{
  "dataset": "Open Peptide Project Evidence Library",
  "version": "2026-10-27",
  "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)",
  "total_pages": 258,
  "compound_count": 236,
  "guide_count": 22,
  "entries": [
    {
      "slug": "bpc-157",
      "title": "BPC-157",
      "full_title": "BPC-157: What the evidence says",
      "kind": "compound",
      "focus_area": "Muscle, bone & recovery",
      "focus_area_key": "muscle",
      "evidence_tier": "Very limited",
      "card_verdict": "Very limited (3 small uncontrolled clinic reports) · Controlled human trials for tendon, muscle, or gut healing: No human data.",
      "card_note": "Varies by use, see page",
      "regulatory_status": "Not FDA-approved · WADA-banned",
      "pmids": "14554208;16609979;20388964;21030672;27847966;31158953;32334036;34324435;36588717;39325560;40131143;40756949;40789979;42328738;42757290",
      "nct_ids": "",
      "search_aliases": "bepecin pl 14736 pl-10 body protection compound pentadecapeptide gut tendon",
      "last_checked": "2026-10-15",
      "url": "https://openpeptideproject.org/library/bpc-157/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "5-amino-1mq",
      "title": "5-Amino-1MQ",
      "full_title": "5-Amino-1MQ: What the evidence says",
      "kind": "compound",
      "focus_area": "Metabolic & weight",
      "focus_area_key": "metabolic",
      "evidence_tier": "No human data",
      "card_verdict": "No human data (fat-loss and muscle claims rest on mouse and cell studies only).",
      "card_note": "Animal/lab only, see page",
      "regulatory_status": "Never approved (no openFDA entry)  · not on FDA's \"significant safety risks\" page  · WADA 2026: not named; may fall under S0 (non-approved substances) ⚠️ [UNVERIFIED] how WADA applies S0 to it",
      "pmids": "28548833;29155147;30753815;33645410;33707534;34304009;35013352;38969654;39161060;41543936",
      "nct_ids": "",
      "search_aliases": "5-amino-1-methylquinolinium nnmt inhibitor",
      "last_checked": "2026-10-26",
      "url": "https://openpeptideproject.org/library/5-amino-1mq/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "abaloparatide",
      "title": "Abaloparatide",
      "full_title": "Abaloparatide: What the evidence says",
      "kind": "compound",
      "focus_area": "Muscle, bone & recovery",
      "focus_area_key": "muscle",
      "evidence_tier": "Strong",
      "card_verdict": "Strong (osteoporosis fractures) · Gray-market: No human data.",
      "card_note": "Osteosarcoma precautions, see page.",
      "regulatory_status": "FDA-approved: Tymlos NDA 208743 (Apr 28, 2017)  · no boxed warning on current label  · WADA: not named on the 2026 List",
      "pmids": "27533157",
      "nct_ids": "NCT01343004",
      "search_aliases": "tymlos pthrp analog osteoporosis bone",
      "last_checked": "2026-10-25",
      "url": "https://openpeptideproject.org/library/abaloparatide/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "ace-031",
      "title": "ACE-031 (ramatercept)",
      "full_title": "ACE-031 (ramatercept): What the evidence says",
      "kind": "compound",
      "focus_area": "Muscle, bone & recovery",
      "focus_area_key": "muscle",
      "evidence_tier": "Very limited",
      "card_verdict": "Very limited · DMD trial stopped for safety.",
      "card_note": "Development stopped, see page",
      "regulatory_status": "Never approved, development stopped · not on FDA's 503A or 503B bulk-substance category lists and not on FDA's compounding safety-risk page · WADA 2026: prohibited at all times (S4.3)",
      "pmids": "20466801;23169607;27462804;40312924;41686840",
      "nct_ids": "NCT00952887;NCT01099761",
      "search_aliases": "",
      "last_checked": "2026-10-26",
      "url": "https://openpeptideproject.org/library/ace-031/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "acetyl-tetrapeptide-3",
      "title": "Acetyl tetrapeptide-3 (Ac-KGHK-NH2)",
      "full_title": "Acetyl tetrapeptide-3 (Ac-KGHK-NH2): What the evidence says",
      "kind": "compound",
      "focus_area": "Skin, hair & aging",
      "focus_area_key": "skin",
      "evidence_tier": "Very limited",
      "card_verdict": "Very limited (one small trial of a blend).",
      "card_note": "Cosmetic hair peptide; tested only in a blend",
      "regulatory_status": "Cosmetic ingredient; not FDA-approved  · not on FDA's 503A or 503B bulk-substance category lists and not on FDA's compounding safety-risk page  · not named by WADA",
      "pmids": "33584955;40654553;42072405",
      "nct_ids": "",
      "search_aliases": "capixyl ac-kgfk acetyl tetrapeptide 3 red clover hair follicle cosmetic peptide",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/acetyl-tetrapeptide-3/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "acetyl-tetrapeptide-5",
      "title": "Acetyl tetrapeptide-5 (Eyeseryl)",
      "full_title": "Acetyl tetrapeptide-5 (Eyeseryl): What the evidence says",
      "kind": "compound",
      "focus_area": "Skin, hair & aging",
      "focus_area_key": "skin",
      "evidence_tier": "No human data",
      "card_verdict": "No human data (no peer-reviewed human trial found).",
      "card_note": "Cosmetic peptide marketed for under-eye puffiness",
      "regulatory_status": "Cosmetic ingredient; not FDA-approved  · not on FDA's 503A or 503B bulk-substance category lists and not on FDA's compounding safety-risk page  · not named by WADA",
      "pmids": "33849044",
      "nct_ids": "",
      "search_aliases": "eyeseryl ac-beta-ala-his-ser-his eye puffiness under-eye bags cosmetic tetrapeptide",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/acetyl-tetrapeptide-5/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "adipotide",
      "title": "Adipotide (FTPP)",
      "full_title": "Adipotide (FTPP): What the evidence says",
      "kind": "compound",
      "focus_area": "Metabolic & weight",
      "focus_area_key": "metabolic",
      "evidence_tier": "No human data",
      "card_verdict": "No human data (weight-loss claims rest on animal studies; 4-person cancer trial terminated with no results posted).",
      "card_note": "Kidney toxicity in animals, see page",
      "regulatory_status": "Never approved · Not on FDA 503A or 503B bulk lists · WADA 2026: not named; likely S0 ⚠️",
      "pmids": "15133506;22072637;22539771;23871959",
      "nct_ids": "NCT01262664",
      "search_aliases": "",
      "last_checked": "2026-10-26",
      "url": "https://openpeptideproject.org/library/adipotide/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "adropin",
      "title": "Adropin",
      "full_title": "Adropin: What the evidence says",
      "kind": "compound",
      "focus_area": "Metabolic & weight",
      "focus_area_key": "metabolic",
      "evidence_tier": "No human data",
      "card_verdict": "No human data (blood-level studies only; never tested as a treatment in people).",
      "card_note": "Natural metabolic peptide; never given to people as a treatment",
      "regulatory_status": "Not approved anywhere · not on FDA's 503A or 503B bulk-substance category lists and not on FDA's compounding safety-risk page  · not named on WADA's 2026 list; as a drug not approved anywhere for human use it falls under S0 (non-approved substances)",
      "pmids": "19041763;20837912;34897581;35955453;37029398",
      "nct_ids": "",
      "search_aliases": "enho energy homeostasis-associated protein endothelial metabolic hormone",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/adropin/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "ahk-cu",
      "title": "AHK-Cu",
      "full_title": "AHK-Cu: What the evidence says",
      "kind": "compound",
      "focus_area": "Skin, hair & aging",
      "focus_area_key": "skin",
      "evidence_tier": "No human data",
      "card_verdict": "No human data (hair-growth claims rest on one human hair-follicle lab study; skin claims untested in people).",
      "card_note": "One lab study only, see page",
      "regulatory_status": "Not approved as a drug · Not on FDA 503A or 503B bulk lists · No FDA safety-risk entry",
      "pmids": "17703734",
      "nct_ids": "",
      "search_aliases": "copper tripeptide-3 alanine histidine lysine hair growth",
      "last_checked": "2026-10-26",
      "url": "https://openpeptideproject.org/library/ahk-cu/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "aicar",
      "title": "AICAR (acadesine)",
      "full_title": "AICAR (acadesine): What the evidence says",
      "kind": "compound",
      "focus_area": "Metabolic & weight",
      "focus_area_key": "metabolic",
      "evidence_tier": "No human data",
      "card_verdict": "Tested, not shown (coronary bypass RCT) · Endurance: mouse data only.",
      "card_note": "Varies by use, see page",
      "regulatory_status": "Never approved · not on FDA's 503A or 503B bulk-substance category lists and not on FDA's compounding safety-risk page · WADA 2026: prohibited at all times (S4.4.1, AMPK activators)",
      "pmids": "18674809;20225061;22782417;23228986;34064363",
      "nct_ids": "NCT00872001",
      "search_aliases": "acadesine zmp ampk activator",
      "last_checked": "2026-10-26",
      "url": "https://openpeptideproject.org/library/aicar/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "albiglutide",
      "title": "Albiglutide (Tanzeum)",
      "full_title": "Albiglutide (Tanzeum): What the evidence says",
      "kind": "compound",
      "focus_area": "Metabolic & weight",
      "focus_area_key": "metabolic",
      "evidence_tier": "Strong",
      "card_verdict": "Strong (FDA-approved diabetes & CV outcomes; commercially discontinued).",
      "card_note": "Discontinued prescription drug",
      "regulatory_status": "FDA-licensed (BLA 125431), discontinued  · not on FDA's 503A or 503B bulk-substance category lists and not on FDA's compounding safety-risk page  · not named by WADA",
      "pmids": "27904741;30291013",
      "nct_ids": "",
      "search_aliases": "tanzeum eperzan glp-1 diabetes",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/albiglutide/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "amycretin",
      "title": "Amycretin (Zenagamtide)",
      "full_title": "Amycretin (Zenagamtide): What the evidence says",
      "kind": "compound",
      "focus_area": "Metabolic & weight",
      "focus_area_key": "metabolic",
      "evidence_tier": "Limited",
      "card_verdict": "Limited (weight loss & type 2 diabetes in early phase 1b/2 trials; phase 3 starting).",
      "card_note": "",
      "regulatory_status": "Not FDA-approved (no Drugs@FDA record) · EU, Japan, China: [UNVERIFIED] not checked against EMA, PMDA or NMPA · WADA: not named; S0 (unapproved substances) likely applies",
      "pmids": "40550229;40550231;42443140;42532079;42532080;42853576",
      "nct_ids": "NCT06064006;NCT06542874;NCT07339423;NCT07533175;NCT07567001",
      "search_aliases": "zenagamtide nnc0487-0111 glp-1 amylin dual agonist",
      "last_checked": "2026-10-25",
      "url": "https://openpeptideproject.org/library/amycretin/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "anamorelin",
      "title": "Anamorelin (ONO-7643)",
      "full_title": "Anamorelin (ONO-7643): What the evidence says",
      "kind": "compound",
      "focus_area": "Muscle, bone & recovery",
      "focus_area_key": "muscle",
      "evidence_tier": "Moderate",
      "card_verdict": "Moderate (cancer cachexia weight; no strength gain) · Not FDA-approved.",
      "card_note": "Varies by use, see page",
      "regulatory_status": "Not FDA-approved · approved in Japan · EU refusal 2017 · not on the 503A/503B lists or FDA's safety-risk page · WADA 2026: named under S2.2.4, prohibited at all times",
      "pmids": "26906526;28472437;33382205;37709824;38693813",
      "nct_ids": "NCT01387269;NCT01387282;NCT03637816;NCT03743051;NCT03743064",
      "search_aliases": "",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/anamorelin/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "andarine-s4",
      "title": "Andarine (S-4, GTx-007)",
      "full_title": "Andarine (S-4, GTx-007): What the evidence says",
      "kind": "compound",
      "focus_area": "Muscle, bone & recovery",
      "focus_area_key": "muscle",
      "evidence_tier": "No human data",
      "card_verdict": "No human data (rat studies only; not a peptide).",
      "card_note": "Unapproved SARM; never shown to work in people; small molecule",
      "regulatory_status": "Not FDA-approved · not on FDA's 503A or 503B bulk-substance category lists and not on FDA's compounding safety-risk page  · named on WADA S1.2",
      "pmids": "15204699;16099859;21816554;23427117;29183075;36479151;39755947",
      "nct_ids": "",
      "search_aliases": "andarine s-4 s4 gtx-007 gtx007 non-steroidal sarm selective androgen receptor modulator",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/andarine-s4/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "aod-9604",
      "title": "AOD-9604 / HGH Fragment 176-191",
      "full_title": "AOD-9604 / HGH Fragment 176-191: What the evidence says",
      "kind": "compound",
      "focus_area": "Metabolic & weight",
      "focus_area_key": "metabolic",
      "evidence_tier": "No human data",
      "card_verdict": "Tested, not shown (oral weight loss) · Injected weight loss, joints, muscle: No human data.",
      "card_note": "Varies by use, see page",
      "regulatory_status": "Not FDA-approved · FDA advisers voted 12–0 against adding it to the 503A list (Dec 2024); no final FDA decision found · not on the 503A or 503B category lists · on FDA's significant-safety-risks page (nominations withdrawn) · WADA 2026: banned at all times (S2.2.3, both names listed)",
      "pmids": "7987248;8358331;11146367;11673763;11713213;15134286;24124033;24976118;25208511;26275694;41966639;42395176",
      "nct_ids": "",
      "search_aliases": "",
      "last_checked": "2026-10-26",
      "url": "https://openpeptideproject.org/library/aod-9604/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "apitegromab",
      "title": "Apitegromab (Isembyld, SRK-015)",
      "full_title": "Apitegromab (Isembyld, SRK-015): What the evidence says",
      "kind": "compound",
      "focus_area": "Muscle, bone & recovery",
      "focus_area_key": "muscle",
      "evidence_tier": "Strong",
      "card_verdict": "Strong (FDA-approved for SMA; no evidence for healthy muscle gain).",
      "card_note": "FDA-approved SMA antibody; myostatin blocker",
      "regulatory_status": "FDA-approved  · not on FDA's 503A or 503B bulk-substance category lists and not on FDA's compounding safety-risk page  · named on WADA S4.3",
      "pmids": "40818473",
      "nct_ids": "NCT03921528;NCT05156320",
      "search_aliases": "isembyld srk-015 promyostatin spinal muscular atrophy sma",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/apitegromab/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "apraglutide",
      "title": "Apraglutide",
      "full_title": "Apraglutide: What the evidence says",
      "kind": "compound",
      "focus_area": "Heart, blood & gut",
      "focus_area_key": "cardio",
      "evidence_tier": "Moderate",
      "card_verdict": "Moderate (phase 3 short bowel syndrome RCT; investigational).",
      "card_note": "Investigational; second phase 3 under way",
      "regulatory_status": "Investigational, not FDA-approved · not on FDA's 503A or 503B bulk-substance category lists and not on FDA's compounding safety-risk page · not named on WADA's 2026 list",
      "pmids": "32075870;34287970;35233802;37316329;42692160",
      "nct_ids": "NCT04627025;NCT05018286;NCT07742735",
      "search_aliases": "fe 203799 glp-2 short bowel syndrome",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/apraglutide/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "ara-290",
      "title": "ARA-290 (cibinetide)",
      "full_title": "ARA-290 (cibinetide): What the evidence says",
      "kind": "compound",
      "focus_area": "Brain, mood & sleep",
      "focus_area_key": "neuro",
      "evidence_tier": "Very limited",
      "card_verdict": "Very limited (sarcoidosis nerve symptoms, type 2 diabetes, macular edema) · Healing & recovery in healthy people: No human data.",
      "card_note": "Mixed use: small company-run disease trials only; the healing and recovery uses it is sold for are animal data. See page.",
      "regulatory_status": "Not approved anywhere · FDA orphan designation (2011)  · EU orphan designations (2013, 2016)  · 503A: Category 3  · WADA 2026: not named; our reading is that S2.1.5 \"innate repair receptor agonists\" covers it (prohibited at all times), not a WADA ruling",
      "pmids": "23168581;24136731;24529189;24555851;25387363;26431906;28475703;29392190;32674280;38488446",
      "nct_ids": "NCT02039687;NCT06626971",
      "search_aliases": "cibinetide phbsp erythropoietin innate repair receptor neuropathy sarcoidosis",
      "last_checked": "2026-10-26",
      "url": "https://openpeptideproject.org/library/ara-290/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "argireline",
      "title": "Argireline (acetyl hexapeptide-3/-8)",
      "full_title": "Argireline (acetyl hexapeptide-3/-8): What the evidence says",
      "kind": "compound",
      "focus_area": "Skin, hair & aging",
      "focus_area_key": "skin",
      "evidence_tier": "Limited",
      "card_verdict": "Limited (topical wrinkles) · Injection: No data.",
      "card_note": "Topical only, see page",
      "regulatory_status": "Cosmetic ingredient, not an approved drug · 503B Category 3 (acetyl hexapeptide-3); not on the 503A list · WADA: not named",
      "pmids": "18498523;23146065;23417317;24754410;33748252;40673537",
      "nct_ids": "",
      "search_aliases": "acetyl hexapeptide-8 acetyl hexapeptide-3 botox-like wrinkle peptide",
      "last_checked": "2026-10-26",
      "url": "https://openpeptideproject.org/library/argireline/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "avexitide",
      "title": "Avexitide (exendin 9-39)",
      "full_title": "Avexitide (exendin 9-39): What the evidence says",
      "kind": "compound",
      "focus_area": "Metabolic & weight",
      "focus_area_key": "metabolic",
      "evidence_tier": "Limited",
      "card_verdict": "Limited (small RCTs published; positive phase 3 reported only by the company so far).",
      "card_note": "Investigational GLP-1 blocker for low blood sugar after gastric bypass",
      "regulatory_status": "Investigational · not FDA-approved · not on FDA's 503A or 503B bulk-substance category lists and not on FDA's compounding safety-risk page  · not named on WADA's 2026 list; as a drug not approved anywhere for human use it falls under S0 (non-approved substances)",
      "pmids": "22855730;27975209;28776922;29077992;32250530;33616643;35416981;42744082",
      "nct_ids": "NCT00571324;NCT03373435;NCT04652479;NCT06747468;NCT07582874",
      "search_aliases": "exendin 9-39 exendin(9-39) ex-9-39 glp-1 receptor antagonist post-bariatric hypoglycemia pbh congenital hyperinsulinism prevent",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/avexitide/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "azd5004",
      "title": "AZD5004 (elecoglipron, ECC5004)",
      "full_title": "AZD5004 (elecoglipron, ECC5004): What the evidence says",
      "kind": "compound",
      "focus_area": "Metabolic & weight",
      "focus_area_key": "metabolic",
      "evidence_tier": "Moderate",
      "card_verdict": "Moderate (one phase 2 RCT; not a peptide).",
      "card_note": "Investigational daily GLP-1 pill; small molecule",
      "regulatory_status": "Investigational · not FDA-approved · not on FDA's 503A or 503B bulk-substance category lists and not on FDA's compounding safety-risk page  · not named on WADA's 2026 list; as a drug not approved anywhere for human use it falls under S0 (non-approved substances)",
      "pmids": "42259337;42896872",
      "nct_ids": "NCT06579092;NCT06988553",
      "search_aliases": "elecoglipron ecc5004 oral small-molecule glp-1 agonist",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/azd5004/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "b7-33",
      "title": "B7-33",
      "full_title": "B7-33: What the evidence says",
      "kind": "compound",
      "focus_area": "Heart, blood & gut",
      "focus_area_key": "cardio",
      "evidence_tier": "No human data",
      "card_verdict": "No human data (heart, kidney & lung anti-fibrosis claims rest on rodent and cell studies only).",
      "card_note": "Animal/lab only, see page",
      "regulatory_status": "Never approved · Not on FDA 503A or 503B bulk lists · WADA 2026: not named; likely S0 ⚠️",
      "pmids": "28478069;30155023;30641102;31713411;32295457;36753958;37047588;37628851",
      "nct_ids": "",
      "search_aliases": "",
      "last_checked": "2026-10-26",
      "url": "https://openpeptideproject.org/library/b7-33/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "bam15",
      "title": "BAM15",
      "full_title": "BAM15: What the evidence says",
      "kind": "compound",
      "focus_area": "Metabolic & weight",
      "focus_area_key": "metabolic",
      "evidence_tier": "No human data",
      "card_verdict": "No human data (mouse studies only; not a peptide).",
      "card_note": "Preclinical mitochondrial uncoupler; small molecule",
      "regulatory_status": "Not approved anywhere · not on FDA's 503A or 503B bulk-substance category lists and not on FDA's compounding safety-risk page  · named on WADA S4.4.1",
      "pmids": "21739343;24634817;32078021;32409697;32519812;35304976;40639664",
      "nct_ids": "",
      "search_aliases": "bam-15 mitochondrial protonophore uncoupler furazanopyrazine",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/bam15/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "bimagrumab",
      "title": "Bimagrumab (BYM338, LY3985863)",
      "full_title": "Bimagrumab (BYM338, LY3985863): What the evidence says",
      "kind": "compound",
      "focus_area": "Muscle, bone & recovery",
      "focus_area_key": "muscle",
      "evidence_tier": "Moderate",
      "card_verdict": "Moderate (phase 2, investigational, body composition) · No proven gain in strength or function.",
      "card_note": "Varies by use, see page",
      "regulatory_status": "Investigational, not approved anywhere · antibody, so not a 503A/503B bulk substance; not on FDA's safety-risk page · WADA 2026: named under S4.3, prohibited at all times",
      "pmids": "31397289;33074327;33439265;38218536;39251484;41772149",
      "nct_ids": "NCT03005288;NCT05616013;NCT05933499;NCT06643728",
      "search_aliases": "bym338 ly3985863 activin receptor type ii myostatin lean mass",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/bimagrumab/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "biotinoyl-tripeptide-1",
      "title": "Biotinoyl tripeptide-1 (biotinyl-GHK)",
      "full_title": "Biotinoyl tripeptide-1 (biotinyl-GHK): What the evidence says",
      "kind": "compound",
      "focus_area": "Skin, hair & aging",
      "focus_area_key": "skin",
      "evidence_tier": "Very limited",
      "card_verdict": "Very limited (only tested in multi-ingredient blends).",
      "card_note": "Cosmetic hair peptide; tested only in blends",
      "regulatory_status": "Cosmetic ingredient; not FDA-approved  · not on FDA's 503A or 503B bulk-substance category lists and not on FDA's compounding safety-risk page  · not named by WADA",
      "pmids": "37292551;37990760;39609969;40654553",
      "nct_ids": "",
      "search_aliases": "biotin-ghk procapil widelash biotinoyl tripeptide 1 hair growth eyelash cosmetic peptide",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/biotinoyl-tripeptide-1/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "bivalirudin",
      "title": "Bivalirudin (Angiomax)",
      "full_title": "Bivalirudin (Angiomax): What the evidence says",
      "kind": "compound",
      "focus_area": "Heart, blood & gut",
      "focus_area_key": "cardio",
      "evidence_tier": "Strong",
      "card_verdict": "Strong (FDA-approved hospital direct thrombin inhibitor for PCI).",
      "card_note": "FDA-approved anticoagulant used during angioplasty",
      "regulatory_status": "FDA-approved  · not on FDA's 503A or 503B bulk-substance category lists and not on FDA's compounding safety-risk page  · not named by WADA",
      "pmids": "12588269;18499566",
      "nct_ids": "NCT00433966",
      "search_aliases": "angiomax angiomax rtu hirulog direct thrombin inhibitor pci",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/bivalirudin/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "bonomarlot",
      "title": "Bonomarlot (bone marrow peptide complex)",
      "full_title": "Bonomarlot (bone marrow peptide complex): What the evidence says",
      "kind": "compound",
      "focus_area": "Longevity & bioregulators",
      "focus_area_key": "longevity",
      "evidence_tier": "No human data",
      "card_verdict": "No human data (no indexed peer-reviewed clinical trial found).",
      "card_note": "Russian oral tissue-extract supplement; no indexed trials",
      "regulatory_status": "Not FDA-approved · not on FDA's 503A or 503B bulk-substance category lists and not on FDA's compounding safety-risk page  · not named by WADA",
      "pmids": "32399807",
      "nct_ids": "",
      "search_aliases": "a-20 bone marrow cytomax khavinson",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/bonomarlot/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "bortezomib",
      "title": "Bortezomib (Velcade, PS-341)",
      "full_title": "Bortezomib (Velcade, PS-341): What the evidence says",
      "kind": "compound",
      "focus_area": "Immune & antimicrobial",
      "focus_area_key": "immune",
      "evidence_tier": "Strong",
      "card_verdict": "Strong (FDA-approved for multiple myeloma and mantle cell lymphoma).",
      "card_note": "FDA-approved dipeptide boronic-acid proteasome inhibitor",
      "regulatory_status": "FDA-approved  · not on FDA's 503A or 503B bulk-substance category lists and not on FDA's compounding safety-risk page  · not named by WADA",
      "pmids": "15958804",
      "nct_ids": "",
      "search_aliases": "velcade ps-341 boronic acid proteasome inhibitor multiple myeloma",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/bortezomib/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "bronchogen",
      "title": "Bronchogen",
      "full_title": "Bronchogen: What the evidence says",
      "kind": "compound",
      "focus_area": "Longevity & bioregulators",
      "focus_area_key": "longevity",
      "evidence_tier": "No human data",
      "card_verdict": "No human data · No published human studies of the marketed use (bronchitis/COPD).",
      "card_note": "No published human study tests the bronchitis/COPD use it is sold for; rat-model work only.",
      "regulatory_status": "Not FDA-approved (no Drugs@FDA entry found)  · Russia: registration status [UNVERIFIED] · WADA: not named on the 2026 List ; S0 status [UNVERIFIED]",
      "pmids": "21240358;26468022;27909961;30199201",
      "nct_ids": "",
      "search_aliases": "aedl ala-glu-asp-leu bronchial bioregulator khavinson",
      "last_checked": "2026-10-25",
      "url": "https://openpeptideproject.org/library/bronchogen/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "cagrilintide",
      "title": "Cagrilintide",
      "full_title": "Cagrilintide: What the evidence says",
      "kind": "compound",
      "focus_area": "Metabolic & weight",
      "focus_area_key": "metabolic",
      "evidence_tier": "Limited",
      "card_verdict": "Limited (weight, alone) · Type 2 diabetes (alone): Very limited.",
      "card_note": "Varies by use, see page",
      "regulatory_status": "Not FDA-approved · cannot be used in compounding (FDA) · FDA has warned online sellers of \"research\" cagrilintide  · EU, UK, Japan, China: [UNVERIFIED] no approval found, not checked against EMA/PMDA/NMPA · WADA: not named; S0 (unapproved substances) likely applies",
      "pmids": "33894838;34798060;37364590;39279639;40544433;42251859",
      "nct_ids": "NCT03600480;NCT03856047;NCT04982575;NCT05804162",
      "search_aliases": "am833 nnc0174-0833 long-acting amylin analog",
      "last_checked": "2026-10-25",
      "url": "https://openpeptideproject.org/library/cagrilintide/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "cagrisema",
      "title": "CagriSema",
      "full_title": "CagriSema: What the evidence says",
      "kind": "compound",
      "focus_area": "Metabolic & weight",
      "focus_area_key": "metabolic",
      "evidence_tier": "Moderate",
      "card_verdict": "Moderate (weight loss & type 2 diabetes in phase 3 trials; not yet FDA-approved).",
      "card_note": "",
      "regulatory_status": "Not FDA-approved · US application submitted per Novo Nordisk [UNVERIFIED] · cagrilintide cannot be used in compounding (FDA) · FDA has warned sellers of a \"cagrilintide and semaglutide\" research product  · EU and other countries: [UNVERIFIED] not checked against EMA/PMDA/NMPA · WADA: not named; cagrilintide component unapproved, so S0 may apply",
      "pmids": "33894838;37364590;40544432;40544433;41328546;42009015;42251856;42251859;42251860;42838477",
      "nct_ids": "NCT03600480;NCT04982575;NCT05394519;NCT05567796;NCT05669755;NCT05813925;NCT06065540;NCT06131437;NCT06323161;NCT06323174",
      "search_aliases": "cagrilintide semaglutide combo",
      "last_checked": "2026-10-25",
      "url": "https://openpeptideproject.org/library/cagrisema/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "calcitonin",
      "title": "Calcitonin-Salmon (Miacalcin / Fortical)",
      "full_title": "Calcitonin-Salmon (Miacalcin / Fortical): What the evidence says",
      "kind": "compound",
      "focus_area": "Muscle, bone & recovery",
      "focus_area_key": "muscle",
      "evidence_tier": "Moderate",
      "card_verdict": "Moderate (FDA-approved; weak fracture RCT data and pooled cancer signal).",
      "card_note": "Prescription drug",
