Verified July 2026 · Cited to primary sources
All peptides, graded by evidence.
We grade every peptide A–F by the strength of its human evidence, plus a legal-status and safety flag. Of the 16 tracked here, only 1 is FDA-approved. The table below ranks all 16 — best evidence first — with the honest one-line verdict for each.
The full evidence-graded peptide table
Ranked best evidence first (Grade A → F). Every grade, legal status, and verdict is computed from our cited compound records — tap any peptide for the full evidence review and primary sources.
| Peptide | Evidence | Legal & safety | Primary use | The honest verdict | Link to review |
|---|---|---|---|---|---|
| Tesamorelin | Grade A | FDA-approvedSafety: green | Weight Loss | Tesamorelin is an FDA-approved drug (Egrifta, 2010) — Grade A, the strongest evidence tier here. | See the evidence → |
| PT-141 | Grade A | FDA-approvedSafety: green | — | PT-141 (bremelanotide) is an FDA-approved drug — Vyleesi (2019) — for HSDD in premenopausal women, so its evidence is Grade A. | See the evidence → |
| Sermorelin | Grade B | Compoundable (503A)Safety: green | Muscle Growth | Sermorelin is legally compoundable (503A) thanks to its prior FDA approval as Geref. | See the evidence → |
| Retatrutide | Grade B | Research-onlySafety: amber | Weight Loss | Retatrutide is investigational (Phase 3), not FDA-approved, and not legally available. | See the evidence → |
| GHK-Cu | Grade B | Cosmetic/topicalSafety: green | Skin & Anti-Aging | GHK-Cu (copper peptides) is legal as a topical cosmetic, and for skin its human evidence is Grade B — real topical/cosmetic data, no drug approval. | See the evidence → |
| Semax | Grade C | Under FDA reviewSafety: amber | Cognition & Focus | Semax is not FDA-approved (it is approved in Russia) and is under FDA review (July 24, 2026 PCAC). | See the evidence → |
| CJC-1295 / Ipamorelin | Grade C | Research-onlySafety: amber | Muscle Growth | CJC-1295/Ipamorelin is not FDA-approved and is not legally compoundable (CJC-1295 withdrawn April 2026). | See the evidence → |
| CJC-1295 | Grade C | Research-onlySafety: amber | Muscle Growth | CJC-1295 (mono GHRH analog, usually "with DAC") is not FDA-approved and not legally compoundable — its nomination was withdrawn in April 2026. | See the evidence → |
| Selank | Grade C | Research-onlySafety: green | Cognition & Focus | Selank is not FDA-approved (it is approved in Russia) and there is no legal compounding route today — it was removed from 503A Category 2 but is not on the July 2026 PCAC docket. | See the evidence → |
| BPC-157 | Grade D | Under FDA reviewSafety: amber | Recovery & Healing | BPC-157 is not FDA-approved and is under FDA review (July 23, 2026 PCAC). | See the evidence → |
| TB-500 | Grade D | Under FDA reviewSafety: amber | Recovery & Healing | TB-500 is not FDA-approved and is under FDA review (July 23, 2026 PCAC). | See the evidence → |
| KPV | Grade D | Under FDA reviewSafety: amber | Recovery & Healing | KPV is not FDA-approved and is under FDA review (July 23, 2026 PCAC). | See the evidence → |
| MOTS-c | Grade D | Under FDA reviewSafety: amber | Weight Loss | MOTS-c is not FDA-approved and is under FDA review (July 23, 2026 PCAC). | See the evidence → |
| Epitalon | Grade D | Under FDA reviewSafety: amber | Sleep | Epitalon is not FDA-approved and is under FDA review (July 24, 2026 PCAC). | See the evidence → |
| Melanotan-2 (MT-2) | Grade D | Research-onlySafety: red | — | Melanotan-2 (MT-2) is an unapproved "tanning" peptide with documented serious harms — melanoma and mole changes, priapism, nausea, blood-pressure changes and rhabdomyolysis have all been reported. | See the evidence → |
| IGF-1 LR3 | Grade D | Research-onlySafety: amber | Muscle Growth | IGF-1 LR3 is not FDA-approved and not legally compoundable — research-only. | See the evidence → |
Want the method behind the letters? Read how we grade peptide evidence — the full A–F rubric and the editorial firewall that keeps affiliate status out of every grade.
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