Peptide therapy, prescribed and managed by your doctor
Peptides are short chains of amino acids that act as signals in the body. At Trio, a board-certified physician builds your plan around your goals and your labs, prescribes it through a licensed pharmacy, and adjusts it as you go. Visits are at home or by secure video.
Questions? Call (737) 363-3226, answered 24 hours a day.
● Board-certified Emergency Medicine
● A plan built on your labs
● Prepared by a licensed pharmacy
● HSA and FSA accepted
From first visit to a plan that fits you
Consult
Your doctor learns your goals, whether that is recovery, sleep, energy, body composition or libido, and takes your full history.
Labs
Your doctor orders blood work that matches your goal. Growth hormone support starts with a baseline IGF-1 level.
Your plan
Your doctor chooses the peptide, sets the dose and schedule, and shows you how to take it.
Delivered
A licensed pharmacy prepares your prescription and ships it to you.
Follow-up
Your doctor checks in, repeats labs when needed and adjusts the dose.
Peptide therapy for the goals patients bring us
Recovery and repair
For patients recovering from an injury or a procedure, often alongside physical therapy. Your doctor reviews the options with you, what is and is not known about them, and whether one fits your injury and history.
Sleep, recovery and body composition
Sermorelin prompts your body to release its own growth hormone rather than replacing it. Patients use it for sleep, recovery and body composition, and your doctor checks your IGF-1 level along the way.
Energy and cellular health
NAD+ is a coenzyme that every cell uses to make energy, and its levels decline with age. Glutathione is the body’s main antioxidant. Patients use them for energy, mental clarity and recovery, sometimes alongside vitamin B12.
Sexual health
Bremelanotide (PT-141) works on the brain’s desire pathways rather than on blood flow. It is the active ingredient in Vyleesi, which is FDA-approved for low sexual desire in premenopausal women. The compounded form your doctor prescribes is not FDA-approved.
Who peptide therapy is for, and who it is not for
A good fit
- Adults with a clear goal: recovery, sleep, energy, body composition or libido
- People who want a doctor to manage the dose rather than guess
- Patients who will start with lab work and keep their follow-up visits
Peptides are not for you if
- You are pregnant, trying to conceive or breastfeeding
- You have active cancer
- You compete in a sport that tests for banned substances
If you have a history of cancer, diabetes, or pituitary, heart, kidney or liver disease, your doctor reviews it with you before anything is prescribed.
Monitored from start to finish
The most common side effect is mild redness where you inject. Some people notice flushing, nausea or a headache in the first few days. Growth hormone support can raise IGF-1 and blood sugar, which is why your doctor checks your labs.
Your doctor confirms the pharmacy and the product before you start.
Labs are repeated when your plan calls for it, and the dose is adjusted to how you respond.
You will know which symptoms mean you should call us the same day. Our line is answered 24 hours a day.
A prescription with your name on it
Peptides sold online as “research use only” are not made for people, and no one checks what is in the vial. In August 2026 the FDA sent warning letters to several online sellers, including one in Texas. A Trio peptide is prepared for you by a licensed pharmacy, and a doctor is responsible for your plan.1
Your cost, confirmed up front
You pay for your visits with your doctor, and the pharmacy fills the peptide separately. Cost depends on the peptide and the plan, and we confirm it before you start. No membership fee. HSA and FSA cards are accepted.
Serving Austin and Dallas-Fort Worth
Austin
Ann Czarnik, M.D., FACEP, and Nora Demchur, M.D. In your home or by video across Austin, Downtown Austin, East Austin, Rosedale, Tarrytown, Northwest Hills, Balcones Park, Zilker, Bouldin Creek, Travis Heights, West Lake Hills and Rollingwood.
Dallas-Fort Worth
Kelsey English, M.D., with Trio founder Ann Czarnik, M.D., FACEP. In your home or by video across Dallas, Downtown Dallas, Deep Ellum, Uptown Dallas, Highland Park, University Park, Preston Hollow, Fort Worth, Downtown Fort Worth, Cultural District, Southlake, Westlake and Mansfield.
Peptide therapy questions, answered
Peptides are short chains of amino acids that act as signals in the body. Peptide therapy uses specific peptides, prescribed by a physician, to support goals like recovery, sleep, energy, body composition and libido.
Some peptide ingredients are in FDA-approved drugs, such as bremelanotide in Vyleesi. Peptides prepared by a compounding pharmacy for you are not FDA-approved and are not the brand-name product, which is why a physician prescribes and monitors them.
Usually, yes. Your doctor orders blood work that matches your goal. Growth hormone support always starts with a baseline IGF-1 level.
Most are a small injection under the skin with an insulin syringe, and some come as a nasal spray or a dissolvable form. Your doctor shows you how and sets your schedule.
No. Trio has no waiting room. Your doctor sees you at home or by secure video, and you can call (737) 363-3226 any time.
This page is general information, not medical advice. A Trio physician decides whether a peptide is right for you after a consult. Compounded medications are prepared by licensed pharmacies and are not FDA-approved.
Sources
- U.S. Food and Drug Administration. Warning letter to Royal Peptides LLC, August 24, 2026. fda.gov
- Vyleesi (bremelanotide) prescribing information. accessdata.fda.gov
- U.S. Food and Drug Administration. Bulk drug substances used in compounding under section 503A. fda.gov
- Related reading: FDA Peptides in 2026: What the July Vote Changed