PEPTIDES + RECOVERY
Recover. Rebuild. Restore. A more complete approach to tissue support, performance and resilience.
Explore physician managed peptide options selected around recovery, tissue support, physical resilience and individual wellness goals. Beyond the Shot™ makes it easier to understand the differences between available options and determine which approach may be appropriate for you.

PEPTIDE + RECOVERY OPTIONS
• BPC-157
• Sermorelin
• CJC-1295 + Ipamorelin
• Cellular + mitochondrial peptides
UNDERSTANDING YOUR OPTIONS
Peptide support isn’t one-size-fits-all. Start with what you want to support.
TISSUE + REPAIR
BPC-157 • GHK-Cu
Centered around tissue recovery, repair and physical resilience.
RECOVERY + PERFORMANCE
Sermorelin • CJC-1295 + Ipamorelin
Options centered around recovery, sleep, performance and body composition support.
CELLULAR + MITOCHONDRIAL SUPPORT
SS-31 • MOTS-c
Options centered around cellular energy, mitochondrial function and resilience.

BPC-157
For tissue repair, recovery + gut support
BPC-157 is a peptide being studied for its potential role in tissue repair and recovery. Research interest includes signaling involved in healing, blood vessel formation and inflammatory response, with particular attention to the gastrointestinal tract, tendons, ligaments and other soft tissues. Unlike weight-management or growth-hormone pathway therapies, BPC-157 is generally explored when recovery or tissue support is the primary goal.
WHY CHOOSE BPC-157
• Recovery from an injury or physical strain is a primary concern
• Tendon, ligament or other soft-tissue support is a goal
• Gut lining or gastrointestinal recovery is an area of concern
• Inflammation is interfering with comfortable movement or recovery
• You want a repair-focused peptide rather than a weight-management therapy
WHAT MAKES BPC-157DIFFERENT?
Dual GIP + GLP-1 Support
REPAIR FOCUSED - BPC-157 is primarily explored for tissue recovery and repair rather than appetite, weight loss or metabolic stimulation.
MUSCULOSKELETAL SUPPORT - Research interest includes signaling involved in tendon, ligament, muscle and other soft-tissue healing.
GUT + TISSUE CONNECTION - BPC-157 originated from research involving gastric peptides, and gastrointestinal tissue protection and repair remain important areas of investigation.
NOT A WEIGHT-LOSS PEPTIDE - BPC-157 does not primarily suppress appetite or stimulate the growth-hormone pathway. Choose it when healing and recovery are the bigger goals.
COMMON THINGS WE EXPLORE: Recovery • Tissue Repair • Tendons + Ligaments • Gut Support • Physical Resilience
COMPARE BEFORE YOU CHOOSE
Choose BPC-157 when localized or systemic tissue recovery, soft-tissue support or gut repair are the primary goals. If you want a broader recovery combination that also incorporates additional tissue or skin-support pathways, compare the available Wolverine, Glow or Klow combinations. If body composition, lean muscle and growth-hormone signaling are the bigger priorities, compare CJC-1295 + Ipamorelin or Sermorelin. If low cellular energy and physical stamina are the primary concerns, compare SS-31.
READY TO EXPLORE YOUR OPTIONS?
Review the available women’s hormone therapies through our medical partner.
Choose the option that most closely matches your goals. Prescription therapies require medical intake and approval through Altro's licensed clinical team before fulfillment. Your clinician may recommend a different option based on your health history, medications or medical eligibility.
SERMORELIN
For recovery, sleep, body composition + healthy aging
Sermorelin is a peptide that works with the body’s natural growth hormone pathway. Rather than supplying growth hormone directly, it signals the pituitary to support the body’s own growth hormone production. It may be explored when recovery, sleep quality, body composition and maintaining vitality with age are the primary goals.
WHY CHOOSE SERMORELIN
• Recovery and physical resilience are priorities
• Sleep quality and nighttime restoration are concerns
• Maintaining healthy body composition with age is a goal
• Healthy aging and vitality are bigger priorities than appetite suppression
• A more foundational growth hormone pathway approach is preferred