      "regulatory_status": "FDA-approved; nasal sprays discontinued  · not on FDA's 503A or 503B bulk-substance category lists and not on FDA's compounding safety-risk page  · not named by WADA",
      "pmids": "3365896;10996576;25516047",
      "nct_ids": "",
      "search_aliases": "miacalcin fortical calcimar salmon calcitonin hypercalcemia paget",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/calcitonin/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "cardiogen",
      "title": "Cardiogen",
      "full_title": "Cardiogen: What the evidence says",
      "kind": "compound",
      "focus_area": "Longevity & bioregulators",
      "focus_area_key": "longevity",
      "evidence_tier": "No human data",
      "card_verdict": "No human data (heart-repair claims rest on developer-led rat tissue and cell studies only).",
      "card_note": "Animal/lab data only (developer-led), see page",
      "regulatory_status": "Not FDA-approved (no Drugs@FDA record) · Russia: registration status [UNVERIFIED] · WADA 2026: not named; S0 (unapproved substances) likely applies",
      "pmids": "17152728;20210190;36611900",
      "nct_ids": "",
      "search_aliases": "aedr ala-glu-asp-arg heart bioregulator khavinson",
      "last_checked": "2026-10-25",
      "url": "https://openpeptideproject.org/library/cardiogen/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "carfilzomib",
      "title": "Carfilzomib (Kyprolis, PR-171)",
      "full_title": "Carfilzomib (Kyprolis, PR-171): What the evidence says",
      "kind": "compound",
      "focus_area": "Immune & antimicrobial",
      "focus_area_key": "immune",
      "evidence_tier": "Strong",
      "card_verdict": "Strong (FDA-approved for multiple myeloma; serious cardiac risks).",
      "card_note": "FDA-approved peptide proteasome inhibitor",
      "regulatory_status": "FDA-approved  · not on FDA's 503A or 503B bulk-substance category lists and not on FDA's compounding safety-risk page  · not named by WADA",
      "pmids": "25482145",
      "nct_ids": "",
      "search_aliases": "kyprolis pr-171 proteasome inhibitor multiple myeloma",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/carfilzomib/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "carnosine",
      "title": "Carnosine (L-carnosine, β-alanyl-L-histidine)",
      "full_title": "Carnosine (L-carnosine, β-alanyl-L-histidine): What the evidence says",
      "kind": "compound",
      "focus_area": "Longevity & bioregulators",
      "focus_area_key": "longevity",
      "evidence_tier": "Limited",
      "card_verdict": "Limited (small, mixed supplement trials; not an FDA-approved drug).",
      "card_note": "Dietary-supplement dipeptide found in muscle",
      "regulatory_status": "Not FDA-approved as a drug · L-carnosine in Category 3 on FDA's 503A and 503B bulk lists  · not on FDA's safety-risk page  · not named by WADA",
      "pmids": "26682691;28245346;31828942;34884603;37049610;38004228;40999397;42123986",
      "nct_ids": "",
      "search_aliases": "l-carnosine beta-alanyl-l-histidine n-acetylcarnosine nac eye drops beta-alanine dipeptide glycation",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/carnosine/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "cartalax",
      "title": "Cartalax",
      "full_title": "Cartalax: What the evidence says",
      "kind": "compound",
      "focus_area": "Longevity & bioregulators",
      "focus_area_key": "longevity",
      "evidence_tier": "No human data",
      "card_verdict": "No human data · No published studies of the marketed use (cartilage).",
      "card_note": "No published study tests the cartilage or joint use it is sold for.",
      "regulatory_status": "Not FDA-approved (no Drugs@FDA entry found)  · Russia: registration status [UNVERIFIED] · WADA: not named on the 2026 List ; S0 status [UNVERIFIED]",
      "pmids": "26515176;27259496;33231794",
      "nct_ids": "",
      "search_aliases": "aed ala-glu-asp cartilage bioregulator khavinson",
      "last_checked": "2026-10-25",
      "url": "https://openpeptideproject.org/library/cartalax/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "cerebrolysin",
      "title": "Cerebrolysin",
      "full_title": "Cerebrolysin: What the evidence says",
      "kind": "compound",
      "focus_area": "Brain, mood & sleep",
      "focus_area_key": "neuro",
      "evidence_tier": "Limited",
      "card_verdict": "Limited (stroke recovery, mixed results) · Nootropic use: No human data.",
      "card_note": "Varies by use, see page.",
      "regulatory_status": "Not FDA-approved (no Drugs@FDA entry found)  · Austria: authorized, prescription-only (BASG label)  · Russia, Asia: [UNVERIFIED] · WADA: not named on the 2026 List",
      "pmids": "22282884;26564102;31710397;33620612;37818733",
      "nct_ids": "",
      "search_aliases": "",
      "last_checked": "2026-10-25",
      "url": "https://openpeptideproject.org/library/cerebrolysin/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "cerluten",
      "title": "Cerluten (brain peptide complex)",
      "full_title": "Cerluten (brain peptide complex): What the evidence says",
      "kind": "compound",
      "focus_area": "Longevity & bioregulators",
      "focus_area_key": "longevity",
      "evidence_tier": "No human data",
      "card_verdict": "No human data (no indexed peer-reviewed clinical trial found).",
      "card_note": "Russian oral tissue-extract supplement; no indexed trials",
      "regulatory_status": "Not FDA-approved · not on FDA's 503A or 503B bulk-substance category lists and not on FDA's compounding safety-risk page  · not named by WADA",
      "pmids": "32593244",
      "nct_ids": "",
      "search_aliases": "a-5 brain cytomax khavinson",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/cerluten/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "cetrorelix",
      "title": "Cetrorelix (Cetrotide)",
      "full_title": "Cetrorelix (Cetrotide): What the evidence says",
      "kind": "compound",
      "focus_area": "Hormones & fertility",
      "focus_area_key": "endocrine",
      "evidence_tier": "Strong",
      "card_verdict": "Strong (FDA-approved for IVF ovulation prevention) · Off-label uses: No human data.",
      "card_note": "Prescription fertility drug; no evidence for other uses",
      "regulatory_status": "FDA-approved, NDA 021197; generics approved · not on FDA's 503A or 503B bulk-substance category lists and not on FDA's compounding safety-risk page · not named on WADA's 2026 list",
      "pmids": "10686191;36594696",
      "nct_ids": "",
      "search_aliases": "cetrotide gnrh antagonist ivf fertility",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/cetrorelix/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "chitomur",
      "title": "Chitomur (bladder peptide complex)",
      "full_title": "Chitomur (bladder peptide complex): What the evidence says",
      "kind": "compound",
      "focus_area": "Longevity & bioregulators",
      "focus_area_key": "longevity",
      "evidence_tier": "Very limited",
      "card_verdict": "Very limited (two small Russian blind trials; no independent replication).",
      "card_note": "Russian oral bladder-extract supplement",
      "regulatory_status": "Not FDA-approved · not on FDA's 503A or 503B bulk-substance category lists and not on FDA's compounding safety-risk page  · not named by WADA",
      "pmids": "24640697;28976156",
      "nct_ids": "",
      "search_aliases": "a-12 bladder cytomax khavinson",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/chitomur/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "chonluten",
      "title": "Chonluten",
      "full_title": "Chonluten: What the evidence says",
      "kind": "compound",
      "focus_area": "Longevity & bioregulators",
      "focus_area_key": "longevity",
      "evidence_tier": "No human data",
      "card_verdict": "No human data · No published studies of the marketed use (lungs/bronchi).",
      "card_note": "No published study tests the lung or bronchial use it is sold for.",
      "regulatory_status": "Not FDA-approved (no Drugs@FDA entry found)  · Russia: registration status [UNVERIFIED] · WADA: not named on the 2026 List ; S0 status [UNVERIFIED]",
      "pmids": "35408963;36979488",
      "nct_ids": "",
      "search_aliases": "edg glu-asp-gly bronchial bioregulator khavinson",
      "last_checked": "2026-10-25",
      "url": "https://openpeptideproject.org/library/chonluten/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "cjc-1295",
      "title": "CJC-1295",
      "full_title": "CJC-1295: What the evidence says",
      "kind": "compound",
      "focus_area": "Hormones & fertility",
      "focus_area_key": "endocrine",
      "evidence_tier": "Limited",
      "card_verdict": "Limited (raises growth hormone & IGF-1, DAC version) · Muscle, fat loss, recovery, anti-aging, or no-DAC version: No human data.",
      "card_note": "Varies by use, see page",
      "regulatory_status": "Not FDA-approved · FDA lists it as formerly Category 2, nomination withdrawn; FDA advisers voted against compounding it (Dec 2024) · WADA 2026: banned at all times (S2.2.4)",
      "pmids": "15817669;16352683;16822960;17018654;30136411",
      "nct_ids": "NCT00267527",
      "search_aliases": "",
      "last_checked": "2026-10-15",
      "url": "https://openpeptideproject.org/library/cjc-1295/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "colistin",
      "title": "Colistin (colistimethate sodium, polymyxin E)",
      "full_title": "Colistin (colistimethate sodium, polymyxin E): What the evidence says",
      "kind": "compound",
      "focus_area": "Immune & antimicrobial",
      "focus_area_key": "immune",
      "evidence_tier": "Moderate",
      "card_verdict": "Moderate (FDA-approved last-resort antibiotic; high kidney and nerve toxicity).",
      "card_note": "FDA-approved last-resort polymyxin antibiotic",
      "regulatory_status": "FDA-approved  · not on FDA's 503A or 503B bulk-substance category lists and not on FDA's compounding safety-risk page  · not named by WADA",
      "pmids": "30557685;40682801",
      "nct_ids": "",
      "search_aliases": "coly-mycin m colistimethate sodium polymyxin e antibiotic",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/colistin/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "cortagen",
      "title": "Cortagen",
      "full_title": "Cortagen: What the evidence says",
      "kind": "compound",
      "focus_area": "Longevity & bioregulators",
      "focus_area_key": "longevity",
      "evidence_tier": "No human data",
      "card_verdict": "No human data (animal and lab data only).",
      "card_note": "Russian lab studies only, see page",
      "regulatory_status": "Not approved · not on FDA's 503A or 503B bulk-substance category lists and not on FDA's compounding safety-risk page · WADA: not named",
      "pmids": "11276314;12134478;15085253;15159690;21476278",
      "nct_ids": "",
      "search_aliases": "aedp ala-glu-asp-pro brain bioregulator khavinson",
      "last_checked": "2026-10-26",
      "url": "https://openpeptideproject.org/library/cortagen/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "cortexin",
      "title": "Cortexin",
      "full_title": "Cortexin: What the evidence says",
      "kind": "compound",
      "focus_area": "Brain, mood & sleep",
      "focus_area_key": "neuro",
      "evidence_tier": "Limited",
      "card_verdict": "Limited (ischemic stroke) · Nootropic use: No human data.",
      "card_note": "Varies by use, see page",
      "regulatory_status": "Not FDA-approved (no Drugs@FDA record) · Russia: reported as registered in GRLS [UNVERIFIED] · WADA 2026: not named; S0 depends on Russian registration status [UNVERIFIED]",
      "pmids": "19431244;24874316;26356623;30335070;33449527;37818733;41524350;42133422",
      "nct_ids": "",
      "search_aliases": "",
      "last_checked": "2026-10-25",
      "url": "https://openpeptideproject.org/library/cortexin/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "corticotropin-acth",
      "title": "Repository corticotropin injection (Acthar Gel, Purified Cortrophin Gel)",
      "full_title": "Repository corticotropin injection (Acthar Gel, Purified Cortrophin Gel): What the evidence says",
      "kind": "compound",
      "focus_area": "Hormones & fertility",
      "focus_area_key": "endocrine",
      "evidence_tier": "Moderate",
      "card_verdict": "Moderate (FDA-approved; few modern RCTs and not shown better than steroids for most uses).",
      "card_note": "FDA-approved porcine ACTH gel",
      "regulatory_status": "FDA-approved  · not on FDA's 503A or 503B bulk-substance category lists and not on FDA's compounding safety-risk page  · prohibited at all times (WADA S2.2.2)",
      "pmids": "8604274;34902005;34984839",
      "nct_ids": "",
      "search_aliases": "acthar gel purified cortrophin gel acth adrenocorticotropic hormone repository corticotropin injection infantile spasms",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/corticotropin-acth/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "cosyntropin",
      "title": "Cosyntropin (Cortrosyn, tetracosactide, ACTH 1-24)",
      "full_title": "Cosyntropin (Cortrosyn, tetracosactide, ACTH 1-24): What the evidence says",
      "kind": "compound",
      "focus_area": "Hormones & fertility",
      "focus_area_key": "endocrine",
      "evidence_tier": "Moderate",
      "card_verdict": "Moderate (FDA-approved standard diagnostic for adrenal insufficiency; better at ruling in than ruling out).",
      "card_note": "FDA-approved diagnostic ACTH fragment",
      "regulatory_status": "FDA-approved  · not on FDA's 503A or 503B bulk-substance category lists and not on FDA's compounding safety-risk page  · prohibited at all times (WADA S2.2.2)",
      "pmids": "26649617",
      "nct_ids": "",
      "search_aliases": "cortrosyn synacthen tetracosactide acth 1-24 acth(1-24) cosyntropin stimulation test adrenal insufficiency",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/cosyntropin/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "cotadutide",
      "title": "Cotadutide (MEDI0382)",
      "full_title": "Cotadutide (MEDI0382): What the evidence says",
      "kind": "compound",
      "focus_area": "Metabolic & weight",
      "focus_area_key": "metabolic",
      "evidence_tier": "Moderate",
      "card_verdict": "Moderate (phase 2b T2D/MASH/CKD RCTs; development discontinued).",
      "card_note": "Investigational; discontinued",
      "regulatory_status": "Never approved; discontinued  · not on FDA's 503A or 503B bulk-substance category lists and not on FDA's compounding safety-risk page  · not named by WADA",
      "pmids": "29945727;34016612;35403793;38729399;39218393",
      "nct_ids": "NCT05364931;NCT05668936",
      "search_aliases": "medi0382 glp-1 glucagon dual agonist",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/cotadutide/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "crystagen",
      "title": "Crystagen",
      "full_title": "Crystagen: What the evidence says",
      "kind": "compound",
      "focus_area": "Longevity & bioregulators",
      "focus_area_key": "longevity",
      "evidence_tier": "No human data",
      "card_verdict": "No human data (immune claims rest on rodent and lab cell studies only).",
      "card_note": "Rodent and lab studies only; no human trials found.",
      "regulatory_status": "Not FDA-approved (no Drugs@FDA entry found)  · Russia: registration status [UNVERIFIED] · WADA: not named on the 2026 List ; S0 status [UNVERIFIED]",
      "pmids": "27909961;28976144",
      "nct_ids": "",
      "search_aliases": "edp glu-asp-pro immune bioregulator khavinson",
      "last_checked": "2026-10-25",
      "url": "https://openpeptideproject.org/library/crystagen/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "ct-388",
      "title": "CT-388 (enicepatide, RO7795068)",
      "full_title": "CT-388 (enicepatide, RO7795068): What the evidence says",
      "kind": "compound",
      "focus_area": "Metabolic & weight",
      "focus_area_key": "metabolic",
      "evidence_tier": "Limited",
      "card_verdict": "Limited (phase 1 published; phase 2 done but unpublished; phase 3 under way).",
      "card_note": "Investigational weekly GLP-1/GIP injection",
      "regulatory_status": "Investigational · not FDA-approved · not on FDA's 503A or 503B bulk-substance category lists and not on FDA's compounding safety-risk page  · not named on WADA's 2026 list; as a drug not approved anywhere for human use it falls under S0 (non-approved substances)",
      "pmids": "41319798;42768195",
      "nct_ids": "NCT06525935;NCT07351045;NCT07889648",
      "search_aliases": "enicepatide ro7795068 dual glp-1 gip modulator",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/ct-388/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "ct-996",
      "title": "CT-996 (RO7795081)",
      "full_title": "CT-996 (RO7795081): What the evidence says",
      "kind": "compound",
      "focus_area": "Metabolic & weight",
      "focus_area_key": "metabolic",
      "evidence_tier": "Very limited",
      "card_verdict": "Very limited (phase 1 only, no published results; not a peptide).",
      "card_note": "Investigational daily GLP-1 pill; small molecule",
      "regulatory_status": "Investigational · not FDA-approved · not on FDA's 503A or 503B bulk-substance category lists and not on FDA's compounding safety-risk page  · not named on WADA's 2026 list; as a drug not approved anywhere for human use it falls under S0 (non-approved substances)",
      "pmids": "",
      "nct_ids": "NCT05814107;NCT06809608;NCT07499050",
      "search_aliases": "ro7795081 oral small-molecule glp-1 agonist",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/ct-996/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "dalargin",
      "title": "Dalargin",
      "full_title": "Dalargin: What the evidence says",
      "kind": "compound",
      "focus_area": "Heart, blood & gut",
      "focus_area_key": "cardio",
      "evidence_tier": "Limited",
      "card_verdict": "Limited (Soviet ulcer trials; lost to misoprostol in RCT; Russian phase 3 results unposted).",
      "card_note": "Russian enkephalin-analog ulcer drug; not approved in US",
      "regulatory_status": "Not FDA-approved · not on FDA's 503A or 503B bulk-substance category lists and not on FDA's compounding safety-risk page  · not named by WADA",
      "pmids": "1279830;1811815;2193190;2416590;2640568;3067406;3554590",
      "nct_ids": "NCT04346693;NCT07404358",
      "search_aliases": "leu-enkephalin analog d-ala2 hexapeptide",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/dalargin/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "danuglipron",
      "title": "Danuglipron (PF-06882961)",
      "full_title": "Danuglipron (PF-06882961): What the evidence says",
      "kind": "compound",
      "focus_area": "Metabolic & weight",
      "focus_area_key": "metabolic",
      "evidence_tier": "Moderate",
      "card_verdict": "Moderate (phase 2 RCTs; development stopped Apr 2025 over liver-injury case; not a peptide).",
      "card_note": "Varies by use, see page",
      "regulatory_status": "Never approved; development discontinued · not on the 503A/503B lists or FDA's safety-risk page · not named on WADA's 2026 list",
      "pmids": "34127852;35647711;37213102;40539310;41450584",
      "nct_ids": "NCT03985293;NCT04707313",
      "search_aliases": "pf-06882961 oral non-peptide glp-1 agonist",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/danuglipron/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "dapiglutide",
      "title": "Dapiglutide",
      "full_title": "Dapiglutide: What the evidence says",
      "kind": "compound",
      "focus_area": "Metabolic & weight",
      "focus_area_key": "metabolic",
      "evidence_tier": "Very limited",
      "card_verdict": "Very limited (one small phase 1 trial showed no significant weight loss; program paused Nov 2025).",
      "card_note": "",
      "regulatory_status": "Not FDA-approved (no Drugs@FDA record) · Program paused by Zealand (Nov 2025)  · EU, Japan, China: [UNVERIFIED] not checked against EMA, PMDA or NMPA · WADA: not named; S0 (unapproved substances) likely applies",
      "pmids": "34705281;35580981;41768273",
      "nct_ids": "NCT05788601",
      "search_aliases": "zp7570 glp-1 glp-2 dual agonist",
      "last_checked": "2026-10-25",
      "url": "https://openpeptideproject.org/library/dapiglutide/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "daptomycin",
      "title": "Daptomycin (Cubicin)",
      "full_title": "Daptomycin (Cubicin): What the evidence says",
      "kind": "compound",
      "focus_area": "Immune & antimicrobial",
      "focus_area_key": "immune",
      "evidence_tier": "Strong",
      "card_verdict": "Strong (FDA-approved lipopeptide antibiotic for bloodstream and skin infections).",
      "card_note": "FDA-approved lipopeptide antibiotic",
      "regulatory_status": "FDA-approved  · not on FDA's 503A or 503B bulk-substance category lists and not on FDA's compounding safety-risk page  · not named by WADA",
      "pmids": "16914701",
      "nct_ids": "",
      "search_aliases": "cubicin cubicin rf lipopeptide antibiotic mrsa bacteremia",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/daptomycin/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "dasiglucagon",
      "title": "Dasiglucagon (Zegalogue)",
      "full_title": "Dasiglucagon (Zegalogue): What the evidence says",
      "kind": "compound",
      "focus_area": "Metabolic & weight",
      "focus_area_key": "metabolic",
      "evidence_tier": "Strong",
      "card_verdict": "Strong (FDA-approved rescue drug for severe hypoglycemia).",
      "card_note": "Prescription emergency medicine",
      "regulatory_status": "FDA-approved (NDA 214231)  · not approved for congenital hyperinsulinism  · not on FDA's 503A or 503B bulk-substance category lists and not on FDA's compounding safety-risk page  · not named by WADA",
      "pmids": "35239971;37930757;39584500",
      "nct_ids": "NCT04172441",
      "search_aliases": "zegalogue zp4207 glucagon analog hypoglycemia",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/dasiglucagon/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "davunetide",
      "title": "Davunetide (NAP, AL-108)",
      "full_title": "Davunetide (NAP, AL-108): What the evidence says",
      "kind": "compound",
      "focus_area": "Brain, mood & sleep",
      "focus_area_key": "neuro",
      "evidence_tier": "No human data",
      "card_verdict": "Tested, not shown (progressive supranuclear palsy Phase 2/3 & schizophrenia RCTs).",
      "card_note": "Development stopped, see page",
      "regulatory_status": "Never approved · not on FDA's 503A or 503B bulk-substance category lists and not on FDA's compounding safety-risk page · WADA: not named",
      "pmids": "10037502;22169248;23971871;24873720;37845254;39358355",
      "nct_ids": "NCT00422981;NCT01110720",
      "search_aliases": "",
      "last_checked": "2026-10-26",
      "url": "https://openpeptideproject.org/library/davunetide/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "decapeptide-12",
      "title": "Decapeptide-12 (Lumixyl)",
      "full_title": "Decapeptide-12 (Lumixyl): What the evidence says",
      "kind": "compound",
      "focus_area": "Skin, hair & aging",
      "focus_area_key": "skin",
      "evidence_tier": "Very limited",
      "card_verdict": "Very limited (tiny studies; no head-to-head trial with hydroquinone).",
      "card_note": "Cosmetic skin-lightening peptide",
      "regulatory_status": "Cosmetic ingredient; not FDA-approved  · not on FDA's 503A or 503B bulk-substance category lists and not on FDA's compounding safety-risk page  · not named by WADA",
      "pmids": "19440221;19663110;22401652;22527440;23839199",
      "nct_ids": "",
      "search_aliases": "lumixyl yrserdfrll tyrosinase inhibitor hyperpigmentation melasma brightening cosmetic peptide",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/decapeptide-12/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "degarelix",
      "title": "Degarelix (Firmagon)",
      "full_title": "Degarelix (Firmagon): What the evidence says",
      "kind": "compound",
      "focus_area": "Hormones & fertility",
      "focus_area_key": "endocrine",
      "evidence_tier": "Strong",
      "card_verdict": "Strong (FDA-approved for advanced prostate cancer).",
      "card_note": "Varies by use, see page",
      "regulatory_status": "FDA-approved (NDA 022201) · not on the 503A/503B lists or FDA's safety-risk page · WADA 2026 S2.2.1 names GnRH agonists (males); degarelix, an antagonist, is not named",
      "pmids": "19035858;24661333;34459214",
      "nct_ids": "NCT02663908",
      "search_aliases": "firmagon gnrh antagonist prostate cancer",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/degarelix/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "desmopressin",
      "title": "Desmopressin",
      "full_title": "Desmopressin: What the evidence says",
      "kind": "compound",
      "focus_area": "Hormones & fertility",
      "focus_area_key": "endocrine",
      "evidence_tier": "Strong",
      "card_verdict": "Strong (diabetes insipidus, nocturia, bleeding disorders) · \"Nootropic\" sprays: No human data · Banned in sport.",
      "card_note": "Can cause dangerously low sodium, see page.",
      "regulatory_status": "FDA-approved: DDAVP NDA 018938 (injection) and 019955 (tablets), Stimate NDA 020355, generics  · boxed hyponatremia warning (injection)  · WADA: prohibited at all times (S5 masking agent, named)",
      "pmids": "67283;23454402",
      "nct_ids": "",
      "search_aliases": "ddavp minirin stimate nocdurna vasopressin adh",
      "last_checked": "2026-10-25",
      "url": "https://openpeptideproject.org/library/desmopressin/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "difelikefalin",
      "title": "Difelikefalin (Korsuva, CR845)",
      "full_title": "Difelikefalin (Korsuva, CR845): What the evidence says",
      "kind": "compound",
      "focus_area": "Brain, mood & sleep",
      "focus_area_key": "neuro",
      "evidence_tier": "Strong",
      "card_verdict": "Strong (FDA-approved for dialysis-related itching).",
      "card_note": "FDA-approved peripheral kappa-opioid peptide",
      "regulatory_status": "FDA-approved  · not on FDA's 503A or 503B bulk-substance category lists and not on FDA's compounding safety-risk page  · not named by WADA",
      "pmids": "31702883;32405581",
      "nct_ids": "",
      "search_aliases": "korsuva cr845 kappa opioid pruritus itching dialysis",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/difelikefalin/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "dihexa",
      "title": "Dihexa",
      "full_title": "Dihexa: What the evidence says",
      "kind": "compound",
      "focus_area": "Brain, mood & sleep",
      "focus_area_key": "neuro",
      "evidence_tier": "No human data",
      "card_verdict": "No human data (rat/mouse cognitive studies only; key mechanism paper retracted in 2025).",
      "card_note": "",
      "regulatory_status": "Not FDA-approved (no Drugs@FDA record) · Not approved anywhere in the world · WADA 2026: not named; S0 (non-approved substances) or S2.3 (HGF/growth factor modulators) applies",
      "pmids": "23055539;25187433;34551987;34551989;34827486;40312093",
      "nct_ids": "",
      "search_aliases": "",
      "last_checked": "2026-10-25",
      "url": "https://openpeptideproject.org/library/dihexa/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "dsip",
      "title": "DSIP (delta sleep-inducing peptide)",
      "full_title": "DSIP (delta sleep-inducing peptide): What the evidence says",
      "kind": "compound",
      "focus_area": "Brain, mood & sleep",
      "focus_area_key": "neuro",
      "evidence_tier": "Very limited",
      "card_verdict": "Very limited (chronic insomnia, mixed results; alcohol/opioid withdrawal) · Injected sleep, recovery, longevity: No human data.",
      "card_note": "Mixed use: insomnia trials conflict, withdrawal data are uncontrolled, and gray-market injected use is untested. See page.",
      "regulatory_status": "Russia: registered OTC nasal medicine (Deltaran) · US: not FDA-approved; FDA proposed it NOT be added to the 503A list (July 2026), no final decision found as of Oct 26, 2026 · WADA 2026: not named",
      "pmids": "1299794;3550726;3583493;3622582;6328354;6548969;9617990;9762721;15911358;16539679;19142086;25739189",
      "nct_ids": "",
      "search_aliases": "",
      "last_checked": "2026-10-26",
      "url": "https://openpeptideproject.org/library/dsip/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "dulaglutide",
      "title": "Dulaglutide",
      "full_title": "Dulaglutide: What the evidence says",
      "kind": "compound",
      "focus_area": "Metabolic & weight",
      "focus_area_key": "metabolic",
      "evidence_tier": "Strong",
      "card_verdict": "Strong (type 2 diabetes, heart-risk reduction) · Gray-market/compounded: No human data.",
      "card_note": "Not approved for weight loss; gray-market products are not Trulicity, see page.",
      "regulatory_status": "FDA-approved: Trulicity BLA 125469 (Sep 18, 2014)  · boxed warning  · WADA: not named on the 2026 List",
      "pmids": "24879836;31189511",
      "nct_ids": "NCT01394952",
      "search_aliases": "trulicity glp-1 diabetes",
      "last_checked": "2026-10-25",
      "url": "https://openpeptideproject.org/library/dulaglutide/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "ecallantide",
      "title": "Ecallantide (Kalbitor, DX-88)",
      "full_title": "Ecallantide (Kalbitor, DX-88): What the evidence says",
      "kind": "compound",
      "focus_area": "Immune & antimicrobial",
      "focus_area_key": "immune",
      "evidence_tier": "Strong",
      "card_verdict": "Strong (FDA-approved for acute hereditary angioedema attacks).",
      "card_note": "FDA-approved kallikrein-inhibitor protein for HAE attacks",
