Key facts
Mechanism of action
Synthetic tetrapeptide based on the pineal-gland peptide epithalamin. Studied by Vladimir Khavinson; claimed to activate telomerase and extend telomere length. Bulk of evidence is from a single Russian research group; replication is limited.
Standard dosing
Typical clinical use: 5-10 mg SC daily for 10-20 day cycles, repeated 2x/year. Dosing varies by indication and provider protocol; this is reference-only and not a prescribing recommendation. Epithalon requires a prescription from a licensed clinician.
Regulatory status & pharmacy pathway
Not FDA-approved. Compounded peptides are dispensed via 503A licensed compounding pharmacies (USP <797> sterile compounding) or 503B FDA-registered outsourcing facilities (cGMP). Patients should request the pharmacy of record and certificates of analysis (USP <71> sterility, USP <85> endotoxin, HPLC potency) for every shipment.
U.S. telehealth providers prescribing Epithalon
The most commonly cited U.S. telehealth providers for Epithalon are Defy Medical, Marek Health, Hone Health, Maximus, and PeterMD — all of which offer prescriber-supervised access with lab integration and 503A pharmacy partnerships. See the full provider directory for complete profiles.
Trade-offs to know
Epithalon carries the trade-offs common to all compounded peptide therapeutics: not FDA-approved (when applicable), cash-pay only, no in-network insurance coverage, and pharmacy-quality variation between providers. Choose a prescriber that publishes pharmacy of record, per-vial CoAs, and lab-integrated follow-up.
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Editorial team
Authored by Dr. Sam Saberian, medically reviewed by Alen A. Schwartz, MD, edited by Julliana Edwards. About our team →