUrl": "",
      "coaStatus": "claimed",
      "provenance": 50,
      "quality": 55,
      "provenanceN": 6,
      "qualityN": 28,
      "notes": "Research-grade."
    },
    {
      "slug": "pure-rawz-bpc-157-10mg",
      "name": "BPC-157 10 mg vial",
      "brandName": "Pure Rawz BPC-157",
      "manufacturer": "Pure Rawz",
      "vendor": "Pure Rawz",
      "substanceSlugs": [
        "bpc-157"
      ],
      "strengthMg": 10,
      "strengthUnit": "mg",
      "packSize": "Lyophilised vial",
      "doseLabel": "10 mg lyophilised",
      "jurisdiction": "US — RUO",
      "category": "research",
      "regulatoryStatus": "RUO",
      "approvedFor": [],
      "prescriptionOnly": false,
      "rxUrl": "",
      "coaStatus": "claimed",
      "provenance": 48,
      "quality": 56,
      "provenanceN": 7,
      "qualityN": 34,
      "notes": "Bulk research supply."
    },
    {
      "slug": "pure-rawz-mk-677",
      "name": "MK-677 (Ibutamoren) solution",
      "brandName": "Pure Rawz MK-677",
      "manufacturer": "Pure Rawz",
      "vendor": "Pure Rawz",
      "substanceSlugs": [
        "mk-677"
      ],
      "strengthMg": 25,
      "strengthUnit": "mg/mL",
      "packSize": "30 mL solution",
      "doseLabel": "25 mg/mL liquid",
      "jurisdiction": "US — RUO",
      "category": "research",
      "regulatoryStatus": "RUO",
      "approvedFor": [],
      "prescriptionOnly": false,
      "rxUrl": "",
      "coaStatus": "claimed",
      "provenance": 45,
      "quality": 60,
      "provenanceN": 6,
      "qualityN": 60,
      "notes": "Liquid oral solution."
    },
    {
      "slug": "limitless-life-bpc-157",
      "name": "BPC-157 5 mg",
      "brandName": "Limitless Life BPC-157",
      "manufacturer": "Limitless Life",
      "vendor": "Limitless Life",
      "substanceSlugs": [
        "bpc-157"
      ],
      "strengthMg": 5,
      "strengthUnit": "mg",
      "packSize": "Lyophilised vial",
      "doseLabel": "5 mg lyophilised",
      "jurisdiction": "US — RUO",
      "category": "research",
      "regulatoryStatus": "RUO",
      "approvedFor": [],
      "prescriptionOnly": false,
      "rxUrl": "",
      "coaStatus": "verified",
      "provenance": 72,
      "quality": 68,
      "provenanceN": 10,
      "qualityN": 55,
      "notes": "Independent COA per batch."
    },
    {
      "slug": "limitless-life-tirzepatide-30mg",
      "name": "Tirzepatide 30 mg vial",
      "brandName": "Limitless Life Tirzepatide",
      "manufacturer": "Limitless Life",
      "vendor": "Limitless Life",
      "substanceSlugs": [
        "tirzepatide"
      ],
      "strengthMg": 30,
      "strengthUnit": "mg",
      "packSize": "Lyophilised vial",
      "doseLabel": "30 mg lyophilised",
      "jurisdiction": "US — RUO",
      "category": "research",
      "regulatoryStatus": "RUO",
      "approvedFor": [],
      "prescriptionOnly": false,
      "rxUrl": "",
      "coaStatus": "verified",
      "provenance": 70,
      "quality": 66,
      "provenanceN": 9,
      "qualityN": 48,
      "notes": "Bulk research vial."
    },
    {
      "slug": "limitless-life-retatrutide-10mg",
      "name": "Retatrutide 10 mg vial",
      "brandName": "Limitless Life Retatrutide",
      "manufacturer": "Limitless Life",
      "vendor": "Limitless Life",
      "substanceSlugs": [
        "retatrutide"
      ],
      "strengthMg": 10,
      "strengthUnit": "mg",
      "packSize": "Lyophilised vial",
      "doseLabel": "10 mg lyophilised",
      "jurisdiction": "US — RUO",
      "category": "research",
      "regulatoryStatus": "RUO",
      "approvedFor": [],
      "prescriptionOnly": false,
      "rxUrl": "",
      "coaStatus": "claimed",
      "provenance": 58,
      "quality": 50,
      "provenanceN": 5,
      "qualityN": 18,
      "notes": "Investigational compound; no approved use in humans."
    },
    {
      "slug": "amino-asylum-melanotan-2",
      "name": "Melanotan II 10 mg",
      "brandName": "Amino Asylum MT-II",
      "manufacturer": "Amino Asylum",
      "vendor": "Amino Asylum",
      "substanceSlugs": [
        "melanotan-2"
      ],
      "strengthMg": 10,
      "strengthUnit": "mg",
      "packSize": "Lyophilised vial",
      "doseLabel": "10 mg lyophilised",
      "jurisdiction": "US — RUO",
      "category": "research",
      "regulatoryStatus": "RUO",
      "approvedFor": [],
      "prescriptionOnly": false,
      "rxUrl": "",
      "coaStatus": "claimed",
      "provenance": 40,
      "quality": 55,
      "provenanceN": 6,
      "qualityN": 80,
      "notes": "MT-II — unapproved, significant adverse-event profile."