      "regulatory_status": "FDA-approved  · not on FDA's 503A or 503B bulk-substance category lists and not on FDA's compounding safety-risk page  · not named by WADA",
      "pmids": "20568386;20818887;21481442",
      "nct_ids": "NCT00262080;NCT00457015",
      "search_aliases": "kalbitor dx-88 plasma kallikrein inhibitor hereditary angioedema hae edema3 edema4",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/ecallantide/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "ecnoglutide",
      "title": "Ecnoglutide (XW003)",
      "full_title": "Ecnoglutide (XW003): What the evidence says",
      "kind": "compound",
      "focus_area": "Metabolic & weight",
      "focus_area_key": "metabolic",
      "evidence_tier": "Moderate",
      "card_verdict": "Moderate (phase 3 RCTs, all in China; approved in China, not in the US).",
      "card_note": "Weekly GLP-1 injection approved in China; not FDA-approved",
      "regulatory_status": "Approved in China ; not FDA-approved · not on FDA's 503A or 503B bulk-substance category lists and not on FDA's compounding safety-risk page  · not named by WADA",
      "pmids": "37364710;39333121;40555243;41501026;42412371",
      "nct_ids": "NCT04389775;NCT05813795",
      "search_aliases": "xw003 xw-003 camp-biased glp-1 receptor agonist weight loss obesity diabetes eecoh",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/ecnoglutide/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "efinopegdutide",
      "title": "Efinopegdutide",
      "full_title": "Efinopegdutide: What the evidence says",
      "kind": "compound",
      "focus_area": "Metabolic & weight",
      "focus_area_key": "metabolic",
      "evidence_tier": "Limited",
      "card_verdict": "Limited (liver fat and weight) · Type 2 diabetes: Very limited (mixed results).",
      "card_note": "Varies by use, see page",
      "regulatory_status": "Not FDA-approved (no Drugs@FDA record) · EU, Japan, China: [UNVERIFIED] not checked against EMA, PMDA or NMPA · WADA: not named; S0 (unapproved substances) likely applies",
      "pmids": "33475251;33475255;37355043",
      "nct_ids": "NCT04944992;NCT05877547",
      "search_aliases": "mk-6024 hm12525a glp-1 glucagon mash",
      "last_checked": "2026-10-25",
      "url": "https://openpeptideproject.org/library/efinopegdutide/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "efpeglenatide",
      "title": "Efpeglenatide (HM11260C, Eppe)",
      "full_title": "Efpeglenatide (HM11260C, Eppe): What the evidence says",
      "kind": "compound",
      "focus_area": "Metabolic & weight",
      "focus_area_key": "metabolic",
      "evidence_tier": "Moderate",
      "card_verdict": "Moderate (phase 3 CV/renal outcomes & obesity RCTs; approved in South Korea; not FDA-approved).",
      "card_note": "Not FDA-approved",
      "regulatory_status": "Not FDA-approved · approved in South Korea, Oct 2026  · not on FDA's 503A or 503B bulk-substance category lists and not on FDA's compounding safety-risk page  · not named by WADA",
      "pmids": "34215025",
      "nct_ids": "NCT03496298",
      "search_aliases": "hm11260c eppe long-acting exendin-4 glp-1",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/efpeglenatide/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "efruxifermin",
      "title": "Efruxifermin (EFX, AKR-001)",
      "full_title": "Efruxifermin (EFX, AKR-001): What the evidence says",
      "kind": "compound",
      "focus_area": "Metabolic & weight",
      "focus_area_key": "metabolic",
      "evidence_tier": "Moderate",
      "card_verdict": "Moderate (phase 2b MASH fibrosis, investigational).",
      "card_note": "Varies by use, see page",
      "regulatory_status": "Investigational · biologic, not on the 503A/503B lists or FDA's safety-risk page · WADA 2026 S2.3 lists fibroblast growth factors (FGFs); ⚠️ [UNVERIFIED] whether an FGF21 analogue is covered",
      "pmids": "34239138;34773249;36644237;40341827;40818852",
      "nct_ids": "NCT04767529;NCT05039450;NCT06161571;NCT06215716;NCT06528314",
      "search_aliases": "efx akr-001 fc-fgf21 mash nash fibrosis",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/efruxifermin/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "eloralintide",
      "title": "Eloralintide",
      "full_title": "Eloralintide: What the evidence says",
      "kind": "compound",
      "focus_area": "Metabolic & weight",
      "focus_area_key": "metabolic",
      "evidence_tier": "Moderate",
      "card_verdict": "Moderate (phase 2 obesity RCT; phase 3 under way; investigational).",
      "card_note": "Investigational; phase 3 under way",
      "regulatory_status": "Investigational, not FDA-approved · not on FDA's 503A or 503B bulk-substance category lists and not on FDA's compounding safety-risk page · not named on WADA's 2026 list",
      "pmids": "41109426;41207310;41559929",
      "nct_ids": "NCT06230523;NCT06916065;NCT07282600;NCT07321886;NCT07881432",
      "search_aliases": "ly3841136 selective amylin agonist",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/eloralintide/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "endoluten",
      "title": "Endoluten (pineal peptide complex)",
      "full_title": "Endoluten (pineal peptide complex): What the evidence says",
      "kind": "compound",
      "focus_area": "Longevity & bioregulators",
      "focus_area_key": "longevity",
      "evidence_tier": "No human data",
      "card_verdict": "No human data (no indexed peer-reviewed clinical trial found).",
      "card_note": "Russian oral tissue-extract supplement; no indexed trials",
      "regulatory_status": "Not FDA-approved · not on FDA's 503A or 503B bulk-substance category lists and not on FDA's compounding safety-risk page  · not named by WADA",
      "pmids": "12374906",
      "nct_ids": "",
      "search_aliases": "a-8 pineal cytomax khavinson",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/endoluten/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "enfuvirtide",
      "title": "Enfuvirtide (Fuzeon, T-20)",
      "full_title": "Enfuvirtide (Fuzeon, T-20): What the evidence says",
      "kind": "compound",
      "focus_area": "Immune & antimicrobial",
      "focus_area_key": "immune",
      "evidence_tier": "Strong",
      "card_verdict": "Strong (FDA-approved HIV-1 fusion inhibitor; now discontinued in US).",
      "card_note": "FDA-approved HIV fusion inhibitor; US product discontinued",
      "regulatory_status": "FDA-approved, discontinued  · not on FDA's 503A or 503B bulk-substance category lists and not on FDA's compounding safety-risk page  · not named by WADA",
      "pmids": "12637625;12773645",
      "nct_ids": "",
      "search_aliases": "fuzeon t-20 gp41 fusion inhibitor hiv",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/enfuvirtide/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "enlicitide",
      "title": "Enlicitide (Lipfendra, MK-0616)",
      "full_title": "Enlicitide (Lipfendra, MK-0616): What the evidence says",
      "kind": "compound",
      "focus_area": "Heart, blood & gut",
      "focus_area_key": "cardio",
      "evidence_tier": "Strong",
      "card_verdict": "Strong (FDA-approved oral PCSK9 inhibitor for LDL lowering).",
      "card_note": "FDA-approved oral macrocyclic peptide for LDL cholesterol",
      "regulatory_status": "FDA-approved  · not on FDA's 503A or 503B bulk-substance category lists and not on FDA's compounding safety-risk page  · not named by WADA",
      "pmids": "36889610;41879224;42017875",
      "nct_ids": "NCT05261126;NCT05952856;NCT06450366",
      "search_aliases": "lipfendra mk-0616 mk0616 enlicitide decanoate oral pcsk9 inhibitor macrocyclic peptide ldl cholesterol coralreef",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/enlicitide/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "enobosarm",
      "title": "Enobosarm (ostarine, MK-2866, GTx-024)",
      "full_title": "Enobosarm (ostarine, MK-2866, GTx-024): What the evidence says",
      "kind": "compound",
      "focus_area": "Muscle, bone & recovery",
      "focus_area_key": "muscle",
      "evidence_tier": "Moderate",
      "card_verdict": "Moderate (lean mass in trials; no approval; not a peptide).",
      "card_note": "Investigational SARM pill; not a peptide",
      "regulatory_status": "Not FDA-approved · not on FDA's 503A or 503B bulk-substance category lists and not on FDA's compounding safety-risk page  · named on WADA S1.2",
      "pmids": "23499390;27138015",
      "nct_ids": "NCT01355497;NCT06282458",
      "search_aliases": "ostarine mk-2866 gtx-024 s-22 sarm muscle cachexia",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/enobosarm/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "epitalon",
      "title": "Epitalon",
      "full_title": "Epitalon: What the evidence says",
      "kind": "compound",
      "focus_area": "Longevity & bioregulators",
      "focus_area_key": "longevity",
      "evidence_tier": "Very limited",
      "card_verdict": "Very limited (sleep and melatonin) · Telomeres, longevity, and anti-aging in people: No human data.",
      "card_note": "Varies by use, see page",
      "regulatory_status": "Russia: no listing found ⚠️ · US: not FDA-approved; listed by FDA as nominated but withdrawn (formerly 503A Category 2), not on the bulks list; FDA advisers reportedly backed compounding in July 2026 against FDA staff advice, no final FDA decision · WADA 2026: not named; S0 likely applies if no government has approved it",
      "pmids": "12809170;12937682;14501183;14523363;14647006;15085253;15452611;15455129;15909815;17426848;17969590;18856211;25535022;40141333;40908429;41240216;42752426",
      "nct_ids": "",
      "search_aliases": "epithalon aedg ala-glu-asp-gly pineal tetrapeptide khavinson",
      "last_checked": "2026-10-15",
      "url": "https://openpeptideproject.org/library/epitalon/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "epithalamin",
      "title": "Epithalamin",
      "full_title": "Epithalamin: What the evidence says",
      "kind": "compound",
      "focus_area": "Longevity & bioregulators",
      "focus_area_key": "longevity",
      "evidence_tier": "Very limited",
      "card_verdict": "Very limited (aging, developer-led Russian cohorts).",
      "card_note": "Gray-market \"epithalamin\" or \"epitalon\" vials are a different product from the Russian extract in these studies.",
      "regulatory_status": "Not FDA-approved (no Drugs@FDA record) · Russia: reported as registered in GRLS [UNVERIFIED] · WADA 2026: not named; S0 depends on Russian registration status [UNVERIFIED]",
      "pmids": "9701766;14523363;15452611;40141333",
      "nct_ids": "",
      "search_aliases": "",
      "last_checked": "2026-10-25",
      "url": "https://openpeptideproject.org/library/epithalamin/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "etelcalcetide",
      "title": "Etelcalcetide (Parsabiv, AMG 416)",
      "full_title": "Etelcalcetide (Parsabiv, AMG 416): What the evidence says",
      "kind": "compound",
      "focus_area": "Hormones & fertility",
      "focus_area_key": "endocrine",
      "evidence_tier": "Strong",
      "card_verdict": "Strong (FDA-approved for dialysis secondary hyperparathyroidism).",
      "card_note": "FDA-approved IV calcimimetic peptide",
      "regulatory_status": "FDA-approved  · not on FDA's 503A or 503B bulk-substance category lists and not on FDA's compounding safety-risk page  · not named by WADA",
      "pmids": "28097356",
      "nct_ids": "",
      "search_aliases": "parsabiv amg 416 velcalcetide calcimimetic hyperparathyroidism dialysis",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/etelcalcetide/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "exenatide",
      "title": "Exenatide",
      "full_title": "Exenatide: What the evidence says",
      "kind": "compound",
      "focus_area": "Metabolic & weight",
      "focus_area_key": "metabolic",
      "evidence_tier": "Strong",
      "card_verdict": "Strong (type 2 diabetes) · Parkinson's: mixed results, phase 3 negative · Gray-market vials: No human data.",
      "card_note": "Gray-market \"exendin-4\" is not the approved product, see page.",
      "regulatory_status": "FDA-approved: Byetta NDA 021773, Bydureon NDA 022200, Bydureon BCise NDA 209210; Drugs@FDA lists all three as Discontinued · generic exenatide approved (Amneal ANDA 206697, Nov 19, 2024)  · WADA: not named on the 2026 List",
      "pmids": "15855572;28781108;28910237;39919773",
      "nct_ids": "NCT01144338;NCT01971242;NCT04232969",
      "search_aliases": "byetta bydureon exendin-4 glp-1 diabetes",
      "last_checked": "2026-10-25",
      "url": "https://openpeptideproject.org/library/exenatide/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "follistatin",
      "title": "Follistatin (FS344)",
      "full_title": "Follistatin (FS344): What the evidence says",
      "kind": "compound",
      "focus_area": "Muscle, bone & recovery",
      "focus_area_key": "muscle",
      "evidence_tier": "Limited",
      "card_verdict": "Limited (AAV gene therapy in muscle disease) · Injected follistatin peptide or vials: No human data.",
      "card_note": "Human data is viral gene therapy, not injected peptide vials. Varies by use, see page.",
      "regulatory_status": "Never approved · Not on FDA 503A or 503B bulk lists · WADA 2026: prohibited at all times (S4.3, myostatin-binding proteins)",
      "pmids": "20368179;25322757;27858738;28279643;28927986;31758732;34721976",
      "nct_ids": "NCT01519349;NCT02354781;NCT06411366;NCT07285629;NCT07443826",
      "search_aliases": "",
      "last_checked": "2026-10-26",
      "url": "https://openpeptideproject.org/library/follistatin/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "foxo4-dri",
      "title": "FOXO4-DRI",
      "full_title": "FOXO4-DRI: What the evidence says",
      "kind": "compound",
      "focus_area": "Longevity & bioregulators",
      "focus_area_key": "longevity",
      "evidence_tier": "No human data",
      "card_verdict": "No human data (senolytic anti-aging claims rest on mouse and dish studies only).",
      "card_note": "",
      "regulatory_status": "Not FDA-approved (no Drugs@FDA record) · Not approved anywhere in the world · WADA 2026: S0 (unapproved substances) applies",
      "pmids": "28340339;39994346",
      "nct_ids": "",
      "search_aliases": "",
      "last_checked": "2026-10-25",
      "url": "https://openpeptideproject.org/library/foxo4-dri/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "gallium-ga-68-dotatate",
      "title": "Gallium Ga 68 dotatate (Netspot, 68Ga-DOTATATE)",
      "full_title": "Gallium Ga 68 dotatate (Netspot, 68Ga-DOTATATE): What the evidence says",
      "kind": "compound",
      "focus_area": "Hormones & fertility",
      "focus_area_key": "endocrine",
      "evidence_tier": "Strong",
      "card_verdict": "Strong (FDA-approved PET imaging agent for neuroendocrine tumors).",
      "card_note": "FDA-approved diagnostic peptide for PET scans",
      "regulatory_status": "FDA-approved  · not on FDA's 503A or 503B bulk-substance category lists and not on FDA's compounding safety-risk page  · not named by WADA",
      "pmids": "26712231;26769864",
      "nct_ids": "",
      "search_aliases": "netspot 68ga-dotatate ga-68 dotatate somakit toc dota-octreotate pet imaging neuroendocrine tumors sstr",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/gallium-ga-68-dotatate/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "ganirelix",
      "title": "Ganirelix (Antagon / Orgalutran / Fyremadel)",
      "full_title": "Ganirelix (Antagon / Orgalutran / Fyremadel): What the evidence says",
      "kind": "compound",
      "focus_area": "Hormones & fertility",
      "focus_area_key": "endocrine",
      "evidence_tier": "Strong",
      "card_verdict": "Strong (FDA-approved for IVF ovulation prevention) · Off-label uses: No human data.",
      "card_note": "Prescription fertility drug",
      "regulatory_status": "FDA-approved (NDA 021057)  · not on FDA's 503A or 503B bulk-substance category lists and not on FDA's compounding safety-risk page  · not named by WADA",
      "pmids": "10875855;11163814;11278211",
      "nct_ids": "",
      "search_aliases": "antagon orgalutran fyremadel gnrh antagonist ivf fertility",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/ganirelix/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "garetosmab",
      "title": "Garetosmab (Pasatru, REGN2477)",
      "full_title": "Garetosmab (Pasatru, REGN2477): What the evidence says",
      "kind": "compound",
      "focus_area": "Muscle, bone & recovery",
      "focus_area_key": "muscle",
      "evidence_tier": "Strong",
      "card_verdict": "Strong (FDA-approved for FOP; phase 3 OPTIMA).",
      "card_note": "FDA-approved FOP antibody; activin A blocker",
      "regulatory_status": "FDA-approved  · not on FDA's 503A or 503B bulk-substance category lists and not on FDA's compounding safety-risk page  · banned by WADA S4.3",
      "pmids": "42798232;42805227",
      "nct_ids": "NCT05394116;NCT06299098",
      "search_aliases": "pasatru regn2477 activin a fop fibrodysplasia ossificans progressiva",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/garetosmab/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "gepon",
      "title": "Gepon (Human Ezrin Peptide 1, HEP-1)",
      "full_title": "Gepon (Human Ezrin Peptide 1, HEP-1): What the evidence says",
      "kind": "compound",
      "focus_area": "Immune & antimicrobial",
      "focus_area_key": "immune",
      "evidence_tier": "Very limited",
      "card_verdict": "Very limited (developer reviews and Russian clinic reports only; not FDA-approved).",
      "card_note": "Ezrin-derived peptide registered in Russia; not a US drug",
      "regulatory_status": "Not FDA-approved · not on FDA's 503A or 503B bulk-substance category lists and not on FDA's compounding safety-risk page  · not named by WADA",
      "pmids": "28668507;32621844;34769119",
      "nct_ids": "NCT04627233",
      "search_aliases": "hep-1 human ezrin peptide 324-337",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/gepon/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "ghk-cu",
      "title": "GHK-Cu",
      "full_title": "GHK-Cu: What the evidence says",
      "kind": "compound",
      "focus_area": "Skin, hair & aging",
      "focus_area_key": "skin",
      "evidence_tier": "Very limited",
      "card_verdict": "Very limited (topical skin creams, mixed results) · Injected use: No human data.",
      "card_note": "Varies by use, see page",
      "regulatory_status": "Not FDA-approved as a drug · not named on WADA list",
      "pmids": "8227353;16847171;18644225;23744835;25731775;29986520",
      "nct_ids": "",
      "search_aliases": "copper tripeptide-1 copper peptide cu-ghk skin hair wound",
      "last_checked": "2026-10-15",
      "url": "https://openpeptideproject.org/library/ghk-cu/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "ghrp-2",
      "title": "GHRP-2",
      "full_title": "GHRP-2: What the evidence says",
      "kind": "compound",
      "focus_area": "Hormones & fertility",
      "focus_area_key": "endocrine",
      "evidence_tier": "Moderate",
      "card_verdict": "Moderate (diagnostic GH test, Japan) · Short-term GH release: Limited · Muscle, fat loss, anti-aging: No human data.",
      "card_note": "Varies by use, see page",
      "regulatory_status": "Not FDA-approved · 503A Category 3 · 503B Category 2 (injectable and nasal) and Category 1 (other routes) · WADA 2026: prohibited at all times (S2.2.4)",
      "pmids": "15230633;15645295;15646370;15699539;20878896;25809000;28830317;29973439;30051972;31758732;31776295;37295337",
      "nct_ids": "",
      "search_aliases": "",
      "last_checked": "2026-10-26",
      "url": "https://openpeptideproject.org/library/ghrp-2/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "ghrp-6",
      "title": "GHRP-6",
      "full_title": "GHRP-6: What the evidence says",
      "kind": "compound",
      "focus_area": "Hormones & fertility",
      "focus_area_key": "endocrine",
      "evidence_tier": "Moderate",
      "card_verdict": "Moderate (IV diagnostic test for GH deficiency) · Short-term GH release: Limited · Muscle, fat loss, healing, anti-aging: No human data.",
      "card_note": "Varies by use, see page",
      "regulatory_status": "Never approved · FDA 503B Category 2 \"significant safety risks,\" Sept 29, 2023  · FDA 503A Category 3 (nominated without adequate support)  · WADA 2026: prohibited at all times (S2.2.4)",
      "pmids": "7581965;7617137;7903313;7952160;8374685;8435889;10336729;11030292;11980622;14725679;16417467;16712669;19946832;23099431;27200188;33272786;40024561",
      "nct_ids": "",
      "search_aliases": "",
      "last_checked": "2026-10-26",
      "url": "https://openpeptideproject.org/library/ghrp-6/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "glepaglutide",
      "title": "Glepaglutide (ZP1848, Zeydovio)",
      "full_title": "Glepaglutide (ZP1848, Zeydovio): What the evidence says",
      "kind": "compound",
      "focus_area": "Heart, blood & gut",
      "focus_area_key": "cardio",
      "evidence_tier": "Moderate",
      "card_verdict": "Moderate (phase 3 short bowel syndrome RCT; EU CHMP positive; not FDA-approved).",
      "card_note": "Investigational in the US",
      "regulatory_status": "Not FDA-approved (CRL 2024)  · positive EU CHMP opinion 2026  · not on FDA's 503A or 503B bulk-substance category lists and not on FDA's compounding safety-risk page  · not named by WADA",
      "pmids": "30880176;39708985",
      "nct_ids": "NCT03690206;NCT07197944",
      "search_aliases": "zp1848 zeydovio glp-2 short bowel syndrome",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/glepaglutide/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "glow",
      "title": "GLOW blend",
      "full_title": "GLOW blend: What the evidence says",
      "kind": "compound",
      "focus_area": "Skin, hair & aging",
      "focus_area_key": "skin",
      "evidence_tier": "No human data",
      "card_verdict": "No human data (BPC-157 + TB-500 + GHK-Cu blend never studied together in humans or animals).",
      "card_note": "",
      "regulatory_status": "Not FDA-approved · on FDA's \"nominated but withdrawn\" list (formerly Category 2): BPC-157, TB-500, and GHK-Cu (injectable)  · WADA 2026: BPC-157 S0, TB-500 S2.3, prohibited at all times",
      "pmids": "22856429;22962027;27847966;29986520;32334036;38382158;42757290",
      "nct_ids": "NCT07803250",
      "search_aliases": "",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/glow/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "glucagon",
      "title": "Glucagon (Gvoke, Baqsimi, generics)",
      "full_title": "Glucagon (Gvoke, Baqsimi, generics): What the evidence says",
      "kind": "compound",
      "focus_area": "Metabolic & weight",
      "focus_area_key": "metabolic",
      "evidence_tier": "Strong",
      "card_verdict": "Strong (FDA-approved rescue drug for severe hypoglycemia).",
      "card_note": "FDA-approved hormone for severe low blood sugar",
      "regulatory_status": "FDA-approved  · not on FDA's 503A or 503B bulk-substance category lists and not on FDA's compounding safety-risk page  · not named by WADA",
      "pmids": "26884472;32025860;37366315;40421736;42253238",
      "nct_ids": "",
      "search_aliases": "gvoke baqsimi glucagen emergency kit severe hypoglycemia gcgr",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/glucagon/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "glutathione",
      "title": "Glutathione",
      "full_title": "Glutathione: What the evidence says",
      "kind": "compound",
      "focus_area": "Longevity & bioregulators",
      "focus_area_key": "longevity",
      "evidence_tier": "Limited",
      "card_verdict": "Limited (chemo nerve damage: mixed results; Parkinson's and cystic fibrosis: no benefit) · Skin lightening: Very limited · IV detox / anti-aging: No human data.",
      "card_note": "Mixed use: a supplement and skin ingredient that is also sold as IV drips; no IV use is approved. See page.",
      "regulatory_status": "US: not approved as a drug on its own (an ingredient of BSS Plus eye-irrigation solution, NDA 018469)  · sold as a dietary supplement · WADA 2026: not a banned substance, but IV infusions over 100 mL per 12 hours are banned (M2.2)",
      "pmids": "7799029;8938817;9261526;12177109;19230029;20524875;23631796;24619793;25378941;26148180;26230671;27088927;28436395;28490897;28789631;29445569;42751591",
      "nct_ids": "NCT00506688",
      "search_aliases": "gsh reduced l-glutathione antioxidant",
      "last_checked": "2026-10-26",
      "url": "https://openpeptideproject.org/library/glutathione/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "gonadorelin",
      "title": "Gonadorelin",
      "full_title": "Gonadorelin: What the evidence says",
      "kind": "compound",
      "focus_area": "Hormones & fertility",
      "focus_area_key": "endocrine",
      "evidence_tier": "Limited",
      "card_verdict": "Limited (pump treatment for congenital hypogonadotropic hypogonadism) · Bodybuilding/PCT use: No human data.",
      "card_note": "Varies by use, see page",
      "regulatory_status": "Historical FDA approvals discontinued (Factrel NDA 018123, Lutrepulse; openFDA Oct 24, 2026)  · Not approved for TRT testicular maintenance · WADA 2026: prohibited at all times in males (S2.2.1, named)",
      "pmids": "26197466;30569789",
      "nct_ids": "",
      "search_aliases": "factrel lutrepulse lhrh gnrh",
      "last_checked": "2026-10-25",
      "url": "https://openpeptideproject.org/library/gonadorelin/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "goserelin",
      "title": "Goserelin (Zoladex)",
      "full_title": "Goserelin (Zoladex): What the evidence says",
      "kind": "compound",
      "focus_area": "Hormones & fertility",
      "focus_area_key": "endocrine",
      "evidence_tier": "Strong",
      "card_verdict": "Strong (FDA-approved for prostate and breast cancer and endometriosis).",
      "card_note": "FDA-approved GnRH-agonist implant",
      "regulatory_status": "FDA-approved  · not on FDA's 503A or 503B bulk-substance category lists and not on FDA's compounding safety-risk page  · prohibited in male athletes (WADA S2.2.1)",
      "pmids": "19821328;20933466;21325445",
      "nct_ids": "",
      "search_aliases": "zoladex ici 118630 gnrh lhrh agonist implant prostate cancer breast cancer endometriosis",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/goserelin/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "gotratix",
      "title": "Gotratix (skeletal muscle peptide complex)",
      "full_title": "Gotratix (skeletal muscle peptide complex): What the evidence says",
      "kind": "compound",
      "focus_area": "Longevity & bioregulators",
      "focus_area_key": "longevity",
      "evidence_tier": "No human data",
      "card_verdict": "No human data (no indexed peer-reviewed clinical trial found).",
      "card_note": "Russian oral tissue-extract supplement; no indexed trials",
      "regulatory_status": "Not FDA-approved · not on FDA's 503A or 503B bulk-substance category lists and not on FDA's compounding safety-risk page  · not named by WADA",
      "pmids": "12374906",
      "nct_ids": "",
      "search_aliases": "a-18 muscle cytomax khavinson",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/gotratix/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "gsbr-1290",
      "title": "GSBR-1290 (aleniglipron)",
      "full_title": "GSBR-1290 (aleniglipron): What the evidence says",
      "kind": "compound",
      "focus_area": "Metabolic & weight",
      "focus_area_key": "metabolic",
      "evidence_tier": "Limited",
      "card_verdict": "Limited (one phase 2b RCT; phase 3 under way; not a peptide).",
      "card_note": "Investigational daily GLP-1 pill; small molecule",
      "regulatory_status": "Investigational · not FDA-approved · not on FDA's 503A or 503B bulk-substance category lists and not on FDA's compounding safety-risk page  · not named on WADA's 2026 list; as a drug not approved anywhere for human use it falls under S0 (non-approved substances)",
      "pmids": "40191699;42249138",
      "nct_ids": "NCT05762471;NCT06693843;NCT07654361;NCT07654374",
      "search_aliases": "aleniglipron gsbr1290 oral small-molecule glp-1 receptor agonist access trial obesity",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/gsbr-1290/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "gw501516",
      "title": "Cardarine (GW501516)",
      "full_title": "Cardarine (GW501516): What the evidence says",
      "kind": "compound",
      "focus_area": "Metabolic & weight",
      "focus_area_key": "metabolic",
      "evidence_tier": "No human data",
      "card_verdict": "No human data for performance; development stopped over safety.",
      "card_note": "Not a peptide; prohibited in sport",
      "regulatory_status": "Never approved; not on FDA's 503A or 503B bulk-substance category lists and not on FDA's compounding safety-risk page · Prohibited at all times, WADA S4.4.1",
      "pmids": "17110604;18024853;18674809;21318167;22814748;32298044",
      "nct_ids": "",
      "search_aliases": "cardarine gw1516 endurobol ppar-delta agonist",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/gw501516/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "hcg",
      "title": "hCG (human chorionic gonadotropin)",
      "full_title": "hCG (human chorionic gonadotropin): What the evidence says",
      "kind": "compound",
      "focus_area": "Hormones & fertility",
      "focus_area_key": "endocrine",
      "evidence_tier": "Very limited",
      "card_verdict": "Very limited (post-steroid recovery & weight loss; mixed results) · Labeled fertility & endocrine uses: FDA-approved.",
      "card_note": "Varies by use, see page",
      "regulatory_status": "FDA-approved prescription biologic (Pregnyl BLA 017692, Novarel BLA 017067, Ovidrel BLA 021149)  · Cannot be compounded under 503A/503B (FDA 2020 biologic transition rule)  · WADA 2026: prohibited at all times in males (S2.2.1, named)",
