Sermorelin Injection
A growth hormone-releasing peptide that supports deeper sleep, faster recovery and lean muscle by working with your body's own rhythm.
Injection
from $179/mo
Injected under the skin · Twice a week
Research-stagePeptideGnRHFertility
A research-stage peptide hormone that signals the brain's GnRH neurons to release LH and FSH. Twice-weekly subcutaneous injections. Evidence is early; this is for patients interested in experimental treatment.
Disclaimer: Prescription products require an online evaluation with a licensed medical professional who will determine if a prescription is appropriate. Products are compounded by a licensed pharmacy. The FDA has not reviewed or approved compounded products for any use for safety, efficacy, or quality. Compounded medications are not FDA-approved brand-name products.
(KISS-pep-tin)
Kisspeptin is a 54-amino-acid peptide hormone discovered in 2003 that acts on the hypothalamus—the brain's hormone control center. It binds to kisspeptin receptors on GnRH neurons, the cells that release gonadotropin-releasing hormone (GnRH), which in turn tells the pituitary to release LH and FSH. These two pituitary hormones drive testosterone and sperm production in men, and estrogen and ovulation in women. Kisspeptin sits upstream of GnRH: it is a signal that says "activate the system." In some types of hypogonadism or low gonadotropin states, kisspeptin may help restart or support the axis. However, the clinical evidence for kisspeptin use in humans is still early—most data come from small trials or case reports, not large randomized studies. It is an experimental therapy.
2003
the year kisspeptin was first identified as a key GnRH regulator; human clinical use remains research-stage, with limited published data
Kisspeptin is not FDA-approved for any indication. It is compounded and prescribed off-label at your physician's discretion for research and compassionate use.
Adults with low libido who want to work on the body's own hormone signal.
It sits at the very top of the reproductive hormone chain, above LH and FSH.
It does little while you take testosterone, which switches that chain off.
seen in published case reports but not guaranteed in every patient
some patients report changes; others do not
kisspeptin's mechanism may support sperm or egg production, but evidence is preliminary
Day 1
A US-licensed physician reviews your hypogonadal state, your history, labs (LH, FSH, testosterone), and goals. You discuss that kisspeptin is experimental and the evidence is limited. Your first supply ships discreetly to your door.
1Week 1
Subcutaneous injection of 0.1 mg (10 units) twice weekly. You may feel injection-site reactions (redness, minor swelling) or mild systemic effects (headache, flushing).
2Week 2–4
Your physician checks labs (LH, FSH, testosterone) to see if the axis is responding. Not all patients show a response; the evidence suggests response rates vary.
3Month 2–3
Your physician reviews your symptom change (energy, mood, sexual function, testicular size if applicable), lab response, and any side effects, and decides whether to continue, adjust, or stop.
4Beyond
Kisspeptin therapy is reassessed monthly. Your physician monitors labs and symptoms and reviews the risk-benefit balance with you, as long-term safety data remain limited.
5Individual results vary. Benefits reflect what Zepym Health members commonly report to their physician at check-ins; they are not the results of a clinical trial.
This is the starting dose the pharmacy prints on the label. Your physician sets yours and adjusts it with you.
A sample week
Twice a week
Kisspeptin's role in GnRH signaling is well established in animal models and molecular biology. In humans, kisspeptin signaling defects cause rare forms of hypogonadotropic hypogonadism. Some small studies suggest kisspeptin injections may stimulate LH and FSH release and possibly help restore fertility in selected men.
Clinical evidence in humans is limited. Most published reports involve small numbers of patients with specific diagnoses (hypogonadotropic hypogonadism, Kallmann syndrome). Use in other contexts is anecdotal. Larger, controlled trials are needed to establish efficacy and safety in broader populations.
Learn moreKisspeptin is an experimental therapy with a limited clinical evidence base in humans. Common effects from small studies include injection-site reactions (redness, swelling, itching), headache, flushing, nausea, and, in men, transient elevations of LH and FSH. Because kisspeptin acts on the hypothalamus and pituitary, it is not prescribed with a pituitary tumor or a hormone-sensitive cancer (prostate, breast). Pregnancy is a contraindication. The long-term effects of kisspeptin therapy in humans are not well characterized—most published experience spans weeks to a few months. Off-label use in hypogonadism rests on physiology and small case series, not large randomized trials. You should be fully informed that kisspeptin is experimental and that you are essentially participating in extended observation. Tell your physician about every medication and supplement you take. Stop and seek care for chest pain, severe headache, vision changes, or signs of pituitary dysfunction (extreme fatigue, weakness, low blood pressure, nausea).

1.Connect with a physician
Answer a few questions online and a US-licensed physician reviews your health, history and goals to make sure treatment is right for you. 100% online. No in-person visit required.

2.Get your discreet shipment
If approved, your treatment is compounded by a US-licensed, LegitScript-certified pharmacy, inspected for quality, and shipped discreetly to your door.

3.Receive continuous support
Start with one goal, then keep building over time. Unlimited physician messaging, easy refills and dose adjustments, all from the Zepym Health app.

Kisspeptin educational content reviewed by our physician
Scott Nass, MDDoctor of Medicine, board-certified in Family Medicine
Charles R. Drew University and David Geffen School of Medicine at UCLA. Family Medicine residency at Ventura County Medical Center.
Injected under the skin, twice a week. The starting prescription is 10 units (0.1 mg) each time. Your physician sets your own dose and it is printed on your label.
1 vial at the starting strength, shipped to your door from a licensed US pharmacy.
No. Kisspeptin is not FDA-approved for any indication. It is compounded by licensed pharmacies and prescribed off-label at your physician's discretion, typically for research purposes or compassionate use in specific hypogonadal states. You should understand that evidence in humans is limited.
Because clinical data in humans are limited. Kisspeptin's role in the hypothalamus is well proven in science, but only small case series and a handful of small trials have tested it in humans with hypogonadism. Larger, controlled studies are needed to know how well it works and what its full safety profile is.
Not necessarily. Kisspeptin may help restore LH and FSH signaling in some hypogonadal states, which could support sperm or egg production, but published response rates vary. Some men on kisspeptin show improved sperm counts; others do not. Your physician will monitor labs.
Your physician will reassess after a trial period—usually 8–12 weeks. If labs show no LH/FSH response or you have no symptom improvement, your physician may recommend stopping and returning to other options or observation. There is no obligation to continue an ineffective therapy.
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The same growth hormone-releasing peptide as a dissolving troche, for people who would rather skip injections.
Troche
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Two peptides that prompt your pituitary to release your own growth hormone, used for deeper sleep, recovery and body composition. Prescribed and dosed by a licensed physician.
Injection
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The above statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease. Prescription products require an online evaluation with a licensed medical professional who will determine if a prescription is appropriate. Individual results vary.
The GPR54 gene as a regulator of puberty.
N Engl J Med, 2003The neuroendocrine physiology of kisspeptin in the human.
Rev Endocr Metab Disord, 2007Kisspeptin and neurokinin B: roles in reproductive health.
Physiol Rev, 2025Kisspeptinfrom $209/mo