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Andropause & Hormones  ·  Sexual Wellness & Libido

Kisspeptin

Metastin, KISS1 peptide

A compounded, investigational hypothalamic peptide being evaluated for support of the hypothalamic-pituitary-gonadal axis in eligible adults.

Baseline Labs Required Compounded Subcutaneous injection (as prescribed) Prescription Consultation Required
Provider approval and a live video consultation are required before treatment. Schedule now →

What Is It?

Kisspeptin is a peptide produced in the hypothalamus that plays a central role in signaling the release of gonadotropin-releasing hormone (GnRH), which in turn drives the release of LH and FSH from the pituitary. In laboratory and early clinical research, kisspeptin analogs have been evaluated for effects on hypothalamic-pituitary-gonadal axis signaling and sexual response. In the United States, kisspeptin is dispensed as a compounded prescription and is not FDA-approved. Some providers use it as part of a broader plan supporting hormone-related concerns, libido, or fertility-adjacent goals in eligible adults under monitoring.

What May It Support?

  • Hormonal signaling support (being evaluated)
  • Sexual response (being evaluated)
  • Adjunctive support in a broader hormone-optimization plan

Which Programs May Include It?

Where It Fits

Binds KISS1 receptors on GnRH-producing neurons in the hypothalamus and is being evaluated for effects on gonadotropin release and downstream sex-hormone signaling.

Beginner
Provider-directed use
Intermediate
Provider-directed use
Advanced
Provider-directed use

Do I Need Bloodwork?

Baseline Labs Required

Regular follow-up with hormonal labs at intervals determined by the treating provider.

Likely baseline panel may include: CBC, CMP, Total testosterone, Free testosterone, Estradiol, LH, FSH, SHBG, Prolactin, Pregnancy test when applicable

Important Safety Information

Common side effects may include:

  • Injection-site reactions
  • Flushing
  • Headache
  • Occasional light-headedness
  • Nausea
  • Transient changes in mood or libido
Serious WarningsLong-term safety data in humans is limited
May alter downstream sex hormone levels; monitoring is required
Not established for use during pregnancy or breastfeeding
Should not be combined with hormone therapy without provider review

Drug interactions: May interact with any medication or supplement that affects sex hormones. Provider should review the complete medication list.

Contraindications:

  • Active hormone-sensitive malignancy without provider clearance
  • Pregnancy or breastfeeding
  • Known hypersensitivity to kisspeptin or any product component
Pregnancy & BreastfeedingNot recommended during pregnancy, while trying to conceive without provider direction, or while breastfeeding.
Cancer-Related ConsiderationsNot for patients with active hormone-sensitive malignancy. Any personal or family history of cancer should be disclosed to your provider before considering this therapy.

Regulatory Status

Kisspeptin is not FDA-approved for any indication. When prescribed by a licensed medical provider, it is dispensed as a compounded prescription.

Compounded MedicationCompounded medications are not FDA-approved and are not reviewed by FDA for safety, effectiveness, or quality before marketing.

Frequently Asked Questions

Is kisspeptin a form of testosterone therapy?
No. Kisspeptin acts upstream of the pituitary and does not replace testosterone. Some providers use it in patients whose evaluation suggests hypothalamic-level support may be appropriate.
Do I need bloodwork before starting?
Yes. Baseline hormonal labs are required so your provider can assess suitability and monitor safely.
Can kisspeptin help fertility?
Kisspeptin is being investigated in reproductive medicine, but VidaVital Medical does not represent it as a fertility treatment. Fertility care should be directed by a reproductive-medicine specialist.
Is kisspeptin right for me?
Because kisspeptin is a compounded, investigational therapy, eligibility depends on a licensed medical provider's review of your history and labs during a live video consultation.

Consultation

Treatment is not automatically provided. A licensed medical provider must review your history, symptoms, medications, laboratory results, and treatment goals before determining eligibility.

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Not sure where to start?

Answer a short set of questions about your goals and health history and see educational Beginner, Intermediate, and Advanced pathways your provider may discuss with you.

Not Medical Advice

The information provided on this website is for general educational purposes and is not medical advice, a diagnosis, or a prescription. Treatment recommendations are not final until a licensed medical provider completes a live consultation, reviews your medical history and medications, evaluates relevant laboratory results, and determines that treatment is medically appropriate.

Compounded Medication Disclosure

Certain treatments may be prepared by a compounding pharmacy pursuant to an individual prescription. Compounded medications are not FDA-approved, and FDA does not review them for safety, effectiveness, or quality before marketing.

Results

Your results identify subjects to discuss with a provider. They do not establish medical eligibility or guarantee that any medication will be prescribed.

Emergencies

This website is not intended for emergencies. Call 911 or seek immediate medical attention for urgent or severe symptoms.