Online consultation, lab work at home, and sermorelin shipped to your door. A US licensed clinician reviews your case and writes the prescription only if it makes sense for you.
Start your Arcade consultation
Arcade sits in Wyoming County on the rolling farm country of Western New York, a Genesee Valley village where the Arcade & Attica Railroad still runs heritage trains and commuters head north along Route 98 toward East Aurora and Buffalo. Residents in the 14009 ZIP often look for clinician-supervised peptide care without driving an hour into the Buffalo Medical Campus, and a sermorelin telehealth program with cold-chain pharmacy shipping covers that geography.
Sermorelin is a 29-amino-acid analog of growth-hormone-releasing hormone. Rather than supplying recombinant human growth hormone directly, it binds GHRH receptors on the anterior pituitary and prompts the gland to release the patient’s own GH in physiologic pulses. The bulk of those pulses occur during the first slow-wave-sleep cycles of the night. Because the hypothalamic feedback loop remains intact, the body keeps its built-in brake on supraphysiologic GH exposure. Clinicians using sermorelin for adult wellness across Western New York generally consider this preserved negative-feedback architecture the principal safety contrast against recombinant HGH.
The first appointment is a 30 to 45-minute secure video visit. The clinician walks through sleep architecture, recovery from physical work and winter shoveling, libido, body-composition trajectory, lipid history, and any first-degree-relative cancer history. Arcade residents draw at Quest or Labcorp sites in Warsaw, Springville, and along the East Aurora corridor.
| Lab | What It Tells the Clinician |
|---|---|
| IGF-1 | Indirect marker for 24-hour GH output |
| Total and free testosterone | Separate axis decline from hypogonadism |
| Complete blood count | Hematocrit and white-cell baseline |
| Comprehensive metabolic panel | Liver enzymes, kidney function, glucose, electrolytes |
| Fasting lipid panel | Cardiovascular risk anchor |
Sermorelin is not stocked at retail pharmacies in Wyoming County. After labs return and the chart review clears the candidate, the prescription routes to a 503A compounding pharmacy where the peptide is reconstituted as a sterile injectable under USP Chapter <797>. Each shipment includes a certificate of analysis listing potency, sterility, and endotoxin results for the specific lot. Patients in Arcade receive the vial, bacteriostatic water diluent, alcohol swabs, and 31-gauge insulin syringes by overnight cold-chain courier. Clinicians typically recommend Monday ship dates through the long Western New York winter so the vial does not sit on a porch in subzero overnight lows; the lake-effect snow belt south of Buffalo occasionally delays shipments by a day, so a one-week backup is the standard advice between Thanksgiving and St. Patrick’s Day.
The candidate pool is generally adults aged 30 to 65 with documented adult-onset GH axis decline or symptoms consistent with it. Sermorelin is not appropriate during active malignancy, pregnancy or breastfeeding, severe untreated sleep apnea, or uncontrolled diabetic retinopathy. A first-degree family history of pituitary adenoma or a recent abnormal pituitary MRI also closes the door on outpatient peptide therapy. Patients on insulin or with poorly controlled type 2 diabetes are evaluated case by case, because GH axis activity can shift insulin sensitivity.
| Item | Typical Range |
|---|---|
| Initial video consult | $99 – $200 |
| Baseline labs at Quest or Labcorp | $100 – $250 |
| Monthly compounded sermorelin | $250 – $450 |
| Follow-up IGF-1 at week 10 | $45 – $90 |
Most Western New York telehealth practices operate self-pay because peptide therapy for adult wellness is not a covered benefit. Arcade patients commonly schedule the week 10 redraw on a Monday after a rest weekend, which avoids the transient IGF-1 noise that hard endurance work or long deer-season walks can introduce. From the first video visit through the third-month review, the entire pathway happens between an Arcade kitchen and a nearby draw center, with no in-person clinic step beyond the phlebotomy chair.
No clinic visit. No insurance forms. A clinician licensed in New York reviews your intake and labs, decides whether sermorelin fits, and writes a prescription to a partner compounding pharmacy that shipped to your address in Arcade.
01
Twenty-minute health questionnaire on energy, sleep, recovery and history. Asynchronous, on your phone, no waiting room.
02
A blood draw kit is sent to your home or a partner lab is scheduled near you. IGF-1, fasting glucose, full metabolic panel.
03
A licensed clinician in your state reads your file and decides whether sermorelin is medically appropriate. If not, full refund.
04
Compounded sermorelin arrives with insulin syringes, alcohol pads and a clear dosing protocol. A 1:1 health coach is included.
Pricing is bundled. The intake, the clinician review, the labs and the medication ship together as a single program. Most plans run between 180 and 240 dollars per month depending on dose and format. HSA and FSA cards are accepted at most partner providers.
Final pricing varies by clinician and pharmacy and is presented before any commitment.
Sermorelin works on a slow curve because it asks the body to make its own growth hormone. Results compound over months, not days. A typical reported timeline looks like this.
Weeks 1 to 4
Deeper sleep is usually the first signal. Morning energy lifts. Recovery from training feels faster. No measurable body composition change yet.
Weeks 5 to 8
Skin texture, hair quality and nail strength tend to shift. Mental clarity in the afternoon improves. Strength on lifts often goes up.
Weeks 9 to 12
Body composition starts moving, with a typical 5 to 10 percent fat reduction reported alongside small lean mass gains. Libido and joint comfort improve.
Month 4 and beyond
A follow-up IGF-1 lab is drawn. Dose is adjusted up or down. Many patients maintain on a lower dose after this point.
Yes. A clinician licensed in your state writes a prescription to a partner compounding pharmacy. The medication is dispensed under federal sections 503A and 503B by a registered pharmacy. You receive a copy of the prescription with your shipment.
No. The whole flow is asynchronous. You complete the intake on your phone, draw the lab at home or at a partner lab, and the clinician reviews your case online. If a video visit is required by your state, it is scheduled at no additional cost.
Sermorelin is legal in New York (NY) when prescribed by a clinician licensed in the state. Each state medical board sets its own scope of practice, but compounded sermorelin dispensed under federal 503A and 503B is permitted across all 50 states.
Most national telehealth networks operate in all 50 states and can transfer your case to a clinician licensed in the new state. Your prescription continues without a break.
Yes. Subscriptions are cancelable from your dashboard. You keep what has already shipped and you are not charged again. There is no minimum commitment beyond the standard 12 week protocol that is recommended for clinical reasons.
Reported side effects are generally mild and include injection site redness, transient flushing and occasional headache. Sermorelin uses your own pituitary gland, which tends to be safer than synthetic HGH because the body retains its natural feedback loop.
Compounded peptides are typically not covered by insurance. HSA and FSA cards are accepted by most providers and let you pay with pre-tax dollars. The all-in cost is presented before you commit.
Online intake. Labs at home. A clinician licensed in New York decides. If sermorelin is not for you, you get a full refund.
Start your Arcade consultation