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Clinics in San Francisco, California

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San Francisco, CA

Peptide Therapy clinics in San Francisco

San Francisco has a tech-founder longevity culture and some of the country's most rigorous pharmacy oversight, and peptide therapy has grown into a visible slice of the local wellness market. The clinics we track across Pacific Heights, SoMa, the Marina, and the Peninsula range from physician-led longevity practices to medspa-adjacent wellness offices offering sermorelin blends and growth hormone peptides. Most local prescribers have training or admitting privileges within the UCSF, Stanford, and Sutter CPMC network. The scene here skews toward founder-focused longevity clinics integrating peptides with CGMs, VO2 max testing, and genomics. The regulatory landscape shifted sharply in 2023 and 2024 when the FDA placed several widely prescribed peptides on its Category 2 bulk substances list, restricting which ingredients compounding pharmacies could legally source. That changed access overnight for BPC-157, CJC-1295, ipamorelin, and thymosin beta-4. Sermorelin and tesamorelin remain FDA-approved for specific indications, and reputable San Francisco clinics now draw a clearer line between approved peptides and off-label research compounds than they did two years ago.

17 Clinics

Integrated Healing Medicine and Wellness

San Francisco, CA

Integrated Healing Medicine and Wellness, a functional and integrative-medicine clinic in San Francisco, offers cell-based therapies including stem-cell and exosome treatment alongside platelet-rich …

  • PRP Therapy
  • Arthritis Treatment
  • Peptide Therapy
  • Stem Cell Therapy

Compassionate Wellness

San Francisco, CA

Compassionate Wellness, a hormone optimization clinic in San Francisco, specializes in testosterone replacement therapy and peptide therapy for patients seeking to address hormone-related decline and…

  • Peptide Therapy
  • Testosterone Replacement Therapy (TRT)
  • Hormone Replacement Therapy (HRT)
MD on staff

The Hydration Room

San Francisco, CA

The Hydration Room, an IV therapy clinic in San Francisco, specializes in intravenous nutrient protocols including Myers Cocktails, NAD+ infusions, and vitamin supplementation alongside regenerative-…

  • Stem Cell Therapy
  • NAD IV Therapy
  • Vitamin IV Therapy
  • IV Therapy
  • IV Hydration

Infinite Health Zone Integrative Medicine

San Francisco, CA

Infinite Health Zone, an integrative-medicine clinic in San Francisco, offers IV therapy including NAD+ infusions and IV hydration alongside ketamine therapy for treatment-resistant mood conditions. …

  • IV Therapy
  • IV Hydration
  • Ketamine Therapy
  • Peptide Therapy
  • TMJ Treatment
MD on staff

The Institute for Predictive Medicine and Longevity

San Francisco, CA

The Institute for Predictive Medicine and Longevity, located in San Francisco, specializes in personalized longevity programs combining predictive medicine, regenerative therapies, and hormone optimi…

  • IV Therapy
  • Peptide Therapy
  • Erectile Dysfunction (ED) Treatment
  • Hormone Replacement Therapy (HRT)
MD on staff

Vital Men's Health

San Francisco, CA

Vital Men's Health, a regenerative men's-health clinic in San Francisco, specializes in testosterone replacement therapy and platelet-rich plasma injections for erectile dysfunction and sexual perfor…

  • PRP Therapy
  • Shockwave Therapy
  • Peptide Therapy
  • Erectile Dysfunction (ED) Treatment
  • Testosterone Replacement Therapy (TRT)
MD on staff

Leena Pandya, ND BCB

San Francisco, CA

Leena Pandya, ND BCB, a functional-medicine practice in San Francisco, offers integrative treatment combining regenerative orthobiologics with hormone optimization and IV therapy. The clinic speciali…

  • Biofeedback Therapy
  • PRP Therapy
  • IV Therapy
  • Arthritis Treatment
  • Peptide Therapy
MD on staff

California Regenerative Clinic

San Francisco, CA

California Regenerative Clinic, a regenerative medicine practice in San Francisco, specializes in stem-cell therapy, peptide protocols, and hormone optimization alongside erectile-dysfunction treatme…

