Targeted Peptide Support at SPOKEmed
If you're dealing with stubborn weight, low energy, hormonal shifts, or slow recovery, peptide therapy may offer targeted support where general solutions have fallen short. SPOKEmed provides clinically guided peptide therapy for weight loss, metabolic health, tissue repair, and healthy aging, each protocol prescribed after a full clinical review of your history, labs, and goals.
All medications are sourced from a licensed U.S. compounding pharmacy and shipped directly to patients. Prescription services are available to eligible patients in states where licensure permits and in accordance with applicable laws.
What Are Peptides and How Does This Work?
Peptides are short chains of amino acids that occur naturally in the body and function as biological messengers. They regulate hormone signaling, immune response, tissue repair, metabolism, and cellular communication. Peptide therapy uses specific bioactive peptides to support these pathways with precision, addressing where your body needs help rather than applying a generalized approach.
At SPOKEmed, peptide therapy is overseen by Michelle Middleton, PA-C, who brings over a decade of clinical experience in weight management, hormonal health, and metabolic medicine. Therapies are selected based on your health history, symptoms, lab results, and long-term goals, not trends.
GHK-Cu: Skin, Hair & Tissue Repair
As we age, GHK-Cu levels in the body naturally decline, and with them, the speed of tissue repair, skin resilience, and inflammation control. GHK-Cu is a naturally occurring copper-binding peptide found in human plasma that supports collagen production, wound healing, and healthy cell turnover. SPOKEmed uses GHK-Cu therapy to restore these functions in patients experiencing aging-related tissue decline.
What It May Support
- Skin firmness, elasticity, and tone
- Collagen and elastin production
- Reduction in fine lines and wrinkles
- Wound healing and tissue repair
- Hair growth and follicle health
- Reduction in oxidative stress and inflammation
Administration Protocol
| Dose | 1.5 mg daily |
| Schedule | 5 days on / 2 days off |
| Duration | 6-12 weeks, followed by an equal rest period |
| Noticeable results | Typically after 4–6 weeks |
NAD+ — Cellular Energy & Brain Health
NAD+ (Nicotinamide Adenine Dinucleotide) is a coenzyme essential for cellular energy production, mitochondrial function, and DNA repair. Levels decline with age, chronic stress, inflammation, and illness, contributing to fatigue, brain fog, and metabolic slowdown. Restoring NAD+ levels may boost energy, support mitochondrial efficiency, and improve both metabolic and cognitive health.
What It May Support
- Energy, stamina, and endurance
- Brain health and cognitive function
- DNA repair and cellular resilience
- Reduced inflammation
- Cardiovascular and neurological health
- Recovery, detoxification, and mood regulation
Administration Protocol
| Dose | 50–100 mg |
| Frequency | 2–3 times weekly |
| Administration | Subcutaneous injection |
BPC-157: Tissue Healing & Gut Health
BPC-157 is a peptide derived from a compound found in gastric juice, well established for its role in tissue healing and inflammation reduction. It supports recovery from musculoskeletal injuries and gastrointestinal conditions and can be administered systemically or near a specific injury site. SPOKEmed also offers gut microbiome testing to assess intestinal health before and during therapy, providing a measurable baseline for gut-related protocols.
What It May Support
- Tendon, ligament, and muscle repair
- Joint and bone healing
- Pain and inflammation reduction
- Collagen synthesis
- Gut lining and intestinal health
- Neuroprotective effects
Administration Protocol
| Dose | 250-500 mcg daily |
| Administration | Subcutaneous injection or near injury site |
| Duration | 4–6 weeks, followed by a break |
Glutathione: Detoxification & Antioxidant Support
Glutathione is the body's primary antioxidant, critical for detoxification, immune defense, and cellular protection. Levels decline with aging, stress, toxin exposure, and illness. Injectable glutathione delivers more reliable absorption than oral forms and works synergistically with NAD+ for combined cellular and metabolic support.
What It May Support
- Liver detoxification
- Reduced oxidative stress
- Immune function
- Skin clarity and tone
Administration Protocol
| Dose | 200 mg (1 mL) |
| Frequency | 1–2 times weekly |
| Administration | Intramuscular or subcutaneous |
Metabolic Therapies: Fat Loss and Energy
The following therapies support fat metabolism, energy production, and metabolic efficiency. At SPOKEmed, these are prescribed as part of a structured weight management plan, not in isolation.
GLP-1 and Incretin-Based Medications for Medical Weight Loss
GLP-1 medications, known as glucagon-like peptide-1 receptor agonists, are among the most clinically studied weight loss medications available.
Drugs in this class, including semaglutide (known by the brand name Ozempic) and tirzepatide (Mounjaro), work by regulating blood sugar levels, controlling appetite, promoting satiety, and slowing gastric emptying.
At SPOKEmed, these medications are prescribed as part of a comprehensive medical weight loss plan, not as standalone solutions.
Tirzepatide - Dual GLP-1 / GIP Agonist
Tirzepatide activates both GLP-1 (glucagon-like peptide-1) and GIP (glucose-dependent insulinotropic polypeptide) receptors. This dual mechanism improves insulin sensitivity, reduces appetite, controls blood sugar levels, and enhances metabolic efficiency. It supports significant weight loss while preserving lean mass when paired with proper nutrition and strength training.
- Administration: Subcutaneous injection, once weekly, gradually titrated based on tolerance
Emerging Therapies Under Clinical Review
The following therapies are offered selectively at SPOKEmed. Both are investigational, and long-term safety data is still evolving. Neither has received full FDA approval for weight management. Michelle Middleton, PA-C, reviews each patient's history and clinical profile before recommending either protocol. These therapies are not appropriate for all patients.
The SPOKEmed Treatment Model
At SPOKEmed, every peptide or metabolic therapy is paired with a structured care plan. No medication is prescribed in isolation. Protocols include:
- Nutrition optimization with adequate protein and micronutrients
- Strength training and movement guidance
- Hormone evaluation and optimization when appropriate
- Follow-up appointments every three to four weeks with dose adjustments as needed
- Direct access to Michelle Middleton, PA-C, by phone and text between visits
The goal is sustainable weight loss, muscle preservation, and long-term metabolic health, not rapid results that reverse when therapy ends.
Expert Care, Wherever You Are
Who We Serve
SPOKEmed provides personalized care through secure telemedicine, making expert guidance accessible from wherever you call home. New prescription-based medical services are currently available for patients located in Florida. For those outside Florida, personalized health coaching and wellness support remain available nationwide.
Telehealth coaching & wellness
Care for women, nationwide
Non-prescription services are available to patients across the country. From Jupiter to Jacksonville and beyond, expert care comes to you wherever you are.
Proudly serving
Prescription services are available where permitted by applicable laws and licensure.
By appointment only. In-person visits available in Florida; telehealth available nationwide.
Real Patients. Real Results.
Feedback highlighting the personalized approach and medical guidance patients receive
as they work toward restoring balance from the inside out, with SPOKEmed.
Frequently Asked Questions About
Targeted Peptide Support
Schedule a Consultation with SPOKEmed
A consultation with Michelle Middleton, PA-C, is the first step. She will review your health history, labs, and goals and explain exactly which therapies are appropriate, what to expect, and what the full cost of your plan would be. There is no obligation.
Availability
All therapies require a clinical consultation prior to prescribing. Investigational therapies carry additional review requirements. Nothing on this page constitutes medical advice.
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