Treatment education
Understand your options
Every product offered at Dominia Health is compounded by a licensed pharmacy and prescribed only after a provider reviews your individual health history. This page is for educational purposes — not a substitute for medical advice.
GLP-1 receptor agonist
Compounded Semaglutide
Semaglutide is a GLP-1 receptor agonist with strong clinical evidence for weight management and glycemic control. Compounded semaglutide is not Ozempic® or Wegovy®, and it is not a generic version of either; we name those brands only to make that distinction clear. Compounded formulations are not FDA-approved and are prepared under a prescriber's order. The products below are available in multiple delivery forms.
Semaglutide Sublingual Microdose
A low-dose sublingual formulation that dissolves under the tongue. Microdosing may allow a gradual introduction for patients sensitive to standard doses. Evidence specifically supporting sublingual delivery or microdosing remains limited compared with studied injectable doses.
Compounded at a licensed 503A/503B compounding pharmacy. Requires a valid prescription.
Semaglutide Sublingual
A sublingual formulation delivering a standard dose of semaglutide without injection. Convenient for patients who prefer a needle-free option. High-quality data on sublingual bioavailability compared with subcutaneous injection remain limited.
Compounded at a licensed 503A/503B compounding pharmacy. Requires a valid prescription.
Semaglutide Injectable Microdose with B12
A compounded subcutaneous injection combining a lower-than-standard dose of semaglutide with vitamin B12. Microdosing may support a slower titration for sensitive patients. Robust data specifically supporting this combination are limited.
Compounded at a licensed 503A/503B compounding pharmacy. Requires a valid prescription.
Semaglutide Injectable Microdose with Glycine
A compounded subcutaneous injection combining a lower-than-standard dose of semaglutide with the amino acid glycine. Some providers explore glycine for potential metabolic support, though evidence for this combination is limited.
Compounded at a licensed 503A/503B compounding pharmacy. Requires a valid prescription.
Semaglutide Injectable with B12
A standard-dose compounded semaglutide injection with vitamin B12 added. B12 is sometimes included to support energy levels during calorie restriction, though evidence for added benefit in this combination is not strongly established.
Compounded at a licensed 503A/503B compounding pharmacy. Requires a valid prescription.
Semaglutide Injectable with Glycine
A standard-dose compounded semaglutide injection with glycine. Glycine is an amino acid sometimes added for potential stability or metabolic support. Evidence for this specific combination remains limited.
Compounded at a licensed 503A/503B compounding pharmacy. Requires a valid prescription.
Dual GIP & GLP-1 receptor agonist
Compounded Tirzepatide
Tirzepatide is a dual GIP and GLP-1 receptor agonist with strong clinical evidence for weight management and glycemic control at studied doses. Compounded tirzepatide is not Mounjaro® or Zepbound®, and it is not a generic version of either; we name those brands only to make that distinction clear. Compounded formulations are not FDA-approved. The products below are available in multiple delivery forms.
Tirzepatide Sublingual Microdose
A low-dose sublingual formulation that dissolves under the tongue. Microdosing may allow a gradual introduction for sensitive patients. Evidence specifically supporting sublingual delivery or microdosing at this scale remains limited.
Compounded at a licensed 503A/503B compounding pharmacy. Requires a valid prescription.
Tirzepatide Sublingual
A sublingual formulation delivering tirzepatide without injection. Convenient for patients who prefer a needle-free option. Comparative bioavailability data versus subcutaneous injection remain limited.
Compounded at a licensed 503A/503B compounding pharmacy. Requires a valid prescription.
Tirzepatide Injectable Microdose with B12
A compounded subcutaneous injection combining a lower-than-standard dose of tirzepatide with vitamin B12. May support a slower titration for sensitive patients. Evidence specifically for this combination is limited.
Compounded at a licensed 503A/503B compounding pharmacy. Requires a valid prescription.
Tirzepatide Injectable Microdose with Glycine
A compounded subcutaneous injection combining a lower-than-standard dose of tirzepatide with glycine. Some providers explore glycine for potential metabolic or sleep support, though robust evidence for this combination is lacking.
Compounded at a licensed 503A/503B compounding pharmacy. Requires a valid prescription.
