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 River Park consultation
River Park sits on Florida’s Treasure Coast inside St. Lucie County, threaded by the St. Lucie River and a short drive from Port St. Lucie and Stuart. Specialist endocrine appointments often mean a drive south to West Palm Beach or north to Vero Beach. A telehealth sermorelin workflow eliminates that travel calculus and runs the entire protocol by secure video from a River Park living room.
Growth hormone output peaks in the early twenties and declines roughly 1 to 2 percent per year thereafter. By the late forties, daily GH secretion typically sits at half its peak. The pituitary somatotrophs are still functional — what fades is hypothalamic GHRH pulse amplitude, particularly the overnight bursts that synchronize with slow-wave sleep.
Sermorelin is the bioactive 29-amino-acid N-terminal fragment of native GHRH. Injected subcutaneously in the evening, it binds the GHRH receptor on anterior pituitary somatotrophs and triggers a pulse of endogenous growth hormone. That pulse drives hepatic IGF-1 synthesis through the deep-sleep window. Negative feedback through somatostatin remains intact, and supraphysiologic exposure does not occur.
Direct recombinant somatropin substitutes for the pituitary entirely. Plasma GH rises sharply and persists, suppressing the body’s own production and overriding the pulsatile rhythm that the receptor system evolved to expect. Sermorelin restores the rhythm rather than replacing it. If pituitary reserves are exhausted, sermorelin will not work; in the more common scenario of a sluggish but intact axis, it produces measurable IGF-1 improvement with a substantially lower exposure footprint.
Intake runs 40 to 50 minutes by video. The clinician collects symptom history — sleep architecture, energy through the day, body composition changes, libido, recovery from heat and humidity, mood, hair and skin. Medication reconciliation covers corticosteroids, opioids, and glucose-active agents. Cancer history personal and familial is documented in detail.
Requisitions release to the Quest Diagnostics in Port St. Lucie or to the Labcorp Patient Service Center near Cleveland Clinic Tradition Hospital. Fasting is required for lipids and the metabolic panel. Results post to the portal within three to five business days.
Initial dosing sits between 0.2 and 0.3 mg subcutaneously, administered nightly an hour before sleep on a five-on, two-off schedule. Evening timing matters because the largest endogenous GH pulse occurs during the first cycle of slow-wave sleep, and sermorelin amplifies it rather than overriding it.
Cycles run three to six months. IGF-1 is rechecked at week ten, with the target sitting in the upper-quartile range for age. A four to eight week washout typically follows the cycle; some patients run continuous protocols with quarterly labs.
Prescriptions dispense from a 503A compounding pharmacy operating under USP General Chapter <797> — ISO classified air, gowning, beyond-use dating tied to sterility testing, and routine environmental sampling. Each lot ships with a certificate of analysis listing identity, purity by HPLC, and sterility by membrane filtration. Cold-chain shipping arrives in River Park typically within 48 hours; insulated packaging is engineered to hold through Florida summer afternoons.
Vials arrive lyophilized. The follow-up video walks the patient through reconstitution with bacteriostatic water, dose draw with a 31-gauge insulin syringe, and subcutaneous injection into the abdomen or outer thigh.
| Component | Range |
|---|---|
| Initial consult | $99 – $200 |
| Baseline labs | $100 – $250 |
| Monthly Rx | $250 – $450 |
| Follow-up IGF-1 | $40 – $80 |
Insurance plans do not cover sermorelin for adult wellness use. Costs are out-of-pocket. HSA and FSA eligibility varies.
Candidates are 30 to 65 with symptoms consistent with declining pituitary output and a baseline IGF-1 in the low-normal range. Active or recently treated malignancy, pregnancy or breastfeeding, severe untreated obstructive sleep apnea, and uncontrolled diabetic retinopathy are absolute exclusions. Relative cautions include uncontrolled hypertension and recent cardiovascular events.
The therapy works best as a multiplier on existing habits. River Park residents who walk Savannas Preserve State Park in the morning, prioritize seven to eight hours of dark, cool sleep, and stay disciplined with alcohol through humid St. Lucie summers consistently report stronger responses. Resistance training two to four times a week amplifies the IGF-1 response. Skipping a high-glycemic snack within an hour of the evening injection preserves the GH pulse, since elevated insulin blunts the pituitary response sharply. After the first cycle, most patients settle into a quarterly video check-in with a single fasting lab visit between calls.
No clinic visit. No insurance forms. A clinician licensed in Florida reviews your intake and labs, decides whether sermorelin fits, and writes a prescription to a partner compounding pharmacy that shipped to your address in River Park.
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 Florida (FL) 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 Florida decides. If sermorelin is not for you, you get a full refund.
Start your River Park consultation