      "pmids": "8527285;15162244;30569789;37769866;41147237;42644333",
      "nct_ids": "",
      "search_aliases": "pregnyl novarel ovidrel chorionic gonadotropin fertility testosterone",
      "last_checked": "2026-10-25",
      "url": "https://openpeptideproject.org/library/hcg/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "hexapeptide-11",
      "title": "Hexapeptide-11 (FVAPFP)",
      "full_title": "Hexapeptide-11 (FVAPFP): What the evidence says",
      "kind": "compound",
      "focus_area": "Skin, hair & aging",
      "focus_area_key": "skin",
      "evidence_tier": "Very limited",
      "card_verdict": "Very limited (mostly lab studies; one small human skin test).",
      "card_note": "Cosmetic anti-aging peptide from yeast",
      "regulatory_status": "Cosmetic ingredient; not FDA-approved  · not on FDA's 503A or 503B bulk-substance category lists and not on FDA's compounding safety-risk page  · not named by WADA",
      "pmids": "23578831;25974626;33849044",
      "nct_ids": "",
      "search_aliases": "fvapfp phe-val-ala-pro-phe-pro yeast fermentation hexapeptide 11 skin elasticity cosmetic peptide",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/hexapeptide-11/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "hexarelin",
      "title": "Hexarelin (examorelin)",
      "full_title": "Hexarelin (examorelin): What the evidence says",
      "kind": "compound",
      "focus_area": "Hormones & fertility",
      "focus_area_key": "endocrine",
      "evidence_tier": "Limited",
      "card_verdict": "Limited (raises growth hormone short-term) · Muscle, fat loss, anti-aging: Very limited or no human data.",
      "card_note": "Varies by use, see page",
      "regulatory_status": "Never approved anywhere (no openFDA or EMA entry)  · not on FDA's \"significant safety risks\" page  · WADA 2026: prohibited at all times (S2.2.4, named as examorelin/hexarelin)",
      "pmids": "8126144;8766941;9589671;10342360;10469018;10516483;10528131;11888836;11959048;12144941",
      "nct_ids": "",
      "search_aliases": "",
      "last_checked": "2026-10-26",
      "url": "https://openpeptideproject.org/library/hexarelin/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "histrelin",
      "title": "Histrelin (Supprelin LA; Vantas discontinued)",
      "full_title": "Histrelin (Supprelin LA; Vantas discontinued): What the evidence says",
      "kind": "compound",
      "focus_area": "Hormones & fertility",
      "focus_area_key": "endocrine",
      "evidence_tier": "Moderate",
      "card_verdict": "Moderate (FDA-approved for precocious puberty; single-arm trials).",
      "card_note": "FDA-approved GnRH-agonist implant",
      "regulatory_status": "FDA-approved  · not on FDA's 503A or 503B bulk-substance category lists and not on FDA's compounding safety-risk page  · prohibited in male athletes (WADA S2.2.1)",
      "pmids": "17327379;21851539",
      "nct_ids": "",
      "search_aliases": "supprelin la vantas gnrh lhrh agonist hydrogel implant precocious puberty prostate cancer",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/histrelin/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "human-growth-hormone",
      "title": "Human growth hormone (somatropin, HGH)",
      "full_title": "Human growth hormone (somatropin, HGH): What the evidence says",
      "kind": "compound",
      "focus_area": "Hormones & fertility",
      "focus_area_key": "endocrine",
      "evidence_tier": "Strong",
      "card_verdict": "Strong for approved medical uses · Anti-aging and sports: not supported.",
      "card_note": "Varies by use, see page",
      "regulatory_status": "FDA-approved (prescription biologic) · distributing it for non-approved uses is a federal crime · not on the 503A/503B lists · WADA 2026: prohibited at all times (S2.2.3)",
      "pmids": "11071481;15126541;17227934;18347346;18940879;21602453;22238382;31180479;32707116;33571362",
      "nct_ids": "",
      "search_aliases": "somatropin norditropin genotropin humatrope omnitrope nutropin saizen serostim zomacton hgh",
      "last_checked": "2026-10-26",
      "url": "https://openpeptideproject.org/library/human-growth-hormone/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "humanin",
      "title": "Humanin",
      "full_title": "Humanin: What the evidence says",
      "kind": "compound",
      "focus_area": "Longevity & bioregulators",
      "focus_area_key": "longevity",
      "evidence_tier": "No human data",
      "card_verdict": "No human data (neuroprotection & longevity claims rest on animal and cell studies only).",
      "card_note": "",
      "regulatory_status": "Not FDA-approved (no Drugs@FDA record) · Not approved anywhere in the world · WADA 2026: S0 (unapproved substances) applies",
      "pmids": "11327724;38045183",
      "nct_ids": "",
      "search_aliases": "",
      "last_checked": "2026-10-25",
      "url": "https://openpeptideproject.org/library/humanin/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "icatibant",
      "title": "Icatibant (Firazyr)",
      "full_title": "Icatibant (Firazyr): What the evidence says",
      "kind": "compound",
      "focus_area": "Heart, blood & gut",
      "focus_area_key": "cardio",
      "evidence_tier": "Strong",
      "card_verdict": "Strong (FDA-approved for acute hereditary angioedema attacks).",
      "card_note": "Prescription drug",
      "regulatory_status": "FDA-approved (NDA 022150)  · not on FDA's 503A or 503B bulk-substance category lists and not on FDA's compounding safety-risk page  · not named by WADA",
      "pmids": "20818888;22123383;24438203",
      "nct_ids": "",
      "search_aliases": "firazyr sajazir hoee-140 bradykinin b2 antagonist hereditary angioedema hae",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/icatibant/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "icotrokinra",
      "title": "Icotrokinra (Icotyde, JNJ-77242113, JNJ-2113, PN-235)",
      "full_title": "Icotrokinra (Icotyde, JNJ-77242113, JNJ-2113, PN-235): What the evidence says",
      "kind": "compound",
      "focus_area": "Immune & antimicrobial",
      "focus_area_key": "immune",
      "evidence_tier": "Strong",
      "card_verdict": "Strong (FDA-approved daily pill for plaque psoriasis).",
      "card_note": "FDA-approved oral IL-23 receptor-blocking peptide (Mar 2026)",
      "regulatory_status": "FDA-approved  · not on FDA's 503A or 503B bulk-substance category lists and not on FDA's compounding safety-risk page  · not named by WADA",
      "pmids": "38324484;40976249;41191932;41191940;42663861;42874103",
      "nct_ids": "NCT05223868;NCT06095102;NCT06095115;NCT06143878;NCT06220604",
      "search_aliases": "icotyde jnj-2113 jnj-77242113 pn-235 pn235 oral il-23 receptor antagonist peptide plaque psoriasis frontier icon",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/icotrokinra/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "igf-1-des",
      "title": "IGF-1 DES (des(1-3)IGF-1)",
      "full_title": "IGF-1 DES (des(1-3)IGF-1): What the evidence says",
      "kind": "compound",
      "focus_area": "Muscle, bone & recovery",
      "focus_area_key": "muscle",
      "evidence_tier": "No human data",
      "card_verdict": "No human data (muscle-growth & gut claims rest on rat, mouse, and cell studies only).",
      "card_note": "Cancer-growth signal in animals, see page",
      "regulatory_status": "Never approved · Not on FDA 503A or 503B bulk lists · WADA 2026: prohibited at all times as an IGF-1 analogue",
      "pmids": "1928375;1996625;2280209;2539101;8930132;10702797;12875741;33587816",
      "nct_ids": "",
      "search_aliases": "",
      "last_checked": "2026-10-26",
      "url": "https://openpeptideproject.org/library/igf-1-des/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "igf-1-lr3",
      "title": "IGF-1 LR3 (Long R3 IGF-1)",
      "full_title": "IGF-1 LR3 (Long R3 IGF-1): What the evidence says",
      "kind": "compound",
      "focus_area": "Muscle, bone & recovery",
      "focus_area_key": "muscle",
      "evidence_tier": "No human data",
      "card_verdict": "No human data (a lab reagent; never tested in people).",
      "card_note": "Not the approved drug: mecasermin (Increlex) is regular IGF-1 for a rare childhood growth disorder; LR3 is a different, untested molecule. See page.",
      "regulatory_status": "Never approved anywhere (approved IGF-1 is mecasermin/Increlex, a different molecule)  · WADA 2026: prohibited at all times (S2.3, \"IGF-1 and its analogues\")",
      "pmids": "1378742;15110491;20675162;39610283;39679943",
      "nct_ids": "",
      "search_aliases": "",
      "last_checked": "2026-10-26",
      "url": "https://openpeptideproject.org/library/igf-1-lr3/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "igf-1-mecasermin",
      "title": "IGF-1 (mecasermin)",
      "full_title": "IGF-1 (mecasermin): What the evidence says",
      "kind": "compound",
      "focus_area": "Muscle, bone & recovery",
      "focus_area_key": "muscle",
      "evidence_tier": "Moderate",
      "card_verdict": "Moderate (approved for rare childhood IGF-1 deficiency) · Muscle, fat loss, anti-aging: No human data.",
      "card_note": "Varies by use, see page",
      "regulatory_status": "FDA-approved (Increlex, BLA 021839) for one rare pediatric use · not on the 503A/503B lists · WADA 2026: prohibited at all times (S2.3)",
      "pmids": "18481900;19663134;24623853;33434161;37579214",
      "nct_ids": "",
      "search_aliases": "increlex mecasermin rhigf-1 growth failure",
      "last_checked": "2026-10-26",
      "url": "https://openpeptideproject.org/library/igf-1-mecasermin/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "imunofan",
      "title": "Imunofan (RDKVYR)",
      "full_title": "Imunofan (RDKVYR): What the evidence says",
      "kind": "compound",
      "focus_area": "Immune & antimicrobial",
      "focus_area_key": "immune",
      "evidence_tier": "Very limited",
      "card_verdict": "Very limited (one small Russian RCT plus lab data; not FDA-approved).",
      "card_note": "Russian-registered hexapeptide; not approved in US",
      "regulatory_status": "Not FDA-approved · not on FDA's 503A or 503B bulk-substance category lists and not on FDA's compounding safety-risk page  · not named by WADA",
      "pmids": "10377887;20481041;32585846",
      "nct_ids": "",
      "search_aliases": "rdkvyr hexapeptide",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/imunofan/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "ipamorelin",
      "title": "Ipamorelin",
      "full_title": "Ipamorelin: What the evidence says",
      "kind": "compound",
      "focus_area": "Hormones & fertility",
      "focus_area_key": "endocrine",
      "evidence_tier": "Very limited",
      "card_verdict": "Very limited (short-term GH release; post-surgery gut recovery, mixed results) · Muscle, fat loss, recovery, sleep, anti-aging: No human data.",
      "card_note": "Varies by use, see page",
      "regulatory_status": "Not FDA-approved · FDA 503B Category 2; also listed as formerly 503A Category 2, nomination withdrawn · WADA 2026: banned at all times (S2.2.4)",
      "pmids": "9849822;10496658;19289567;25331030;27186127;30136411",
      "nct_ids": "NCT00672074;NCT01280344",
      "search_aliases": "",
      "last_checked": "2026-10-15",
      "url": "https://openpeptideproject.org/library/ipamorelin/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "ipamorelin-cjc-1295",
      "title": "Ipamorelin + CJC-1295",
      "full_title": "Ipamorelin + CJC-1295: What the evidence says",
      "kind": "compound",
      "focus_area": "Hormones & fertility",
      "focus_area_key": "endocrine",
      "evidence_tier": "No human data",
      "card_verdict": "No human data (blend never tested; each part only raises GH briefly).",
      "card_note": "Varies by use, see page",
      "regulatory_status": "Neither FDA-approved · ipamorelin: FDA 503B Category 2 (Sept 29, 2023) · CJC-1295: nomination withdrawn, still on FDA's safety-risk page · WADA 2026: both prohibited at all times (S2.2.4)",
      "pmids": "9849822;10496658;15817669;16352683;17018654;25331030;30136411",
      "nct_ids": "NCT00267527;NCT00672074;NCT01280344",
      "search_aliases": "",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/ipamorelin-cjc-1295/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "kisspeptin-10",
      "title": "Kisspeptin-10",
      "full_title": "Kisspeptin-10: What the evidence says",
      "kind": "compound",
      "focus_area": "Hormones & fertility",
      "focus_area_key": "endocrine",
      "evidence_tier": "Very limited",
      "card_verdict": "Very limited (short-term LH & testosterone rise in lab studies) · Libido, fertility, muscle, energy: No human data.",
      "card_note": "Mixed use: hormone-level studies only; the gray-market uses (libido, fertility, muscle) are untested. See page.",
      "regulatory_status": "Never approved anywhere · 503A: Category 2 (significant safety risks, since Sept 29, 2023) · 503B: not nominated · WADA 2026: named under S2.2.1 (males)",
      "pmids": "21632807;21976724;33227799;40215751;42549827",
      "nct_ids": "NCT03286517;NCT03315325;NCT03771326",
      "search_aliases": "",
      "last_checked": "2026-10-26",
      "url": "https://openpeptideproject.org/library/kisspeptin-10/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "kisspeptin-54",
      "title": "Kisspeptin-54",
      "full_title": "Kisspeptin-54: What the evidence says",
      "kind": "compound",
      "focus_area": "Hormones & fertility",
      "focus_area_key": "endocrine",
      "evidence_tier": "Limited",
      "card_verdict": "Limited (IVF egg-maturation trigger) · Gray-market uses: No human data.",
      "card_note": "Varies by use, see page",
      "regulatory_status": "Not FDA-approved (no Drugs@FDA record) · Investigational · WADA 2026: not named; S0 (unapproved substances) likely applies",
      "pmids": "25036713;26192876;28854728;33196464",
      "nct_ids": "",
      "search_aliases": "",
      "last_checked": "2026-10-25",
      "url": "https://openpeptideproject.org/library/kisspeptin-54/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "klow",
      "title": "KLOW blend",
      "full_title": "KLOW blend: What the evidence says",
      "kind": "compound",
      "focus_area": "Skin, hair & aging",
      "focus_area_key": "skin",
      "evidence_tier": "No human data",
      "card_verdict": "No human data (4-peptide blend of BPC-157, TB-500, GHK-Cu & KPV never studied together in humans or animals).",
      "card_note": "",
      "regulatory_status": "Not FDA-approved · contains WADA-banned components (BPC-157, TB-500)",
      "pmids": "18061177;18092346",
      "nct_ids": "",
      "search_aliases": "",
      "last_checked": "2026-10-15",
      "url": "https://openpeptideproject.org/library/klow/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "kpv",
      "title": "KPV",
      "full_title": "KPV: What the evidence says",
      "kind": "compound",
      "focus_area": "Immune & antimicrobial",
      "focus_area_key": "immune",
      "evidence_tier": "No human data",
      "card_verdict": "No human data (gut inflammation & skin claims rest on mouse colitis and cell studies only).",
      "card_note": "Varies by use, see page",
      "regulatory_status": "Not FDA-approved · on FDA's list of substances previously in Category 2 whose nominations were withdrawn · not on the 503A or 503B bulks lists · WADA 2026: not named; likely covered by S0, unconfirmed by WADA",
      "pmids": "16965771;18061177;18092346;19909746;26132941;27458604;28143741;40073467",
      "nct_ids": "NCT05466890",
      "search_aliases": "",
      "last_checked": "2026-10-15",
      "url": "https://openpeptideproject.org/library/kpv/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "kyotorphin",
      "title": "Kyotorphin (L-Tyr-L-Arg)",
      "full_title": "Kyotorphin (L-Tyr-L-Arg): What the evidence says",
      "kind": "compound",
      "focus_area": "Brain, mood & sleep",
      "focus_area_key": "neuro",
      "evidence_tier": "No human data",
      "card_verdict": "No human data (endogenous brain dipeptide; animal data only).",
      "card_note": "Endogenous research dipeptide; not a drug",
      "regulatory_status": "Not FDA-approved · not on FDA's 503A or 503B bulk-substance category lists and not on FDA's compounding safety-risk page  · not named by WADA",
      "pmids": "228202;436940;7254487;25363470;35047919",
      "nct_ids": "",
      "search_aliases": "",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/kyotorphin/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "lanreotide",
      "title": "Lanreotide (Somatuline Depot)",
      "full_title": "Lanreotide (Somatuline Depot): What the evidence says",
      "kind": "compound",
      "focus_area": "Hormones & fertility",
      "focus_area_key": "endocrine",
      "evidence_tier": "Strong",
      "card_verdict": "Strong (FDA-approved for acromegaly, GEP-NETs, and carcinoid syndrome).",
      "card_note": "Prescription drug for rare hormone and tumor conditions",
      "regulatory_status": "FDA-approved, NDA 022074 · not on FDA's 503A or 503B bulk-substance category lists and not on FDA's compounding safety-risk page · not named on WADA's 2026 list",
      "pmids": "19639415;25014687",
      "nct_ids": "NCT00353496",
      "search_aliases": "somatuline depot cipla lanreotide somatostatin",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/lanreotide/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "larazotide",
      "title": "Larazotide",
      "full_title": "Larazotide: What the evidence says",
      "kind": "compound",
      "focus_area": "Heart, blood & gut",
      "focus_area_key": "cardio",
      "evidence_tier": "Limited",
      "card_verdict": "Limited (celiac disease symptoms, mixed results) · \"Leaky gut\" use: No human data.",
      "card_note": "Varies by use, see page.",
      "regulatory_status": "Not FDA-approved (no Drugs@FDA entry found)  · WADA: not named; S0 likely applies as an unapproved drug [UNVERIFIED]",
      "pmids": "22825365;25683116;34339872;40737433",
      "nct_ids": "NCT03569007",
      "search_aliases": "",
      "last_checked": "2026-10-25",
      "url": "https://openpeptideproject.org/library/larazotide/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "leuphasyl",
      "title": "Leuphasyl (Pentapeptide-18)",
      "full_title": "Leuphasyl (Pentapeptide-18): What the evidence says",
      "kind": "compound",
      "focus_area": "Skin, hair & aging",
      "focus_area_key": "skin",
      "evidence_tier": "Very limited",
      "card_verdict": "Very limited (cosmetic blend studies only; no isolated human trial; never inject).",
      "card_note": "Cosmetic ingredient; never inject",
      "regulatory_status": "Cosmetic ingredient, not a drug · not on FDA's 503A or 503B bulk-substance category lists and not on FDA's compounding safety-risk page · not named on WADA's 2026 list",
      "pmids": "39337562;39459512;41722287;42116636",
      "nct_ids": "",
      "search_aliases": "pentapeptide-18 enkephalin cosmetic peptide",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/leuphasyl/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "leuprolide",
      "title": "Leuprolide",
      "full_title": "Leuprolide: What the evidence says",
      "kind": "compound",
      "focus_area": "Hormones & fertility",
      "focus_area_key": "endocrine",
      "evidence_tier": "Strong",
      "card_verdict": "Strong (prostate cancer, endometriosis, early puberty) · Gray-market: No human data · Banned in male athletes.",
      "card_note": "Lowers testosterone after an initial surge, see page.",
      "regulatory_status": "FDA-approved (Lupron Depot NDAs 019732, 020011, 020517, 020708; Lupron Depot-PED NDA 020263; Eligard; Fensolvi; Camcevi; generics)  · WADA: prohibited at all times in males (S2.2.1, \"leuprorelin\")",
      "pmids": "2118858;2503724",
      "nct_ids": "",
      "search_aliases": "lupron eligard fensolvi camcevi gnrh agonist",
      "last_checked": "2026-10-25",
      "url": "https://openpeptideproject.org/library/leuprolide/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "lgd-4033",
      "title": "Ligandrol (LGD-4033, VK5211)",
      "full_title": "Ligandrol (LGD-4033, VK5211): What the evidence says",
      "kind": "compound",
      "focus_area": "Muscle, bone & recovery",
      "focus_area_key": "muscle",
      "evidence_tier": "Limited",
      "card_verdict": "Limited (phase 1 lean mass; liver injury risk; not a peptide).",
      "card_note": "Investigational SARM pill; not a peptide",
      "regulatory_status": "Not FDA-approved · not on FDA's 503A or 503B bulk-substance category lists and not on FDA's compounding safety-risk page  · named on WADA S1.2",
      "pmids": "22459616;32637435;39421081",
      "nct_ids": "NCT02578095",
      "search_aliases": "ligandrol vk5211 sarm",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/lgd-4033/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "libidon",
      "title": "Libidon (prostate peptide complex)",
      "full_title": "Libidon (prostate peptide complex): What the evidence says",
      "kind": "compound",
      "focus_area": "Longevity & bioregulators",
      "focus_area_key": "longevity",
      "evidence_tier": "No human data",
      "card_verdict": "No human data (no indexed peer-reviewed clinical trial found).",
      "card_note": "Russian oral tissue-extract supplement; no indexed trials",
      "regulatory_status": "Not FDA-approved · not on FDA's 503A or 503B bulk-substance category lists and not on FDA's compounding safety-risk page  · not named by WADA",
      "pmids": "12374906",
      "nct_ids": "",
      "search_aliases": "a-16 prostate cytomax khavinson",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/libidon/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "linaclotide",
      "title": "Linaclotide",
      "full_title": "Linaclotide: What the evidence says",
      "kind": "compound",
      "focus_area": "Heart, blood & gut",
      "focus_area_key": "cardio",
      "evidence_tier": "Strong",
      "card_verdict": "Strong (IBS with constipation, chronic constipation) · Gray-market: No human data.",
      "card_note": "Never for children under 2, see page.",
      "regulatory_status": "FDA-approved: Linzess NDA 202811 (Aug 30, 2012); generic ANDAs approved  · boxed warning  · WADA: not named on the 2026 List",
      "pmids": "21830967;22986437",
      "nct_ids": "NCT00730015;NCT00765882",
      "search_aliases": "linzess constella guanylate cyclase constipation ibs-c",
      "last_checked": "2026-10-25",
      "url": "https://openpeptideproject.org/library/linaclotide/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "liraglutide",
      "title": "Liraglutide",
      "full_title": "Liraglutide: What the evidence says",
      "kind": "compound",
      "focus_area": "Metabolic & weight",
      "focus_area_key": "metabolic",
      "evidence_tier": "Strong",
      "card_verdict": "Strong (approved uses: weight management, type 2 diabetes) · Gray-market vials: No human data.",
      "card_note": "Gray-market vials are not the approved product, see page.",
      "regulatory_status": "FDA-approved (Victoza NDA 022341 ; Saxenda NDA 206321 ; labels on DailyMed) · generics approved (ANDAs, first Dec 23, 2024)  · WADA: not named on the 2026 List",
      "pmids": "26132939;27295427;28237263",
      "nct_ids": "",
      "search_aliases": "saxenda victoza glp-1 weight loss diabetes",
      "last_checked": "2026-10-25",
      "url": "https://openpeptideproject.org/library/liraglutide/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "livagen",
      "title": "Livagen",
      "full_title": "Livagen: What the evidence says",
      "kind": "compound",
      "focus_area": "Longevity & bioregulators",
      "focus_area_key": "longevity",
      "evidence_tier": "No human data",
      "card_verdict": "No human data (liver & chromatin claims rest on developer-led lab and animal studies only).",
      "card_note": "Animal/lab data only (developer-led), see page",
      "regulatory_status": "Not FDA-approved (no Drugs@FDA record) · Russia: registration status [UNVERIFIED] · WADA 2026: not named; S0 (unapproved substances) likely applies",
      "pmids": "12533768;15085253;16705247;32362099",
      "nct_ids": "",
      "search_aliases": "keda lys-glu-asp-ala liver bioregulator khavinson",
      "last_checked": "2026-10-25",
      "url": "https://openpeptideproject.org/library/livagen/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "lixisenatide",
      "title": "Lixisenatide (Adlyxin)",
      "full_title": "Lixisenatide (Adlyxin): What the evidence says",
      "kind": "compound",
      "focus_area": "Metabolic & weight",
      "focus_area_key": "metabolic",
      "evidence_tier": "Strong",
      "card_verdict": "Strong (FDA-approved diabetes drug; now discontinued in US) · Parkinson's: Limited (phase 2).",
      "card_note": "Prescription GLP-1 drug; US brand discontinued",
      "regulatory_status": "FDA-approved (BLA 208471), US brand discontinued  · not on FDA's 503A or 503B bulk-substance category lists and not on FDA's compounding safety-risk page  · not named by WADA",
      "pmids": "26630143;38598572",
      "nct_ids": "NCT03439943",
      "search_aliases": "adlyxin lyxumia glp-1 diabetes",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/lixisenatide/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "ll-37",
      "title": "LL-37 (cathelicidin)",
      "full_title": "LL-37 (cathelicidin): What the evidence says",
      "kind": "compound",
      "focus_area": "Immune & antimicrobial",
      "focus_area_key": "immune",
      "evidence_tier": "Limited",
      "card_verdict": "Limited (leg ulcers, applied to the skin; mixed results) · Injected for immunity, infections, anti-aging: No human data.",
      "card_note": "Mixed use: tested only on wounds and in tumors; never tested as the injection sold online. See page.",
      "regulatory_status": "Never approved anywhere (not in openFDA or EMA medicines data) · FDA \"significant safety risks\" page (listed among nominated substances later withdrawn)  · WADA 2026: not named; S0 likely applies (our reading)",
      "pmids": "16716248;17676051;17873860;23246832;25041740;26433491;29665030;34687253;36980564;37480520",
      "nct_ids": "NCT02225366;NCT04098562",
      "search_aliases": "",
      "last_checked": "2026-10-26",
      "url": "https://openpeptideproject.org/library/ll-37/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "lonapegsomatropin",
      "title": "Lonapegsomatropin (Skytrofa, TransCon hGH)",
      "full_title": "Lonapegsomatropin (Skytrofa, TransCon hGH): What the evidence says",
      "kind": "compound",
      "focus_area": "Hormones & fertility",
      "focus_area_key": "endocrine",
      "evidence_tier": "Strong",
      "card_verdict": "Strong (FDA-approved weekly growth hormone for children and adults with GH deficiency).",
      "card_note": "FDA-approved once-weekly growth hormone prodrug",
      "regulatory_status": "FDA-approved  · not on FDA's 503A or 503B bulk-substance category lists and not on FDA's compounding safety-risk page  · prohibited at all times (WADA S2.2.3)",
      "pmids": "34272849;41420532",
      "nct_ids": "NCT02781727;NCT04615273",
      "search_aliases": "skytrofa lonapegsomatropin-tcgd acp-001 transcon hgh once-weekly growth hormone somatropin prodrug ghd",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/lonapegsomatropin/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "lutetium-lu-177-dotatate",
      "title": "Lutetium Lu 177 dotatate (Lutathera)",
      "full_title": "Lutetium Lu 177 dotatate (Lutathera): What the evidence says",
      "kind": "compound",
      "focus_area": "Hormones & fertility",
      "focus_area_key": "endocrine",
      "evidence_tier": "Strong",
      "card_verdict": "Strong (FDA-approved radiolabeled peptide for GEP-NETs).",
      "card_note": "FDA-approved radioactive peptide cancer therapy",
      "regulatory_status": "FDA-approved  · not on FDA's 503A or 503B bulk-substance category lists and not on FDA's compounding safety-risk page  · not named by WADA",
      "pmids": "28076709",
      "nct_ids": "",
      "search_aliases": "lutathera 177lu-dotatate prrt neuroendocrine tumors gep-net",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/lutetium-lu-177-dotatate/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "macimorelin",
      "title": "Macimorelin (Macrilen)",
      "full_title": "Macimorelin (Macrilen): What the evidence says",
      "kind": "compound",
      "focus_area": "Hormones & fertility",
      "focus_area_key": "endocrine",
      "evidence_tier": "Strong",
      "card_verdict": "Strong (FDA-approved adult GH deficiency diagnostic test) · Muscle, fat loss, anti-aging: No human data.",
      "card_note": "Varies by use, see page",
      "regulatory_status": "FDA-approved diagnostic (NDA 205598) · not on the 503A/503B lists or FDA's safety-risk page · WADA 2026: named under S2.2.4",
      "pmids": "29860473;33320108;34438400",
      "nct_ids": "NCT02558829;NCT04786873",
      "search_aliases": "macrilen aeet-0155 ghrelin agonist adult growth hormone deficiency test",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/macimorelin/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "maritide",
      "title": "MariTide (Maridebart Cafraglutide)",
      "full_title": "MariTide (Maridebart Cafraglutide): What the evidence says",
      "kind": "compound",
      "focus_area": "Metabolic & weight",
      "focus_area_key": "metabolic",
      "evidence_tier": "Limited",
      "card_verdict": "Limited (monthly injection for weight loss & type 2 diabetes in one phase 2 trial; phase 3 ongoing).",
      "card_note": "",
      "regulatory_status": "Not FDA-approved (no Drugs@FDA record) · EU, Japan, China: [UNVERIFIED] not checked against EMA, PMDA or NMPA · WADA: not named; S0 (unapproved substances) likely applies",