    },
    {
      "slug": "amino-asylum-selank",
      "name": "Selank 5 mg",
      "brandName": "Amino Asylum Selank",
      "manufacturer": "Amino Asylum",
      "vendor": "Amino Asylum",
      "substanceSlugs": [
        "selank"
      ],
      "strengthMg": 5,
      "strengthUnit": "mg",
      "packSize": "Lyophilised vial",
      "doseLabel": "5 mg lyophilised",
      "jurisdiction": "US — RUO",
      "category": "research",
      "regulatoryStatus": "RUO",
      "approvedFor": [],
      "prescriptionOnly": false,
      "rxUrl": "",
      "coaStatus": "claimed",
      "provenance": 42,
      "quality": 58,
      "provenanceN": 5,
      "qualityN": 35,
      "notes": "Research only."
    },
    {
      "slug": "amino-asylum-semax",
      "name": "Semax 30 mg",
      "brandName": "Amino Asylum Semax",
      "manufacturer": "Amino Asylum",
      "vendor": "Amino Asylum",
      "substanceSlugs": [
        "semax"
      ],
      "strengthMg": 30,
      "strengthUnit": "mg",
      "packSize": "Lyophilised vial",
      "doseLabel": "30 mg lyophilised",
      "jurisdiction": "US — RUO",
      "category": "research",
      "regulatoryStatus": "RUO",
      "approvedFor": [],
      "prescriptionOnly": false,
      "rxUrl": "",
      "coaStatus": "claimed",
      "provenance": 42,
      "quality": 58,
      "provenanceN": 5,
      "qualityN": 32,
      "notes": "Russian-origin nootropic peptide."
    },
    {
      "slug": "biotech-thymosin-alpha-1-10mg",
      "name": "Thymosin α1 10 mg vial",
      "brandName": "BioTech Tα1",
      "manufacturer": "BioTech Peptides",
      "vendor": "BioTech Peptides",
      "substanceSlugs": [
        "thymosin-alpha-1"
      ],
      "strengthMg": 10,
      "strengthUnit": "mg",
      "packSize": "Lyophilised vial",
      "doseLabel": "10 mg lyophilised",
      "jurisdiction": "US — RUO",
      "category": "research",
      "regulatoryStatus": "RUO",
      "approvedFor": [],
      "prescriptionOnly": false,
      "rxUrl": "",
      "coaStatus": "verified",
      "provenance": 68,
      "quality": 62,
      "provenanceN": 8,
      "qualityN": 30,
      "notes": "Research-grade Tα1."
    },
    {
      "slug": "biotech-ss-31-50mg",
      "name": "SS-31 50 mg vial",
      "brandName": "BioTech SS-31",
      "manufacturer": "BioTech Peptides",
      "vendor": "BioTech Peptides",
      "substanceSlugs": [
        "ss-31"
      ],
      "strengthMg": 50,
      "strengthUnit": "mg",
      "packSize": "Lyophilised vial",
      "doseLabel": "50 mg lyophilised",
      "jurisdiction": "US — RUO",
      "category": "research",
      "regulatoryStatus": "RUO",
      "approvedFor": [],
      "prescriptionOnly": false,
      "rxUrl": "",
      "coaStatus": "verified",
      "provenance": 65,
      "quality": 58,
      "provenanceN": 7,
      "qualityN": 22,
      "notes": "Elamipretide research supply."
    },
    {
      "slug": "biotech-epitalon-50mg",
      "name": "Epitalon 50 mg vial",
      "brandName": "BioTech Epitalon",
      "manufacturer": "BioTech Peptides",
      "vendor": "BioTech Peptides",
      "substanceSlugs": [
        "epitalon"
      ],
      "strengthMg": 50,
      "strengthUnit": "mg",
      "packSize": "Lyophilised vial",
      "doseLabel": "50 mg lyophilised",
      "jurisdiction": "US — RUO",
      "category": "research",
      "regulatoryStatus": "RUO",
      "approvedFor": [],
      "prescriptionOnly": false,
      "rxUrl": "",
      "coaStatus": "verified",
      "provenance": 64,
      "quality": 56,
      "provenanceN": 6,
      "qualityN": 28,
      "notes": "AEDG tetrapeptide."
    },
    {
      "slug": "swiss-chems-bpc-tb-blend",
      "name": "BPC-157 + TB-500 blend",
      "brandName": "Swiss Chems BPC+TB Blend",
      "manufacturer": "Swiss Chems",
      "vendor": "Swiss Chems",
      "substanceSlugs": [
        "bpc-157",
        "tb-500"
      ],
      "strengthMg": 10,
      "strengthUnit": "mg",
      "packSize": "Lyophilised vial",
      "doseLabel": "BPC 5 mg + TB 5 mg vial",
      "jurisdiction": "US — RUO",
      "category": "research",
      "regulatoryStatus": "RUO",
      "approvedFor": [],
      "prescriptionOnly": false,
      "rxUrl": "",
      "coaStatus": "claimed",
      "provenance": 45,
      "quality": 55,
      "provenanceN": 6,
      "qualityN": 38,
      "notes": "Blended product — clinical evidence for blends is thin."
