Compliance · Sourcing · Stewardship

The way we handle peptide therapy

On April 23, 2026, the FDA removed twelve clinically meaningful peptides — including BPC-157, TB-500, CJC-1295, and Ipamorelin — from Category 2. The PCAC's formal review on July 23–24 is the next decision point. This page documents how Limitless prescribes, sources, and monitors peptides through that transition window.

A statement from Joshua Hare, DO · Founder & Medical Director · Updated May 4, 2026
The position

Physician-led, fully documented, and never gray market.

Compounded peptides are not the same as approved pharmaceutical drugs. They are prescription therapeutics — prepared by licensed compounding pharmacies, prescribed by a physician for a specific patient, and monitored on a defined schedule. At Limitless, that is the only way a peptide ever reaches a patient.

We do not stock, sell, resell, or refer patients to retail or online peptide vendors. Every peptide a Limitless patient receives originates from a state-licensed 503A or FDA-registered 503B pharmacy under a valid prescription written by Dr. Joshua Hare, DO.

The four pillars

How we operate inside the compliant lane.

1. Licensed Sourcing

Every peptide originates from a 503A pharmacy with a current state board license, valid PIC (pharmacist-in-charge), and clean inspection record — or from an FDA-registered 503B outsourcing facility for higher-volume preparations. We maintain primary and secondary supplier relationships to prevent inventory gaps.

2. Valid Prescription

A peptide is prescribed only after a clinical evaluation, lab review, and identification of an indication consistent with current evidence. Each prescription is patient-specific. Standing orders, "office stock" peptides, and direct-to-consumer sales are not part of the Limitless model.

3. Informed Consent

Before initiating therapy, each patient signs a written informed consent acknowledging that compounded peptides are not FDA-approved drugs, that supporting evidence varies by molecule, that on- and off-target effects are possible, and that monitoring is required. Consent forms are stored in the patient portal and refreshed annually.

4. Defined Monitoring

Each protocol carries a written monitoring plan: baseline labs, follow-up labs at defined intervals, symptom check-ins, and stop criteria. NAD+ patients have hepatic and energy-marker review. Tesamorelin patients have IGF-1, glucose, and DEXA review. GH-secretagogue patients have IGF-1 and HbA1c review. Recovery-stack (BPC-157 + TB-500) patients receive structured progress checks.

The regulatory timeline

What changed on April 23 — and what the July 23–24 PCAC review still decides.

For the past several years, the FDA's Pharmacy Compounding Advisory Committee (PCAC) had placed a number of clinically meaningful peptides on Category 2 — a status that meaningfully restricted compounding access. Following the February 2026 HHS announcement, twelve peptides were removed from Category 2 effective April 23, 2026.

It is important to be precise about what that change does and does not do. Removal from Category 2 cleared one regulatory barrier. It did not, by itself, place these peptides on the 503A bulk drug substances list — the list that authoritatively governs what 503A pharmacies may compound from bulks. That decision rests with the PCAC's formal review on July 23–24, 2026, and the FDA's subsequent determination. In the meantime, licensed 503A and 503B pharmacies are operating in a transition status: most are filling patient-specific prescriptions written by physicians for indicated uses, while exercising heightened documentation and patient-counseling standards in anticipation of the July decision.

This is the regulatory posture Limitless has chosen to operate inside. We do not assume the July decision is a foregone conclusion. We document accordingly.

February 27, 2026
HHS announces forthcoming reclassification of twelve peptides off Category 2.
April 23, 2026
Category 2 removal effective. The peptides leave the restricted list, pending PCAC's review and the FDA's final 503A bulks list determination.
July 23–24, 2026
PCAC formal review meeting. The committee will discuss BPC-157, TB-500, MOTs-c, KPV, and others — in both acetate and free-base forms — for inclusion on the 503A bulks list. Limitless will publish a follow-up statement after the FDA's determination.

Reclassification does not make these peptides FDA-approved drugs. They remain prescription therapeutics with a still-evolving evidence base. They should be used with the same physician oversight and documentation that any specialty therapeutic warrants — and that is the standard we hold ourselves to, regardless of how the July decision lands.

Patient promises

What every Limitless peptide patient can expect.

"Compounded peptide therapy isn't a fad. It's a serious therapeutic tool with a real evidence base, real risk, and real reward. Used the right way — under a physician, with documented sourcing and follow-up — it is one of the most useful additions we have to longevity and recovery medicine. That is the standard at Limitless. Anything less doesn't deserve the name." — Joshua Hare, DO · Medical Director

Ready to begin the right way?

A 30-minute consultation, a full lab panel, and a physician-built protocol — sourced, prescribed, and monitored to a documented standard.

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This page is for educational purposes and does not constitute medical advice. Compounded peptides described are not FDA-approved drugs and may carry on- and off-target risks. Regulatory status is in transition — Category 2 removal on April 23, 2026 cleared one barrier; final 503A bulks list inclusion remains subject to the July 23–24, 2026 PCAC review and subsequent FDA determination. Treatment decisions are made on an individual basis after evaluation by Joshua Hare, DO. Last reviewed May 4, 2026.