      "pmids": "38316982;40549887;41941715",
      "nct_ids": "NCT04478708;NCT05669599;NCT06660173;NCT06858839;NCT06858878;NCT06987695;NCT07037433;NCT07037459;NCT07225686;NCT07226765;NCT07441252",
      "search_aliases": "maridebart cafraglutide amg 133 amg-133 gipr antagonist glp-1",
      "last_checked": "2026-10-25",
      "url": "https://openpeptideproject.org/library/maritide/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "matrixyl",
      "title": "Matrixyl (palmitoyl pentapeptide-4)",
      "full_title": "Matrixyl (palmitoyl pentapeptide-4): What the evidence says",
      "kind": "compound",
      "focus_area": "Skin, hair & aging",
      "focus_area_key": "skin",
      "evidence_tier": "Limited",
      "card_verdict": "Limited (wrinkles, topical cosmetic cream) · Injection or internal use: No human data.",
      "card_note": "Cosmetic cream ingredient; never tested by injection. Varies by use, see page.",
      "regulatory_status": "Cosmetic ingredient, not an approved drug · Not on FDA 503A or 503B bulk lists",
      "pmids": "18492182;19735523;23320752;25033398;30603464;35874243",
      "nct_ids": "",
      "search_aliases": "palmitoyl pentapeptide-4 pal-kttks matrixyl original collagen",
      "last_checked": "2026-10-26",
      "url": "https://openpeptideproject.org/library/matrixyl/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "matrixyl-3000",
      "title": "Matrixyl 3000 (palmitoyl tripeptide-1 + palmitoyl tetrapeptide-7)",
      "full_title": "Matrixyl 3000 (palmitoyl tripeptide-1 + palmitoyl tetrapeptide-7): What the evidence says",
      "kind": "compound",
      "focus_area": "Skin, hair & aging",
      "focus_area_key": "skin",
      "evidence_tier": "Very limited",
      "card_verdict": "Very limited (multi-ingredient cosmetic cream study only; never inject).",
      "card_note": "Topical skincare peptide; not a drug",
      "regulatory_status": "Cosmetic ingredient, not a drug · not on FDA's 503A or 503B bulk-substance category lists and not on FDA's compounding safety-risk page  · not named by WADA",
      "pmids": "18045359;38932444",
      "nct_ids": "",
      "search_aliases": "palmitoyl tripeptide-1 palmitoyl tetrapeptide-7 pal-ghk pal-gqpr",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/matrixyl-3000/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "mazdutide",
      "title": "Mazdutide",
      "full_title": "Mazdutide: What the evidence says",
      "kind": "compound",
      "focus_area": "Metabolic & weight",
      "focus_area_key": "metabolic",
      "evidence_tier": "Moderate",
      "card_verdict": "Moderate (weight loss & type 2 diabetes in Chinese phase 3 trials; approved in China, not FDA-approved).",
      "card_note": "",
      "regulatory_status": "Not FDA-approved (no Drugs@FDA record) · Approved in China for weight management, June 2025, and type 2 diabetes, Sept 2025 (confirmed in Adis Drugs  and HKEX/ce.cn notices ; `[UNVERIFIED]` direct on nmpa.gov.cn due to host block) · EU, Japan: [UNVERIFIED] not checked against EMA or PMDA · WADA: not named",
      "pmids": "37943529;38092790;40421736;41028652;41260459;41407859;41407860;42251595;42628555",
      "nct_ids": "NCT04904913;NCT05606913;NCT05607680;NCT05628311;NCT06124807;NCT06164873",
      "search_aliases": "ibi362 ly3305677 oxm3 glucagon glp-1 dual agonist",
      "last_checked": "2026-10-25",
      "url": "https://openpeptideproject.org/library/mazdutide/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "melanotan-i",
      "title": "Melanotan I (afamelanotide)",
      "full_title": "Melanotan I (afamelanotide): What the evidence says",
      "kind": "compound",
      "focus_area": "Skin, hair & aging",
      "focus_area_key": "skin",
      "evidence_tier": "Moderate",
      "card_verdict": "Moderate (EPP sun intolerance, FDA-approved implant Scenesse) · Tanning, vitiligo, stroke: Very limited · Sunburn & skin cancer prevention in healthy people: No human data.",
      "card_note": "Mixed use: the Moderate rating is for the approved EPP implant only; gray-market tanning vials are a different product with very limited data. See page.",
      "regulatory_status": "Approved (Scenesse implant, EPP): EU Dec 22, 2014; US FDA Oct 8, 2019 · not on FDA 503A/503B lists · WADA 2026: not named",
      "pmids": "11045725;25230094;25494545;26132941;28266027;28363699;31987791;33721252;37496004;40082741",
      "nct_ids": "NCT00979745;NCT01430195;NCT01605136;NCT06109649",
      "search_aliases": "afamelanotide scenesse ndp-alpha-msh epp erythropoietic protoporphyria tanning",
      "last_checked": "2026-10-26",
      "url": "https://openpeptideproject.org/library/melanotan-i/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "melanotan-ii",
      "title": "Melanotan II",
      "full_title": "Melanotan II: What the evidence says",
      "kind": "compound",
      "focus_area": "Skin, hair & aging",
      "focus_area_key": "skin",
      "evidence_tier": "Very limited",
      "card_verdict": "Very limited (erections in men, short-term tanning) · Long-term tanning safety & skin cancer prevention: No human data.",
      "card_note": "Mixed use: tiny 1990s trials only; never approved, with serious case-report harms. See page.",
      "regulatory_status": "Never approved anywhere · FDA warning letter (2007) · warnings from UK MHRA, Irish HPRA, Danish Medicines Agency, Australian TGA · on FDA's \"significant safety risks\" page · WADA 2026: not named; S0 applies (our reading)",
      "pmids": "8637402;9679884;11018622;19174439;19575725;21547334;21564053;22724573;23121206;23537392;23648958;24334249;24355990;26456392;30796078;31953620;33460908",
      "nct_ids": "",
      "search_aliases": "mt-2 mt2 melanocortin tanning erectile",
      "last_checked": "2026-10-26",
      "url": "https://openpeptideproject.org/library/melanotan-ii/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "methylene-blue",
      "title": "Methylene blue (methylthioninium chloride, ProvayBlue)",
      "full_title": "Methylene blue (methylthioninium chloride, ProvayBlue): What the evidence says",
      "kind": "compound",
      "focus_area": "Longevity & bioregulators",
      "focus_area_key": "longevity",
      "evidence_tier": "Moderate",
      "card_verdict": "Moderate (FDA-approved IV antidote for acquired methemoglobinemia; other uses lack good evidence; not a peptide).",
      "card_note": "FDA-approved IV antidote and dye; small molecule",
      "regulatory_status": "FDA-approved  · not on FDA's 503A or 503B bulk-substance category lists and not on FDA's compounding safety-risk page  · not named by WADA",
      "pmids": "25018057;27284082;27351678;28686823;30104021;41570392;42355649",
      "nct_ids": "NCT00214877;NCT01836094;NCT03395223",
      "search_aliases": "provayblue methylthioninium chloride urolene blue phenothiazine dye methemoglobinemia mitochondrial",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/methylene-blue/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "mgf",
      "title": "MGF / PEG-MGF (mechano growth factor)",
      "full_title": "MGF / PEG-MGF (mechano growth factor): What the evidence says",
      "kind": "compound",
      "focus_area": "Muscle, bone & recovery",
      "focus_area_key": "muscle",
      "evidence_tier": "No human data",
      "card_verdict": "No human data (muscle-repair claims rest on animal and cell studies only).",
      "card_note": "",
      "regulatory_status": "Not FDA-approved (no Drugs@FDA record) · Not approved anywhere in the world · WADA 2026: prohibited at all times (S2.3, \"Mechano growth factors (MGFs)\" named)",
      "pmids": "23125840;23712705;25466910;26991004",
      "nct_ids": "",
      "search_aliases": "",
      "last_checked": "2026-10-25",
      "url": "https://openpeptideproject.org/library/mgf/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "mk-677",
      "title": "MK-677 (ibutamoren)",
      "full_title": "MK-677 (ibutamoren): What the evidence says",
      "kind": "compound",
      "focus_area": "Hormones & fertility",
      "focus_area_key": "endocrine",
      "evidence_tier": "Limited",
      "card_verdict": "Limited (raises GH/IGF-1 and lean mass) · Gray-market use: No human data.",
      "card_note": "Not a peptide: an oral ghrelin-receptor agonist. Varies by use, see page.",
      "regulatory_status": "Not FDA-approved (no Drugs@FDA entry found)  · WADA: prohibited at all times, S2.2.4",
      "pmids": "9467542;18981485;19015485;21067829",
      "nct_ids": "",
      "search_aliases": "ibutamoren l-163191 oral ghrelin mimetic growth hormone secretagogue",
      "last_checked": "2026-10-25",
      "url": "https://openpeptideproject.org/library/mk-677/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "motixafortide",
      "title": "Motixafortide (Aphexda, BL-8040)",
      "full_title": "Motixafortide (Aphexda, BL-8040): What the evidence says",
      "kind": "compound",
      "focus_area": "Immune & antimicrobial",
      "focus_area_key": "immune",
      "evidence_tier": "Strong",
      "card_verdict": "Strong (FDA-approved stem cell mobilizer for multiple myeloma transplant).",
      "card_note": "FDA-approved cyclic peptide CXCR4 blocker",
      "regulatory_status": "FDA-approved  · not on FDA's 503A or 503B bulk-substance category lists and not on FDA's compounding safety-risk page  · not named by WADA",
      "pmids": "37069359",
      "nct_ids": "NCT03246529",
      "search_aliases": "aphexda bl-8040 bkt140 t140 cxcr4 antagonist stem cell mobilization multiple myeloma genesis",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/motixafortide/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "mots-c",
      "title": "MOTS-c",
      "full_title": "MOTS-c: What the evidence says",
      "kind": "compound",
      "focus_area": "Metabolic & weight",
      "focus_area_key": "metabolic",
      "evidence_tier": "No human data",
      "card_verdict": "No human data (metabolic & exercise claims rest on mouse studies; untested as a human treatment).",
      "card_note": "Varies by use, see page",
      "regulatory_status": "Not FDA-approved · WADA-banned (named, S4)",
      "pmids": "25738459;33473109",
      "nct_ids": "",
      "search_aliases": "",
      "last_checked": "2026-10-15",
      "url": "https://openpeptideproject.org/library/mots-c/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "myristoyl-pentapeptide-17",
      "title": "Myristoyl pentapeptide-17",
      "full_title": "Myristoyl pentapeptide-17: What the evidence says",
      "kind": "compound",
      "focus_area": "Skin, hair & aging",
      "focus_area_key": "skin",
      "evidence_tier": "Very limited",
      "card_verdict": "Very limited (safety data from one lash-serum study; no efficacy trial).",
      "card_note": "Cosmetic lash-serum peptide; no efficacy trial",
      "regulatory_status": "Cosmetic ingredient; not FDA-approved  · not on FDA's 503A or 503B bulk-substance category lists and not on FDA's compounding safety-risk page  · not named by WADA",
      "pmids": "22942109;35882176;39479552;42269767",
      "nct_ids": "",
      "search_aliases": "sympeptide xlash myr-klakk myristoyl pentapeptide 17 eyelash serum keratin cosmetic peptide",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/myristoyl-pentapeptide-17/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "n-acetyl-semax-selank",
      "title": "N-Acetyl Semax and N-Acetyl Selank (amidate forms)",
      "full_title": "N-Acetyl Semax and N-Acetyl Selank (amidate forms): What the evidence says",
      "kind": "compound",
      "focus_area": "Brain, mood & sleep",
      "focus_area_key": "neuro",
      "evidence_tier": "No human data",
      "card_verdict": "No human data (zero published studies on the N-acetyl or amidate forms; parent drugs Semax and Selank rated separately).",
      "card_note": "No published data on these modified forms, see page",
      "regulatory_status": "Not approved in the US · Semax and selank nominations withdrawn; FDA safety-risk notes still posted · WADA 2026: not named; likely S0 ⚠️",
      "pmids": "11443939;18454096;25176261;28702721;29798983;31667971;32342318",
      "nct_ids": "",
      "search_aliases": "",
      "last_checked": "2026-10-26",
      "url": "https://openpeptideproject.org/library/n-acetyl-semax-selank/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "nad-plus",
      "title": "NAD+",
      "full_title": "NAD+: What the evidence says",
      "kind": "compound",
      "focus_area": "Longevity & bioregulators",
      "focus_area_key": "longevity",
      "evidence_tier": "Moderate",
      "card_verdict": "Moderate (oral NR/NMN raising blood NAD+) · Oral health outcomes: Limited · IV NAD+: Very limited · Injected NAD+: No human data.",
      "card_note": "Varies by use, see page",
      "regulatory_status": "NMN and NR: sold as dietary supplements (FDA reversed its 2022 NMN exclusion in Sept 2025) · IV/injectable NAD+: not an FDA-approved drug; compounded under FDA's interim \"Category 1\" policy · not named on WADA's 2026 list, but large IV drips are a banned method for athletes",
      "pmids": "29599478;29992272;31572171;33888596;35235774;35927255;40275690;41655607;41704678;41915584;42514320",
      "nct_ids": "",
      "search_aliases": "nicotinamide adenine dinucleotide nad+ iv longevity",
      "last_checked": "2026-10-15",
      "url": "https://openpeptideproject.org/library/nad-plus/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "nafarelin",
      "title": "Nafarelin (Synarel)",
      "full_title": "Nafarelin (Synarel): What the evidence says",
      "kind": "compound",
      "focus_area": "Hormones & fertility",
      "focus_area_key": "endocrine",
      "evidence_tier": "Moderate",
      "card_verdict": "Moderate (FDA-approved nasal spray; older trials).",
      "card_note": "FDA-approved GnRH-agonist nasal spray",
      "regulatory_status": "FDA-approved  · not on FDA's 503A or 503B bulk-substance category lists and not on FDA's compounding safety-risk page  · prohibited in male athletes (WADA S2.2.1)",
      "pmids": "1531464;16038370",
      "nct_ids": "",
      "search_aliases": "synarel rs-94991-298 intranasal gnrh lhrh agonist nasal spray endometriosis precocious puberty",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/nafarelin/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "nesfatin-1",
      "title": "Nesfatin-1",
      "full_title": "Nesfatin-1: What the evidence says",
      "kind": "compound",
      "focus_area": "Metabolic & weight",
      "focus_area_key": "metabolic",
      "evidence_tier": "No human data",
      "card_verdict": "No human data (blood-level studies only; never tested as a treatment in people).",
      "card_note": "Natural appetite peptide; never given to people as a treatment",
      "regulatory_status": "Not approved anywhere · not on FDA's 503A or 503B bulk-substance category lists and not on FDA's compounding safety-risk page  · not named on WADA's 2026 list; as a drug not approved anywhere for human use it falls under S0 (non-approved substances)",
      "pmids": "17036007;34566899;38327900;40865110;41623366",
      "nct_ids": "",
      "search_aliases": "nucb2 nucleobindin-2 nesfatin1 satiety neuropeptide appetite",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/nesfatin-1/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "nesiritide",
      "title": "Nesiritide (Natrecor)",
      "full_title": "Nesiritide (Natrecor): What the evidence says",
      "kind": "compound",
      "focus_area": "Heart, blood & gut",
      "focus_area_key": "cardio",
      "evidence_tier": "Moderate",
      "card_verdict": "Moderate (FDA-approved for acute heart failure but neutral in ASCEND-HF; now discontinued).",
      "card_note": "Discontinued FDA-approved heart-failure peptide",
      "regulatory_status": "FDA-approved, discontinued  · not on FDA's 503A or 503B bulk-substance category lists and not on FDA's compounding safety-risk page  · not named by WADA",
      "pmids": "11911755;21732835",
      "nct_ids": "NCT00475852",
      "search_aliases": "natrecor bnp recombinant human b-type natriuretic peptide heart failure",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/nesiritide/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "nnz-2591",
      "title": "NNZ-2591 (cyclo-glycyl-2-allyl proline)",
      "full_title": "NNZ-2591 (cyclo-glycyl-2-allyl proline): What the evidence says",
      "kind": "compound",
      "focus_area": "Brain, mood & sleep",
      "focus_area_key": "neuro",
      "evidence_tier": "Very limited",
      "card_verdict": "Very limited (small open-label trials; phase 3 under way).",
      "card_note": "Investigational oral cyclic dipeptide from Neuren",
      "regulatory_status": "Investigational; not FDA-approved · not on FDA's 503A or 503B bulk-substance category lists and not on FDA's compounding safety-risk page  · not named by WADA",
      "pmids": "41450730",
      "nct_ids": "NCT04379869;NCT05011851;NCT05025241;NCT05025332;NCT05879614;NCT07281079;NCT07593391",
      "search_aliases": "cyclic glycine-proline cgp diketopiperazine phelan-mcdermid angelman pitt hopkins",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/nnz-2591/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "noopept",
      "title": "Noopept (omberacetam)",
      "full_title": "Noopept (omberacetam): What the evidence says",
      "kind": "compound",
      "focus_area": "Brain, mood & sleep",
      "focus_area_key": "neuro",
      "evidence_tier": "Very limited",
      "card_verdict": "Very limited (small Russian studies) · Healthy people: No data.",
      "card_note": "Not a peptide drug in the US, see page",
      "regulatory_status": "Not approved in the US · not on FDA's 503A or 503B bulk-substance category lists and not on FDA's compounding safety-risk page · WADA: not named",
      "pmids": "12596521;19234797;19240853;22500312;34484905",
      "nct_ids": "",
      "search_aliases": "",
      "last_checked": "2026-10-26",
      "url": "https://openpeptideproject.org/library/noopept/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "octreotide",
      "title": "Octreotide",
      "full_title": "Octreotide: What the evidence says",
      "kind": "compound",
      "focus_area": "Hormones & fertility",
      "focus_area_key": "endocrine",
      "evidence_tier": "Strong",
      "card_verdict": "Strong (acromegaly, neuroendocrine tumors) · Gray-market: No human data.",
      "card_note": "Gallstone and heart-rate warnings, see page.",
      "regulatory_status": "FDA-approved: Sandostatin NDA 019667 (1988), Sandostatin LAR NDA 021008, Mycapssa NDA 208232, Bynfezia NDA 213224, generics  · WADA: not named on the 2026 List",
      "pmids": "1416572;19704057;32882036",
      "nct_ids": "NCT03252353",
      "search_aliases": "sandostatin sandostatin lar mycapssa bynfezia somatostatin",
      "last_checked": "2026-10-25",
      "url": "https://openpeptideproject.org/library/octreotide/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "oligopeptide-1",
      "title": "sh-Oligopeptide-1 (recombinant human EGF, rhEGF)",
      "full_title": "sh-Oligopeptide-1 (recombinant human EGF, rhEGF): What the evidence says",
      "kind": "compound",
      "focus_area": "Skin, hair & aging",
      "focus_area_key": "skin",
      "evidence_tier": "Very limited",
      "card_verdict": "Very limited for cosmetic use; Moderate for diabetic foot ulcers (drug-grade rhEGF, not approved in the US).",
      "card_note": "Recombinant human EGF used in cosmetics",
      "regulatory_status": "Cosmetic ingredient; no FDA-approved EGF drug found  · not on FDA's 503A or 503B bulk-substance category lists and not on FDA's compounding safety-risk page  · growth factors prohibited under WADA S2.3 (EGF not named)",
      "pmids": "20051095;32343054;37867626;42152512",
      "nct_ids": "",
      "search_aliases": "epidermal growth factor rhegf sh-oligopeptide-1 egf heberprot-p nepidermin wound healing diabetic foot ulcer",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/oligopeptide-1/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "orforglipron",
      "title": "Orforglipron",
      "full_title": "Orforglipron: What the evidence says",
      "kind": "compound",
      "focus_area": "Metabolic & weight",
      "focus_area_key": "metabolic",
      "evidence_tier": "Strong",
      "card_verdict": "Strong (weight; FDA-approved as Foundayo) · Type 2 diabetes: Moderate.",
      "card_note": "Varies by use, see page",
      "regulatory_status": "FDA-approved (Foundayo, NDA 220934, April 1, 2026) for chronic weight management only  · Not FDA-approved for type 2 diabetes · EU, Japan, Canada: submitted per a review article [UNVERIFIED: not checked against EMA, PMDA or Health Canada]  · China: [UNVERIFIED] not checked against NMPA · WADA: not named",
      "pmids": "37351564;37369232;40544435;40960239;41275875;41765029;42120723;42251769;42259339;42338042;42479349;42815506",
      "nct_ids": "NCT05048719;NCT05869903;NCT05872620;NCT06045221;NCT06584916;NCT07241390",
      "search_aliases": "ly3502970 oral non-peptide glp-1 agonist",
      "last_checked": "2026-10-25",
      "url": "https://openpeptideproject.org/library/orforglipron/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "ovagen",
      "title": "Ovagen",
      "full_title": "Ovagen: What the evidence says",
      "kind": "compound",
      "focus_area": "Longevity & bioregulators",
      "focus_area_key": "longevity",
      "evidence_tier": "No human data",
      "card_verdict": "No human data · No published studies of the marketed use (liver).",
      "card_note": "No published study tests the liver or digestive use it is sold for.",
      "regulatory_status": "Not FDA-approved (no Drugs@FDA entry found)  · Russia: registration status [UNVERIFIED] · WADA: not named on the 2026 List ; S0 status [UNVERIFIED]",
      "pmids": "26515176;27909961;28744634",
      "nct_ids": "",
      "search_aliases": "edl glu-asp-leu liver gi bioregulator khavinson",
      "last_checked": "2026-10-25",
      "url": "https://openpeptideproject.org/library/ovagen/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "oxytocin",
      "title": "Oxytocin",
      "full_title": "Oxytocin: What the evidence says",
      "kind": "compound",
      "focus_area": "Brain, mood & sleep",
      "focus_area_key": "neuro",
      "evidence_tier": "Strong",
      "card_verdict": "Strong (labor induction & postpartum bleeding, hospital IV/IM use) · Weight loss & autism: Tested, not shown · Trust & mood: Very limited (mixed results) · Anti-aging: No human data.",
      "card_note": "Mixed use: the Strong rating covers only supervised hospital use in childbirth, not gray-market sprays. See page.",
      "regulatory_status": "FDA-approved as an injection only (Pitocin NDA 018261 and generics); nasal spray (Syntocinon) discontinued  · 503B: Category 1  · WADA 2026: not named",
      "pmids": "8596357;15931222;19821304;25865294;29955161;32514040;34644471;38815173;40237648;41880977;42134427;42561025",
      "nct_ids": "",
      "search_aliases": "",
      "last_checked": "2026-10-26",
      "url": "https://openpeptideproject.org/library/oxytocin/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "p21",
      "title": "P21 (P021)",
      "full_title": "P21 (P021): What the evidence says",
      "kind": "compound",
      "focus_area": "Brain, mood & sleep",
      "focus_area_key": "neuro",
      "evidence_tier": "No human data",
      "card_verdict": "No human data (cognitive claims rest on Alzheimer's-model mouse studies from the developing lab).",
      "card_note": "",
      "regulatory_status": "Not FDA-approved (no Drugs@FDA record) · Not approved anywhere in the world · WADA 2026: S0 (unapproved substances) applies",
      "pmids": "25046994;34057082",
      "nct_ids": "",
      "search_aliases": "",
      "last_checked": "2026-10-25",
      "url": "https://openpeptideproject.org/library/p21/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "palmitoyl-tripeptide-38",
      "title": "Palmitoyl tripeptide-38 (Matrixyl synthe'6)",
      "full_title": "Palmitoyl tripeptide-38 (Matrixyl synthe'6): What the evidence says",
      "kind": "compound",
      "focus_area": "Skin, hair & aging",
      "focus_area_key": "skin",
      "evidence_tier": "Very limited",
      "card_verdict": "Very limited (one open-label, multi-ingredient study).",
      "card_note": "Cosmetic lipopeptide sold for wrinkles",
      "regulatory_status": "Cosmetic ingredient; not FDA-approved  · not on FDA's 503A or 503B bulk-substance category lists and not on FDA's compounding safety-risk page  · not named by WADA",
      "pmids": "33103342",
      "nct_ids": "",
      "search_aliases": "matrixyl synthe'6 matrixyl synthe 6 pal-lys-mo2-lys-oh pal-kmo2k",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/palmitoyl-tripeptide-38/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "palopegteriparatide",
      "title": "Palopegteriparatide (Yorvipath, TransCon PTH)",
      "full_title": "Palopegteriparatide (Yorvipath, TransCon PTH): What the evidence says",
      "kind": "compound",
      "focus_area": "Hormones & fertility",
      "focus_area_key": "endocrine",
      "evidence_tier": "Strong",
      "card_verdict": "Strong (FDA-approved for adult hypoparathyroidism).",
      "card_note": "FDA-approved long-acting PTH replacement",
      "regulatory_status": "FDA-approved  · not on FDA's 503A or 503B bulk-substance category lists and not on FDA's compounding safety-risk page  · not named by WADA",
      "pmids": "36271471;39376010",
      "nct_ids": "NCT04701203",
      "search_aliases": "yorvipath transcon pth acp-014 pth 1-34 prodrug hypoparathyroidism",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/palopegteriparatide/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "pancragen",
      "title": "Pancragen",
      "full_title": "Pancragen: What the evidence says",
      "kind": "compound",
      "focus_area": "Longevity & bioregulators",
      "focus_area_key": "longevity",
      "evidence_tier": "Very limited",
      "card_verdict": "Very limited (type 2 diabetes, one small Russian study).",
      "card_note": "Developer-led Russian study only, see page",
      "regulatory_status": "Not FDA-approved (no Drugs@FDA record) · Russia: registration status [UNVERIFIED] · WADA 2026: not named; S0 (unapproved substances) likely applies",
      "pmids": "22448364;23486591;25946840;28509500",
      "nct_ids": "",
      "search_aliases": "kedw lys-glu-asp-trp pancreas bioregulator khavinson",
      "last_checked": "2026-10-25",
      "url": "https://openpeptideproject.org/library/pancragen/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "parathyroid-hormone",
      "title": "Parathyroid hormone (PTH 1-84, Natpara)",
      "full_title": "Parathyroid hormone (PTH 1-84, Natpara): What the evidence says",
      "kind": "compound",
      "focus_area": "Hormones & fertility",
      "focus_area_key": "endocrine",
      "evidence_tier": "Moderate",
      "card_verdict": "Moderate (one phase 3 RCT; Natpara discontinued in the US).",
      "card_note": "Full-length PTH; Natpara discontinued",
      "regulatory_status": "FDA-licensed (BLA125511) but discontinued by the maker  · not on FDA's 503A or 503B bulk-substance category lists and not on FDA's compounding safety-risk page  · not named by WADA",
      "pmids": "24622413;38741607",
      "nct_ids": "NCT00732615",
      "search_aliases": "natpara rhpth 1-84 rhpth(1-84) npsp558 full-length parathyroid hormone hypoparathyroidism",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/parathyroid-hormone/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "pasireotide",
      "title": "Pasireotide (Signifor / Signifor LAR)",
      "full_title": "Pasireotide (Signifor / Signifor LAR): What the evidence says",
      "kind": "compound",
      "focus_area": "Hormones & fertility",
      "focus_area_key": "endocrine",
      "evidence_tier": "Strong",
      "card_verdict": "Strong (FDA-approved for Cushing's disease and acromegaly; high hyperglycemia risk).",
      "card_note": "Prescription specialty drug",
      "regulatory_status": "FDA-approved  · not on FDA's 503A or 503B bulk-substance category lists and not on FDA's compounding safety-risk page  · not named by WADA",
      "pmids": "22397653;24423324;25260838",
      "nct_ids": "",
      "search_aliases": "signifor signifor lar som230 cushing acromegaly",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/pasireotide/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "pe-22-28",
      "title": "PE-22-28 (mini-spadin)",
      "full_title": "PE-22-28 (mini-spadin): What the evidence says",
      "kind": "compound",
      "focus_area": "Brain, mood & sleep",
      "focus_area_key": "neuro",
      "evidence_tier": "No human data",
      "card_verdict": "No human data (antidepressant & stroke claims rest on mouse studies only).",
      "card_note": "Mouse data only, see page",
      "regulatory_status": "Never approved · Not on FDA 503A or 503B bulk lists · WADA 2026: not named; likely S0 ⚠️",
      "pmids": "20405001;21807005;25080852;28955242;30291907;31325429",
      "nct_ids": "",
      "search_aliases": "",
      "last_checked": "2026-10-26",
      "url": "https://openpeptideproject.org/library/pe-22-28/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "pegcetacoplan",
      "title": "Pegcetacoplan (Empaveli, Syfovre, APL-2)",
      "full_title": "Pegcetacoplan (Empaveli, Syfovre, APL-2): What the evidence says",
      "kind": "compound",
      "focus_area": "Immune & antimicrobial",
      "focus_area_key": "immune",
      "evidence_tier": "Strong",
      "card_verdict": "Strong (FDA-approved for PNH and geographic atrophy).",
      "card_note": "FDA-approved complement C3 inhibitor peptide",
      "regulatory_status": "FDA-approved  · not on FDA's 503A or 503B bulk-substance category lists and not on FDA's compounding safety-risk page  · not named by WADA",
      "pmids": "33730455",
      "nct_ids": "",