    },
    {
      "slug": "swiss-chems-aod-9604",
      "name": "AOD-9604 5 mg",
      "brandName": "Swiss Chems AOD-9604",
      "manufacturer": "Swiss Chems",
      "vendor": "Swiss Chems",
      "substanceSlugs": [
        "aod-9604"
      ],
      "strengthMg": 5,
      "strengthUnit": "mg",
      "packSize": "Lyophilised vial",
      "doseLabel": "5 mg lyophilised",
      "jurisdiction": "US — RUO",
      "category": "research",
      "regulatoryStatus": "RUO",
      "approvedFor": [],
      "prescriptionOnly": false,
      "rxUrl": "",
      "coaStatus": "claimed",
      "provenance": 42,
      "quality": 50,
      "provenanceN": 5,
      "qualityN": 25,
      "notes": "Marketed for weight loss; phase 3 missed endpoints."
    },
    {
      "slug": "swiss-chems-igf-1-lr3",
      "name": "IGF-1 LR3 1 mg",
      "brandName": "Swiss Chems IGF-1 LR3",
      "manufacturer": "Swiss Chems",
      "vendor": "Swiss Chems",
      "substanceSlugs": [
        "igf-1-lr3"
      ],
      "strengthMg": 1,
      "strengthUnit": "mg",
      "packSize": "Lyophilised vial",
      "doseLabel": "1 mg lyophilised",
      "jurisdiction": "US — RUO",
      "category": "research",
      "regulatoryStatus": "RUO",
      "approvedFor": [],
      "prescriptionOnly": false,
      "rxUrl": "",
      "coaStatus": "claimed",
      "provenance": 40,
      "quality": 52,
      "provenanceN": 5,
      "qualityN": 30,
      "notes": "Long-acting IGF-1 analogue."
    },
    {
      "slug": "unverified-tirzepatide-vial",
      "name": "Tirzepatide 10 mg (unverified vendor)",
      "brandName": "Unlisted Tirzepatide",
      "manufacturer": "Unlisted",
      "vendor": "Unlisted",
      "substanceSlugs": [
        "tirzepatide"
      ],
      "strengthMg": 10,
      "strengthUnit": "mg",
      "packSize": "Lyophilised vial",
      "doseLabel": "10 mg lyophilised",
      "jurisdiction": "Grey market",
      "category": "research",
      "regulatoryStatus": "Unknown",
      "approvedFor": [],
      "prescriptionOnly": false,
      "rxUrl": "",
      "coaStatus": "absent",
      "provenance": 12,
      "quality": 0,
      "provenanceN": 3,
      "qualityN": 0,
      "notes": "No verifiable COA, no vendor history. Listed for transparency, not endorsement."
    }
  ],
  "conditions": [
    {
      "slug": "tendon-injury",
      "name": "Tendon & ligament injury",
      "category": "musculoskeletal",
      "sensitive": false,
      "summary": "Soft-tissue recovery is the most commonly reported off-label use of regenerative peptides. Human evidence remains limited.",
      "reportedSubstances": [
        "bpc-157",
        "tb-500",
        "thymosin-beta-4"
      ]
    },
    {
      "slug": "joint-pain",
      "name": "Chronic joint pain",
      "category": "musculoskeletal",
      "sensitive": false,
      "summary": "Aggregated cohort reports for joint pain protocols. Read alongside conventional care, not in place of it.",
      "reportedSubstances": [
        "bpc-157",
        "kpv"
      ]
    },
    {
      "slug": "weight-management",
      "name": "Weight management",
      "category": "metabolic",
      "sensitive": false,
      "summary": "GLP-1 and dual-agonist incretins have the strongest human RCT evidence on this index.",
      "reportedSubstances": [
        "semaglutide",
        "tirzepatide",
        "liraglutide",
        "retatrutide",
        "tesamorelin",
        "setmelanotide",
        "aod-9604"
      ]
    },
    {
      "slug": "diabetes",
      "name": "Diabetes (Type 2)",
      "category": "metabolic",
      "sensitive": false,
      "summary": "Incretin-class agents (GLP-1, dual GIP/GLP-1, triple agonists) and amylin analogues have the strongest human RCT evidence for glycemic control and cardiometabolic risk. Standard care remains first-line; this page is a reference, not a recommendation.",
      "reportedSubstances": [
        "semaglutide",
        "tirzepatide",
        "retatrutide",
        "cagrilintide",
        "liraglutide"
      ]
    },
    {
      "slug": "eating-disorders",
      "name": "Eating disorders",
      "category": "sensitive",
      "sensitive": true,
      "summary": "If you are in distress, please contact a clinician or local helpline before considering pharmacological options.",
      "reportedSubstances": [
        "semaglutide"
      ]
    },
    {
      "slug": "addiction-cravings",
      "name": "Addiction & cravings",
      "category": "sensitive",
      "sensitive": true,
