04· Peptides

Peptides, compound by compound.

Recovery that lags, sleep that does not restore, the slow wear of the years. Peptide therapy is considered one compound at a time, as FDA rules allow, and only when your clinician agrees it fits.

Prescription required. A licensed provider decides whether treatment is appropriate.

Inside the vial

One name on the label.

Prescribed by your clinician and prepared for you.

Pharmaceutical peptide

US 503A

One patient. One prescription. One preparation.

What is inside

Freeze-dried.

A sterile powder, stable until the moment it is mixed.

The molecule

C21H27N7O14P2

NAD⁺. Every atom accounted for.

21Carbon
7Nitrogen
14Oxygen
2Phosphorus

Purity

≥ 98.5%

One clean peak on HPLC, checked before release.

Storage

2–8°C

Kept cold and dark, from the pharmacy to your door.

05· Peptides we work with

Prescription required. A licensed provider decides whether treatment is appropriate.

    The containers

    A colour for every treatment.

    Each treatment has its own container colour, so it is recognised at a glance: in the kit, in the fridge, on the screen.

    Eight Mitoss containers in a row: blue-grey, sand, tan, pale sage, sage, terracotta, slate blue and blush
    1. Blue-grey
    2. Sand
    3. Tan
    4. Pale sage
    5. Sage
    6. Terracotta
    7. Slate blue
    8. Blush

    Prescription required. A licensed provider decides whether treatment is appropriate. Product images are illustrations; names on labels are samples.

    Is this you?

    Three signs worth a visit.

    None of these is a diagnosis. Each is a good reason to talk with a clinician who can look at the whole picture.

    01

    Recovery that lags

    Soreness that lingers, small injuries that take their time, training that no longer pays back the way it did.

    02

    Sleep that does not restore

    Enough hours, not enough rest. The mornings tell you.

    03

    Healthy ageing, on purpose

    You track things, you want a plan reviewed by a clinician, and you want to know what is and is not supported.

    The visit

    What your clinician looks at.

    A real visit by video, usually within minutes of starting. They ask, you ask, and they decide whether treatment is appropriate. Sometimes the answer is no.

    1. 01

      Your goals, specifically

      Recovery, sleep, body composition, healthy ageing. The more precise you are, the better your clinician can answer.

    2. 02

      The rules, plainly

      What can be prescribed changes with FDA guidance and by state. Your clinician tells you what is available to you today, and what is not.

    3. 03

      One compound at a time

      If treatment fits, it is prescribed compound by compound, with directions written for you and reviews on a schedule.

    How it works

    Three steps. One clinician.

    Most people are talking with a licensed clinician within minutes of starting. If treatment fits, it is prepared in your name and arrives at your door.

    1. A phone on a stand showing the Mitoss intake, next to a small card with a QR code
      01About 5 minutes

      Tell us about you

      A short set of questions online: what brought you here and your health history. A licensed clinician reads it before you meet.

    2. A tablet on a stand showing a live video visit with a clinician
      02Live, usually within minutes

      Meet your clinician on video

      A real visit, not a form. They ask, you ask, and they decide whether treatment is appropriate. Sometimes the answer is no.

    3. The sealed Mitoss pouch, delivered
      03Shipped cold, to your door

      If prescribed, it arrives

      A US state-licensed pharmacy prepares it in your name. It ships sealed and cold, with directions, and your first check-in is already booked.

    The experience

    From intake to tonight’s dose, in one place.

    Five minutes of intake, a clinician on video, and then an app that knows your protocol: tonight’s dose, the next check-in, the refill on its way, and a line back to the clinician who prescribed it.

    M

    Tonight

    Today

    Tonight · 9:00 PM

    NAD+

    Your dose · Subcutaneous

    MTWTFSS
    Log dose

    Up next

    Weekly check-inAbout 2 minutes
    ›
    Dr. Levin repliedVideo visit offered for tomorrow
    Refill shipsThursday · 503A pharmacy
    ›
    TodayProtocolCare TeamAccount
    Your dayTonight’s dose, and what is next.
    ×
    Log dose

    NAD+

    Tonight's dose · Subcutaneous

    Injection site

    Abdomen, right Abdomen, leftThigh

    Suggested: abdomen, right. Last dose was left.

    Time9:12 PM
    DateToday

    How do you feel?

    12345
    LowGreat
    Log a doseSite, time, and how you feel.
    ‹
    DR
    Dr. Levin ›

    Today 9:14 AM

    Morning. I reviewed your check-in — how has sleep been since starting NAD+?
    Better overall. Some redness at the site, though.
    Thanks for flagging it. Let's take a quick look together.

    Video visit

    Tomorrow, 9:30 AM15 minutes · Dr. Levin
    ConfirmReschedule
    Confirmed. Thank you.

    Read 9:20 AM

    +
    Message
    Your care teamA clinician, a message away.
    ‹

    Step 2 of 5

    What brings you to Mitoss?

    Select all that apply. A licensed clinician reviews every answer.

    Hair
    Hormones
    Peptides
    Weight
    Sexual health
    Continue
    The intakeFive minutes, read by a clinician.
    +

    Protocol

    ActiveHistory
    NAD+Nightly · Subcutaneous
    9:00 PM
    MOTS-c3× weekly · Subcutaneous
    Wed

    This week

    Mon21Tue22Wed23Thu24Fri25Sat26Sun27

    Supply

    NAD+12 doses left

    Refill ships automatically on the 28th.

    TodayProtocolCare TeamAccount
    Your protocolEvery compound, every refill.

    Screens simulated. Doses, names and dates shown are illustrative; your protocol is set by your clinician. Prescription required. A licensed provider decides whether treatment is appropriate.

    The Mitoss kit laid out: the pouch, the container, syringes, an alcohol pad, the card and the ice packThe sage Mitoss container for peptide therapy

    What arrives

    Sealed. Cold. In your name.

    If prescribed, your treatment is prepared in your name by a US state-licensed pharmacy and arrives sealed and cold in the Mitoss pouch, with syringes, an alcohol pad, directions and your first check-in already booked.

    • 01The pouch, insulated
    • 02Your container · Sage, the vials bottle
    • 03Insulin syringes, when your treatment needs them
    • 04Alcohol pads
    • 05Your directions, and a line back to your clinician
    • 06Ice pack, 2–8 °C in transit

    Compounded medications are prepared by US state-licensed 503A pharmacies for individual patients on a prescription; they are not FDA-approved. Availability varies by state. Room and product images are illustrations.

    Questions

    Asked often.

    Which peptides do you prescribe?

    That depends on what FDA rules allow, what is available from a licensed pharmacy in your state, and what your clinician decides is appropriate for you. The visit is where that is answered, honestly.

    Are these FDA-approved?

    Compounded medications are prepared for an individual patient on a prescription and are not FDA-approved drugs. Your clinician explains what that means before anything is prescribed.

    Do I inject it myself?

    Many peptide treatments are self-administered. If yours is, the kit includes what you need, with written directions and a clinician a message away.

    How is progress judged?

    Against the goal you set together, at scheduled check-ins. Treatment is adjusted or stopped on evidence.

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    Book a doctor visit

    Prescription required. A licensed provider decides whether treatment is appropriate.

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