  • PRP Therapy
  • Shockwave Therapy
  • Arthritis Treatment
  • Peptide Therapy
  • Erectile Dysfunction (ED) Treatment
MD on staff

Radiant Health SF

San Francisco, CA

Radiant Health SF, a hormone optimization clinic in San Francisco, specializes in bioidentical hormone replacement, peptide therapy, and NAD+ infusions. The practice takes an individualized approach …

  • IV Therapy
  • Peptide Therapy
  • Erectile Dysfunction (ED) Treatment
  • Hormone Replacement Therapy (HRT)
  • NAD IV Therapy

Healthwell Physical Therapy Group

San Francisco, CA

Healthwell Physical Therapy Group, a regenerative-medicine clinic in San Francisco, offers a comprehensive range of cell-based therapies, orthobiologics, and energy-based treatments. The clinic featu…

  • PRP Therapy
  • Shockwave Therapy
  • Ozone Therapy
  • IV Therapy
  • Hyperbaric Oxygen Therapy (HBOT)
MD on staff

Clarus Health

San Francisco, CA

Clarus Health, a ketamine and NAD clinic in San Francisco, specializes in ketamine infusion and esketamine therapy alongside NAD IV therapy for treatment-resistant depression, anxiety, chronic pain, …

  • Ozone Therapy
  • IV Therapy
  • Hyperbaric Oxygen Therapy (HBOT)
  • Ketamine Therapy
  • Migraine Treatment

Gameday Men's Health Downtown San Francisco TRT & ED Clinic

San Francisco, CA

Gameday Men's Health, a testosterone replacement therapy and peptide-therapy clinic in downtown San Francisco, specializes in hormone optimization and erectile-dysfunction treatment for men. The prac…

  • PRP Therapy
  • Shockwave Therapy
  • IV Therapy
  • Arthritis Treatment
  • Peptide Therapy
MD on staff

Premier Wellness & Aesthetics Center

San Francisco, CA

Premier Wellness & Aesthetics Center, a peptide-therapy clinic in San Francisco, specializes in peptide protocols for hormone optimization and systemic support. The clinic offers individualized pepti…

  • Peptide Therapy
  • Hormone Replacement Therapy (HRT)

Wellbiohealth

San Francisco, CA

Wellbiohealth, a peptide and hormone optimization clinic in San Francisco, specializes in individualized peptide therapy guided by advanced laboratory testing. The practice emphasizes healthspan and …

  • Peptide Therapy
  • Hormone Replacement Therapy (HRT)
MD on staff

Opt Health

San Francisco, CA

Opt Health is a telehealth platform specializing in Testosterone Replacement Therapy and Peptide Therapy for men pursuing hormone optimization and longevity-focused care. The practice addresses testo…

  • Peptide Therapy
  • Erectile Dysfunction (ED) Treatment
  • Testosterone Replacement Therapy (TRT)

Restored Performance

San Francisco, CA

Restored Performance, a hormone optimization clinic in San Francisco, specializes in Testosterone Replacement Therapy and Hormone Replacement Therapy for men and women experiencing age-related hormon…

  • Shockwave Therapy
  • Peptide Therapy
  • Erectile Dysfunction (ED) Treatment
  • Testosterone Replacement Therapy (TRT)
  • Hormone Replacement Therapy (HRT)
MD on staff

B12 LOVE

San Francisco, CA

B12 LOVE, a longevity and anti-aging clinic in San Francisco's Marina neighborhood, specializes in IV nutrient therapy and NAD+ protocols alongside functional-medicine evaluation and personalized lon…

  • NAD IV Therapy
  • Vitamin IV Therapy
  • PRP Therapy
  • IV Therapy
  • Migraine Treatment
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Regulatory context

A note on California's peptide therapy rules.

Most research peptides used in regenerative medicine (BPC-157, TB-500, CJC-1295, ipamorelin) are not FDA-approved drugs. Sermorelin and tesamorelin hold FDA approvals for specific indications. In 2023 and 2024 the FDA placed several peptides into Category 2 on its Bulk Drug Substances Nominated for Use in Compounding list, which restricts 503A compounding pharmacies from sourcing those ingredients for patient-specific prescriptions. Section 503A covers traditional pharmacies; Section 503B covers FDA-registered outsourcing facilities operating under cGMP.