      "search_aliases": "empaveli syfovre apl-2 compstatin c3 inhibitor pnh geographic atrophy",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/pegcetacoplan/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "pegozafermin",
      "title": "Pegozafermin",
      "full_title": "Pegozafermin: What the evidence says",
      "kind": "compound",
      "focus_area": "Metabolic & weight",
      "focus_area_key": "metabolic",
      "evidence_tier": "Moderate",
      "card_verdict": "Moderate (phase 2b MASH fibrosis & triglyceride RCTs; investigational).",
      "card_note": "Investigational; phase 3 under way",
      "regulatory_status": "Investigational, not FDA-approved · not on FDA's 503A or 503B bulk-substance category lists and not on FDA's compounding safety-risk page · WADA S2.3 covers FGFs by class ⚠️ [UNVERIFIED] whether this analogue is captured",
      "pmids": "36521501;37355760;37356033",
      "nct_ids": "NCT04541186;NCT04929483;NCT05852431;NCT06318169;NCT06419374",
      "search_aliases": "bio89-100 glycopegylated fgf21 mash severe hypertriglyceridemia",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/pegozafermin/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "pegvisomant",
      "title": "Pegvisomant (Somavert)",
      "full_title": "Pegvisomant (Somavert): What the evidence says",
      "kind": "compound",
      "focus_area": "Hormones & fertility",
      "focus_area_key": "endocrine",
      "evidence_tier": "Strong",
      "card_verdict": "Strong (FDA-approved for acromegaly).",
      "card_note": "Prescription drug for acromegaly",
      "regulatory_status": "FDA-approved, BLA 021106 · not on FDA's 503A or 503B bulk-substance category lists and not on FDA's compounding safety-risk page · not named on WADA's 2026 list",
      "pmids": "10770982;11734231;22362824",
      "nct_ids": "",
      "search_aliases": "somavert b2036-peg acromegaly gh receptor antagonist",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/pegvisomant/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "pemvidutide",
      "title": "Pemvidutide",
      "full_title": "Pemvidutide: What the evidence says",
      "kind": "compound",
      "focus_area": "Metabolic & weight",
      "focus_area_key": "metabolic",
      "evidence_tier": "Limited",
      "card_verdict": "Limited (MASH) · Weight: Very limited.",
      "card_note": "Varies by use, see page",
      "regulatory_status": "Not FDA-approved (no Drugs@FDA record) · FDA Breakthrough Therapy (MASH) and Fast Track (MASH, alcohol use disorder) per the company [UNVERIFIED: not confirmed on an FDA page]  · EU, Japan, China: [UNVERIFIED] not checked against EMA, PMDA or NMPA · WADA: not named; S0 (unapproved substances) likely applies",
      "pmids": "39002641;41113119;41237796;41352959;41879841",
      "nct_ids": "NCT05006885;NCT05292911;NCT05989711;NCT06987513;NCT07009860;NCT07795164",
      "search_aliases": "alt-801 glp-1 glucagon dual agonist mash",
      "last_checked": "2026-10-25",
      "url": "https://openpeptideproject.org/library/pemvidutide/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "petrelintide",
      "title": "Petrelintide (ZP8396)",
      "full_title": "Petrelintide (ZP8396): What the evidence says",
      "kind": "compound",
      "focus_area": "Metabolic & weight",
      "focus_area_key": "metabolic",
      "evidence_tier": "Moderate",
      "card_verdict": "Moderate (phase 2, investigational weight loss).",
      "card_note": "Varies by use, see page",
      "regulatory_status": "Investigational · not on the 503A/503B lists or FDA's safety-risk page · not named on WADA's 2026 list",
      "pmids": "41217931;42017294;42810355",
      "nct_ids": "NCT06662539;NCT06926842;NCT07589686;NCT07843472;NCT07843485;NCT07843498",
      "search_aliases": "zp8396 amylin analog",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/petrelintide/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "phoenixin",
      "title": "Phoenixin (PNX-14, PNX-20)",
      "full_title": "Phoenixin (PNX-14, PNX-20): What the evidence says",
      "kind": "compound",
      "focus_area": "Hormones & fertility",
      "focus_area_key": "endocrine",
      "evidence_tier": "No human data",
      "card_verdict": "No human data (blood-level studies only; never tested as a treatment in people).",
      "card_note": "Natural brain peptide; never given to people as a treatment",
      "regulatory_status": "Not approved anywhere · not on FDA's 503A or 503B bulk-substance category lists and not on FDA's compounding safety-risk page  · not named on WADA's 2026 list; as a drug not approved anywhere for human use it falls under S0 (non-approved substances)",
      "pmids": "22963497;27440717;27989611;28176660;28624500",
      "nct_ids": "",
      "search_aliases": "pnx-14 pnx-20 pnx14 pnx20 smim20 gpr173 reproductive neuropeptide lh gnrh",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/phoenixin/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "pinealon",
      "title": "Pinealon",
      "full_title": "Pinealon: What the evidence says",
      "kind": "compound",
      "focus_area": "Longevity & bioregulators",
      "focus_area_key": "longevity",
      "evidence_tier": "Very limited",
      "card_verdict": "Very limited (oral capsules, Russian developer-network cohorts) · Injected vials, Alzheimer's, stroke: No human data.",
      "card_note": "Mixed use: the only human data are oral capsules; the injected vials sold online have never been tested in people. See page.",
      "regulatory_status": "Not an approved medicine in the US, EU or UK · not on FDA 503A/503B lists  · Russia: sold as a dietary supplement ⚠️ [UNVERIFIED] · WADA 2026: not named; S0 likely applies (our reading)",
      "pmids": "21978084;22567179;22708445;23734521;26390612;28539017;28853087;33396470;39518916",
      "nct_ids": "",
      "search_aliases": "edr glu-asp-arg khavinson",
      "last_checked": "2026-10-26",
      "url": "https://openpeptideproject.org/library/pinealon/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "plecanatide",
      "title": "Plecanatide (Trulance)",
      "full_title": "Plecanatide (Trulance): What the evidence says",
      "kind": "compound",
      "focus_area": "Heart, blood & gut",
      "focus_area_key": "cardio",
      "evidence_tier": "Strong",
      "card_verdict": "Strong (FDA-approved for adult chronic constipation and IBS-C).",
      "card_note": "Varies by use, see page",
      "regulatory_status": "FDA-approved (NDA 208745) · not on the 503A/503B lists or FDA's safety-risk page · not named on WADA's 2026 list",
      "pmids": "28169285;29147135;29545635;30277094",
      "nct_ids": "NCT01982240;NCT02122471;NCT02706483",
      "search_aliases": "trulance uroguanylin guanylate cyclase constipation ibs-c",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/plecanatide/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "pluvicto-lu-177-vipivotide-tetraxetan",
      "title": "Lutetium Lu 177 vipivotide tetraxetan (Pluvicto, 177Lu-PSMA-617)",
      "full_title": "Lutetium Lu 177 vipivotide tetraxetan (Pluvicto, 177Lu-PSMA-617): What the evidence says",
      "kind": "compound",
      "focus_area": "Hormones & fertility",
      "focus_area_key": "endocrine",
      "evidence_tier": "Strong",
      "card_verdict": "Strong (FDA-approved radioligand therapy for PSMA-positive metastatic prostate cancer).",
      "card_note": "FDA-approved PSMA-targeted radioligand therapy",
      "regulatory_status": "FDA-approved  · not on FDA's 503A or 503B bulk-substance category lists and not on FDA's compounding safety-risk page  · not named by WADA",
      "pmids": "34161051;39293462;42561994",
      "nct_ids": "NCT03511664;NCT04689828",
      "search_aliases": "pluvicto lu-177-psma-617 177lu-psma-617 vipivotide tetraxetan psma-617 radioligand prostate cancer vision psmafore",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/pluvicto-lu-177-vipivotide-tetraxetan/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "pn-943",
      "title": "PN-943",
      "full_title": "PN-943: What the evidence says",
      "kind": "compound",
      "focus_area": "Heart, blood & gut",
      "focus_area_key": "cardio",
      "evidence_tier": "Very limited",
      "card_verdict": "Very limited (one phase 2 RCT, reported only by the company; development stopped).",
      "card_note": "Discontinued oral gut-acting α4β7 integrin-blocking peptide",
      "regulatory_status": "Never approved; development stopped  · not on FDA's 503A or 503B bulk-substance category lists and not on FDA's compounding safety-risk page  · not named on WADA's 2026 list; as a drug not approved anywhere for human use it falls under S0 (non-approved substances)",
      "pmids": "33942566",
      "nct_ids": "NCT04504383",
      "search_aliases": "pn943 oral alpha4beta7 integrin antagonist peptide ulcerative colitis ibd ideal trial",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/pn-943/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "pnc-27",
      "title": "PNC-27",
      "full_title": "PNC-27: What the evidence says",
      "kind": "compound",
      "focus_area": "Immune & antimicrobial",
      "focus_area_key": "immune",
      "evidence_tier": "No human data",
      "card_verdict": "No human data · Lab and mouse only.",
      "card_note": "No human trials, see page",
      "regulatory_status": "Never approved · not on FDA's 503A or 503B bulk-substance category lists and not on FDA's compounding safety-risk page · WADA: not named",
      "pmids": "16688716;20080680;20182728;26663795",
      "nct_ids": "",
      "search_aliases": "",
      "last_checked": "2026-10-26",
      "url": "https://openpeptideproject.org/library/pnc-27/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "pramlintide",
      "title": "Pramlintide",
      "full_title": "Pramlintide: What the evidence says",
      "kind": "compound",
      "focus_area": "Metabolic & weight",
      "focus_area_key": "metabolic",
      "evidence_tier": "Strong",
      "card_verdict": "Strong (add-on to mealtime insulin) · Gray-market vials: No human data · Boxed warning: severe low blood sugar.",
      "card_note": "Severe hypoglycemia risk with insulin, see page.",
      "regulatory_status": "FDA-approved: Symlin NDA 021332 (Mar 16, 2005); Drugs@FDA lists Symlin products as Discontinued  · boxed warning  · WADA: not named on the 2026 List",
      "pmids": "12610038;15498087",
      "nct_ids": "",
      "search_aliases": "symlin amylin analog diabetes",
      "last_checked": "2026-10-25",
      "url": "https://openpeptideproject.org/library/pramlintide/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "prostamax",
      "title": "Prostamax",
      "full_title": "Prostamax: What the evidence says",
      "kind": "compound",
      "focus_area": "Longevity & bioregulators",
      "focus_area_key": "longevity",
      "evidence_tier": "No human data",
      "card_verdict": "No human data (prostate claims rest on rat tissue and white-blood-cell dish studies only).",
      "card_note": "Animal/lab data only (developer-led), see page",
      "regulatory_status": "Not FDA-approved (no Drugs@FDA record) · Russia: registration status [UNVERIFIED] · WADA 2026: not named; S0 (unapproved substances) likely applies",
      "pmids": "15085253;17152728;23221144",
      "nct_ids": "",
      "search_aliases": "kedp lys-glu-asp-pro prostate bioregulator khavinson",
      "last_checked": "2026-10-25",
      "url": "https://openpeptideproject.org/library/prostamax/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "pt-141",
      "title": "PT-141 (bremelanotide)",
      "full_title": "PT-141 (bremelanotide): What the evidence says",
      "kind": "compound",
      "focus_area": "Brain, mood & sleep",
      "focus_area_key": "neuro",
      "evidence_tier": "Moderate",
      "card_verdict": "Moderate (premenopausal HSDD, FDA-approved as Vyleesi; small effects) · Men / healthy people: Very limited or no human data.",
      "card_note": "Mixed use: approved for one condition in premenopausal women; the label says it is not for men or for enhancing performance. See page.",
      "regulatory_status": "US: FDA-approved (Vyleesi, NDA 210557, June 21, 2019), premenopausal HSDD only; label says not for men or to enhance performance  · EU: not authorised (not in EMA's medicines list)  · WADA 2026: not named; our reading below",
      "pmids": "14963471;14999221;15292097;15833522;18179455;18206919;31599840;31599847;35147466;36626345;36809187",
      "nct_ids": "NCT02333071;NCT02338960",
      "search_aliases": "bremelanotide vyleesi mc4r female hypoactive sexual desire erectile",
      "last_checked": "2026-10-26",
      "url": "https://openpeptideproject.org/library/pt-141/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "rad-140",
      "title": "RAD-140 (testolone)",
      "full_title": "RAD-140 (testolone): What the evidence says",
      "kind": "compound",
      "focus_area": "Muscle, bone & recovery",
      "focus_area_key": "muscle",
      "evidence_tier": "Very limited",
      "card_verdict": "Very limited (one small phase 1 in breast cancer; liver-injury case reports; not a peptide).",
      "card_note": "Investigational oral SARM; small molecule",
      "regulatory_status": "Not FDA-approved · not on FDA's 503A or 503B bulk-substance category lists and not on FDA's compounding safety-risk page  · named on WADA S1.2",
      "pmids": "22459616;28974548;29183075;33062783;34565686;36479151;36561105;36978171;37218811;38059982;38444893;39755947;40761329;42919612",
      "nct_ids": "NCT03088527",
      "search_aliases": "testolone rad140 vosilasarm non-steroidal sarm selective androgen receptor modulator",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/rad-140/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "relamorelin",
      "title": "Relamorelin (RM-131)",
      "full_title": "Relamorelin (RM-131): What the evidence says",
      "kind": "compound",
      "focus_area": "Heart, blood & gut",
      "focus_area_key": "cardio",
      "evidence_tier": "Limited",
      "card_verdict": "Limited (positive phase 2 RCTs, but phase 3 results showed no clear benefit; development stopped).",
      "card_note": "Discontinued ghrelin-mimicking injection for gastroparesis",
      "regulatory_status": "Never approved; development stopped  · not on FDA's 503A or 503B bulk-substance category lists and not on FDA's compounding safety-risk page  · not named by WADA, but as a ghrelin-receptor agonist it falls in the GHS-mimetic class under S2.2.4",
      "pmids": "26467700;27055601;28237854;28760384;32301137",
      "nct_ids": "NCT02357420;NCT03285308;NCT03383146;NCT03420781;NCT03426345",
      "search_aliases": "rm-131 rm131 bim-28163 ghrelin receptor agonist pentapeptide diabetic gastroparesis",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/relamorelin/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "retatrutide",
      "title": "Retatrutide",
      "full_title": "Retatrutide: What the evidence says",
      "kind": "compound",
      "focus_area": "Metabolic & weight",
      "focus_area_key": "metabolic",
      "evidence_tier": "Moderate",
      "card_verdict": "Moderate (weight loss, type 2 diabetes, knee osteoarthritis & liver fat in phase 2/3 trials; not FDA-approved).",
      "card_note": "",
      "regulatory_status": "Not FDA-approved (Lilly plans Q1 2027 FDA filing) · cannot be used in compounding · FDA has warned sellers of \"research purposes\" retatrutide · WADA 2026: S0 non-approved substances class, prohibited at all times",
      "pmids": "37366315;37385280;39509151;42250575;42810372;42814954;42843917;42853576",
      "nct_ids": "",
      "search_aliases": "ly3437943 triple g glp-1 gip glucagon weight loss",
      "last_checked": "2026-10-24",
      "url": "https://openpeptideproject.org/library/retatrutide/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "rigin",
      "title": "Rigin (palmitoyl tetrapeptide-7, Pal-GQPR)",
      "full_title": "Rigin (palmitoyl tetrapeptide-7, Pal-GQPR): What the evidence says",
      "kind": "compound",
      "focus_area": "Skin, hair & aging",
      "focus_area_key": "skin",
      "evidence_tier": "Very limited",
      "card_verdict": "Very limited (multi-ingredient cosmetic cream study only; never inject).",
      "card_note": "Topical skincare peptide; not a drug",
      "regulatory_status": "Cosmetic ingredient, not a drug · not on FDA's 503A or 503B bulk-substance category lists and not on FDA's compounding safety-risk page  · not named by WADA",
      "pmids": "18045359;38932444",
      "nct_ids": "",
      "search_aliases": "palmitoyl tetrapeptide-7 pal-gqpr",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/rigin/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "romidepsin",
      "title": "Romidepsin (Istodax, FK228)",
      "full_title": "Romidepsin (Istodax, FK228): What the evidence says",
      "kind": "compound",
      "focus_area": "Immune & antimicrobial",
      "focus_area_key": "immune",
      "evidence_tier": "Moderate",
      "card_verdict": "Moderate (FDA-approved for CTCL from single-arm trials; PTCL indication withdrawn).",
      "card_note": "FDA-approved depsipeptide cancer drug",
      "regulatory_status": "FDA-approved  · not on FDA's 503A or 503B bulk-substance category lists and not on FDA's compounding safety-risk page  · not named by WADA",
      "pmids": "38364196",
      "nct_ids": "",
      "search_aliases": "istodax fk228 fr901228 depsipeptide hdac inhibitor lymphoma ctcl",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/romidepsin/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "romiplostim",
      "title": "Romiplostim (Nplate, AMG 531)",
      "full_title": "Romiplostim (Nplate, AMG 531): What the evidence says",
      "kind": "compound",
      "focus_area": "Heart, blood & gut",
      "focus_area_key": "cardio",
      "evidence_tier": "Strong",
      "card_verdict": "Strong (FDA-approved for immune thrombocytopenia).",
      "card_note": "FDA-approved platelet-raising Fc-peptide fusion",
      "regulatory_status": "FDA-approved  · not on FDA's 503A or 503B bulk-substance category lists and not on FDA's compounding safety-risk page  · not named by WADA",
      "pmids": "18242413;18981291",
      "nct_ids": "",
      "search_aliases": "nplate amg 531 peptibody tpo thrombopoietin itp platelets",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/romiplostim/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "rubiscolin-6",
      "title": "Rubiscolin-6 (YPLDLF)",
      "full_title": "Rubiscolin-6 (YPLDLF): What the evidence says",
      "kind": "compound",
      "focus_area": "Brain, mood & sleep",
      "focus_area_key": "neuro",
      "evidence_tier": "No human data",
      "card_verdict": "No human data (spinach-derived opioid hexapeptide; mouse data only).",
      "card_note": "Research peptide from spinach Rubisco; not a drug",
      "regulatory_status": "Not FDA-approved · not on FDA's 503A or 503B bulk-substance category lists and not on FDA's compounding safety-risk page  · not named by WADA",
      "pmids": "11741591;12668220;17766012;37373107",
      "nct_ids": "",
      "search_aliases": "",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/rubiscolin-6/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "rusfertide",
      "title": "Rusfertide (Mimrylo, PTG-300)",
      "full_title": "Rusfertide (Mimrylo, PTG-300): What the evidence says",
      "kind": "compound",
      "focus_area": "Heart, blood & gut",
      "focus_area_key": "cardio",
      "evidence_tier": "Strong",
      "card_verdict": "Strong (FDA-approved hepcidin mimetic for polycythemia vera).",
      "card_note": "FDA-approved hepcidin-mimetic peptide",
      "regulatory_status": "FDA-approved  · not on FDA's 503A or 503B bulk-substance category lists and not on FDA's compounding safety-risk page  · not named by WADA",
      "pmids": "38381675;42868322",
      "nct_ids": "NCT04057040;NCT05210790",
      "search_aliases": "mimrylo ptg-300 ptg300 hepcidin mimetic polycythemia vera hematocrit phlebotomy verify revive",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/rusfertide/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "secretin",
      "title": "Secretin (ChiRhoStim)",
      "full_title": "Secretin (ChiRhoStim): What the evidence says",
      "kind": "compound",
      "focus_area": "Heart, blood & gut",
      "focus_area_key": "cardio",
      "evidence_tier": "Strong",
      "card_verdict": "Strong (FDA-approved pancreatic/gastrinoma diagnostic; proven ineffective for autism in 15+ RCTs).",
      "card_note": "FDA-approved diagnostic hormone; not a treatment",
      "regulatory_status": "FDA-approved diagnostic ; SecreFlo discontinued  · 503A and 503B Category 3 (human secretin)  · not named by WADA",
      "pmids": "10588965;15590241",
      "nct_ids": "",
      "search_aliases": "chirhostim secreflo pancreatic diagnostic",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/secretin/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "selank",
      "title": "Selank",
      "full_title": "Selank: What the evidence says",
      "kind": "compound",
      "focus_area": "Brain, mood & sleep",
      "focus_area_key": "neuro",
      "evidence_tier": "Limited",
      "card_verdict": "Limited (generalized anxiety, small Russian trials) · Brain fMRI (single dose): Very limited · Nootropic/wellness use: No human data.",
      "card_note": "Varies by use, see page",
      "regulatory_status": "Not FDA-approved (no Drugs@FDA record) · Not on 503A Bulks List; FDA flagged immunogenicity/impurity risks (`FDA-2023-N-3392-0011`)  · Registered in Russia as 0.15% nasal drops (`ЛСР-003338/09`, Vidal.ru mirror; direct GRLS `[UNVERIFIED]`)  · WADA 2026: not named; S0 status of Russian-only drugs unruled",
      "pmids": "18454096;25176261;31667971;32342318",
      "nct_ids": "",
      "search_aliases": "",
      "last_checked": "2026-10-25",
      "url": "https://openpeptideproject.org/library/selank/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "semaglutide",
      "title": "Semaglutide",
      "full_title": "Semaglutide: What the evidence says",
      "kind": "compound",
      "focus_area": "Metabolic & weight",
      "focus_area_key": "metabolic",
      "evidence_tier": "Strong",
      "card_verdict": "Strong (weight loss, type 2 diabetes, MASH, heart & kidney protection; FDA-approved as Ozempic, Wegovy & Rybelsus).",
      "card_note": "",
      "regulatory_status": "FDA-approved (Ozempic, Rybelsus, Wegovy) · not named on WADA's 2026 list · FDA shortage over; copies of approved products generally can no longer be compounded",
      "pmids": "27633186;31185157;33567185;37952131;39509151",
      "nct_ids": "",
      "search_aliases": "ozempic wegovy rybelsus glp-1 glp1 weight loss diabetes",
      "last_checked": "2026-10-15",
      "url": "https://openpeptideproject.org/library/semaglutide/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "semax",
      "title": "Semax",
      "full_title": "Semax: What the evidence says",
      "kind": "compound",
      "focus_area": "Brain, mood & sleep",
      "focus_area_key": "neuro",
      "evidence_tier": "Limited",
      "card_verdict": "Limited (acute ischemic stroke, small Russian studies) · Brain fMRI (single dose): Very limited · Nootropic/wellness use: No human data.",
      "card_note": "Varies by use, see page",
      "regulatory_status": "Not FDA-approved (no Drugs@FDA record) · Not on 503A Bulks List; reviewed at FDA's July 23–24, 2026 PCAC meeting (`FDA media 193348`)  · Registered in Russia as 0.1% (`Р N000812/01`) and 1% (`ЛСР-000167/08`) nasal drops (Vidal.ru mirror; direct GRLS `[UNVERIFIED]`)  · WADA 2026: not named; S0 status of Russian-only drugs unruled",
      "pmids": "11517472;29798983;30225715;31667971;32342318",
      "nct_ids": "",
      "search_aliases": "",
      "last_checked": "2026-10-25",
      "url": "https://openpeptideproject.org/library/semax/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "sermorelin",
      "title": "Sermorelin",
      "full_title": "Sermorelin: What the evidence says",
      "kind": "compound",
      "focus_area": "Hormones & fertility",
      "focus_area_key": "endocrine",
      "evidence_tier": "Moderate",
      "card_verdict": "Moderate (pituitary diagnostic test, former FDA approval) · Childhood GH deficiency: Limited · Adult anti-aging, body composition, energy: Very limited.",
      "card_note": "Mixed use: the higher ratings apply to a discontinued medical product in children and testing, not to clinic \"anti-aging\" use. See page.",
      "regulatory_status": "No current FDA approval (Geref NDAs 019863 and 020443 discontinued; approvals withdrawn 2009, not for safety or effectiveness)  · 503B: Category 1  · WADA 2026: prohibited at all times (S2.2.4, named)",
      "pmids": "8772599;9141536;18031173;19509104;28830317",
      "nct_ids": "",
      "search_aliases": "",
      "last_checked": "2026-10-26",
      "url": "https://openpeptideproject.org/library/sermorelin/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "setmelanotide",
      "title": "Setmelanotide",
      "full_title": "Setmelanotide: What the evidence says",
      "kind": "compound",
      "focus_area": "Metabolic & weight",
      "focus_area_key": "metabolic",
      "evidence_tier": "Moderate",
      "card_verdict": "Moderate (approved use: rare genetic obesity) · General or gray-market weight loss: No human data.",
      "card_note": "Gray-market vials are not the approved product, see page.",
      "regulatory_status": "FDA-approved (Imcivree, NDA 213793; label on DailyMed)  · other regulators [UNVERIFIED] · WADA: not named on the 2026 List",
      "pmids": "33137293;36356613",
      "nct_ids": "",
      "search_aliases": "imcivree rm-493 mc4r agonist genetic obesity bardet-biedl",
      "last_checked": "2026-10-25",
      "url": "https://openpeptideproject.org/library/setmelanotide/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "sigumir",
      "title": "Sigumir (cartilage peptide complex)",
      "full_title": "Sigumir (cartilage peptide complex): What the evidence says",
      "kind": "compound",
      "focus_area": "Longevity & bioregulators",
      "focus_area_key": "longevity",
      "evidence_tier": "No human data",
      "card_verdict": "No human data (no indexed peer-reviewed clinical trial found).",
      "card_note": "Russian oral tissue-extract supplement; no indexed trials",
      "regulatory_status": "Not FDA-approved · not on FDA's 503A or 503B bulk-substance category lists and not on FDA's compounding safety-risk page  · not named by WADA",
      "pmids": "37782637",
      "nct_ids": "",
      "search_aliases": "a-4 cartilage cytomax khavinson",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/sigumir/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "sincalide",
      "title": "Sincalide (Kinevac, CCK-8)",
      "full_title": "Sincalide (Kinevac, CCK-8): What the evidence says",
      "kind": "compound",
      "focus_area": "Heart, blood & gut",
      "focus_area_key": "cardio",
      "evidence_tier": "Moderate",
      "card_verdict": "Moderate (FDA-approved diagnostic agent; usefulness of the gallbladder test is debated).",
      "card_note": "FDA-approved diagnostic octapeptide of cholecystokinin",
      "regulatory_status": "FDA-approved diagnostic  · not on FDA's 503A list; on the 503B list in Category 1 (under evaluation)  · not on FDA's safety-risk page  · not named by WADA",
      "pmids": "20080900;22293163",
      "nct_ids": "",
      "search_aliases": "kinevac cck-8 cholecystokinin octapeptide gallbladder ejection fraction hida scan pancreatic diagnostic",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/sincalide/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "slu-pp-332",
      "title": "SLU-PP-332",
      "full_title": "SLU-PP-332: What the evidence says",
      "kind": "compound",
      "focus_area": "Metabolic & weight",
      "focus_area_key": "metabolic",
      "evidence_tier": "No human data",
      "card_verdict": "No human data (exercise-mimic & fat-loss claims rest on mouse studies only).",
      "card_note": "Not a peptide; mouse data only, see page",
      "regulatory_status": "Never approved · Not on FDA 503A or 503B bulk lists · WADA 2026: not named; anti-doping labs treat it as a prohibited-class candidate ⚠️",
      "pmids": "36988910;37717940;37739806;37961903;40692696;41421047;41588687;41688415",
      "nct_ids": "",
      "search_aliases": "err agonist exercise mimetic",
      "last_checked": "2026-10-26",
      "url": "https://openpeptideproject.org/library/slu-pp-332/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "snap-8",
      "title": "SNAP-8 (acetyl octapeptide-3)",
      "full_title": "SNAP-8 (acetyl octapeptide-3): What the evidence says",
      "kind": "compound",
      "focus_area": "Skin, hair & aging",
      "focus_area_key": "skin",
      "evidence_tier": "Very limited",
      "card_verdict": "Very limited (wrinkles, only in multi-ingredient skin products) · Injected: No human data.",
      "card_note": "Mixed use: a cosmetic cream ingredient; \"research\" powders for injection have no human data. See page.",
      "regulatory_status": "Cosmetic ingredient, not a drug · US: not FDA-approved (cosmetics are not pre-approved) · WADA 2026: not named",
      "pmids": "18498523;31134751;33195061;35426243;37861918;39082657;39858482;40292641;40673537",
      "nct_ids": "",
      "search_aliases": "acetyl octapeptide-3 wrinkle octapeptide",
      "last_checked": "2026-10-26",
      "url": "https://openpeptideproject.org/library/snap-8/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "somapacitan",
      "title": "Somapacitan (Sogroya, somapacitan-beco)",
      "full_title": "Somapacitan (Sogroya, somapacitan-beco): What the evidence says",
      "kind": "compound",
      "focus_area": "Hormones & fertility",
      "focus_area_key": "endocrine",
      "evidence_tier": "Strong",
      "card_verdict": "Strong (FDA-approved long-acting growth hormone).",
