A two-peptide blend pairing MOTS-c, a mitochondrially encoded peptide studied in metabolic regulation, with tesamorelin. Prescribed after a live video visit with a licensed provider.
$349
A few private questions, then you connect to a licensed provider on a live video call — usually within seconds.

This blend combines MOTS-c — one of a small number of peptides encoded by the mitochondrial rather than the nuclear genome — with tesamorelin, a stabilised analog of growth-hormone-releasing hormone.
The two are studied in different areas: MOTS-c in metabolic regulation and the exercise response, tesamorelin on the growth-hormone axis. The combination itself has not been studied as a combination.
This is a compounded preparation, not an FDA-approved medication, and compounded drugs are not reviewed by the FDA for safety or effectiveness. Individual results are not guaranteed. It is prescribed only where a licensed provider determines it is appropriate after reviewing your health history.
Each component has its own literature — MOTS-c largely preclinical work on metabolic regulation, tesamorelin controlled trials in one specific indication. Compounding them together is a formulation choice rather than something the published evidence addresses.
Every MOTS-c / Tesamorelin prescription here follows a live consultation with a licensed provider who sees your health history, current medications and goals. If it isn't appropriate for you, it isn't prescribed.
Your vial is compounded by a licensed U.S. 503A pharmacy and dispensed against a prescription written in your name — not sold as a "research only" product with no oversight.
The short answer: unregulated supplements make claims nobody checks, "research only" vials sold online carry no prescription, no pharmacy and no accountability, and a prescribed MOTS-c / Tesamorelin is compounded by a licensed 503A pharmacy against a provider's order written for you.
| Oral supplement | "Research only" vial | Prescribed MOTS-c / Tesamorelin (Rx) | |
|---|---|---|---|
| What it is | An unregulated oral precursor | A vial sold without a prescription | Compounded MOTS-c / Tesamorelin dispensed on a provider's order |
| Licensed provider reviews you | No | No | Yes — before anything is dispensed |
| Compounded by a licensed pharmacy | No | No | Yes — U.S. 503A |
| Your name on the vial | No | No | Yes |
| Dose set by a prescriber | No | No | Yes |
| Legal to sell for human use | As a supplement | No | Yes — by prescription |
The simplest test of any peptide seller: is your name on the vial? A "research only" label means no prescriber reviewed you, no licensed pharmacy compounded it, and nobody is accountable for what is actually inside.
Three steps: answer a short set of medical questions, connect straight to a licensed provider on a live video call, and if they prescribe, a 503A pharmacy compounds and ships it.
A short private medical questionnaire — your history, current medications and what you are hoping to address. It takes a couple of minutes.
You go straight onto a video call with a provider licensed in your state — no appointment, no waiting room. They review your answers with you and decide whether MOTS-c / Tesamorelin is appropriate.
If they prescribe, a licensed U.S. 503A pharmacy compounds your vial and ships it discreetly, with your name on the label.
It's for adults who want MOTS-c / Tesamorelin prescribed and compounded properly rather than bought from a grey market. Whether it is appropriate for you is a decision for the provider who sees you on the call.
MOTS-c is studied in metabolic regulation and the exercise response.
Reviewed on a live call by a licensed provider, compounded by a 503A pharmacy, dispensed with your name on the vial.
Vial contents are fixed; amount and schedule are set by your prescriber.
Both peptides are compounded together as a single injection.
Each component has its own literature; the blend does not. Neither the blend nor the compounded preparation is FDA-approved, and compounded drugs are not FDA-reviewed for safety or effectiveness. Not for use with an active malignancy or in pregnancy. If you are pregnant or breastfeeding, have an active cancer diagnosis, or have significant kidney or liver disease, tell your provider on the call. New or unexplained symptoms should be evaluated by a clinician rather than self-treated.
You answer a few questions, meet a licensed provider on a live video call, and — if they prescribe — your medication is compounded and shipped to your door. No insurance required, no in-person appointment, no waiting room.
Answer a short set of private medical questions. One peptide per visit — each needs its own provider consultation.
You are connected to a provider licensed in your state on a video call, usually within seconds. Approval is never guaranteed.
If prescribed, your vial is compounded by a 503A pharmacy and ships in plain, unmarked packaging to all 50 states.
Pricing is shown at checkout — no insurance needed, no hidden fees.
MOTS-c / Tesamorelin is compounded as injection. The amount and the schedule are set by the provider on your video visit — we deliberately do not publish a dosing regimen here, because that is a clinical decision about you, not a product specification.
Each component has its own literature; the blend does not. Neither the blend nor the compounded preparation is FDA-approved, and compounded drugs are not FDA-reviewed for safety or effectiveness. Not for use with an active malignancy or in pregnancy.
Reported effects are most often related to the injection itself or to infusing too quickly. They can include:
Tell your provider about every condition and medication before starting, including pregnancy or breastfeeding. Stop and seek care for signs of an allergic reaction — rash, swelling of the face or throat, or difficulty breathing. For emergencies call 911.
A side-by-side look at the blends options available through ForbiddenRx. Which one is appropriate for you is decided by the provider who sees you on the call.
| Treatment | What it is | Focus | Form | For | Rx required |
|---|---|---|---|---|---|
| MOTS-c / Tesamorelin This page | Mitochondrial peptide + GHRH analog | Metabolic category | Injection | Adults 18+ | Yes |
| Glutathione / NAD+ / Sermorelin | Combination preparation | Wellness category | Compounded preparation | Adults 18+ | Yes |
| CJC-1295 / Ipamorelin | GHRH analog + GH secretagogue | GH axis category | Injection | Adults 18+ | Yes |
| GHK-Cu / Epithalon | Copper tripeptide + tetrapeptide | Longevity & skin category | Injection | Adults 18+ | Yes |
MOTS-c, a mitochondrially encoded peptide studied in metabolic regulation, together with tesamorelin, a stabilised GHRH analog. The milligrams of each are shown on the strength selector.
Not as a combination. Each component has its own literature; pairing them is a compounding choice.
Tesamorelin is the active ingredient in an approved product for one specific indication in HIV-associated lipodystrophy. MOTS-c is not approved for anything. This compounded blend is not FDA-approved.
No. After the questionnaire you are connected to an available provider on a video call, usually within seconds — there is no scheduling step and no waiting room.
Every peptide requires its own provider consultation, so each one is its own visit. Complete this visit and you can return to the peptide shop to start another.
U.S. board-certified clinicians
U.S.-based compounding partners
Nationwide telehealth coverage
If you are going to take MOTS-c / Tesamorelin, take one a licensed provider prescribed and a 503A pharmacy compounded with your name on it. Answer a few questions and you are on a call with a provider in seconds.
Medically reviewed by ForbiddenRx Medical Affairs — Independent, licensed medical providers · Last reviewed August 2026. This page was written and is periodically reviewed for medical accuracy in line with clinical guidance followed by the independent, licensed medical providers in the ForbiddenRx network. It is provided for general educational purposes and is not a substitute for professional medical advice, diagnosis, or treatment. Always talk with a licensed provider about your individual health.
This page is educational and is not medical advice.