  • California Business and Professions Code Division 2 Chapter 9 (Pharmacy Law)
    Governs compounding, licensure, and sourcing under the California State Board of Pharmacy.
  • California Code of Regulations Title 16 Section 1735 et seq.
    Sets compounding standards for sterile and non-sterile preparations.
  • California Business and Professions Code Section 2052
    Defines practice of medicine and limits who may prescribe or administer drugs.
  • California Naturopathic Doctors Act
    Grants licensed NDs limited prescriptive authority under formulary advisory committee rules.

The California State Board of Pharmacy inspects sterile compounding facilities under stringent state rules that often exceed USP 797. The Board has issued citations for sourcing non-compliant bulk ingredients and for office-use stocking that should have flowed through a 503B. Non-resident pharmacies shipping into California must hold a current non-resident permit; the Board publishes disciplinary actions and annual inspection findings. Clinics dispensing from in-office stock of compounded peptides are examined closely.

Peptide Therapy in San Francisco, answered.

San Francisco clinics most commonly offer sermorelin and sermorelin plus ipamorelin blends for growth hormone support, both of which are FDA-approved for adult GH deficiency. Healing peptides like BPC-157 and thymosin beta-4 (TB-500) are sometimes offered, but neither is FDA-approved and both landed on the FDA's Category 2 bulk list in 2023, which restricts compounding pharmacy sourcing. CJC-1295 and tesamorelin (Egrifta) appear in some protocols; tesamorelin is FDA-approved for HIV-associated lipodystrophy only. Melanotan II, epithalon, and selank are not FDA-approved.

$450 to $700 per month for sermorelin or sermorelin plus ipamorelin blends. $600 to $1,100 per month for BPC-157 plus TB-500 protocols when available through compounding. $550 to $950 per month for peptide plus hormone optimization bundles. Expect $400 to $900 upfront for initial labs (CBC, CMP, IGF-1, hormone panel, inflammatory markers) and the intake consult. Most clinics expect a 3 to 6 month commitment with monthly or quarterly follow-ups, and injection supplies and shipping from the compounding pharmacy are usually bundled into the monthly price.

Sermorelin and tesamorelin are FDA-approved for specific indications, so those are the only peptides a California clinic can prescribe as standard practice with full FDA backing. BPC-157, CJC-1295, ipamorelin, thymosin beta-4 (TB-500), epithalon, melanotan, and most other research peptides are not FDA-approved. The FDA's 2023-2024 Category 2 bulk substances list decision meant 503A compounding pharmacies lost legal access to many of those ingredients, so availability fluctuates. Any San Francisco clinic that still offers a long menu of non-approved peptides should disclose exactly where those ingredients come from.

California is a reduced-practice state for nurse practitioners, meaning NPs operate under a collaborative agreement with a supervising physician. MDs and DOs can prescribe peptides directly, and NPs prescribe under that collaboration. All prescriptions must be filled through a state-licensed 503A compounding pharmacy. The Medical Board of California licenses prescribers and the California State Board of Pharmacy enforces sterile compounding standards, including 503A oversight and USP 797 requirements. Peptides are typically administered by subcutaneous injection at home after a training session at the clinic, though some San Francisco offices offer in-clinic injections. Be wary of non-clinical operators selling peptides labeled as research chemicals, which is a federal red flag regardless of state law.

Verify the prescribing physician's active license through the California medical board and confirm their NPI number through the NPPES registry. Ask which 503A compounding pharmacy supplies the peptides and whether that pharmacy is licensed in California. Request baseline labs (CBC, CMP, IGF-1, hormone panel, inflammatory markers) before starting any growth hormone peptide, and confirm a monitoring schedule. Reputable San Francisco clinics in Pacific Heights will clearly distinguish FDA-approved peptides from off-label compounds and avoid marketing research chemicals to the public.

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