Tirzepatide Injectable with B12
A standard-dose compounded tirzepatide injection with vitamin B12. B12 is sometimes included to support energy levels during calorie restriction. Evidence for added benefit in this specific combination is not strongly established.
Compounded at a licensed 503A/503B compounding pharmacy. Requires a valid prescription.
Tirzepatide Injectable with Glycine
A standard-dose compounded tirzepatide injection with glycine. Glycine is an amino acid sometimes added for potential metabolic support. Evidence for this specific combination remains limited.
Compounded at a licensed 503A/503B compounding pharmacy. Requires a valid prescription.
Peptide therapies
Peptides
Peptides are short chains of amino acids that may support a range of physiological functions. The products below are compounded, not FDA-approved, and are prescribed only after a clinical evaluation. Evidence varies by peptide.
Sermorelin Injection
A growth hormone-releasing hormone (GHRH) analogue that stimulates the pituitary to produce growth hormone. May support sleep quality, recovery, and lean body composition. Evidence is more limited than for FDA-approved growth hormone therapies.
Compounded at a licensed 503A/503B compounding pharmacy. Requires a valid prescription.
Glutathione Injection
A master antioxidant naturally produced in the body. Injectable glutathione is used to support oxidative stress reduction and cellular health. Evidence for clinical benefit via injection in healthy individuals remains mixed.
Compounded at a licensed 503A/503B compounding pharmacy. Requires a valid prescription.
BPC-157 Injection
A synthetic peptide derived from a protein found in gastric juice. Studied in animal models for tissue repair and gut health. Human clinical trial data are limited; this is considered a research-stage compound.
Compounded at a licensed 503A/503B compounding pharmacy. Limited human data.
GHK-Cu Injection
A copper peptide with antioxidant and tissue-remodeling properties studied in skin and wound healing research. Injectable use in systemic wellness is less established than topical applications.
Compounded at a licensed 503A/503B compounding pharmacy. Requires a valid prescription.
GHK-Cu Topical Cream
A compounded topical cream containing the copper peptide GHK-Cu. May support skin texture, firmness, and wound healing. Topical evidence is more established than systemic injectable use.
Compounded at a licensed 503A/503B compounding pharmacy. Requires a valid prescription.
MOTS-C Injection
A mitochondria-derived peptide studied for potential effects on metabolic regulation, insulin sensitivity, and exercise performance. Human clinical data are early-stage and limited.
Compounded at a licensed 503A/503B compounding pharmacy. Early-stage human data.
Tesamorelin Injection
A GHRH analogue with an FDA-approved indication for HIV-associated lipodystrophy. Compounded versions used for general body composition or anti-aging purposes are not FDA-approved for those uses.
Compounded at a licensed 503A/503B compounding pharmacy. Not FDA-approved for general use.
Epithalon Injection
A synthetic tetrapeptide studied for potential effects on telomere length and longevity. Human clinical evidence is very limited; most data come from animal and in vitro studies.
Compounded at a licensed 503A/503B compounding pharmacy. Very limited human data.
SS-31 Injection
A mitochondria-targeting peptide studied for potential cardioprotective and anti-aging effects. Human clinical trial data are limited and early-stage.
Compounded at a licensed 503A/503B compounding pharmacy. Early-stage human data.
Thymosin Alpha-1 Injection
A thymic peptide studied for immune modulation. Has been used in some countries for hepatitis and immune support. Evidence in general wellness contexts is limited.
Compounded at a licensed 503A/503B compounding pharmacy. Not FDA-approved in the US.
Semax + Selank Stack
A combination of two neuropeptides studied in Russia for cognitive support and anxiolytic effects. Human clinical data from Western peer-reviewed trials are very limited.
Not FDA-approved. Compounded product. Very limited Western clinical data.
CJC-1295 + Ipamorelin Stack
A combination of a GHRH analogue (CJC-1295) and a growth hormone secretagogue (Ipamorelin) used to stimulate growth hormone release. May support sleep, recovery, and body composition. Evidence is more limited than for approved GH therapies.
Compounded at a licensed 503A/503B compounding pharmacy. Requires a valid prescription.
Wolverine Stack: BPC-157 + TB-500
A combination of BPC-157 and TB-500 (Thymosin Beta-4 fragment), both studied for tissue repair and recovery in animal models. Human clinical data are limited for both compounds.