      "card_note": "FDA-approved long-acting growth hormone",
      "regulatory_status": "FDA-approved  · not on FDA's 503A or 503B bulk-substance category lists and not on FDA's compounding safety-risk page  · prohibited at all times (WADA S2.2.3)",
      "pmids": "32022863;36062966",
      "nct_ids": "NCT02229851;NCT03811535",
      "search_aliases": "sogroya somapacitan-beco nnc0195-0092 once-weekly growth hormone hgh ghd",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/somapacitan/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "somatrogon",
      "title": "Somatrogon (Ngenla, somatrogon-ghla)",
      "full_title": "Somatrogon (Ngenla, somatrogon-ghla): What the evidence says",
      "kind": "compound",
      "focus_area": "Hormones & fertility",
      "focus_area_key": "endocrine",
      "evidence_tier": "Strong",
      "card_verdict": "Strong (FDA-approved weekly growth hormone for children with GH deficiency).",
      "card_note": "FDA-approved long-acting growth hormone for children",
      "regulatory_status": "FDA-approved  · not on FDA's 503A or 503B bulk-substance category lists and not on FDA's compounding safety-risk page  · prohibited at all times (WADA S2.2.3)",
      "pmids": "35405011;41879875",
      "nct_ids": "NCT02968004",
      "search_aliases": "ngenla somatrogon-ghla mod-4023 pf-06836922 ctp-modified hgh once-weekly growth hormone ghd",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/somatrogon/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "spexin",
      "title": "Spexin (neuropeptide Q, NPQ)",
      "full_title": "Spexin (neuropeptide Q, NPQ): What the evidence says",
      "kind": "compound",
      "focus_area": "Metabolic & weight",
      "focus_area_key": "metabolic",
      "evidence_tier": "No human data",
      "card_verdict": "No human data (blood-level studies only; never tested as a treatment in people).",
      "card_note": "Natural 14-amino-acid peptide; never given to people as a treatment",
      "regulatory_status": "Not approved anywhere · not on FDA's 503A or 503B bulk-substance category lists and not on FDA's compounding safety-risk page  · not named on WADA's 2026 list; as a drug not approved anywhere for human use it falls under S0 (non-approved substances)",
      "pmids": "17284679;24550067;33520870;36914115;41597393;42039133",
      "nct_ids": "",
      "search_aliases": "npq neuropeptide q c12orf39 galr2 galr3 satiety metabolic neuropeptide",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/spexin/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "sr9009",
      "title": "SR9009 (Stenabolic)",
      "full_title": "SR9009 (Stenabolic): What the evidence says",
      "kind": "compound",
      "focus_area": "Metabolic & weight",
      "focus_area_key": "metabolic",
      "evidence_tier": "No human data",
      "card_verdict": "No human data.",
      "card_note": "Not a peptide; prohibited in sport",
      "regulatory_status": "Never approved; not on FDA's 503A or 503B bulk-substance category lists and not on FDA's compounding safety-risk page · Prohibited at all times, WADA S4.4.1",
      "pmids": "22460951;23852339;31127047",
      "nct_ids": "",
      "search_aliases": "stenabolic rev-erb agonist",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/sr9009/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "ss-31",
      "title": "SS-31 (elamipretide)",
      "full_title": "SS-31 (elamipretide): What the evidence says",
      "kind": "compound",
      "focus_area": "Longevity & bioregulators",
      "focus_area_key": "longevity",
      "evidence_tier": "Very limited",
      "card_verdict": "Very limited (Barth syndrome, FDA accelerated approval; other diseases: mixed results) · Energy, endurance, anti-aging in healthy people: No human data.",
      "card_note": "Mixed use: approved for one rare disease on a muscle-strength measure; never tested in healthy people. See page.",
      "regulatory_status": "US: FDA accelerated approval (Forzinity, NDA 215244), Barth syndrome only, Sept 19, 2025  · EU: not authorised (orphan designations only)  · 503A/503B: not nominated  · WADA 2026: not named; our reading is that it is not prohibited (not a WADA ruling)",
      "pmids": "32068002;33077895;37268435;37923251;38602181;39574155;39605874;39940712;41335372;42290373",
      "nct_ids": "NCT02693119;NCT02788747;NCT03098797;NCT03323749;NCT03891875",
      "search_aliases": "elamipretide forzinity mtp-131 bendavia barth syndrome mitochondria cardiolipin",
      "last_checked": "2026-10-26",
      "url": "https://openpeptideproject.org/library/ss-31/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "stamakort",
      "title": "Stamakort (stomach mucosa peptide complex)",
      "full_title": "Stamakort (stomach mucosa peptide complex): What the evidence says",
      "kind": "compound",
      "focus_area": "Longevity & bioregulators",
      "focus_area_key": "longevity",
      "evidence_tier": "No human data",
      "card_verdict": "No human data (no indexed peer-reviewed clinical trial found).",
      "card_note": "Russian oral tissue-extract supplement; no indexed trials",
      "regulatory_status": "Not FDA-approved · not on FDA's 503A or 503B bulk-substance category lists and not on FDA's compounding safety-risk page  · not named by WADA",
      "pmids": "22803148",
      "nct_ids": "",
      "search_aliases": "a-10 stomach cytomax khavinson",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/stamakort/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "suprefort",
      "title": "Suprefort (pancreas peptide complex)",
      "full_title": "Suprefort (pancreas peptide complex): What the evidence says",
      "kind": "compound",
      "focus_area": "Longevity & bioregulators",
      "focus_area_key": "longevity",
      "evidence_tier": "No human data",
      "card_verdict": "No human data (no indexed peer-reviewed clinical trial found).",
      "card_note": "Russian oral tissue-extract supplement; no indexed trials",
      "regulatory_status": "Not FDA-approved · not on FDA's 503A or 503B bulk-substance category lists and not on FDA's compounding safety-risk page  · not named by WADA",
      "pmids": "23486591",
      "nct_ids": "",
      "search_aliases": "a-1 pancreas cytomax khavinson",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/suprefort/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "survodutide",
      "title": "Survodutide",
      "full_title": "Survodutide: What the evidence says",
      "kind": "compound",
      "focus_area": "Metabolic & weight",
      "focus_area_key": "metabolic",
      "evidence_tier": "Moderate",
      "card_verdict": "Moderate (weight) · MASH and type 2 diabetes: Limited.",
      "card_note": "Varies by use, see page",
      "regulatory_status": "Not FDA-approved (no Drugs@FDA record) · FDA Fast Track and Breakthrough Therapy designations for MASH per the company [UNVERIFIED: not confirmed on an FDA page]  · EU, Japan, China: [UNVERIFIED] not checked against EMA, PMDA or NMPA · WADA: not named; S0 (unapproved substances) likely applies",
      "pmids": "36356832;38095657;38330987;38847460;38857788;42252333;42253238;42820639",
      "nct_ids": "NCT04153929;NCT04667377;NCT04771273;NCT06066515;NCT06066528;NCT06077864;NCT06632444;NCT06632457;NCT07754461",
      "search_aliases": "bi 456906 bi-456906 glucagon glp-1 dual agonist mash obesity",
      "last_checked": "2026-10-25",
      "url": "https://openpeptideproject.org/library/survodutide/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "svetinorm",
      "title": "Svetinorm (liver peptide complex)",
      "full_title": "Svetinorm (liver peptide complex): What the evidence says",
      "kind": "compound",
      "focus_area": "Longevity & bioregulators",
      "focus_area_key": "longevity",
      "evidence_tier": "No human data",
      "card_verdict": "No human data (no indexed peer-reviewed clinical trial found).",
      "card_note": "Russian oral tissue-extract supplement; no indexed trials",
      "regulatory_status": "Not FDA-approved · not on FDA's 503A or 503B bulk-substance category lists and not on FDA's compounding safety-risk page  · not named by WADA",
      "pmids": "32362099",
      "nct_ids": "",
      "search_aliases": "a-7 liver cytomax khavinson",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/svetinorm/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "syn-ake",
      "title": "Syn-Ake (dipeptide diaminobutyroyl benzylamide diacetate)",
      "full_title": "Syn-Ake (dipeptide diaminobutyroyl benzylamide diacetate): What the evidence says",
      "kind": "compound",
      "focus_area": "Skin, hair & aging",
      "focus_area_key": "skin",
      "evidence_tier": "No human data",
      "card_verdict": "No human data (for Syn-Ake alone).",
      "card_note": "Varies by use, see page",
      "regulatory_status": "Cosmetic ingredient, not a drug · not on the 503A/503B lists or FDA's safety-risk page · not named on WADA's 2026 list",
      "pmids": "10087048;37349941;41668671;42927054",
      "nct_ids": "",
      "search_aliases": "dipeptide diaminobutyroyl benzylamide diacetate waglerin-1",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/syn-ake/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "syn-coll",
      "title": "Syn-Coll (palmitoyl tripeptide-5, Pal-KVK)",
      "full_title": "Syn-Coll (palmitoyl tripeptide-5, Pal-KVK): What the evidence says",
      "kind": "compound",
      "focus_area": "Skin, hair & aging",
      "focus_area_key": "skin",
      "evidence_tier": "No human data",
      "card_verdict": "No human data (supplier cosmetic claims only; no peer-reviewed trial; never inject).",
      "card_note": "Topical skincare peptide; not a drug",
      "regulatory_status": "Cosmetic ingredient, not a drug · not on FDA's 503A or 503B bulk-substance category lists and not on FDA's compounding safety-risk page  · not named by WADA",
      "pmids": "18045359",
      "nct_ids": "",
      "search_aliases": "palmitoyl tripeptide-5 pal-kvk tgf-beta",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/syn-coll/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "taldefgrobep-alfa",
      "title": "Taldefgrobep alfa (BHV-2000, BMS-986089, RG6206)",
      "full_title": "Taldefgrobep alfa (BHV-2000, BMS-986089, RG6206): What the evidence says",
      "kind": "compound",
      "focus_area": "Muscle, bone & recovery",
      "focus_area_key": "muscle",
      "evidence_tier": "Limited",
      "card_verdict": "Limited (failed in DMD; SMA phase 3 reportedly missed; obesity trial ongoing).",
      "card_note": "Investigational anti-myostatin protein",
      "regulatory_status": "Investigational · not FDA-approved · not on FDA's 503A or 503B bulk-substance category lists and not on FDA's compounding safety-risk page  · banned by WADA S4.3",
      "pmids": "38190001;39408601;41566720",
      "nct_ids": "NCT02515669;NCT05337553;NCT07281495",
      "search_aliases": "bhv-2000 bms-986089 rg6206 anti-myostatin adnectin sma obesity",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/taldefgrobep-alfa/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "taxorest",
      "title": "Taxorest (bronchial peptide complex)",
      "full_title": "Taxorest (bronchial peptide complex): What the evidence says",
      "kind": "compound",
      "focus_area": "Longevity & bioregulators",
      "focus_area_key": "longevity",
      "evidence_tier": "No human data",
      "card_verdict": "No human data (no indexed peer-reviewed clinical trial found).",
      "card_note": "Russian oral tissue-extract supplement; no indexed trials",
      "regulatory_status": "Not FDA-approved · not on FDA's 503A or 503B bulk-substance category lists and not on FDA's compounding safety-risk page  · not named by WADA",
      "pmids": "25015171",
      "nct_ids": "",
      "search_aliases": "a-19 bronchial cytomax khavinson",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/taxorest/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "tb-500",
      "title": "TB-500 and thymosin beta-4",
      "full_title": "TB-500 and thymosin beta-4: What the evidence says",
      "kind": "compound",
      "focus_area": "Muscle, bone & recovery",
      "focus_area_key": "muscle",
      "evidence_tier": "Limited",
      "card_verdict": "Limited (full Thymosin beta-4 protein, topical/eye drops) · TB-500 fragment or injected healing/recovery: No human data.",
      "card_note": "Varies by use, see page",
      "regulatory_status": "Not FDA-approved · WADA-banned (Tβ4 and derivatives, e.g. TB-500)",
      "pmids": "10469335;15565145;17495250;20536472;22856429;22962027;23050815;25826322;26056426;34346165;38382158",
      "nct_ids": "",
      "search_aliases": "thymosin beta-4 timbetasin rgn-259 rgn-352 lkktenq",
      "last_checked": "2026-10-15",
      "url": "https://openpeptideproject.org/library/tb-500/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "teduglutide",
      "title": "Teduglutide",
      "full_title": "Teduglutide: What the evidence says",
      "kind": "compound",
      "focus_area": "Heart, blood & gut",
      "focus_area_key": "cardio",
      "evidence_tier": "Moderate",
      "card_verdict": "Moderate (short bowel syndrome on IV nutrition) · \"Gut repair\" uses: No human data.",
      "card_note": "Tumor-growth warning; never tested for general gut health, see page.",
      "regulatory_status": "FDA-approved: Gattex NDA 203441 (Dec 21, 2012)  · WADA: not named on the 2026 List",
      "pmids": "21317170;22982184",
      "nct_ids": "NCT00798967",
      "search_aliases": "gattex revestive glp-2 short bowel syndrome",
      "last_checked": "2026-10-25",
      "url": "https://openpeptideproject.org/library/teduglutide/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "teriparatide",
      "title": "Teriparatide",
      "full_title": "Teriparatide: What the evidence says",
      "kind": "compound",
      "focus_area": "Muscle, bone & recovery",
      "focus_area_key": "muscle",
      "evidence_tier": "Strong",
      "card_verdict": "Strong (osteoporosis fractures) · Fracture healing: mixed results · Gray-market: No human data.",
      "card_note": "Not approved for fracture healing; osteosarcoma precautions remain, see page.",
      "regulatory_status": "FDA-approved: Forteo NDA 021318 (Nov 26, 2002); Bonsity NDA 211939; generic ANDA 213641 (Amphastar, Dec 12, 2025)  · no boxed warning on current label  · WADA: not named on the 2026 List",
      "pmids": "11346808;19594305;32990990;36111201",
      "nct_ids": "",
      "search_aliases": "forteo pth 1-34 parathyroid hormone osteoporosis bone",
      "last_checked": "2026-10-25",
      "url": "https://openpeptideproject.org/library/teriparatide/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "tesamorelin",
      "title": "Tesamorelin",
      "full_title": "Tesamorelin: What the evidence says",
      "kind": "compound",
      "focus_area": "Metabolic & weight",
      "focus_area_key": "metabolic",
      "evidence_tier": "Strong",
      "card_verdict": "Strong (HIV belly fat, FDA-approved as Egrifta) · HIV fatty liver: Limited · General fat loss or anti-aging without HIV: No human data.",
      "card_note": "Varies by use, see page",
      "regulatory_status": "FDA-approved (HIV lipodystrophy only) · WADA-banned",
      "pmids": "20101189;20554713;31611038",
      "nct_ids": "",
      "search_aliases": "egrifta egrifta sv th9507 ghrh visceral fat",
      "last_checked": "2026-10-15",
      "url": "https://openpeptideproject.org/library/tesamorelin/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "tesofensine",
      "title": "Tesofensine",
      "full_title": "Tesofensine: What the evidence says",
      "kind": "compound",
      "focus_area": "Metabolic & weight",
      "focus_area_key": "metabolic",
      "evidence_tier": "Limited",
      "card_verdict": "Limited (weight loss, phase 2 trial under expression of concern).",
      "card_note": "",
      "regulatory_status": "Not FDA-approved (no Drugs@FDA record) · Mexico: reported approved for obesity [UNVERIFIED: not confirmed on COFEPRIS primary registry] · WADA 2026: prohibited in-competition (S6.b specified stimulant, named)",
      "pmids": "18950853;20520602;23561987;35294397;42320973",
      "nct_ids": "NCT00394667",
      "search_aliases": "",
      "last_checked": "2026-10-25",
      "url": "https://openpeptideproject.org/library/tesofensine/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "testagen",
      "title": "Testagen",
      "full_title": "Testagen: What the evidence says",
      "kind": "compound",
      "focus_area": "Longevity & bioregulators",
      "focus_area_key": "longevity",
      "evidence_tier": "No human data",
      "card_verdict": "No human data (testicular claims untested; only studied in pituitary-removed birds).",
      "card_note": "No study found tests the testicular use the product is sold for.",
      "regulatory_status": "Not FDA-approved (no Drugs@FDA record) · Russia: registration status [UNVERIFIED] · WADA 2026: not named; S0 (unapproved substances) likely applies",
      "pmids": "22268052;23658898",
      "nct_ids": "",
      "search_aliases": "kedg lys-glu-asp-gly testis bioregulator khavinson",
      "last_checked": "2026-10-25",
      "url": "https://openpeptideproject.org/library/testagen/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "testoluten",
      "title": "Testoluten (testis peptide complex)",
      "full_title": "Testoluten (testis peptide complex): What the evidence says",
      "kind": "compound",
      "focus_area": "Longevity & bioregulators",
      "focus_area_key": "longevity",
      "evidence_tier": "No human data",
      "card_verdict": "No human data (no indexed peer-reviewed clinical trial found).",
      "card_note": "Russian oral tissue-extract supplement; no indexed trials",
      "regulatory_status": "Not FDA-approved · not on FDA's 503A or 503B bulk-substance category lists and not on FDA's compounding safety-risk page  · not named by WADA",
      "pmids": "12374906",
      "nct_ids": "",
      "search_aliases": "a-13 testis cytomax khavinson",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/testoluten/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "thymalin",
      "title": "Thymalin",
      "full_title": "Thymalin: What the evidence says",
      "kind": "compound",
      "focus_area": "Immune & antimicrobial",
      "focus_area_key": "immune",
      "evidence_tier": "Very limited",
      "card_verdict": "Very limited (Russian clinical cohorts, developer-led).",
      "card_note": "",
      "regulatory_status": "Not FDA-approved (no Drugs@FDA record) · Russia: registered bovine thymus extract [UNVERIFIED: not confirmed directly on Russian GRLS primary registry] · WADA 2026: not named; S0 depends on Russian registration",
      "pmids": "14523363;33575961;37686182",
      "nct_ids": "",
      "search_aliases": "",
      "last_checked": "2026-10-25",
      "url": "https://openpeptideproject.org/library/thymalin/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "thymogen",
      "title": "Thymogen (Glu-Trp, oglufanide)",
      "full_title": "Thymogen (Glu-Trp, oglufanide): What the evidence says",
      "kind": "compound",
      "focus_area": "Immune & antimicrobial",
      "focus_area_key": "immune",
      "evidence_tier": "Very limited",
      "card_verdict": "Very limited (old Russian studies).",
      "card_note": "Russian studies only, see page",
      "regulatory_status": "Not approved in the US · not on FDA's 503A or 503B bulk-substance category lists and not on FDA's compounding safety-risk page · WADA: not named",
      "pmids": "8498021;9637345;38732260",
      "nct_ids": "",
      "search_aliases": "oglufanide ew glu-trp thymus dipeptide",
      "last_checked": "2026-10-26",
      "url": "https://openpeptideproject.org/library/thymogen/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "thymopentin",
      "title": "Thymopentin (TP-5, Timunox)",
      "full_title": "Thymopentin (TP-5, Timunox): What the evidence says",
      "kind": "compound",
      "focus_area": "Immune & antimicrobial",
      "focus_area_key": "immune",
      "evidence_tier": "Limited",
      "card_verdict": "Limited (mixed small RCTs in dermatitis/hepatitis B; not FDA-approved).",
      "card_note": "Thymopoietin fragment studied in the 1980s–90s; not a US drug",
      "regulatory_status": "Not FDA-approved · not on FDA's 503A or 503B bulk-substance category lists and not on FDA's compounding safety-risk page  · not named by WADA",
      "pmids": "451537;2185294;7836705;8156337;8157786;16696803",
      "nct_ids": "NCT00002066;NCT00002109",
      "search_aliases": "tp-5 timunox rkdvy arg-lys-asp-val-tyr",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/thymopentin/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "thymosin-alpha-1",
      "title": "Thymosin alpha-1 (thymalfasin)",
      "full_title": "Thymosin alpha-1 (thymalfasin): What the evidence says",
      "kind": "compound",
      "focus_area": "Immune & antimicrobial",
      "focus_area_key": "immune",
      "evidence_tier": "Very limited",
      "card_verdict": "Very limited (hepatitis B/C, COVID-19, vaccine response; mixed results) · Sepsis: Tested, not shown · Immune support, anti-aging, recovery in healthy people: No human data.",
      "card_note": "Mixed use: tested in disease (largest trial negative); never tested for the \"immune support\" it is sold for. See page.",
      "regulatory_status": "Authorised in Italy (AIFA) and China (NMPA)  · Not FDA-approved  · FDA advisers voted 17–4 against the 503A list (Dec 2024)  · 503B: Category 3  · WADA 2026: not named",
      "pmids": "2642497;9537454;9581695;22178096;23327199;32442287;33896653;34408744;36881981;38903817;39814420;42713852",
      "nct_ids": "NCT02867267",
      "search_aliases": "zadaxin thymalfasin ta1 immune",
      "last_checked": "2026-10-26",
      "url": "https://openpeptideproject.org/library/thymosin-alpha-1/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "thymulin",
      "title": "Thymulin",
      "full_title": "Thymulin: What the evidence says",
      "kind": "compound",
      "focus_area": "Immune & antimicrobial",
      "focus_area_key": "immune",
      "evidence_tier": "No human data",
      "card_verdict": "No human data (immune claims rest on mouse injection studies and human endogenous blood-level studies).",
      "card_note": "",
      "regulatory_status": "Not FDA-approved (no Drugs@FDA record) · Not approved as a medicine anywhere in the world · WADA 2026: S0 (unapproved substances) applies",
      "pmids": "24771015;42481458",
      "nct_ids": "",
      "search_aliases": "",
      "last_checked": "2026-10-25",
      "url": "https://openpeptideproject.org/library/thymulin/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "tirzepatide",
      "title": "Tirzepatide",
      "full_title": "Tirzepatide: What the evidence says",
      "kind": "compound",
      "focus_area": "Metabolic & weight",
      "focus_area_key": "metabolic",
      "evidence_tier": "Strong",
      "card_verdict": "Strong (weight loss, type 2 diabetes & obstructive sleep apnea; FDA-approved as Mounjaro & Zepbound).",
      "card_note": "",
      "regulatory_status": "FDA-approved (Mounjaro, Zepbound) · FDA shortage over; copies of approved products generally can no longer be compounded · not named on WADA's 2026 list",
      "pmids": "34170647;35658024;38912654;39509151;41406444;42875024",
      "nct_ids": "",
      "search_aliases": "mounjaro zepbound glp-1 gip twincretin weight loss diabetes",
      "last_checked": "2026-10-15",
      "url": "https://openpeptideproject.org/library/tirzepatide/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "trevogrumab",
      "title": "Trevogrumab (REGN1033)",
      "full_title": "Trevogrumab (REGN1033): What the evidence says",
      "kind": "compound",
      "focus_area": "Muscle, bone & recovery",
      "focus_area_key": "muscle",
      "evidence_tier": "Limited",
      "card_verdict": "Limited (phase 2 with semaglutide; no peer-reviewed results).",
      "card_note": "Investigational anti-myostatin antibody",
      "regulatory_status": "Investigational · not FDA-approved · not on FDA's 503A or 503B bulk-substance category lists and not on FDA's compounding safety-risk page  · banned by WADA S4.3",
      "pmids": "39481534;41178728",
      "nct_ids": "NCT06299098",
      "search_aliases": "regn1033 anti-gdf8 anti-myostatin courage trial",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/trevogrumab/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "triptorelin",
      "title": "Triptorelin",
      "full_title": "Triptorelin: What the evidence says",
      "kind": "compound",
      "focus_area": "Hormones & fertility",
      "focus_area_key": "endocrine",
      "evidence_tier": "Moderate",
      "card_verdict": "Moderate (prostate cancer testosterone suppression) · Early puberty: Limited · Post-cycle therapy: No human data.",
      "card_note": "Varies by use, see page",
      "regulatory_status": "FDA-approved prescription drug: Trelstar (NDA 020715, 021288, 022437) and Triptodur (NDA 208956)  · Not approved for PCT · WADA 2026: prohibited at all times in males (S2.2.1, named)",
      "pmids": "12887472;17971105;39412628",
      "nct_ids": "NCT05029622",
      "search_aliases": "trelstar decapeptyl triptodur gnrh agonist",
      "last_checked": "2026-10-25",
      "url": "https://openpeptideproject.org/library/triptorelin/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "trofinetide",
      "title": "Trofinetide (Daybue, NNZ-2566)",
      "full_title": "Trofinetide (Daybue, NNZ-2566): What the evidence says",
      "kind": "compound",
      "focus_area": "Brain, mood & sleep",
      "focus_area_key": "neuro",
      "evidence_tier": "Strong",
      "card_verdict": "Strong (FDA-approved for Rett syndrome; no evidence for other uses).",
      "card_note": "FDA-approved oral peptide analog for Rett syndrome",
      "regulatory_status": "FDA-approved  · not on FDA's 503A or 503B bulk-substance category lists and not on FDA's compounding safety-risk page  · not named by WADA",
      "pmids": "37291210;38917793;39025065;40043705",
      "nct_ids": "",
      "search_aliases": "daybue nnz-2566 gpe gly-pro-glu igf-1 tripeptide rett syndrome",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/trofinetide/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "tudca",
      "title": "TUDCA (tauroursodeoxycholic acid, taurursodiol)",
      "full_title": "TUDCA (tauroursodeoxycholic acid, taurursodiol): What the evidence says",
      "kind": "compound",
      "focus_area": "Heart, blood & gut",
      "focus_area_key": "cardio",
      "evidence_tier": "Limited",
      "card_verdict": "Limited (one liver-disease RCT; failed in ALS; not FDA-approved on its own; not a peptide).",
      "card_note": "Bile acid sold as a supplement; failed ALS drug component; small molecule",
      "regulatory_status": "Not FDA-approved on its own (Relyvrio, which contained it, is discontinued)  · not on FDA's 503A or 503B bulk-substance category lists and not on FDA's compounding safety-risk page  · not named by WADA",
      "pmids": "20522594;23592128;25664595;27893675;32877582;38909349",
      "nct_ids": "NCT03127514;NCT03800524;NCT05021536",
      "search_aliases": "tauroursodeoxycholic acid taurursodiol ursofluor bile acid relyvrio amx0035 liver",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/tudca/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "tuftsin",
      "title": "Tuftsin (Thr-Lys-Pro-Arg)",
      "full_title": "Tuftsin (Thr-Lys-Pro-Arg): What the evidence says",
      "kind": "compound",
      "focus_area": "Immune & antimicrobial",
      "focus_area_key": "immune",
      "evidence_tier": "No human data",
      "card_verdict": "No human data (natural immune tetrapeptide; no human treatment trials).",
      "card_note": "Endogenous IgG fragment; research peptide, not a drug",
      "regulatory_status": "Not FDA-approved · not on FDA's 503A or 503B bulk-substance category lists and not on FDA's compounding safety-risk page  · not named by WADA",
      "pmids": "1670648;2667894;4097539",
      "nct_ids": "",
      "search_aliases": "",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/tuftsin/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "ventfort",
      "title": "Ventfort (vascular peptide complex)",
      "full_title": "Ventfort (vascular peptide complex): What the evidence says",
      "kind": "compound",
      "focus_area": "Longevity & bioregulators",
      "focus_area_key": "longevity",
      "evidence_tier": "No human data",
      "card_verdict": "No human data (no indexed peer-reviewed clinical trial found).",
      "card_note": "Russian oral tissue-extract supplement; no indexed trials",
      "regulatory_status": "Not FDA-approved · not on FDA's 503A or 503B bulk-substance category lists and not on FDA's compounding safety-risk page  · not named by WADA",
      "pmids": "31228385",
      "nct_ids": "",
      "search_aliases": "a-3 vascular cytomax khavinson",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/ventfort/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "vesugen",
      "title": "Vesugen",
      "full_title": "Vesugen: What the evidence says",
      "kind": "compound",
      "focus_area": "Longevity & bioregulators",
      "focus_area_key": "longevity",
      "evidence_tier": "Very limited",
      "card_verdict": "Very limited (oral capsules, Russian developer-network cohorts) · Injected vials, Alzheimer's, longevity: No human data.",
      "card_note": "Mixed use: the only human data are small oral-capsule cohorts; one reported lower blood stem-cell markers. See page.",
      "regulatory_status": "Not an approved medicine in the US, EU or UK · not on FDA 503A/503B lists  · Russia: sold as a dietary supplement ⚠️ [UNVERIFIED] · WADA 2026: not named; S0 likely applies (our reading)",
      "pmids": "22977872;25051766;25051774;26390612;28509489;28539017;28539025;28976153;28976154;34173097",