      "summary": "Emerging observational signal that GLP-1 agonists reduce craving behaviour. Treat as exploratory.",
      "reportedSubstances": [
        "semaglutide"
      ]
    },
    {
      "slug": "recovery-sleep",
      "name": "Recovery & sleep",
      "category": "recovery",
      "sensitive": false,
      "summary": "Reported anecdotally for sleep depth and overnight recovery markers. Largely preclinical mechanism.",
      "reportedSubstances": [
        "ipamorelin",
        "ghk-cu",
        "cjc-1295-dac",
        "sermorelin",
        "dsip",
        "epitalon"
      ]
    }
  ],
  "profiles": [
    {
      "handle": "adachen",
      "display_name": "Dr. Ada Chen",
      "tier": "clinician",
      "created_at": "2026-05-19T07:57:45.550437+00:00"
    },
    {
      "handle": "marco",
      "display_name": "Marco Reyes",
      "tier": "verified",
      "created_at": "2026-05-19T07:57:45.550437+00:00"
    },
    {
      "handle": "lena",
      "display_name": "Lena Ortiz",
      "tier": "clinician",
      "created_at": "2026-05-19T07:57:45.550437+00:00"
    },
    {
      "handle": "fh2210",
      "display_name": "test fh",
      "tier": "personal",
      "created_at": "2026-05-19T11:16:49.917259+00:00"
    },
    {
      "handle": "joerogan",
      "display_name": "Joe Rogan",
      "tier": "personal",
      "created_at": "2026-05-20T13:37:57.064466+00:00"
    },
    {
      "handle": "oprah",
      "display_name": "Oprah Winfrey",
      "tier": "personal",
      "created_at": "2026-05-20T13:37:57.064466+00:00"
    },
    {
      "handle": "khloekardashian",
      "display_name": "Khloé Kardashian",
      "tier": "personal",
      "created_at": "2026-05-20T13:37:57.064466+00:00"
    },
    {
      "handle": "gwyneth",
      "display_name": "Gwyneth Paltrow",
      "tier": "personal",
      "created_at": "2026-05-20T13:37:57.064466+00:00"
    },
    {
      "handle": "haileybieber",
      "display_name": "Hailey Bieber",
      "tier": "personal",
      "created_at": "2026-05-20T13:37:57.064466+00:00"
    },
    {
      "handle": "bryanjohnson",
      "display_name": "Bryan Johnson",
      "tier": "personal",
      "created_at": "2026-05-20T13:37:57.064466+00:00"
    },
    {
      "handle": "clavicular",
      "display_name": "Clavicular",
      "tier": "personal",
      "created_at": "2026-05-20T13:37:57.064466+00:00"
    },
    {
      "handle": null,
      "display_name": "",
      "tier": "personal",
      "created_at": "2026-06-13T20:03:57.888245+00:00"
    },
    {
      "handle": null,
      "display_name": "",
      "tier": "personal",
      "created_at": "2026-07-14T11:08:00.468211+00:00"
    },
    {
      "handle": null,
      "display_name": "",
      "tier": "personal",
      "created_at": "2026-07-22T09:34:30.390043+00:00"
    }
  ],
  "protocols": [
    {
      "id": "aaaaaaaa-0000-0000-0000-000000000004",
      "slug": "tirz-metabolic",
      "name": "Tirzepatide metabolic reset",
      "tagline": "Dual-agonist for insulin resistance — strict labs cadence.",
      "stack": [
        {
          "dose": "2.5 mg",
          "notes": "Baseline + 4-wk fasting insulin.",
          "route": "subcutaneous",
          "schedule": "weekly, 4 weeks",
          "substance_slug": "tirzepatide"
        }
      ],
      "parent_protocol_id": null,
      "version": 1,
      "created_at": "2026-05-19T07:57:45.550437+00:00"
    },
    {
      "id": "aaaaaaaa-0000-0000-0000-000000000003",
      "slug": "glp1-titrate-mild",
      "name": "GLP-1 gentle titration",
      "tagline": "Semaglutide micro-dose ramp to minimize GI side effects.",
      "stack": [
        {
          "dose": "0.125 mg",
          "notes": "Stop and reassess if HR>90 resting.",
          "route": "subcutaneous",
          "schedule": "weekly for 4 wks, then 0.25 mg",
          "substance_slug": "semaglutide"
        }
      ],
      "parent_protocol_id": null,
      "version": 3,
      "created_at": "2026-05-19T07:57:45.550437+00:00"
    },
    {
      "id": "aaaaaaaa-0000-0000-0000-000000000001",
      "slug": "tendon-reset-8wk",
      "name": "Tendon Reset · 8 weeks",
      "tagline": "Conservative BPC-157 + TB-500 cycle for partial-thickness tendon injuries.",
      "stack": [
        {
          "dose": "250 mcg",
          "notes": "Inject near (not into) the affected tendon.",
          "route": "subcutaneous",
          "schedule": "2x daily, 8 weeks",
          "substance_slug": "bpc-157"
        },
        {
          "dose": "2 mg",
          "notes": "Loading dose first 2 weeks.",