WHAT MAKES SERMORELIN DIFFERENT?
Dual GIP + GLP-1 Support
NATURAL GH PATHWAY: Supports signaling for the body's own growth hormone production rather than supplying growth hormone directly.
RECOVERY + RESTORATION: Often explored when sleep, recovery and maintaining physical resilience are priorities.
NOT APPETITE BASED: Unlike GLP 1 therapy, Sermorelin is not primarily used to reduce hunger or food noise.
BROADER HEALTHY AGING FOCUS: Better suited when the goal includes recovery, vitality, body composition and healthy aging rather than targeted abdominal fat.
COMMON THINGS WE EXPLORE: Recovery • Sleep • Body Composition • Physical Resilience • Vitality • Healthy Aging
COMPARE BEFORE YOU CHOOSE
Choose Sermorelin when sleep, recovery, vitality and broader healthy aging support are the primary goals. If visceral abdominal fat or midsection fat is the main concern, compare Tesamorelin. If body composition, lean muscle support and recovery are stronger priorities, compare CJC 1295 + Ipamorelin. If appetite, food noise or significant weight loss is the primary concern, start with Tirzepatide or Semaglutide.
READY TO EXPLORE YOUR OPTIONS?
Review the available women’s hormone therapies through our medical partner.
Choose the option that most closely matches your goals. Prescription therapies require medical intake and approval through Altro's licensed clinical team before fulfillment. Your clinician may recommend a different option based on your health history, medications or medical eligibility.

CJC-1295 + IPAMORELIN
For body composition, lean muscle support + recovery
CJC 1295 + Ipamorelin combines two peptides that work through complementary growth hormone signaling pathways. CJC 1295 supports growth hormone releasing hormone signaling, while Ipamorelin stimulates growth hormone release through the ghrelin receptor. Together, they may be explored when body composition, recovery and maintaining physical resilience are greater priorities than appetite suppression.
WHY CHOOSE CJC-1295 + IPAMORELIN
• Improving overall body composition is a primary goal
• Maintaining or supporting lean muscle is important
• Recovery from exercise or physical activity has become slower
• Physical resilience and healthy aging are priorities
• A broader growth hormone pathway approach is desired rather than appetite suppression
WHAT MAKES CJC-1295 + IPAMORELIN DIFFERENT?
Dual GIP + GLP-1 Support
DUAL PEPTIDE APPROACH: Uses two complementary signaling pathways involved in stimulating growth hormone release.
BODY COMPOSITION FOCUSED: Often explored when maintaining lean mass and improving overall body composition matter more than simply lowering scale weight.
RECOVERY + RESILIENCE: May be considered when exercise recovery, physical resilience and maintaining an active lifestyle are priorities.
NOT APPETITE BASED: Unlike GLP 1 therapy, this combination does not primarily work by suppressing hunger or reducing food intake.
COMMON THINGS WE EXPLORE: Body Composition • Lean Muscle • Recovery • Physical Resilience • Healthy Aging
COMPARE BEFORE YOU CHOOSE
Choose CJC 1295 + Ipamorelin when body composition, lean muscle support and recovery are the primary goals. If visceral abdominal fat is the main concern, compare Tesamorelin. If sleep, restoration and broader healthy aging support are the priority, compare Sermorelin. If significant weight loss, appetite or food noise are the primary concerns, compare Tirzepatide or Semaglutide.
READY TO EXPLORE YOUR OPTIONS?
Review the available women’s hormone therapies through our medical partner.
Choose the option that most closely matches your goals. Prescription therapies require medical intake and approval through Altro's licensed clinical team before fulfillment. Your clinician may recommend a different option based on your health history, medications or medical eligibility.

