For Adults · Compounded Blend

MOTS-c / Tesamorelin

A mitochondrial peptide with a GHRH analog.

A two-peptide blend pairing MOTS-c, a mitochondrially encoded peptide studied in metabolic regulation, with tesamorelin. Prescribed after a licensed provider reviews your online visit.

$349

Start your online visit →

A few private questions, then a licensed provider reviews your answers.

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ForbiddenRx generic peptide vial — MOTS-c / Tesamorelin photography in progress
At a glance
Form
Injection
Cadence
Set by your provider
Class
Mitochondrial peptide + GHRH analog
Guided by
Provider review
Helps with
Metabolic category
For
Adults 18+
The basics

What is MOTS-c / Tesamorelin?

What it is
Mitochondrial peptide + GHRH analog
Forms
Injection
Supplied as
10mg / 15mg
Dosing
Set by your prescriber
Supply
1-month or 3-month
Visit
Online, reviewed by a licensed provider
Prescription
Provider-reviewed · not available OTC
Shipping
Discreet, unmarked · most U.S. states
Start your online visit →

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.

Why people ask about it

Why does MOTS-c / Tesamorelin come up?

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.

✔A provider decides, not a quiz

Every MOTS-c / Tesamorelin prescription here follows a review by a licensed provider of your health history, current medications and goals. If it isn't appropriate for you, it isn't prescribed.

✔Compounded, not a research chemical

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.

Know the difference

Prescribed MOTS-c / Tesamorelin vs. supplements and grey-market vials — what's the difference?

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" vialPrescribed MOTS-c / Tesamorelin (Rx)
What it isAn unregulated oral precursorA vial sold without a prescriptionCompounded MOTS-c / Tesamorelin dispensed on a provider's order
Licensed provider reviews youNoNoYes — before anything is dispensed
Compounded by a licensed pharmacyNoNoYes — U.S. 503A
Your name on the vialNoNoYes
Dose set by a prescriberNoNoYes
Legal to sell for human useAs a supplementNoYes — 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.

How it works

How does getting MOTS-c / Tesamorelin actually work?

Three steps: answer a short set of medical questions, a licensed provider reviews them, and if they prescribe, a 503A pharmacy compounds and ships it.

I

Answer a few questions

A short private medical questionnaire — your history, current medications and what you are hoping to address. It takes a couple of minutes.

II

Meet your provider live

A provider licensed in your state reviews your answers online — no appointment, no waiting room. They decide whether MOTS-c / Tesamorelin is appropriate.

III

Compounded & shipped

If they prescribe, a licensed U.S. 503A pharmacy compounds your vial and ships it discreetly, with your name on the label.

Who it's for

Who is MOTS-c / Tesamorelin for?

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 reviews your visit.

✔Interested in metabolic health

MOTS-c is studied in metabolic regulation and the exercise response.

✔You want a real prescription

Reviewed by a licensed provider, compounded by a 503A pharmacy, dispensed with your name on the vial.

✔You want the dosing decided for you

Vial contents are fixed; amount and schedule are set by your prescriber.

✔You prefer one vial to two

Both peptides are compounded together as a single injection.

✕When it's not the right fit

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 in your answers. New or unexplained symptoms should be evaluated by a clinician rather than self-treated.

How to get it

How do I get MOTS-c / Tesamorelin online?

You answer a few questions, a licensed provider reviews your answers, and — if they prescribe — your medication is compounded and shipped to your door. No insurance required, no in-person appointment, no waiting room.

A few questions

Answer a short set of private medical questions. Add as many peptides as you like; one checkout, and a provider reviews each.

Online provider review

A provider licensed in your state reviews your answers online. Approval is never guaranteed.

Discreet delivery

If prescribed, your vial is compounded by a 503A pharmacy and ships in plain, unmarked packaging to most U.S. states.

Pricing is shown at checkout — no insurance needed, no hidden fees.

Using it & safety

How is it taken, and is it safe?

MOTS-c / Tesamorelin is compounded as injection. The amount and the schedule are set by the provider who reviews your visit — we deliberately do not publish a dosing regimen here, because that is a clinical decision about you, not a product specification.

Forms & how it's taken

Injection
Compounded as injection.
Supplied as
10mg / 15mg. Which one you receive is part of the prescription.
Dose & schedule
Set by your prescriber. Follow the directions on your label.
Supply
1-month or 3-month. Three months costs less per month.
Injection10mg / 15mgProvider-set

Safety & side effects

⚠ The combination itself is unstudied

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:

  • Injection-site redness or swelling
  • Joint pain
  • Swelling in the limbs
  • Fatigue
  • Increases in blood glucose

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.

Compare your options

Which peptide blend fits you?

A side-by-side look at the blends options available through ForbiddenRx. Which one is appropriate for you is decided by the provider who reviews your visit.

TreatmentWhat it isFocusFormForRx required
MOTS-c / Tesamorelin
This page
Mitochondrial peptide + GHRH analogMetabolic categoryInjectionAdults 18+Yes
Glutathione / NAD+ / SermorelinCombination preparationWellness categoryCompounded preparationAdults 18+Yes
CJC-1295 / IpamorelinGHRH analog + GH secretagogueGH axis categoryInjectionAdults 18+Yes
GHK-Cu / EpithalonCopper tripeptide + tetrapeptideLongevity & skin categoryInjectionAdults 18+Yes
Questions, answered

MOTS-c / Tesamorelin FAQ

What is in this blend?

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.

Has the combination been studied?

Not as a combination. Each component has its own literature; pairing them is a compounding choice.

Is either component FDA-approved?

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.

Do I have to book an appointment?

No. You complete the questionnaire online and a licensed provider reviews it — there is no scheduling step and no waiting room.

Can I order more than one peptide?

Yes. Add each one to your cart and check out once. A provider reviews every treatment in your order.

Credibility you can verify

Care held to a higher standard

Licensed Providers

U.S. board-certified clinicians

503A Pharmacies

U.S.-based compounding partners

Most U.S. States

We confirm your state during intake

Explore more

Also in peptides

Start with a real prescription

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 a licensed provider reviews them.

Start your online visit →

  • Discreet, unmarked packaging
  • Refills so you never miss a dose
  • Labs guiding every adjustment
  • Licensed providers in most U.S. states
Medically reviewed

Sources & references

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.

  1. Lee C et al. The mitochondrial-derived peptide MOTS-c promotes metabolic homeostasis. Cell Metabolism.
  2. Falutz J et al. Effects of tesamorelin in HIV-infected patients with excess abdominal fat. New England Journal of Medicine.
  3. U.S. Food & Drug Administration. Compounding and the FDA: questions and answers — the regulatory basis for how this preparation is dispensed.
For further reading

Clinical references

This page is educational and is not medical advice.