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Regulatory Tracker

US regulatory status for all 75 peptides in the database.

Last updated: May 2026. Regulatory landscapes change — verify current status with FDA.gov.

14
FDA Approved
2
503A Listed
2
Restricted
57
Research Only
⚠️

GLP-1 Compounding Update (2024)

FDA removed semaglutide and tirzepatide from shortage lists in October 2024. Compounding of these drugs is now federally prohibited for 503A pharmacies. Enforcement is ongoing. Read full analysis →

FDA Approved — Full FDA approval; prescribable for approved indications; off-label use at practitioner discretion
Peptide Brand Name(s) Indication Evidence
Exenatide Byetta, Bydureon BCise FDA approved — Byetta (twice daily), Bydureon (weekly ER) Strong Evidence
Gonadorelin GnRH, Luteinizing hormone-releasing hormone (LHRH) FDA approved (Factrel). 503A listed for compounding. Strong Evidence
Liraglutide Victoza, Saxenda FDA approved — Victoza (T2D), Saxenda (obesity) Strong Evidence
Melanotan I MT-1, Afamelanotide FDA approved as Scenesse (afamelanotide) for EPP Strong Evidence
Oxytocin Syntocinon, Pitocin FDA approved (Pitocin, Syntocinon) for obstetric use Strong Evidence
Pramlintide Symlin, Pramlintide acetate FDA approved as Symlin (T1D and T2D adjunct) Strong Evidence
PT-141 Bremelanotide, Vyleesi FDA approved as Vyleesi for HSDD in premenopausal women Strong Evidence
Semaglutide Ozempic, Wegovy FDA approved — Ozempic (T2D), Wegovy (obesity), Rybelsus (oral T2D) Strong Evidence
Sermorelin GHRH 1-29, GRF 1-29 FDA-approved for pediatric GH deficiency; compounded for adult anti-aging use under 503A Moderate Evidence
Tesamorelin Egrifta, Egrifta SV FDA approved as Egrifta SV for HIV-associated lipodystrophy Strong Evidence
Thymosin Alpha-1 Tα1, Thymalfasin Approved in 35+ countries (Zadaxin). 503A listed for US compounding. Strong Evidence
Tirzepatide Mounjaro, Zepbound FDA approved — Mounjaro (T2D), Zepbound (obesity) Strong Evidence
Triptorelin Trelstar, Decapeptyl FDA approved (Trelstar) for prostate cancer and other indications Strong Evidence
Ziconotide Prialt, SNX-111 FDA approved as Prialt (intrathecal use only) Strong Evidence
503A Listed — Available through 503A compounding pharmacies with valid prescription
Peptide Compounding Notes Evidence
GHK 503A bulk substance Moderate Evidence
GHK-Cu Listed on 503A bulk substances list for topical compounding Moderate Evidence
Restricted — Previously available through compounding but now restricted; check current FDA guidance
Peptide Primary Uses Evidence
CJC-1295 GH stimulation, Muscle gain Moderate Evidence
Ipamorelin GH stimulation, Fat loss Moderate Evidence
Research Only — Not approved; not on 503A list; legally sold for research; human use is not FDA-authorized
Peptide Primary Uses Evidence Risk
AHK-Cu Hair growth, Hair loss prevention Preliminary low
Alamandine Cardiovascular protection, Anti-fibrotic Preliminary low
Alpha-MSH Anti-inflammatory, Melanogenesis Moderate Evidence low
Angiotensin (1-7) Cardiovascular protection, Anti-hypertension Moderate Evidence low
AOD-9604 Fat metabolism, Weight loss Preliminary unknown
ARA 290 Neuroprotection, Diabetic neuropathy Preliminary unknown
Argireline Expression lines, Wrinkle reduction Moderate Evidence low
BPC-157 Gut healing, Tendon repair Moderate Evidence low
Cagrilintide Weight management, Metabolic syndrome Preliminary unknown
Cathelicidins Antimicrobial, Innate immunity Moderate Evidence low
