Zepym Health
Kisspeptin

Injected under the skin · Twice a week

Research-stagePeptideGnRHFertility

Kisspeptin

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.

  • Works upstream of GnRH—signals the control center of your own hormones
  • May help maintain LH/FSH signaling in specific hypogonadal states
  • Twice-weekly needle—less frequent than some peptide protocols
  • Monthly$299/mo
  • Every 3 months$717 billed up front$239/mo
  • Every 6 monthsBest value$1,254 billed up front$209/mo
  • Free, discreet shipping
  • Licensed U.S. pharmacy
  • Board-certified physicians

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.

How
Injected under the skin
How often
Twice a week
Each shipment
1 vial
Strength
1 mg/mL

What is kisspeptin?

(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.

What's in it

  • KisspeptinSignals the reproductive hormones

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.

Is it right for you?

  • Who it's for

    Adults with low libido who want to work on the body's own hormone signal.

  • What sets it apart

    It sits at the very top of the reproductive hormone chain, above LH and FSH.

  • Worth knowing before you start

    It does little while you take testosterone, which switches that chain off.

Early observations

  • LH and FSH may rise

    seen in published case reports but not guaranteed in every patient

  • Energy and mood

    some patients report changes; others do not

  • Fertility potential

    kisspeptin's mechanism may support sperm or egg production, but evidence is preliminary

How kisspeptin therapy works

  1. 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.

    1
  2. Week 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).

    2
  3. Week 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.

    3
  4. Month 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.

    4
  5. Beyond

    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.

    5

Individual 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.

How you use it

This is the starting dose the pharmacy prints on the label. Your physician sets yours and adjusts it with you.

How
Injected under the skin
Dose
10 units (0.1 mg)
How often
Twice a week
Each shipment
1 vial
Pharmacy label
Inject 10 units (0.1 mg) subcutaneously twice weekly for 4 weeks. Discard any remaining medication.

A sample week

  1. M
  2. T
  3. W
  4. T
  5. F
  6. S
  7. S

Twice a week

The science of kisspeptin in research

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 more

Important safety information and common side effects

Kisspeptin 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).

Every plan includes

  • Personalized, physician-guided plan
  • Monthly, 3-month and 6-month plans
  • Dispensed by a US-licensed compounding pharmacy
  • Unlimited protocol adjustments and messaging
  • Ongoing support and check-ins
  • Pause or cancel anytime
  • Reviewed by our in-house physicians
Get Started

How it works

  1. 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. 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. 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.

Frequently asked questions

How do I use Kisspeptin?

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.

How much arrives in each shipment?

1 vial at the starting strength, shipped to your door from a licensed US pharmacy.

Is kisspeptin approved by the FDA?

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.

Why is kisspeptin experimental?

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.

Will it definitely restore my fertility?

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.

What if kisspeptin doesn't work for me?

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.

GnRH signaling, explored.

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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.

Sources

  1. 1

    The GPR54 gene as a regulator of puberty.

    N Engl J Med, 2003
  2. 2

    The neuroendocrine physiology of kisspeptin in the human.

    Rev Endocr Metab Disord, 2007
  3. 3

    Kisspeptin and neurokinin B: roles in reproductive health.

    Physiol Rev, 2025

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