Book a free discovery call
Chemical structure of tirzepatide, a chain of 39 amino acids

Small chains, big buzz

Peptide therapy and peptides for weight loss: one tool in my toolbox

Tirzepatide, GLP-1s and BPC-157: separating the hype from the evidence

Free · 30 minutes · by Zoom · no obligation

Telemedicine for adults in Arizona, Montana & Washington

Peptides have exploded. In January 2026 alone, peptide-related searches in the U.S. reached about 10.1 million, according to one analysis of Google search data. [1] Searches for peptides have even overtaken searches for the most famous weight-loss drug in America. [2]

They’re all over social media. They’re debated on podcasts. They’re passed around gyms. And far too often, they’re promoted with far more confidence than the evidence supports.

The hype has to be separated from the science. That’s the only way you can make a smart, informed decision. So let’s dig in: what peptides actually are, what GLP-1 peptides can do, how I use them in my practice, and, just as important, how I don’t.

What are peptides, really?

Peptides are short chains of amino acids, the same building blocks that make up proteins. Your body makes many of its own. A number of prescription medications are peptides, too.

Here’s the distinction that matters most. A few peptides have gone through rigorous clinical trials. Many of the popular peptides promoted online have not.

How do I use peptide therapy at Apollo Health Clinic?

As a naturopathic physician, my job is to find and address the root causes of your symptoms, not just chase them. Before we add anything, we look at what to subtract: the dietary, lifestyle and environmental factors that may be holding your health back.

Peptides are one tool in my toolbox. They are never the whole plan.

For the right patients, a peptide medication can be part of a larger plan that includes nutrition, movement, sleep, stress and everything else we work on together. Peptide medications are only available to patients enrolled in one of my programs, after a full evaluation. No shortcuts.

What is tirzepatide, and how does it work?

Tirzepatide is the peptide medication my patients ask about most. It belongs to the family of medications commonly called GLP-1s. More precisely, it acts on two hormone receptors, GIP and GLP-1, which are involved in regulating appetite and blood sugar.

For the right patients, I may prescribe tirzepatide as part of my 10-Week Metabolic Reset. It is never the only piece of the plan.

Depending on what is appropriate for you, a prescription may be for a brand-name medication or a compounded medication prepared by a licensed pharmacy. Compounded medications are not FDA-approved, and we will talk through your options before anything is prescribed.

What are the benefits of weight loss peptides like tirzepatide?

Brand-name tirzepatide medications are FDA-approved to:

  • Help adults with obesity, or with overweight and at least one weight-related health condition, lose excess weight and keep it off long term, along with a reduced-calorie diet and increased physical activity
  • Treat moderate to severe obstructive sleep apnea in adults with obesity
  • Improve blood sugar in adults with type 2 diabetes, along with diet and exercise

That’s backed by a large and growing body of research. In the SURMOUNT-5 trial, 751 adults with obesity were randomly assigned to tirzepatide or semaglutide, another GLP-1 medication, for 72 weeks. [3] A study in JAMA Internal Medicine followed more than 18,000 matched adults with overweight or obesity treated across U.S. health systems. [4] And a second real-world study followed nearly 2,400 adults without diabetes over six months. [5] If you want to dig into the science, I encourage you to read them yourself.

A few things worth knowing:

  • These studies used brand-name products, so their findings should not be assumed to apply to compounded medications.
  • The SURMOUNT-5 trial and the second real-world study were funded by Eli Lilly, which makes brand-name tirzepatide medications. [3] [5]
  • No study can predict your individual results.
  • In the JAMA study, more than half of patients stopped their medication during follow-up. [4] That is exactly why medication is never the whole plan in my practice.

How do I combine GLP-1 peptides with lifestyle medicine?

A GLP-1 medication can be a powerful tool. But in my practice, it never stands alone. My approach combines it with the foundations of lifestyle and naturopathic medicine. For the right patients, that plan can include:

  • Body composition testing, before and after. Weight loss can come from muscle as well as fat. So I recommend a body composition scan before starting a GLP-1 and again after a period of treatment, either a DEXA scan, a low-dose X-ray scan that measures body fat, lean muscle and bone, or an InBody scan, which estimates body composition. That way, we track what is actually changing in your body, not just the number on the scale. Body composition scans are not included in program fees. Patients typically pay for them directly at a local scan location.
  • Exercise and resistance training. For patients who can move comfortably and without pain, I recommend regular exercise, including weight training or other resistance training, tailored to your body, your experience and your goals. If pain or an old injury limits how you move, we start there first.
  • Nutritional medicine. A personalized nutrition plan built around adequate protein, fiber and whole foods, designed around your goals and how your body responds.
  • Targeted supplements, when appropriate. Depending on your needs, I may recommend nutritional supplements aimed at supporting gut health and energy. Supplements are always optional, and we will discuss the reasoning behind any recommendation.
  • Sleep and stress. How you sleep and how you handle stress shape how your body responds to any treatment.
  • Other therapies as needed. Including continuous glucose monitoring and other naturopathic therapies that fit your individual plan.

The goal isn’t just a smaller number on the scale. It’s a stronger, healthier body, built on habits that last.

Who qualifies for GLP-1s and peptide therapy?

Let me be straight with you: peptide medications are not right for everyone.

Your health history matters. For example, tirzepatide isn’t used in people with a personal or family history of medullary thyroid cancer or a condition called MEN 2.