Compounded at a licensed 503A/503B compounding pharmacy. Limited human data.
Glow Stack: BPC-157 + TB-500 + GHK-Cu
A three-peptide combination targeting tissue repair, recovery, and skin health. Each component has limited human clinical data; the combination has not been studied in clinical trials.
Compounded at a licensed 503A/503B compounding pharmacy. Limited human data.
Klow Stack: BPC-157 + TB-500 + GHK-Cu + KPV
A four-peptide combination adding KPV (a melanocortin peptide with studied anti-inflammatory properties) to the Glow Stack. Clinical trial data for this combination are not available.
Compounded at a licensed 503A/503B compounding pharmacy. No combination clinical data.
PT-141 Injection
A melanocortin receptor agonist studied for sexual dysfunction. An FDA-approved version (bremelanotide/Vyleesi) exists for hypoactive sexual desire disorder in premenopausal women. Compounded versions are not FDA-approved.
Compounded at a licensed 503A/503B compounding pharmacy. Requires a valid prescription.
Topicals & oral
Wellness — Topicals & Oral
These products support general wellness through topical or oral delivery. All are compounded and require a valid prescription from a licensed clinician following a clinical evaluation.
NAD+ Injection
Nicotinamide adenine dinucleotide (NAD+) is a coenzyme involved in cellular energy metabolism. Injectable NAD+ is used to support energy, cognitive clarity, and cellular repair. Evidence from large-scale clinical trials is limited.
Compounded at a licensed 503A/503B compounding pharmacy. Requires a valid prescription.
Lipo-B / Lipo-Mino Injection
A lipotropic injection combining B vitamins and amino acids (such as methionine, inositol, choline) to support fat metabolism and energy. Evidence for meaningful weight loss beyond lifestyle changes is limited.
Compounded at a licensed 503A/503B compounding pharmacy. Requires a valid prescription.
Minoxidil Serum
A topical serum containing minoxidil, which has FDA-approved indications for androgenetic alopecia. Compounded concentrations or formulations differ from approved products and are not FDA-approved.
Coming soon. Not FDA-approved in compounded form.
Low Dose Naltrexone
Naltrexone is FDA-approved at standard doses for opioid and alcohol use disorder. Low-dose use (1–4.5 mg) for immune modulation, pain, and inflammation is off-label and not FDA-approved at those doses. Evidence is growing but not yet definitive.
Off-label use. Not FDA-approved at low doses. Compounded product.
Hormone replacement therapy
HRT — Women
Hormone replacement therapy for women addresses symptoms of perimenopause, menopause, and hormonal imbalance. All products are compounded and prescribed only after a clinical evaluation and, where required, recent lab work.
Estradiol Topical Cream 0.06%
A compounded topical estradiol cream applied to the skin to help relieve menopausal symptoms such as hot flashes, night sweats, and sleep disturbances. Compounded versions differ from FDA-approved topical estradiol products.
Compounded at a licensed 503A/503B compounding pharmacy. Requires a valid prescription.
Estradiol Vaginal Cream
A low-dose vaginal estradiol cream that may help relieve vaginal dryness, discomfort, and urinary symptoms associated with menopause. Compounded versions differ from FDA-approved vaginal estradiol products.
Compounded at a licensed 503A/503B compounding pharmacy. Requires a valid prescription.
Estradiol Patches
Transdermal estradiol patches deliver a consistent dose of estradiol through the skin. Currently out of stock due to a nationwide shortage.
Currently out of stock — nationwide shortage. Requires prescription.
Progesterone Oral
Oral micronized progesterone is often prescribed alongside estrogen therapy to protect the uterine lining. May also support sleep and mood. Compounded versions differ from FDA-approved oral progesterone (Prometrium).
Compounded at a licensed 503A/503B compounding pharmacy. Requires a valid prescription.
Testosterone Gel
A low-dose topical testosterone gel for women to support libido, energy, and overall wellbeing. No testosterone product is currently FDA-approved specifically for women; use is off-label. Requires recent lab work.
Compounded at a licensed 503A/503B compounding pharmacy. Off-label use. Requires recent lab work.
