Being explicit about what we don’t do is part of doing this honestly. The following concerns are not within our scope, and we’ll often redirect you to more appropriate care:
Acute medical emergencies.
Chest pain, sudden severe headache, signs of stroke, severe abdominal pain, anything that could be an emergency — call 911 or go to the emergency room. We’re not equipped for acute care.
Mental health crises.
Suicidal thoughts, severe depression or anxiety, addiction issues, eating disorders. These need specialized mental health professionals and may need urgent intervention. Call your physician, a crisis line (988 in the US), or your local mental health resource.
Conditions needing imaging or specialist evaluation.
A new lump. Persistent unexplained pain. Significant unexplained symptoms. These need primary care evaluation before peptide therapy is appropriate. We’ll often send you back to your primary care or to a specialist before we’ll prescribe.
Pregnancy planning, fertility concerns, or active pregnancy.
Most of our therapies are not recommended during pregnancy or while trying to conceive. Reproductive endocrinology and OB/GYN are the right starting points.
Children and adolescents.
VOYA9 serves adults only. Pediatric concerns belong with pediatricians.
Hormone replacement therapy (testosterone, estrogen).
We support growth hormone production and other peptide mechanisms, but we don’t provide hormone replacement therapy in the traditional sense. Members specifically wanting TRT or HRT should work with providers specialized in those services.
Substantial psychiatric medication interactions.
Some of our therapies have meaningful interactions with psychiatric medications. We’ll assess these carefully during consultation, and sometimes the right answer is “your psychiatrist needs to be your primary partner in this, not us.”
Drug-tested competitive athletes.
Many compounds we offer (TB-500 since 2009, BPC-157 since 2022, KPV, others) are on the WADA Prohibited List. If you compete at a level subject to drug testing, work with your team physician and us together — sometimes we have compounds you can use (GHK-Cu, PT-141), sometimes we don’t.