Every medication carries side effects, too. With tirzepatide, digestive symptoms like nausea, diarrhea, vomiting and constipation are common. We will review the full picture, risks included, before any prescription.

If a peptide isn’t a fit for you, that is not a dead end. There are many other tools we can use to support your health.

Is Apollo Health Clinic a peptide shop or pharmacy?

No. Apollo Health Clinic is a naturopathic medicine clinic. We are not an online peptide dispensary or pharmacy.

I don’t sell peptides on this website, and you can’t order them here. Any prescription is filled by a licensed pharmacy, and only after an evaluation and a decision we have made together.

Is BPC-157 FDA-approved? The latest peptide news

If you follow health news, you have likely seen the headlines about BPC-157 and other popular peptides. Here is what actually happened.

In July 2026, an FDA advisory committee recommended BPC-157, KPV, TB-500, MOTS-c, Epitalon and Semax for the list of substances pharmacies may use in compounding, and voted against emideltide (DSIP). [6] The vote on BPC-157 was close: 8 in favor, 6 against, with one abstention. [7] That vote was advice to the FDA. In late October 2026, the Department of Health and Human Services announced an interim policy allowing certain state-licensed pharmacies and licensed physicians to compound these six peptides under set conditions while formal rulemaking continues. This is a temporary enforcement policy, not an FDA approval. [8]

For now, none of these peptides are FDA-approved medications. I will keep this page updated as the story unfolds.

Can I get peptide therapy by telehealth in Arizona, Montana or Washington?

Yes, if you qualify. I see adults across Arizona, Montana and Washington by secure video and phone visits. No commute, no waiting room. For the right patients, after a full evaluation, tirzepatide may be part of the 10-Week Metabolic Reset.

See the 10-Week Metabolic Reset

Not sure where to start? Take the energy & vitality quiz.

Telemedicine care for adults in Arizona, Montana and Washington.

Peptide therapy questions, answered

What is peptide therapy?

Peptide therapy means using peptides, short chains of amino acids, as treatment. Some peptides are FDA-approved prescription medications. Many popular peptides sold online are not.

Is tirzepatide a peptide?

Yes. Tirzepatide is a peptide medication that acts on two hormone receptors, GIP and GLP-1.

What is tirzepatide FDA-approved for?

Brand-name tirzepatide medications are FDA-approved for chronic weight management in certain adults, for moderate to severe obstructive sleep apnea in adults with obesity, and for improving blood sugar in adults with type 2 diabetes. Compounded tirzepatide is not FDA-approved.

Do I need to be in a program to get peptides?

Yes. Peptide medications are only available to patients enrolled in one of my programs, because they work best as part of a complete plan.

Is a peptide right for you?

Let’s find out together. The first step is a free discovery call. We will start with your why: what you want your health and life to look like, what has been getting in the way, and whether one of my programs is a good fit. No pressure, no obligation.

The discovery call is a free, non-clinical 30-minute Zoom conversation about your goals and whether working together is a good fit.

Sources

  1. CBS News. What to know about the “wild, wild West” of viral peptide health claims. 2026.
  2. eMarketer. Peptide buzz climbs as influencer hype drives demand online. 2026.
  3. Aronne LJ, et al. Tirzepatide as Compared with Semaglutide for the Treatment of Obesity (SURMOUNT-5). N Engl J Med. 2025.
  4. Rodriguez PJ, et al. Semaglutide vs Tirzepatide for Weight Loss in Adults With Overweight or Obesity. JAMA Intern Med. 2024.
  5. le Roux CW, et al. Comparative effectiveness of tirzepatide and semaglutide for obesity management in US clinical practice: a 6-month retrospective cohort study. J Endocrinol Invest. 2026.
  6. AJMC. FDA Panel Backs 6 Peptides for Compounding. July 31, 2026.
  7. ABC News / Good Morning America. FDA advisory committee votes to add popular peptide BPC-157 to drug compounding list. July 23, 2026.
  8. RAPS. HHS will permit compounding of six peptides ahead of formal rulemaking. October 29, 2026.

Thinking about next steps? See how care works, programs and pricing and patient reviews, or browse the frequently asked questions.

This page is for general education and is not medical advice. It does not create a doctor–patient relationship. If you are experiencing a medical emergency, call 911.

Free resource

Get practical health tips by email

Join Dr. Madeira’s email list for practical guidance on energy, hormones, metabolism, environmental health and root-cause recovery, plus new podcast episodes. Unsubscribe anytime.

Get updates and articles from Dr. Madeira. Unsubscribe anytime.

“Dr. Madeira is compassionate and truly listens. He takes the time to look beyond band-aid solutions and digs deeper to look at the root cause.”

Dr. Shelly Sethi, D.O.

From Google reviews. Individual experiences and results vary.

Free discovery call

Ready to take the first step?

Book a free 30-minute discovery call with Dr. Madeira. We’ll start with your why: what you want your health and life to look like, what’s been getting in the way, and whether working together feels right for you.

  • 30 minutes by Zoom, free, with no obligation
  • We talk about your goals and what’s been getting in the way
  • A non-clinical conversation: no diagnosis or treatment yet
  • For adults located in Arizona, Montana or Washington

Concierge, private-pay practice (no insurance accepted) · 100% telemedicine for adults in Arizona, Montana & Washington.