Your body already knows how to repair itself.

This deserves an honest answer rather than a marketing one. A small number of peptides are FDA-approved drugs. Most of the peptides used in longevity and recovery medicine are legally prescribed and compounded by licensed 503A pharmacies, but are not individually FDA-approved for these specific uses — which is common across medicine and is called off-label prescribing.

The regulatory landscape changed meaningfully in February 2026, when HHS reclassified several peptides in a way that expanded what compounding pharmacies can legally prepare. We only prescribe compounds that are legal to compound today, from pharmacies we have personally vetted.

Our programs start at $225 per month for the Recovery tier, $475 for Performance, and $575 for Longevity. Pricing includes the medication, physician oversight, and follow-up — there is no separate membership fee stacked on top.

Lab work is billed separately at our contracted cash rate through Quest Diagnostics, which in most cases costs less than running it through a plan. We do not require a long-term contract; programs are month to month.

It depends on what you’re treating. Patients on repair-focused protocols often report reduced joint or tendon pain in 3 to 6 weeks. Sleep quality and recovery changes are usually the first thing people notice, frequently within the first month.

Body composition and performance changes take longer — typically 8 to 12 weeks of consistent use alongside resistance training and adequate protein. Anyone promising you results in a week is selling something.

Yes. Baseline labs are non-negotiable at our clinic. We need to see your metabolic panel, blood count, hormone levels, and IGF-1 before prescribing anything that signals growth or repair — both to confirm peptides are appropriate and to have something real to measure against later.

If you’ve had comprehensive labs drawn elsewhere in the last 90 days, bring them. We’ll review those rather than repeat work you’ve already paid for.

Under physician supervision with appropriate labs, peptides are generally well tolerated. The most common side effects are injection-site redness or irritation, temporary water retention, increased appetite with certain growth-hormone-releasing peptides, and occasional flushing or lightheadedness in the first days of use.

Peptides are not appropriate for everyone. We do not prescribe growth-signaling peptides to patients with an active or recent malignancy, or to anyone pregnant or nursing. That screening is part of your first visit.

Every peptide we prescribe is dispensed by a licensed 503A compounding pharmacy in the United States that we have personally vetted, with documented potency and sterility testing.

We do not sell peptides in the office, and we will not tell you which website to order from. The “research chemical” market operates with no purity testing, no dosing accuracy, and no accountability — that is the single biggest safety difference between prescribed therapy and what people buy online.

Yes — and for many of our patients that combination is where the real change happens. Hormone optimization restores the baseline; peptides target the specific problem on top of it, whether that’s a stubborn injury, poor sleep, or body composition that won’t move.

Because Dr. Belkoff manages both therapies in the same clinic, your dosing and lab monitoring are coordinated rather than split between two providers who never speak to each other.

Our clinic is in Liberty Lake, Washington, and we regularly see patients from Spokane Valley, Spokane, Cheney, and Post Falls and Coeur d’Alene, Idaho.

Your initial evaluation is in person so we can complete an exam and body composition analysis. Most follow-up visits can be handled by telehealth for established Washington patients, and medications ship directly to your door.