CGRP Migraine pathophysiology, Vasodilation Strong Evidence low
Cholecystokinin Satiety signaling, Digestive enzyme release Strong Evidence low
Cortagen Cardiovascular protection, Heart aging Preliminary unknown
Davalintide Weight loss, Obesity Preliminary moderate
Defensins Innate immunity, Antimicrobial Moderate Evidence low
Dihexa Cognitive enhancement, Neurogenesis Preliminary unknown
DSIP Sleep induction, Stress modulation Preliminary unknown
Epithalon Telomere elongation, Anti-aging Preliminary unknown
Follistatin Myostatin inhibition, Muscle growth Preliminary unknown
Foxo4-DRI Senolysis, Senescent cell clearance Preliminary unknown
Fragment 176-191 Fat loss, Lipolysis Preliminary low
Ghrelin Educational reference, Appetite stimulation Strong Evidence low
GHRP-2 GH secretagogue, Body composition Preliminary unknown
GHRP-6 GH secretagogue, Muscle building Preliminary unknown
GLP-1 (Native) Educational reference, Incretins physiology Strong Evidence low
Hexarelin GH secretagogue, Cardioprotection Preliminary unknown
Humanin Neuroprotection, Anti-aging Preliminary unknown
IGF-1 (Native) Educational reference, GH axis physiology Strong Evidence low
IGF-1 DES Local muscle growth, Tissue-specific anabolic Preliminary high
IGF-1 LR3 Muscle growth, Tissue repair Preliminary high
Kisspeptin Reproductive hormone regulation, GnRH stimulation Moderate Evidence low
Kisspeptin-10 LH/FSH stimulation, Male testosterone Preliminary low
Klotho Peptide Fragments Anti-aging, Cognitive enhancement Preliminary unknown
KPV Gut inflammation, Anti-inflammatory Preliminary unknown
Leuphasyl Expression line reduction, Enkephalin-based wrinkle treatment Preliminary low
LL-37 Antimicrobial, Wound healing Preliminary unknown
Mastoparan Antimicrobial, Mast cell activation Preliminary high
Matrixyl Collagen stimulation, Anti-aging Moderate Evidence low
Melanotan II Tanning, Sexual arousal Preliminary high
MK-677 (Ibutamoren) GH secretagogue, Muscle mass Preliminary unknown
MOTS-c Mitochondrial health, Metabolic health Preliminary unknown
Myostatin Inhibitor Peptides Myostatin inhibition, Muscle growth Preliminary unknown
Orforglipron Weight loss, Type 2 diabetes Moderate Evidence moderate
P21 Peptide Cognitive enhancement, Neurogenesis Preliminary unknown
PEGylated MGF Muscle repair, Post-workout recovery Preliminary moderate
Pinealon Neuroprotection, Circadian rhythm Preliminary unknown
Retatrutide Obesity, Type 2 diabetes Preliminary unknown
Selank Anxiolytic, Cognitive enhancement Preliminary unknown
Semax Neuroprotection, Cognitive enhancement Preliminary unknown
SNAP-8 Expression line reduction, Neuromuscular relaxation Preliminary low
Spadin Antidepressant, TREK-1 antagonism Preliminary unknown
SS-31 (Elamipretide) Mitochondrial cardioprotection, Heart failure Preliminary unknown
TB-500 Wound healing, Muscle repair Moderate Evidence low
Thymalin Immune modulation, Anti-aging Preliminary unknown
Vasoactive Intestinal Peptide Anti-inflammatory, GI motility Moderate Evidence moderate
Vesugen Cardiovascular health, Vascular anti-aging Preliminary unknown
Vilon Immune modulation, Anti-aging Preliminary unknown
Disclaimer: Regulatory status changes. This tracker reflects Ercle's best understanding as of May 2026. Always verify current status with FDA.gov, the 503A bulk substances list, and qualified legal/regulatory counsel before prescribing or compounding any compound.