          "route": "subcutaneous",
          "schedule": "1x weekly, 4 weeks then taper",
          "substance_slug": "tb-500"
        }
      ],
      "parent_protocol_id": null,
      "version": 2,
      "created_at": "2026-05-19T07:57:45.550437+00:00"
    },
    {
      "id": "e32912ae-ffca-4be5-9f69-da62bcadc356",
      "slug": "joe-rogan-wolverine",
      "name": "Wolverine Stack",
      "tagline": "BPC-157 + TB-500 + GH pulse — recovery & soft-tissue, as discussed on JRE.",
      "stack": [
        {
          "dose": "250 mcg",
          "notes": "Injected near affected tissue.",
          "route": "subcutaneous",
          "schedule": "2x daily, 4 weeks",
          "substance_slug": "bpc-157"
        },
        {
          "dose": "2 mg",
          "notes": "Loading phase first 2 weeks.",
          "route": "subcutaneous",
          "schedule": "1x weekly, 4 weeks",
          "substance_slug": "tb-500"
        },
        {
          "dose": "200 mcg",
          "notes": "Stacked with CJC-1295 for GH pulse.",
          "route": "subcutaneous",
          "schedule": "pre-sleep, 5 days/wk",
          "substance_slug": "ipamorelin"
        },
        {
          "dose": "100 mcg",
          "notes": "Paired with ipamorelin.",
          "route": "subcutaneous",
          "schedule": "pre-sleep, 5 days/wk",
          "substance_slug": "cjc-1295-no-dac"
        }
      ],
      "parent_protocol_id": null,
      "version": 1,
      "created_at": "2026-05-20T13:34:51.641198+00:00"
    },
    {
      "id": "aaaaaaaa-0000-0000-0000-000000000002",
      "slug": "lift-recovery-block",
      "name": "Heavy-lift recovery block",
      "tagline": "Post-meet recovery: tissue + sleep stack.",
      "stack": [
        {
          "dose": "500 mcg",
          "notes": "",
          "route": "subcutaneous",
          "schedule": "daily, 4 weeks",
          "substance_slug": "bpc-157"
        },
        {
          "dose": "200 mcg",
          "notes": "GH pulse for deep sleep.",
          "route": "subcutaneous",
          "schedule": "pre-sleep, 4 weeks",
          "substance_slug": "ipamorelin"
        }
      ],
      "parent_protocol_id": null,
      "version": 1,
      "created_at": "2026-05-19T07:57:45.550437+00:00"
    },
    {
      "id": "35fab289-f8b4-4e3a-92a2-241f6b5da095",
      "slug": "khloe-semaglutide-curious",
      "name": "GLP-1 weight-loss starter",
      "tagline": "Conservative semaglutide protocol — what Khloé has said she \"would have tried\".",
      "stack": [
        {
          "dose": "0.25 mg",
          "notes": "Low-and-slow start to limit nausea.",
          "route": "subcutaneous",
          "schedule": "weekly, 4 weeks, then titrate",
          "substance_slug": "semaglutide"
        }
      ],
      "parent_protocol_id": null,
      "version": 1,
      "created_at": "2026-05-20T13:34:51.641198+00:00"
    },
    {
      "id": "4dbfcaa0-b77e-4a9b-b801-14958113363f",
      "slug": "oprah-glp1-reset",
      "name": "GLP-1 weight maintenance",
      "tagline": "Semaglutide protocol Oprah has publicly described using.",
      "stack": [
        {
          "dose": "0.25 mg → 1.0 mg titration",
          "notes": "Standard titration over 8+ weeks. Monitor GI tolerance.",
          "route": "subcutaneous",
          "schedule": "weekly",
          "substance_slug": "semaglutide"
        }
      ],
      "parent_protocol_id": null,
      "version": 1,
      "created_at": "2026-05-20T13:34:51.641198+00:00"
    },
    {
      "id": "1559b8bf-cfb7-4ebe-a51c-98752717b6fb",
      "slug": "gwyneth-microdose-glp1",
      "name": "Microdose GLP-1",
      "tagline": "Microdose tirzepatide approach Gwyneth has discussed on Goop.",
      "stack": [
        {
          "dose": "1.25 mg (microdose)",
          "notes": "Sub-clinical dose intended for metabolic tuning, not weight loss.",
          "route": "subcutaneous",
          "schedule": "weekly",
          "substance_slug": "tirzepatide"
        }
      ],
      "parent_protocol_id": null,
      "version": 1,
      "created_at": "2026-05-20T13:34:51.641198+00:00"
    },
    {
      "id": "eabecc77-5efa-4b59-9ffc-76fa45cd645d",
      "slug": "clavicular-general-recovery",
      "name": "General recovery",
      "tagline": "Balanced recovery & GH-pulse stack.",
      "stack": [
        {
          "dose": "500 mcg",
          "notes": "Systemic repair.",
          "route": "subcutaneous",
          "schedule": "daily, 4 weeks",
          "substance_slug": "bpc-157"
        },
        {
