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Peptide.Guide
EstablishedSexual HealthSubQAs needed, max 8 doses/month

PT-141

Bremelanotide · Vyleesi

Melanocortin receptor agonist that acts centrally to increase sexual desire and arousal in both sexes.

§ 01   Overview

Overview

Melanocortin receptor agonist that acts centrally to increase sexual desire and arousal in both sexes.

FDA-approved (Vyleesi, 2019) for HSDD in premenopausal women. Phase III RECONNECT trials.

§ 02   Mechanism

Mechanism of action

PT-141 is a cyclic heptapeptide that activates MC3R and MC4R in the CNS, driving dopaminergic pathways associated with sexual motivation, independent of the vascular mechanism of PDE5 inhibitors.

  • 01FDA-approved for HSDD in premenopausal women
  • 02Increased arousal in both sexes
  • 03Works centrally, not vascular-dependent

§ 03   Dosing

Dosing protocol

Standard Protocol

Vial
10 mg
BAC Water
2 ml BAC water
Dose Range
1 – 2 mg as needed
Starting Dose
1 mg SubQ 45–60 min before activity
Route
SubQ
Timing
45–60 min pre-activity
Frequency
As needed, max 8 doses/month

§ 04   Evidence

Evidence & research

Established

FDA-approved (Vyleesi, 2019) for HSDD in premenopausal women. Phase III RECONNECT trials.

FDA Status

FDA-approved (HSDD, women).

§ 06   News

In the news

6 articles from the last 12 months · updates hourly

§ 07   Sourcing

Sourcing & supply

Regulatory status

FDA-approved

This compound has an FDA approval for at least one indication. Brand pharmacy channels exist. Compounding may or may not be available depending on shortage status.

503B pharmacies · 4

503B pharmacy

Empower Pharmacy

Rx required

One of the largest US compounders by volume; dual 503A + 503B. Repeat FDA enforcement history and ongoing Lilly litigation.

FDA 503B Registered6 flags on record
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503B pharmacy

Olympia Pharmaceuticals

Rx required

35+ year family-owned dual 503A/503B licensed in 48–49 states. Among the cleanest mid-sized 503Bs operating today.

FDA 503B Registered3 flags on record
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503B pharmacy

Fagron Sterile Services

Rx required

Established 503B outsourcing facility in FDA's registered list.

FDA 503B Registered
503B pharmacy

Wedgewood Connect

Rx required

FDA-registered 503B outsourcing facility.

FDA 503B Registered

Telehealth (Rx) · 2

Telehealth

Defy Medical

Rx required

Broadest peptide formulary in legitimate US telehealth. 13-year history, concierge cash-pay, no known lawsuits.

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Telehealth

Blokes / Joi Women's Wellness

Rx required

Men's + women's optimization platform. TRT in 34 states. 4.6–4.8 Trustpilot.

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International · 2

International

Rupharma

12+ year Russian pharmacy reseller. Reviews.io 4.84/5 (81+). Has a genuine US warehouse for common peptides.

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International

Trident Peptides

1,299+ Trustpilot reviews (5-star). Strongest review base in UK research peptides. No visible ISO/GMP; COAs not posted.

1 flag on record
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Research-use-only · 3

Research-use-only

Swiss Chems

Established SARMs/peptide vendor. FDA warning letter Dec 2024 for GLP-1s. Weaker peptide QC than SARMs QC.

Third-Party Testing1 flag on record
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Research-use-only

Limitless Life Nootropics

'Only BBB-accredited peptide company' (since 2020). Claims three-lab third-party testing. Broad catalog.

BBB Accredited +1
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Research-use-only

Core Peptides

Broad catalog, widest payment range. Mid-credibility: Knoji 2.5/5 and one scam-impersonation report.

Third-Party Testing1 flag on record
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Listings are informational, not endorsement. Verify credentials and flags against FDA and PCAB databases before purchasing. Full directory & how to verify →

§ 09   Safety

Safety & side effects

Side effects

  • 01Nausea (most common)
  • 02Flushing
  • 03Transient blood pressure increase
  • 04Skin darkening with repeated use

Contraindications

  • 01Uncontrolled hypertension
  • 02Cardiovascular disease

This site is for educational and research purposes only. It does not constitute medical advice. Always consult a qualified healthcare provider before using any peptide or supplement.