Keep the questions close to the decision.

Are peptide medicines real?

Yes, insulin is one example. The tiny parts used to build proteins are called amino acids. Short chains of them are peptides.

The US drug regulator, Food and Drug Administration (FDA), has approved other peptide medicines for named uses.

That does not establish approval for every product described as “peptide treatment”.

Does a prescription settle the product’s status?

A drug made to order is called compounded. Prescribing it does not give it FDA approval.

Medicines made using living cells, including some protein medicines, are called biologics. FDA says a pharmacy has no permission under the compounding rules to prepare a biologic.

Can the conversation happen online?

Sometimes. The medical boards’ advice allows a first visit online if the clinician can assess your health and provide the care your concern needs.

Your state’s rules still apply. If an examination is needed, the clinician may have to send you for an office visit.

Does everyone need the same blood tests?

The medical boards’ advice says tests should match what the clinician needs to find out about your health.

Write down your current medicines and gather any results for discussion. Check which records the clinician wants before the visit.

Can a compounded product promise the same result?

FDA identifies claims that a compounded drug is proven to deliver the same result as an approved drug as false or misleading.

Leave with an explanation you can repeat

• What medicine are we discussing: a tablet, injection or something else?
• What condition is it meant to treat, and why this option?
• What evidence fits that product and that use?
• What are the alternatives, including doing nothing for now?
• What problems would make me contact you, and how?
• What will the visit, tests, medicine and follow-up cost?

Ask for the name and plan in writing. Take time to read them before deciding whether the answers fit your concerns.