          "dose": "200 mcg",
          "notes": "GH pulse for sleep & recovery.",
          "route": "subcutaneous",
          "schedule": "pre-sleep, 5 days/wk",
          "substance_slug": "ipamorelin"
        }
      ],
      "parent_protocol_id": null,
      "version": 1,
      "created_at": "2026-05-20T13:34:51.641198+00:00"
    },
    {
      "id": "f4a7d85a-8027-44b6-8b7b-4e78f98c53f2",
      "slug": "hailey-glow-stack",
      "name": "Glow & longevity stack",
      "tagline": "Skin peptides + longevity pulse — aligned with the \"glazed donut\" routine.",
      "stack": [
        {
          "dose": "2 mg",
          "notes": "Copper peptide for skin & hair.",
          "route": "subcutaneous",
          "schedule": "daily, 8 weeks",
          "substance_slug": "ghk-cu"
        },
        {
          "dose": "10 mg",
          "notes": "Telomere/longevity pulse.",
          "route": "subcutaneous",
          "schedule": "daily, 10 days, 2x/year",
          "substance_slug": "epitalon"
        },
        {
          "dose": "topical 10%",
          "notes": "Topical wrinkle-relax peptide.",
          "route": "topical",
          "schedule": "daily",
          "substance_slug": "argireline"
        }
      ],
      "parent_protocol_id": null,
      "version": 1,
      "created_at": "2026-05-20T13:34:51.641198+00:00"
    },
    {
      "id": "d97e5ed8-60f3-428b-bfc5-de4f9c2df1ac",
      "slug": "mounjaro-foodnoice-fh-protocol",
      "name": "Mounjaro Foodnoice FH protocol",
      "tagline": "No more Sugar cravings at night",
      "stack": [
        {
          "dose": "7.5 mg",
          "notes": "Mounjaro — Eli Lilly. \nUse in morning\nTrainig in evenig\nTip A\nTip B\nTip C\n\nTest.... FH protocol",
          "route": "subq",
          "schedule": "weekly",
          "substance_slug": "tirzepatide"
        }
      ],
      "parent_protocol_id": null,
      "version": 1,
      "created_at": "2026-07-14T21:30:06.17307+00:00"
    },
    {
      "id": "737127cc-e421-4c28-8261-83d0e1958857",
      "slug": "bryan-johnson-blueprint",
      "name": "Blueprint longevity",
      "tagline": "Multi-peptide longevity protocol from Project Blueprint.",
      "stack": [
        {
          "dose": "10 mg",
          "notes": "Telomere & circadian pulse.",
          "route": "subcutaneous",
          "schedule": "daily, 20 days, quarterly",
          "substance_slug": "epitalon"
        },
        {
          "dose": "10 mg",
          "notes": "Mitochondrial peptide.",
          "route": "subcutaneous",
          "schedule": "2x weekly",
          "substance_slug": "mots-c"
        },
        {
          "dose": "1.6 mg",
          "notes": "Immune modulation.",
          "route": "subcutaneous",
          "schedule": "2x weekly",
          "substance_slug": "thymosin-alpha-1"
        },
        {
          "dose": "2 mg",
          "notes": "Skin & systemic repair.",
          "route": "subcutaneous",
          "schedule": "daily",
          "substance_slug": "ghk-cu"
        },
        {
          "dose": "5 mg",
          "notes": "Mitochondrial cardiolipin-targeting peptide.",
          "route": "subcutaneous",
          "schedule": "daily",
          "substance_slug": "ss-31"
        }
      ],
      "parent_protocol_id": null,
      "version": 1,
      "created_at": "2026-05-20T13:34:51.641198+00:00"
    }
  ],
  "forkEdges": [
    {
      "parent_protocol_id": "aaaaaaaa-0000-0000-0000-000000000001",
      "child_protocol_id": null,
      "created_at": "2026-05-19T07:57:45.550437+00:00"
    },
    {
      "parent_protocol_id": "aaaaaaaa-0000-0000-0000-000000000001",
      "child_protocol_id": null,
      "created_at": "2026-05-19T07:57:45.550437+00:00"
    },
    {
      "parent_protocol_id": "aaaaaaaa-0000-0000-0000-000000000001",
      "child_protocol_id": null,
      "created_at": "2026-05-19T07:57:45.550437+00:00"
    },
    {
      "parent_protocol_id": "aaaaaaaa-0000-0000-0000-000000000002",
      "child_protocol_id": null,
      "created_at": "2026-05-19T07:57:45.550437+00:00"
    },
    {
      "parent_protocol_id": "aaaaaaaa-0000-0000-0000-000000000003",
      "child_protocol_id": null,
      "created_at": "2026-05-19T07:57:45.550437+00:00"
    },
    {
      "parent_protocol_id": "aaaaaaaa-0000-0000-0000-000000000003",
      "child_protocol_id": null,
      "created_at": "2026-05-19T07:57:45.550437+00:00"
    },
    {
      "parent_protocol_id": "aaaaaaaa-0000-0000-0000-000000000003",
      "child_protocol_id": null,