SS-31
For mitochondrial function, cellular energy + physical resilience
SS-31, also known as elamipretide, is a mitochondrial-targeted peptide designed to interact with structures involved in cellular energy production. Rather than working primarily through appetite regulation, blood sugar signaling or the growth hormone pathway, SS-31 focuses directly on mitochondrial function. It may be explored when low cellular energy, reduced stamina, recovery or resilience are bigger concerns than weight loss itself.
WHY CHOOSE SS-31
• Low energy or reduced physical stamina is a primary concern
• Recovery from normal activity feels slower than it used to
• Supporting mitochondrial function is a primary goal
• Physical resilience and maintaining function with age are priorities
• You want an option that does not primarily work through appetite suppression or growth hormone signaling
WHAT MAKES SS-31 DIFFERENT?
Dual GIP + GLP-1 Support
DIRECT MITOCHONDRIAL FOCUS - SS-31 is designed to interact with cardiolipin within the inner mitochondrial membrane, making its target different from peptides that primarily influence appetite, metabolic signaling or growth hormone pathways.
CELLULAR ENERGY + EFFICIENCY - Research has focused on mitochondrial energy production and how efficiently cells function under metabolic or oxidative stress.
RECOVERY + RESILIENCE - SS-31 may be explored when reduced stamina, physical recovery or resilience are bigger concerns than appetite or weight loss.
NOT A WEIGHT-LOSS PEPTIDE - SS-31 is not intended to work by suppressing appetite or directly driving weight loss. Body-composition changes should not be the primary reason for choosing it.
COMMON THINGS WE EXPLORE: Mitochondrial Health • Cellular Energy • Stamina • Recovery • Physical Resilience • Healthy Aging
COMPARE BEFORE YOU CHOOSE
Choose SS-31 when mitochondrial function, reduced cellular energy, stamina or physical resilience are the primary goals. If insulin resistance, glucose utilization or broader metabolic flexibility are the bigger concerns, compare MOTS-c. Some clinical approaches use SS-31 before MOTS-c when mitochondrial support is the initial priority. If weight loss, hunger, cravings or food noise are the primary concerns, compare Tirzepatide or Semaglutide. If body composition, recovery and growth-hormone signaling are the primary goals, compare Sermorelin, Tesamorelin or CJC-1295 + Ipamorelin.
READY TO EXPLORE YOUR OPTIONS?
Review the available women’s hormone therapies through our medical partner.
Choose the option that most closely matches your goals. Prescription therapies require medical intake and approval through Altro's licensed clinical team before fulfillment. Your clinician may recommend a different option based on your health history, medications or medical eligibility.
MOTS-c
For metabolic flexibility, cellular energy + exercise capacity
MOTS-c is a mitochondrial-derived peptide involved in cellular energy signaling and metabolic regulation. Rather than suppressing appetite or stimulating the growth hormone pathway, MOTS-c is being studied for its potential influence on glucose utilization, insulin sensitivity, mitochondrial function and the way the body responds to metabolic stress.
WHY CHOOSE MOTS-c
• Metabolic health is a primary goal
• Insulin resistance or blood-sugar regulation is a concern
• Energy or exercise capacity could use support
• Improving metabolic flexibility is more important than appetite suppression
• A mitochondrial approach is desired rather than a growth hormone pathway peptide

WHAT MAKES MOTS-c DIFFERENT?
Dual GIP + GLP-1 Support
MITOCHONDRIAL FOCUS: Works through cellular energy and metabolic signaling rather than primarily affecting appetite or growth hormone.
GLUCOSE METABOLISM: Being studied for its role in glucose utilization and insulin sensitivity.
ENERGY + CAPACITY: Research has explored its relationship with cellular energy, physical performance and metabolic resilience.
NOT A GLP-1: It does not primarily work by suppressing hunger or slowing gastric emptying.
NOT A GROWTH HORMONE PEPTIDE: Unlike Sermorelin, Tesamorelin or CJC-1295 + Ipamorelin, its focus is mitochondrial and metabolic signaling.
COMMON THINGS WE EXPLORE: Metabolic Health • Insulin Sensitivity • Cellular Energy • Metabolic Flexibility • Exercise Capacity
COMPARE BEFORE YOU CHOOSE
If fatigue, insulin sensitivity, cellular energy, or exercise capacity are the primary concerns, MOTS-c may be an option to explore. If recovery and cellular resilience are the bigger concerns, compare SS-31. These mitochondrial peptides work through different pathways and may be considered individually based on your goals and clinician guidance.
READY TO EXPLORE YOUR OPTIONS?
Review the available women’s hormone therapies through our medical partner.
Choose the option that most closely matches your goals. Prescription therapies require medical intake and approval through Altro's licensed clinical team before fulfillment. Your clinician may recommend a different option based on your health history, medications or medical eligibility.

GO DEEPER
Want a clearer picture of what’s happening beneath the surface?
The quiz helps you identify therapies worth exploring. Comprehensive lab testing and a Functional Blood Chemistry Analysis can take the next step further by looking for patterns in blood sugar regulation, thyroid function, hormones, inflammation, nutrient status, metabolic health, and more.
WANT DEEPER INSIGHT?
A Functional Blood Chemistry Analysis looks beyond standard “normal” ranges to help identify patterns and imbalances that may be influencing how you feel.

© 2023 by Lisa Metzger, ND * 602 Main Street W., Locust, NC 28097 * 704-389-0102 * Support@LegacyWellnessNC.com
DISCLAIMER: Legacy Wellness and Beyond The Shot provide educational and holistic wellness support focused on restoration, lifestyle, and foundational care. Advanced physician-managed therapies, when appropriate, are reviewed and prescribed separately through licensed medical partners. This information is not intended to diagnose, treat, cure, or prevent disease. Intended for adults 18 and older.
Legacy Wellness provides naturopathic wellness and educational services only. Information and recommendations from Lisa Metzger, Board-Certified Naturopathic Doctor (BCND / ND), are not intended to diagnose, treat, or cure any medical condition and do not replace care from a licensed medical provider.