      "nct_ids": "",
      "search_aliases": "kke lys-lys-glu vascular bioregulator khavinson",
      "last_checked": "2026-10-26",
      "url": "https://openpeptideproject.org/library/vesugen/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "vialox",
      "title": "Vialox (pentapeptide-3, GPRPA)",
      "full_title": "Vialox (pentapeptide-3, GPRPA): What the evidence says",
      "kind": "compound",
      "focus_area": "Skin, hair & aging",
      "focus_area_key": "skin",
      "evidence_tier": "No human data",
      "card_verdict": "No human data (supplier cosmetic claims only; no peer-reviewed trial; never inject).",
      "card_note": "Topical skincare peptide; not a drug",
      "regulatory_status": "Cosmetic ingredient, not a drug · not on FDA's 503A or 503B bulk-substance category lists and not on FDA's compounding safety-risk page  · not named by WADA",
      "pmids": "18045359",
      "nct_ids": "",
      "search_aliases": "pentapeptide-3 gprpa",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/vialox/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "vilon",
      "title": "Vilon",
      "full_title": "Vilon: What the evidence says",
      "kind": "compound",
      "focus_area": "Longevity & bioregulators",
      "focus_area_key": "longevity",
      "evidence_tier": "No human data",
      "card_verdict": "No human data (immune & aging claims rest on developer-led lab cell and rat studies only).",
      "card_note": "Animal/lab data only (developer-led), see page",
      "regulatory_status": "Not FDA-approved (no Drugs@FDA record) · Russia: registration status [UNVERIFIED] · WADA 2026: not named; S0 (unapproved substances) likely applies",
      "pmids": "12587272;15085253;17152729;37686182",
      "nct_ids": "",
      "search_aliases": "ke lys-glu dipeptide bioregulator khavinson",
      "last_checked": "2026-10-25",
      "url": "https://openpeptideproject.org/library/vilon/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "vip",
      "title": "VIP (vasoactive intestinal peptide, aviptadil)",
      "full_title": "VIP (vasoactive intestinal peptide, aviptadil): What the evidence says",
      "kind": "compound",
      "focus_area": "Heart, blood & gut",
      "focus_area_key": "cardio",
      "evidence_tier": "Moderate",
      "card_verdict": "Moderate (erectile dysfunction, two-drug injection with phentolamine) · COVID-19 ARDS, PAH, sarcoidosis, CIRS: Very limited (mixed results) · Subcutaneous wellness shots: No human data.",
      "card_note": "Mixed use: the trial evidence is for a penile injection combined with another drug and for hospital IV use, not the nasal spray sold online. See page.",
      "regulatory_status": "US: not FDA-approved (no openFDA entry)  · EU: no central authorisation; EMA orphan designations only (PAH/CTEPH, acute lung injury, sarcoidosis, ARDS)  · VIP/phentolamine (Invicorp) licensed in some European countries ⚠️ [UNVERIFIED] · WADA 2026: not named; our reading below",
      "pmids": "10233493;10356669;12727925;17875241;18978135;20442436;22467806;27133570;36044317;37348524;39870064",
      "nct_ids": "NCT04311697;NCT04843761;NCT04844580",
      "search_aliases": "aviptadil zyesami vasoactive intestinal peptide",
      "last_checked": "2026-10-26",
      "url": "https://openpeptideproject.org/library/vip/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "vk2735",
      "title": "VK2735",
      "full_title": "VK2735: What the evidence says",
      "kind": "compound",
      "focus_area": "Metabolic & weight",
      "focus_area_key": "metabolic",
      "evidence_tier": "Limited",
      "card_verdict": "Limited (weight, injection) · Oral tablet: Very limited.",
      "card_note": "Varies by use, see page",
      "regulatory_status": "Not FDA-approved (no Drugs@FDA record) · EU, Japan, China: [UNVERIFIED] not checked against EMA, PMDA or NMPA · WADA: not named; S0 (unapproved substances) likely applies",
      "pmids": "41508550",
      "nct_ids": "NCT06068946;NCT06828055;NCT07104383;NCT07104500;NCT07868835;NCT07868939",
      "search_aliases": "",
      "last_checked": "2026-10-25",
      "url": "https://openpeptideproject.org/library/vk2735/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "vladonix",
      "title": "Vladonix (thymus peptide complex)",
      "full_title": "Vladonix (thymus peptide complex): What the evidence says",
      "kind": "compound",
      "focus_area": "Longevity & bioregulators",
      "focus_area_key": "longevity",
      "evidence_tier": "No human data",
      "card_verdict": "No human data (no indexed peer-reviewed clinical trial found).",
      "card_note": "Russian oral tissue-extract supplement; no indexed trials",
      "regulatory_status": "Not FDA-approved · not on FDA's 503A or 503B bulk-substance category lists and not on FDA's compounding safety-risk page  · not named by WADA",
      "pmids": "24003726",
      "nct_ids": "",
      "search_aliases": "a-6 thymus cytomax khavinson",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/vladonix/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "vosoritide",
      "title": "Vosoritide (Voxzogo)",
      "full_title": "Vosoritide (Voxzogo): What the evidence says",
      "kind": "compound",
      "focus_area": "Muscle, bone & recovery",
      "focus_area_key": "muscle",
      "evidence_tier": "Strong",
      "card_verdict": "Strong (FDA-approved for achondroplasia in children; accelerated approval).",
      "card_note": "Varies by use, see page",
      "regulatory_status": "FDA-approved (NDA 214938, accelerated approval) · not on the 503A/503B lists or FDA's safety-risk page · not named on WADA's 2026 list",
      "pmids": "32891212;34694597;37984383;38813446;39740666",
      "nct_ids": "NCT03197766;NCT03424018;NCT03583697;NCT04219007",
      "search_aliases": "voxzogo bmn-111 cnp analog achondroplasia",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/vosoritide/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "wolverine",
      "title": "Wolverine blend",
      "full_title": "Wolverine blend: What the evidence says",
      "kind": "compound",
      "focus_area": "Muscle, bone & recovery",
      "focus_area_key": "muscle",
      "evidence_tier": "No human data",
      "card_verdict": "No human data (BPC-157 + TB-500 blend never studied together in humans or animals).",
      "card_note": "",
      "regulatory_status": "Not FDA-approved · on FDA's \"nominated but withdrawn\" list (formerly Category 2): BPC-157, TB-500  · WADA 2026: BPC-157 S0, TB-500 S2.3, prohibited at all times",
      "pmids": "22856429;22962027;27847966;32334036;38382158;42757290",
      "nct_ids": "NCT07803250",
      "search_aliases": "",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/wolverine/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "yk-11",
      "title": "YK-11",
      "full_title": "YK-11: What the evidence says",
      "kind": "compound",
      "focus_area": "Muscle, bone & recovery",
      "focus_area_key": "muscle",
      "evidence_tier": "No human data",
      "card_verdict": "No human data (cell data only; not a peptide).",
      "card_note": "Lab steroid; never tested in people",
      "regulatory_status": "Not FDA-approved · not on FDA's 503A or 503B bulk-substance category lists and not on FDA's compounding safety-risk page  · named on WADA S1.2",
      "pmids": "23995658;29491216;36030969",
      "nct_ids": "",
      "search_aliases": "yk11 steroidal myostatin sarm",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/yk-11/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "zhenoluten",
      "title": "Zhenoluten (ovary peptide complex)",
      "full_title": "Zhenoluten (ovary peptide complex): What the evidence says",
      "kind": "compound",
      "focus_area": "Longevity & bioregulators",
      "focus_area_key": "longevity",
      "evidence_tier": "No human data",
      "card_verdict": "No human data (no indexed peer-reviewed clinical trial found).",
      "card_note": "Russian oral tissue-extract supplement; no indexed trials",
      "regulatory_status": "Not FDA-approved · not on FDA's 503A or 503B bulk-substance category lists and not on FDA's compounding safety-risk page  · not named by WADA",
      "pmids": "12374906",
      "nct_ids": "",
      "search_aliases": "a-15 ovary cytomax khavinson",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/zhenoluten/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "ziconotide",
      "title": "Ziconotide (Prialt)",
      "full_title": "Ziconotide (Prialt): What the evidence says",
      "kind": "compound",
      "focus_area": "Brain, mood & sleep",
      "focus_area_key": "neuro",
      "evidence_tier": "Moderate",
      "card_verdict": "Moderate (FDA-approved intrathecal pump for severe chronic refractory pain; boxed warning).",
      "card_note": "Pump-only hospital drug with a boxed warning",
      "regulatory_status": "FDA-approved, NDA 021060 · on FDA's 503B Category 1 list (under evaluation; component of an approved drug); not on 503A lists or the safety-risk page · not named on WADA's 2026 list",
      "pmids": "14709577;16716870;22151630",
      "nct_ids": "",
      "search_aliases": "prialt snx-111 omega-conotoxin mviia intrathecal pain",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/ziconotide/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "zilucoplan",
      "title": "Zilucoplan (Zilbrysq)",
      "full_title": "Zilucoplan (Zilbrysq): What the evidence says",
      "kind": "compound",
      "focus_area": "Immune & antimicrobial",
      "focus_area_key": "immune",
      "evidence_tier": "Strong",
      "card_verdict": "Strong (FDA-approved complement C5 inhibitor for generalized myasthenia gravis).",
      "card_note": "FDA-approved macrocyclic peptide complement inhibitor",
      "regulatory_status": "FDA-approved  · not on FDA's 503A or 503B bulk-substance category lists and not on FDA's compounding safety-risk page  · not named by WADA",
      "pmids": "37059508",
      "nct_ids": "NCT04115293",
      "search_aliases": "zilbrysq ra101495 macrocyclic peptide complement c5 inhibitor generalized myasthenia gravis gmg achr",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/zilucoplan/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "glossary-of-terms",
      "title": "Glossary of peptide, lab-testing, clinical, and regulatory terms (A–Z)",
      "full_title": "Glossary of peptide, lab-testing, clinical, and regulatory terms (A–Z)",
      "kind": "guide",
      "focus_area": "Lab-Literacy Guide",
      "focus_area_key": "guide",
      "evidence_tier": "Lab-Literacy Guide",
      "card_verdict": "Lab-Literacy Guide",
      "card_note": "Plain-language reference guide to scientific, laboratory, clinical-trial, and regulatory terminology used across the Open Peptide Project library, testing standard, and observational protocol.",
      "regulatory_status": "Educational & Harm-Reduction Guide",
      "pmids": "22252914;31671336;37467878",
      "nct_ids": "NCT04881760",
      "search_aliases": "",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/glossary-of-terms/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "combining-peptides",
      "title": "Combining peptides",
      "full_title": "Combining peptides: What the evidence says",
      "kind": "guide",
      "focus_area": "Harm-Reduction Guide",
      "focus_area_key": "guide",
      "evidence_tier": "Harm-Reduction Guide",
      "card_verdict": "Harm-Reduction Guide",
      "card_note": "Evidence-based guide to multi-compound stacking risks, contamination math, and safety monitoring.",
      "regulatory_status": "Educational & Harm-Reduction Guide",
      "pmids": "",
      "nct_ids": "",
      "search_aliases": "",
      "last_checked": "2026-10-15",
      "url": "https://openpeptideproject.org/library/combining-peptides/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "bacteriostatic-water-and-sterility-risks",
      "title": "Bacteriostatic water and sterility risks",
      "full_title": "Bacteriostatic water and sterility risks",
      "kind": "guide",
      "focus_area": "Harm-Reduction Guide",
      "focus_area_key": "guide",
      "evidence_tier": "Harm-Reduction Guide",
      "card_verdict": "Harm-Reduction Guide",
      "card_note": "Bacteriostatic Water for Injection is an FDA-approved diluent with specific label limits. Contamination of multi-use injectables is a well-documented cause of bloodstream infections.",
      "regulatory_status": "Educational & Harm-Reduction Guide",
      "pmids": "40156049",
      "nct_ids": "",
      "search_aliases": "",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/bacteriostatic-water-and-sterility-risks/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "compounding-pharmacy-503a-vs-503b-vs-fda-approved-peptides",
      "title": "503A vs. 503B compounding pharmacies vs. FDA-approved peptide drugs",
      "full_title": "503A vs. 503B compounding pharmacies vs. FDA-approved peptide drugs",
      "kind": "guide",
      "focus_area": "Regulatory Guide",
      "focus_area_key": "guide",
      "evidence_tier": "Regulatory Guide",
      "card_verdict": "Regulatory Guide",
      "card_note": "Based on the FD&C Act, FDA rules and FDA web guidance. Legal status changes; check FDA's live lists for any specific substance.",
      "regulatory_status": "Educational & Harm-Reduction Guide",
      "pmids": "29183075;39509151;42752426",
      "nct_ids": "",
      "search_aliases": "",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/compounding-pharmacy-503a-vs-503b-vs-fda-approved-peptides/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "counterfeit-and-mislabeled-gray-market-peptides",
      "title": "Counterfeit and mislabeled gray-market peptides",
      "full_title": "Counterfeit and mislabeled gray-market peptides",
      "kind": "guide",
      "focus_area": "Harm-Reduction Guide",
      "focus_area_key": "guide",
      "evidence_tier": "Harm-Reduction Guide",
      "card_verdict": "Harm-Reduction Guide",
      "card_note": "Consistent observational evidence from test purchases, seizures and pharmacovigilance that unregulated products are often mislabeled, underdosed, overdosed or contaminated.",
      "regulatory_status": "Educational & Harm-Reduction Guide",
      "pmids": "29183075;29864719;30136411;31671336;38560649;39509151;41773123;42137313",
      "nct_ids": "",
      "search_aliases": "",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/counterfeit-and-mislabeled-gray-market-peptides/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "endotoxins-and-tfa-salts-in-peptides",
      "title": "Endotoxins and TFA salts in peptides",
      "full_title": "Endotoxins and TFA salts in peptides",
      "kind": "guide",
      "focus_area": "Lab-Literacy Guide",
      "focus_area_key": "guide",
      "evidence_tier": "Lab-Literacy Guide",
      "card_verdict": "Lab-Literacy Guide",
      "card_note": "Endotoxin contamination of commercial peptides is documented in lab and market studies. TFA salt effects are shown in cell culture, not humans.",
      "regulatory_status": "Educational & Harm-Reduction Guide",
      "pmids": "10567002;17910052;22252914;39509151;40398094",
      "nct_ids": "",
      "search_aliases": "",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/endotoxins-and-tfa-salts-in-peptides/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "gh-secretagogues-igf1-cancer-and-glucose-risks",
      "title": "Growth hormone secretagogues (GHRH and ghrelin mimetics): glucose, fluid retention and IGF-1 risks",
      "full_title": "Growth hormone secretagogues (GHRH and ghrelin mimetics): glucose, fluid retention and IGF-1 risks",
      "kind": "guide",
      "focus_area": "Harm-Reduction Guide",
      "focus_area_key": "guide",
      "evidence_tier": "Harm-Reduction Guide",
      "card_verdict": "Harm-Reduction Guide",
      "card_note": "Moderate for the class signals where they come from an FDA label (tesamorelin) or RCTs (MK-677). Very limited or absent for most gray-market secretagogues, which have no long-term human safety data.",
      "regulatory_status": "Educational & Harm-Reduction Guide",
      "pmids": "9285939;9820615;15110491;16352683;18057338;18981485;21067829;25331030;42395176",
      "nct_ids": "",
      "search_aliases": "",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/gh-secretagogues-igf1-cancer-and-glucose-risks/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "glp-1-lean-mass-loss-and-muscle-preservation",
      "title": "GLP-1 lean mass loss and muscle preservation",
      "full_title": "GLP-1 lean mass loss and muscle preservation",
      "kind": "guide",
      "focus_area": "Evidence Summary Guide",
      "focus_area_key": "guide",
      "evidence_tier": "Evidence Summary Guide",
      "card_verdict": "Evidence Summary Guide",
      "card_note": "Moderate: a 2026 systematic review of 35 RCTs quantifies lean-mass loss; muscle-sparing add-on drugs remain investigational.",
      "regulatory_status": "Educational & Harm-Reduction Guide",
      "pmids": "33567185;41068996;41772149;41996180;42346344",
      "nct_ids": "NCT05616013",
      "search_aliases": "",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/glp-1-lean-mass-loss-and-muscle-preservation/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "glp1-gastrointestinal-side-effects-pancreatitis-and-gallbladder-risks",
      "title": "Incretin and GLP-1 drug safety: GI side effects, gallbladder, pancreatitis, lean mass and anesthesia",
      "full_title": "Incretin and GLP-1 drug safety: GI side effects, gallbladder, pancreatitis, lean mass and anesthesia",
      "kind": "guide",
      "focus_area": "Harm-Reduction Guide",
      "focus_area_key": "guide",
      "evidence_tier": "Harm-Reduction Guide",
      "card_verdict": "Harm-Reduction Guide",
      "card_note": "Strong for GI effects and gallbladder risk (large RCTs, meta-analysis, FDA labels). Label-based for pancreatitis, thyroid C-cell warnings and aspiration.",
      "regulatory_status": "Educational & Harm-Reduction Guide",
      "pmids": "33567185;35344001;35658024;39471342;39482213;39509151;41996180",
      "nct_ids": "",
      "search_aliases": "",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/glp1-gastrointestinal-side-effects-pancreatitis-and-gallbladder-risks/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "how-blind-retail-batch-testing-works",
      "title": "How blind retail batch testing works: the Open Peptide Standard chain of custody",
      "full_title": "How blind retail batch testing works: the Open Peptide Standard chain of custody",
      "kind": "guide",
      "focus_area": "Lab-Literacy Guide",
      "focus_area_key": "guide",
      "evidence_tier": "Lab-Literacy Guide",
      "card_verdict": "Lab-Literacy Guide",
      "card_note": "Policy: describes the published Open Peptide Standard (Protocol v1.1). Why it is designed this way draws on published test-purchase studies.",
      "regulatory_status": "Educational & Harm-Reduction Guide",
      "pmids": "29183075;38560649;39509151",
      "nct_ids": "",
      "search_aliases": "",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/how-blind-retail-batch-testing-works/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "how-to-evaluate-human-vs-rodent-peptide-studies",
      "title": "Why rodent peptide studies often fail in humans (and how to read preclinical claims)",
      "full_title": "Why rodent peptide studies often fail in humans (and how to read preclinical claims)",
      "kind": "guide",
      "focus_area": "Evidence Summary Guide",
      "focus_area_key": "guide",
      "evidence_tier": "Evidence Summary Guide",
      "card_verdict": "Evidence Summary Guide",
      "card_note": "Based on systematic reviews of animal-to-human translation, FDA first-in-human guidance and this library's published grading rules.",
      "regulatory_status": "Educational & Harm-Reduction Guide",
      "pmids": "17175568;20361020;20361022;23401516",
      "nct_ids": "",
      "search_aliases": "",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/how-to-evaluate-human-vs-rodent-peptide-studies/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "how-to-read-a-peptide-coa",
      "title": "How to read a peptide certificate of analysis (COA)",
      "full_title": "How to read a peptide certificate of analysis (COA)",
      "kind": "guide",
      "focus_area": "Lab-Literacy Guide",
      "focus_area_key": "guide",
      "evidence_tier": "Lab-Literacy Guide",
      "card_verdict": "Lab-Literacy Guide",
      "card_note": "A COA is a seller-supplied document, not proof. Published testing shows labels and purity claims on unregulated peptide products are often wrong.",
      "regulatory_status": "Educational & Harm-Reduction Guide",
      "pmids": "22252914;29183075;31671336;37467878;39509151;41445733",
      "nct_ids": "",
      "search_aliases": "",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/how-to-read-a-peptide-coa/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "hplc-vs-lc-ms-peptide-testing-explained",
      "title": "HPLC purity vs. LC-MS identity: why one test cannot replace the other",
      "full_title": "HPLC purity vs. LC-MS identity: why one test cannot replace the other",
      "kind": "guide",
      "focus_area": "Lab-Literacy Guide",
      "focus_area_key": "guide",
      "evidence_tier": "Lab-Literacy Guide",
      "card_verdict": "Lab-Literacy Guide",
      "card_note": "Based on analytical-chemistry literature, FDA impurity guidance and the published Open Peptide Standard. This is a method explainer, not a product rating.",
      "regulatory_status": "Educational & Harm-Reduction Guide",
      "pmids": "22252914;25044089;26719571;29864719;30136411;31671336;36949371",
      "nct_ids": "",
      "search_aliases": "",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/hplc-vs-lc-ms-peptide-testing-explained/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "immunogenicity-and-anti-drug-antibodies-in-peptides",
      "title": "Immunogenicity and anti-drug antibodies in peptides",
      "full_title": "Immunogenicity and anti-drug antibodies in peptides",
      "kind": "guide",
      "focus_area": "Pharmacology Guide",
      "focus_area_key": "guide",
      "evidence_tier": "Pharmacology Guide",
      "card_verdict": "Pharmacology Guide",
      "card_note": "Mechanism and risk-assessment methods are established in regulatory science; clinical rates for unapproved products are unknown.",
      "regulatory_status": "Educational & Harm-Reduction Guide",
      "pmids": "37467878;39185315;40398094;41445733",
      "nct_ids": "",
      "search_aliases": "",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/immunogenicity-and-anti-drug-antibodies-in-peptides/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "n-of-1-self-tracking-and-observational-registry-methods",
      "title": "N-of-1 self-tracking and observational registries: what they can and cannot show",
      "full_title": "N-of-1 self-tracking and observational registries: what they can and cannot show",
      "kind": "guide",
      "focus_area": "Evidence Summary Guide",
      "focus_area_key": "guide",
      "evidence_tier": "Evidence Summary Guide",
      "card_verdict": "Evidence Summary Guide",
      "card_note": "Based on methods research on blinding, placebo and N-of-1 trials, and on the published Open Peptide registry protocol. A methods explainer, not a product rating.",
      "regulatory_status": "Educational & Harm-Reduction Guide",
      "pmids": "15333621;18316340;20091554;20685078;22371859;25976398",
      "nct_ids": "",
      "search_aliases": "",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/n-of-1-self-tracking-and-observational-registry-methods/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "oral-vs-injectable-vs-nasal-peptide-bioavailability",
      "title": "Oral vs injectable vs nasal peptide bioavailability",
      "full_title": "Oral vs injectable vs nasal peptide bioavailability",
      "kind": "guide",
      "focus_area": "Pharmacology Guide",
      "focus_area_key": "guide",
      "evidence_tier": "Pharmacology Guide",
      "card_verdict": "Pharmacology Guide",
      "card_note": "Oral peptide absorption is very low without special formulation; the best-studied example, oral semaglutide, reaches only about 0.4% to 1% absolute bioavailability.",
      "regulatory_status": "Educational & Harm-Reduction Guide",
      "pmids": "30781867;42687069;42797346",
      "nct_ids": "",
      "search_aliases": "",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/oral-vs-injectable-vs-nasal-peptide-bioavailability/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "peptide-degradation-storage-and-cold-chain",
      "title": "Peptide degradation, storage and cold chain",
      "full_title": "Peptide degradation, storage and cold chain",
      "kind": "guide",
      "focus_area": "Lab-Literacy Guide",
      "focus_area_key": "guide",
      "evidence_tier": "Lab-Literacy Guide",
      "card_verdict": "Lab-Literacy Guide",
      "card_note": "General degradation chemistry is well established; storage limits for any specific unapproved product are generally unknown.",
      "regulatory_status": "Educational & Harm-Reduction Guide",
      "pmids": "37467878",
      "nct_ids": "",
      "search_aliases": "",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/peptide-degradation-storage-and-cold-chain/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "peptide-drug-interactions-and-contraindications",
      "title": "Known peptide drug interactions and high-risk contraindications",
      "full_title": "Known peptide drug interactions and high-risk contraindications",
      "kind": "guide",
      "focus_area": "Harm-Reduction Guide",
      "focus_area_key": "guide",
      "evidence_tier": "Harm-Reduction Guide",
      "card_verdict": "Harm-Reduction Guide",
      "card_note": "Regulatory: every interaction here comes from a current FDA-approved label. Interactions for unapproved peptides are largely unstudied.",
      "regulatory_status": "Educational & Harm-Reduction Guide",
      "pmids": "18981485",
      "nct_ids": "",
      "search_aliases": "",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/peptide-drug-interactions-and-contraindications/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "peptide-injection-site-reactions-and-infection-red-flags",
      "title": "Subcutaneous injection-site reactions vs. infection red flags",
      "full_title": "Subcutaneous injection-site reactions vs. infection red flags",
      "kind": "guide",
      "focus_area": "Harm-Reduction Guide",
      "focus_area_key": "guide",
      "evidence_tier": "Harm-Reduction Guide",
      "card_verdict": "Harm-Reduction Guide",
      "card_note": "Based on FDA labels, infectious-disease and allergy guidelines, and outbreak reports. It describes warning signs; it does not tell anyone how to inject or treat themselves.",
      "regulatory_status": "Educational & Harm-Reduction Guide",
      "pmids": "10511524;17910052;23886784;24973422;33204386;39509151;40156049;42692277",
      "nct_ids": "",
      "search_aliases": "",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/peptide-injection-site-reactions-and-infection-red-flags/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "research-use-only-peptides-and-fda-503a-503b-law",
      "title": "Research-use-only peptides and FDA 503A/503B law",
      "full_title": "Research-use-only peptides and FDA 503A/503B law",
      "kind": "guide",
      "focus_area": "Regulatory Guide",
      "focus_area_key": "guide",
      "evidence_tier": "Regulatory Guide",
      "card_verdict": "Regulatory Guide",
      "card_note": "Based on FDA primary documents. Legal status depends on the specific substance and changes over time; check the live FDA lists.",
      "regulatory_status": "Educational & Harm-Reduction Guide",
      "pmids": "42752426",
      "nct_ids": "",
      "search_aliases": "",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/research-use-only-peptides-and-fda-503a-503b-law/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "wada-prohibited-list-and-peptides-in-tested-sports",
      "title": "WADA Prohibited List and peptides in tested sports",
      "full_title": "WADA Prohibited List and peptides in tested sports",
      "kind": "guide",
      "focus_area": "Regulatory Guide",
      "focus_area_key": "guide",
      "evidence_tier": "Regulatory Guide",
      "card_verdict": "Regulatory Guide",
      "card_note": "Based on the WADA 2026 Prohibited List. Athletes should confirm any substance with their anti-doping organization.",
      "regulatory_status": "Educational & Harm-Reduction Guide",
      "pmids": "21752560;29183075;30136411",
      "nct_ids": "",
      "search_aliases": "",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/wada-prohibited-list-and-peptides-in-tested-sports/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    },
    {
      "slug": "whats-really-in-the-vial-net-peptide-content-vs-label-weight",
      "title": "What's Really in the Vial: Net Peptide Content vs. Label Weight",
      "full_title": "What's Really in the Vial: Net Peptide Content vs. Label Weight",
      "kind": "guide",
      "focus_area": "Lab-Literacy Guide",
      "focus_area_key": "guide",
      "evidence_tier": "Lab-Literacy Guide",
      "card_verdict": "Lab-Literacy Guide",
      "card_note": "Based on analytical-chemistry literature and the published Open Peptide Standard. This is a concept explainer. It contains no reconstitution or dose calculations.",
      "regulatory_status": "Educational & Harm-Reduction Guide",
      "pmids": "16687256;26719571;31671336;36949371;40872554",
      "nct_ids": "",
      "search_aliases": "",
      "last_checked": "2026-10-27",
      "url": "https://openpeptideproject.org/library/whats-really-in-the-vial-net-peptide-content-vs-label-weight/",
      "license": "CC BY 4.0 — Open Peptide Project (https://openpeptideproject.org)"
    }
  ]
}