      "created_at": "2026-05-20T12:48:14.147965+00:00"
    },
    {
      "parent_protocol_id": "e32912ae-ffca-4be5-9f69-da62bcadc356",
      "child_protocol_id": null,
      "created_at": "2026-05-20T18:34:07.007659+00:00"
    },
    {
      "parent_protocol_id": "737127cc-e421-4c28-8261-83d0e1958857",
      "child_protocol_id": null,
      "created_at": "2026-05-30T18:57:07.995007+00:00"
    },
    {
      "parent_protocol_id": "f4a7d85a-8027-44b6-8b7b-4e78f98c53f2",
      "child_protocol_id": null,
      "created_at": "2026-05-30T20:24:53.217924+00:00"
    },
    {
      "parent_protocol_id": "e32912ae-ffca-4be5-9f69-da62bcadc356",
      "child_protocol_id": null,
      "created_at": "2026-05-30T20:26:28.168189+00:00"
    },
    {
      "parent_protocol_id": "e32912ae-ffca-4be5-9f69-da62bcadc356",
      "child_protocol_id": null,
      "created_at": "2026-06-03T12:29:59.866907+00:00"
    },
    {
      "parent_protocol_id": "e32912ae-ffca-4be5-9f69-da62bcadc356",
      "child_protocol_id": null,
      "created_at": "2026-07-14T20:10:10.28958+00:00"
    }
  ],
  "followEvents": [
    {
      "target_handle": "adachen",
      "source": "direct",
      "created_at": "2026-05-19T07:55:57.574428+00:00"
    },
    {
      "target_handle": "adachen",
      "source": "quiz",
      "created_at": "2026-05-19T07:55:57.574428+00:00"
    },
    {
      "target_handle": "adachen",
      "source": "card",
      "created_at": "2026-05-19T07:55:57.574428+00:00"
    },
    {
      "target_handle": "adachen",
      "source": "search",
      "created_at": "2026-05-19T07:55:57.574428+00:00"
    },
    {
      "target_handle": "marco",
      "source": "direct",
      "created_at": "2026-05-19T07:55:57.574428+00:00"
    },
    {
      "target_handle": "marco",
      "source": "subdomain",
      "created_at": "2026-05-19T07:55:57.574428+00:00"
    },
    {
      "target_handle": "lena",
      "source": "quiz",
      "created_at": "2026-05-19T07:55:57.574428+00:00"
    },
    {
      "target_handle": "lena",
      "source": "direct",
      "created_at": "2026-05-19T07:55:57.574428+00:00"
    },
    {
      "target_handle": "lena",
      "source": "card",
      "created_at": "2026-05-19T07:55:57.574428+00:00"
    },
    {
      "target_handle": "adachen",
      "source": "direct",
      "created_at": "2026-05-19T07:57:45.550437+00:00"
    },
    {
      "target_handle": "adachen",
      "source": "quiz",
      "created_at": "2026-05-19T07:57:45.550437+00:00"
    },
    {
      "target_handle": "adachen",
      "source": "card",
      "created_at": "2026-05-19T07:57:45.550437+00:00"
    },
    {
      "target_handle": "adachen",
      "source": "search",
      "created_at": "2026-05-19T07:57:45.550437+00:00"
    },
    {
      "target_handle": "marco",
      "source": "direct",
      "created_at": "2026-05-19T07:57:45.550437+00:00"
    },
    {
      "target_handle": "marco",
      "source": "subdomain",
      "created_at": "2026-05-19T07:57:45.550437+00:00"
    },
    {
      "target_handle": "lena",
      "source": "quiz",
      "created_at": "2026-05-19T07:57:45.550437+00:00"
    },
    {
      "target_handle": "lena",
      "source": "direct",
      "created_at": "2026-05-19T07:57:45.550437+00:00"
    },
    {
      "target_handle": "lena",
      "source": "card",
      "created_at": "2026-05-19T07:57:45.550437+00:00"
    },
    {
      "target_handle": "adachen",
      "source": "direct",
      "created_at": "2026-05-20T12:47:56.586765+00:00"
    },
    {
      "target_handle": "haileybieber",
      "source": "direct",
      "created_at": "2026-05-21T19:28:39.86777+00:00"
    },
    {
      "target_handle": "clavicular",
      "source": "direct",
      "created_at": "2026-07-14T12:05:07.44126+00:00"
    },
    {
      "target_handle": "joerogan",
      "source": "protocol",
      "created_at": "2026-07-14T20:10:16.801099+00:00"
    },
    {
      "target_handle": "marco",
      "source": "direct",
      "created_at": "2026-07-21T08:41:57.967027+00:00"
    }
  ],
  "adverseEvents": [
    {
      "substance_slug": "semaglutide",
      "product_slug": "compounded-semaglutide-2mg",
      "severity": "mild",
      "narrative": "Mild nausea for first 48 hours after first dose, resolved by day 3. No other symptoms.",
      "created_at": "2026-05-19T07:55:57.682173+00:00"
    },
    {
      "substance_slug": "semaglutide",
      "product_slug": "compounded-semaglutide-2mg",
      "severity": "mild",
      "narrative": "Mild nausea for first 48 hours after first dose, resolved by day 3. No other symptoms.",