Testosterone Cypionate Injection
A low-dose testosterone injection for women to support libido, energy, and wellbeing. Off-label use; no testosterone product is FDA-approved specifically for women. Requires recent lab work.
Compounded at a licensed 503A/503B compounding pharmacy. Off-label use. Requires recent lab work.
Men's hormone therapy
HRT — Men
Men's TRT, enclomiphene and hCG care is provided by our sister brand Scoreboard Health.
Men's TRT, enclomiphene and hCG care: our sister brand Scoreboard Health
Testosterone replacement therapy, enclomiphene, and hCG care for men is handled by Scoreboard Health, our dedicated men's telehealth brand operated by Clarity Health LLC.
Visit scoreboardhealth.com/treatments to learn more.
Aesthetic treatments
Aesthetics
Dominia Health offers a curated range of aesthetic treatments administered by licensed providers. All injectables are performed under medical supervision following a clinical evaluation to ensure safety and suitability.
Botox
Botulinum toxin type A (Botox) is an FDA-approved neuromodulator that temporarily relaxes targeted facial muscles to soften dynamic wrinkles — including forehead lines, frown lines between the brows, and crow's feet. Results typically last 3–4 months. Treatment takes 10–15 minutes with no downtime.
FDA-approved neuromodulator. Administered by a licensed provider.
Dysport
Dysport is an FDA-approved abobotulinumtoxinA neuromodulator used to treat moderate to severe glabellar lines (frown lines between the brows). It has a slightly faster onset than Botox and may spread more diffusely, making it well-suited for larger treatment areas. Results typically last 3–4 months.
FDA-approved neuromodulator. Administered by a licensed provider.
Xeomin
Xeomin is an FDA-approved incobotulinumtoxinA neuromodulator that contains only the active toxin without accessory proteins. This 'naked' formulation may reduce the risk of antibody formation with repeated use. It is used to treat glabellar lines and other dynamic facial wrinkles. Results typically last 3–4 months.
FDA-approved neuromodulator. Administered by a licensed provider.
Lip & Facial Fillers
Hyaluronic acid dermal fillers (such as Juvederm and Restylane product lines) are used to add volume, define contours, and smooth lines in the lips and face. Common treatment areas include lips, nasolabial folds, marionette lines, cheeks, and under-eye hollows. Results typically last 6–18 months depending on the product and area treated.
FDA-approved dermal fillers. Administered by a licensed provider. Results vary.
Biostimulators (Sculptra)
Sculptra (poly-L-lactic acid) is an FDA-approved collagen biostimulator that works gradually by stimulating the body's own collagen production rather than adding immediate volume. It is used to restore facial volume, improve skin texture, and address deep folds. A series of 2–3 treatment sessions is typically recommended, with results developing over several months and lasting up to 2 years.
FDA-approved biostimulator. Administered by a licensed provider. Results develop gradually.
Hip & Buttock Contour / Biostimulator Injections
Non-surgical hip and buttock contouring using biostimulator injections (such as Sculptra or Radiesse) to add subtle volume, improve shape, and stimulate collagen in the hip dip and gluteal areas. This is a non-surgical alternative to implants or fat transfer, with results developing gradually over several months. A series of treatment sessions is typically required.
Administered by a licensed provider. Results vary. Not a substitute for surgical procedures.
In-clinic body treatments
Devices & Body Contouring
Dominia Health offers a curated suite of non-invasive and minimally invasive body contouring treatments using FDA-cleared devices. All treatments are performed in-clinic under provider oversight and are tailored to your body composition goals following a clinical evaluation.
Zerona Low-Level Laser Contouring
Zerona is an FDA-cleared low-level laser (cold laser) body contouring treatment that uses 635nm laser energy to emulsify fat within adipocytes, allowing the contents to be naturally eliminated by the lymphatic system. It is non-invasive, painless, and requires no downtime. A standard protocol involves 6 sessions over 2 weeks. Results are best maintained with adequate hydration and light activity during the treatment series.
FDA-cleared device. Non-invasive. Results vary. Performed in-clinic under provider oversight.
RF / Body Sculpt Devices
Radiofrequency (RF) and body sculpting devices use controlled energy — including RF, electromagnetic stimulation, or ultrasound — to target subcutaneous fat, tighten skin, and improve body contour. Common platforms include RF skin tightening and high-intensity focused electromagnetic (HIFEM) muscle stimulation. Treatment areas include abdomen, flanks, thighs, arms, and buttocks. Multiple sessions are typically recommended for optimal results.
