Peptide & wellness therapies for perimenopause and menopause
Compounded peptides and prescription therapies, prescribed only after a clinical evaluation by a licensed physician and prepared by a licensed pharmacy.
What are peptides?
Peptides are short chains of amino acids, the same building blocks that make up proteins. Your body makes many peptides of its own, and they act as signaling molecules in processes such as hormone release and tissue maintenance.
Some peptide therapies are prescription medications prepared by a licensed compounding pharmacy. At HerTide, a licensed physician reviews your health history before anything is prescribed and decides whether a therapy is appropriate for you.
We keep our formulary deliberately narrow. We offer only therapies that can be prescribed after a clinical evaluation and prepared by a licensed pharmacy that meets our sourcing standards. We don't offer products sold as "research use only," and a therapy that is widely discussed online is not something we add for that reason alone.
Alongside peptide therapies, HerTide physicians may prescribe other prescription therapies, such as topical retinoids or low-dose naltrexone. Each product below is labeled so you can tell which is which.
Compounded medications are not FDA-approved. The FDA does not review compounded drugs for safety, effectiveness, or manufacturing quality before they are marketed.
How it works
A short guided quiz points you to the pathways most relevant to your history and goals.
A clinical history built for perimenopause and menopause specifically.
A licensed physician reviews your history and clinical information and decides which therapies, if any, are appropriate for you.
If treatment is prescribed, your peptide or prescription therapy is dispensed by a licensed compounding pharmacy at the dose your physician sets.
Five pathways
GHK-Cu is a naturally occurring copper-peptide complex found in human plasma. The topical formulation is applied to the skin and may be prescribed by a licensed physician as part of an individualized treatment plan.
Tretinoin is a topical retinoid, a form of vitamin A that acts on retinoic acid receptors in the skin. Two strengths are available. Your physician chooses the strength based on your history with retinoids. Tretinoin is not appropriate during pregnancy.
Compounded medications are not FDA-approved. Individual responses vary. Treatment is prescribed only when clinically appropriate.
Take the quizA compounded topical solution that combines finasteride, a 5-alpha-reductase inhibitor, with minoxidil. It is not appropriate for anyone who is pregnant, breastfeeding, or trying to conceive.
Minoxidil is a vasodilator. The oral form is prescribed off-label for this use when a licensed physician decides it is clinically appropriate. Supplied as a 90-day prescription.
Compounded medications are not FDA-approved. Individual responses vary. Treatment is prescribed only when clinically appropriate.
Take the quizSermorelin is a growth hormone-releasing hormone (GHRH) analog. It is designed to stimulate the body's natural release of growth hormone and may be prescribed by a licensed physician when clinically appropriate, based on your medical history, clinical assessment and, when appropriate, laboratory findings.
Semaglutide and tirzepatide are GLP-1 receptor agonists; tirzepatide also acts on the GIP receptor. Semaglutide (e.g., Ozempic®, Wegovy®) and tirzepatide (e.g., Mounjaro®, Zepbound®) are FDA-approved for specific indications and are prescribed only when clinically appropriate. Not all patients are candidates. If compounded medications are prescribed, they are not FDA-approved. They are prepared by a licensed compounding pharmacy under a valid prescription and are not the same as, nor interchangeable with, FDA-approved medications. Your physician sets your dose and adjusts it gradually. The price depends on the vial size prescribed.
Compounded medications are not FDA-approved. Individual responses vary. Treatment is prescribed only when clinically appropriate.
Take the quizNAD+ (nicotinamide adenine dinucleotide) is a naturally occurring coenzyme involved in cellular energy metabolism. It is supplied as an injectable and may be prescribed by a licensed physician as part of an individualized treatment plan.
Naltrexone is an opioid receptor antagonist. At low doses it is prescribed off-label, and the dose is increased gradually under physician supervision. Supplied as a 90-day prescription.
Vitamin B12 (methylcobalamin) is an essential nutrient involved in nerve function and red blood cell formation. Supplied as an injectable.
Glutathione is a tripeptide antioxidant that the body produces naturally. Supplied as an injectable.
Compounded medications are not FDA-approved. Individual responses vary. Treatment is prescribed only when clinically appropriate.
Take the quizBremelanotide is a melanocortin receptor agonist that acts in the central nervous system. A brand-name form (Vyleesi®) is FDA-approved for a specific indication in premenopausal women. Compounded bremelanotide is not FDA-approved and is not the same as the FDA-approved product. Any other use is off-label and is decided by a licensed physician.
Compounded medications are not FDA-approved. Individual responses vary. Treatment is prescribed only when clinically appropriate.
Take the quizPrescribed and pharmacy-compounded
Compounded medications are prepared to your prescription by a licensed U.S. compounding pharmacy.
A licensed physician reviews your history and decides whether a therapy is appropriate and at what dose.
All prescription products are provided only after a consultation with a licensed medical provider, who determines whether treatment is appropriate based on individual medical history and clinical evaluation.
Compounded medications are not FDA-approved. The FDA does not review compounded drugs for safety, effectiveness, or manufacturing quality before they are marketed.
Straightforward pricing, product by product
Your physician review is included. You pay only if a therapy is prescribed.
Plans may include compounded medications, which are not FDA-approved. The FDA does not review compounded drugs for safety, effectiveness, or manufacturing quality before they are marketed. Any prescription follows a physician evaluation and is dispensed by a licensed pharmacy.

Led by a physician
Double board-certified in Obstetrics & Gynecology and in Lifestyle Medicine · Founder, D5 Health · Chief Medical Officer, HerTide Health
Dr. Deibel is a practicing OB-GYN and the founder of D5 Health, a personalized medicine clinic in Raleigh, North Carolina. He is double board-certified in Obstetrics & Gynecology and in Lifestyle Medicine, with advanced training in peptide therapy and hormone therapy.
He earned his MD at Wake Forest School of Medicine and completed his OB-GYN residency at Northwestern's McGaw Medical Center, and brings approximately sixteen years of clinical practice to the stage of life HerTide is built around.
As Chief Medical Officer, Dr. Deibel sets HerTide's clinical strategy and designs its peptide and prescription protocols. Patient evaluation and all prescribing decisions are made independently by licensed physicians through HerTide's clinical partner network.
FAQ
A peptide is a short chain of amino acids. Your body makes many of its own, and they act as signaling molecules.
No. Compounded medications are not FDA-approved, and the FDA does not review them for safety, effectiveness, or manufacturing quality before they are marketed. Some active ingredients also exist as FDA-approved brand-name products for specific indications; the compounded versions are not the same as, or interchangeable with, those products.
No. Everything HerTide offers is dispensed by a licensed pharmacy under a prescription written for you after a physician evaluation.
A licensed physician. The quiz and intake collect your history; the physician decides whether any therapy is appropriate. Some people will not be candidates for some therapies.
No. Each product is labeled “Peptide therapy” or “Prescription therapy.”
No. HerTide is cash-pay, and prices are listed above.