      "created_at": "2026-05-19T07:57:45.550437+00:00"
    },
    {
      "substance_slug": "bpc-157",
      "product_slug": "peptide-sciences-bpc-157-5mg",
      "severity": "mild",
      "narrative": "Mild redness at injection site for 2-3 hours. No systemic symptoms across 8-week cycle.",
      "created_at": "2026-05-19T07:55:57.682173+00:00"
    },
    {
      "substance_slug": "bpc-157",
      "product_slug": "peptide-sciences-bpc-157-5mg",
      "severity": "mild",
      "narrative": "Mild redness at injection site for 2-3 hours. No systemic symptoms across 8-week cycle.",
      "created_at": "2026-05-19T07:57:45.550437+00:00"
    },
    {
      "substance_slug": "tirzepatide",
      "product_slug": "unverified-tirzepatide-vial",
      "severity": "moderate",
      "narrative": "Persistent tachycardia (resting HR 95-100) starting day 4. Discontinued at week 2. Resolved within 5 days.",
      "created_at": "2026-05-19T07:55:57.682173+00:00"
    },
    {
      "substance_slug": "tirzepatide",
      "product_slug": "unverified-tirzepatide-vial",
      "severity": "moderate",
      "narrative": "Persistent tachycardia (resting HR 95-100) starting day 4. Discontinued at week 2. Resolved within 5 days.",
      "created_at": "2026-05-19T07:57:45.550437+00:00"
    }
  ],
  "quizResponsesAnon": [
    {
      "quiz_slug": "find-your-recovery-stack",
      "matched_protocol_ids": [
        "aaaaaaaa-0000-0000-0000-000000000001"
      ],
      "created_at": "2026-05-19T07:57:45.550437+00:00"
    },
    {
      "quiz_slug": "find-your-recovery-stack",
      "matched_protocol_ids": [
        "aaaaaaaa-0000-0000-0000-000000000003",
        "aaaaaaaa-0000-0000-0000-000000000004"
      ],
      "created_at": "2026-05-19T07:57:45.550437+00:00"
    },
    {
      "quiz_slug": "find-your-recovery-stack",
      "matched_protocol_ids": [
        "aaaaaaaa-0000-0000-0000-000000000002"
      ],
      "created_at": "2026-05-19T07:57:45.550437+00:00"
    },
    {
      "quiz_slug": "find-your-recovery-stack",
      "matched_protocol_ids": [
        "aaaaaaaa-0000-0000-0000-000000000001",
        "aaaaaaaa-0000-0000-0000-000000000002"
      ],
      "created_at": "2026-05-19T07:57:45.550437+00:00"
    },
    {
      "quiz_slug": "find-your-recovery-stack",
      "matched_protocol_ids": [
        "aaaaaaaa-0000-0000-0000-000000000002"
      ],
      "created_at": "2026-05-19T08:02:36.152641+00:00"
    }
  ],
  "auditLog": [
    {
      "action": "adverse_event.filed",
      "subject_kind": "adverse_event",
      "subject_id": "07b7b4f9-0681-4887-88ba-4c7e797457d0",
      "created_at": "2026-05-19T07:57:45.550437+00:00"
    },
    {
      "action": "adverse_event.filed",
      "subject_kind": "adverse_event",
      "subject_id": "1ad4862d-a8d6-4da4-9f45-867f72e3eaca",
      "created_at": "2026-05-19T07:57:45.550437+00:00"
    },
    {
      "action": "adverse_event.filed",
      "subject_kind": "adverse_event",
      "subject_id": "aba2a521-2088-4a1d-9112-c99f28094227",
      "created_at": "2026-05-19T07:57:45.550437+00:00"
    },
    {
      "action": "adverse_event.filed",
      "subject_kind": "adverse_event",
      "subject_id": "65622efe-22dd-4ddc-96fa-20f566a90021",
      "created_at": "2026-05-19T07:57:45.550437+00:00"
    },
    {
      "action": "adverse_event.filed",
      "subject_kind": "adverse_event",
      "subject_id": "eca81301-3d2b-48e6-a2c7-f9d554f2d482",
      "created_at": "2026-05-19T07:57:45.550437+00:00"
    },
    {
      "action": "adverse_event.filed",
      "subject_kind": "adverse_event",
      "subject_id": "310ae705-04f5-44e9-9ed0-3578054008c2",
      "created_at": "2026-05-19T07:55:57.682173+00:00"
    },
    {
      "action": "adverse_event.filed",
      "subject_kind": "adverse_event",
      "subject_id": "b61f0e50-9e91-4ff6-ac88-aa1f71929069",
      "created_at": "2026-05-19T07:55:57.682173+00:00"
    },
    {
      "action": "adverse_event.filed",
      "subject_kind": "adverse_event",
      "subject_id": "fccbdccf-0fb3-4864-b68d-ad5fe9b061e9",
      "created_at": "2026-05-19T07:55:57.682173+00:00"
    },
    {
      "action": "adverse_event.filed",
      "subject_kind": "adverse_event",
      "subject_id": "92d8a244-e656-484a-bd3d-567343aab3a4",
      "created_at": "2026-05-19T07:55:57.682173+00:00"
    },
    {
      "action": "adverse_event.filed",
      "subject_kind": "adverse_event",
      "subject_id": "b18ed299-9522-4a4e-ac6f-5a9e92bb5a7a",
      "created_at": "2026-05-19T07:55:57.682173+00:00"
    }
  ]
}