FDA-cleared devices. Non-invasive. Results vary. Performed in-clinic under provider oversight.
Other In-Office Contour Treatments
Our clinic offers additional non-invasive body contouring modalities based on individual goals and provider assessment. These may include cryolipolysis (fat freezing), ultrasound cavitation, or combination protocols. Your provider will recommend the most appropriate approach following a body composition evaluation and discussion of your goals.
FDA-cleared devices where applicable. Results vary. Performed in-clinic under provider oversight.
Esthetician & provider skin services
Skin Treatments
Our skin services are delivered by licensed estheticians under provider oversight, combining clinical-grade technology with personalized skin care protocols. All treatments are selected following a skin assessment to ensure safety and suitability for your skin type and concerns.
Facials / Hydrafacial-Type Treatments
Medical-grade facials and Hydrafacial-type treatments combine deep cleansing, exfoliation, extraction, and hydration in a single session. These multi-step treatments address congestion, uneven texture, dullness, and dehydration. Suitable for most skin types with no downtime. Results are visible immediately and improve with a series of treatments.
Performed by a licensed esthetician. Suitable for most skin types. No downtime.
Superficial Chemical Peels
Superficial chemical peels use alpha-hydroxy acids (AHAs), beta-hydroxy acids (BHAs), or low-concentration trichloroacetic acid (TCA) to exfoliate the outermost layer of skin. They address mild hyperpigmentation, uneven texture, fine lines, and acne-prone skin. Minimal downtime — mild flaking for 2–5 days is common. A series of peels is typically recommended for best results.
Performed by a licensed esthetician under provider oversight. Sun protection required post-treatment.
Microdermabrasion
Microdermabrasion is a non-chemical mechanical exfoliation treatment that uses a diamond-tip or crystal-based handpiece to remove dead skin cells and stimulate cell turnover. It improves skin texture, tone, and mild hyperpigmentation with no downtime. It is suitable for most skin types and can be combined with other treatments for enhanced results.
Performed by a licensed esthetician. No downtime. Not recommended for active acne or rosacea flares.
Device Microneedling
Device microneedling uses a motorized pen with fine needles to create controlled micro-channels in the skin, stimulating collagen and elastin production. It is used to address fine lines, acne scars, enlarged pores, and overall skin texture. Mild redness for 24–48 hours is expected. Performed under provider oversight where required by state scope-of-practice regulations.
Performed under provider oversight where required. Results develop over 4–6 weeks. Series recommended.
Light Laser / IPL
Intense Pulsed Light (IPL) and light laser treatments target pigmentation, redness, broken capillaries, and sun damage using broad-spectrum or targeted light energy. IPL is effective for photorejuvenation, rosacea, and melasma management. Performed only by or under the direct supervision of a licensed provider in compliance with applicable state regulations. Sun avoidance before and after treatment is essential.
Performed by or under direct supervision of a licensed provider. State regulations apply. Sun protection required.
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Important Medical & Compounded Medication Disclaimer
Dominia Health provides telehealth consultations and may prescribe compounded medications, including compounded Semaglutide and compounded Tirzepatide, when clinically appropriate.
Compounded medications are not FDA-approved. The U.S. Food and Drug Administration (FDA) does not review compounded drugs for safety, effectiveness, or quality before they are marketed. Compounded Semaglutide and Tirzepatide are prepared by state-licensed compounding pharmacies pursuant to individual patient prescriptions and are not the same as, or generic equivalents of, FDA-approved brand-name medications such as Ozempic®, Wegovy®, Mounjaro®, or Zepbound®.
These compounded formulations are prescribed only after a licensed healthcare provider evaluates your individual medical history, health goals, and eligibility through a telehealth consultation. Not everyone is a candidate for treatment.
The information on this page is for general educational purposes only and is not medical advice. It does not create a doctor-patient relationship. Always consult a qualified healthcare provider for personalized medical advice, diagnosis, or treatment decisions.
Products require a valid prescription from a licensed clinician following a clinical evaluation. 2-day shipping and supplies are included in the total cost.