ARA-290 (Injectable) in Kailua, HI
Doctor-prescribed ARA-290 (Injectable) for Kailua residents. Reviewed by licensed Hawaii physicians, compounded at FDA-registered pharmacies, and shipped straight to your door in Kailua — no clinic visit required.

— All-in monthly price
No membership fee · this is the full price · free shipping · avg 4-week supply
— Add in-depth bloodwork
Optional — add a physician-reviewed at-home blood panel to your plan.
Your sex-hormone baseline plus the safety markers that matter on therapy — blood counts, liver and kidney function — from one painless upper-arm device. Matched to your sex (PSA for men; progesterone & FSH for women). No needle, no clinic, physician-reviewed.
This treatment requires licensed provider review and approval. Treatment is not guaranteed. If prescribed, medication is fulfilled by a licensed U.S. pharmacy where permitted by law. Compounded medications are not FDA-approved or FDA-cleared.
Reviewed
Reviewed by Dr. Gene Lee, MD · Board-certified Family Medicine
Every Pepti prescription is reviewed by a licensed U.S. physician before it's dispensed — and only provided if clinically appropriate.
About ARA-290 (Injectable)
ARA-290 is a peptide made from a fragment of erythropoietin, the hormone that protects tissue, and is studied for burning, tingling and numbness from damaged small nerve fibers. It works on the body's repair pathway rather than dulling pain. Compounded; not FDA-approved.
Benefits
— Formulation
— Quality
Every batch independently tested
Every medication batch dispensed through Pepti is independently tested by a qualified third-party laboratory for applicable quality and safety standards before the pharmacy releases it. Batches are tested to the same standard used by 503B outsourcing facilities.
Sterility
USP <71>Confirms the finished preparation is free of viable microorganisms.
Bacterial endotoxins
USP <85>Screens for endotoxins that can cause fever or inflammatory reactions.
Potency
AssayVerifies the labeled concentration of the active peptide is what is in the vial.
Purity
HPLCChecks the active peptide against impurities and degradation products.
Identity
Mass spectrometryConfirms the peptide in the vial is the correct molecule.
pH
USP <791>Confirms the solution sits within the range specified for injection.
Particulate matter
USP <788>Checks the finished vial for visible and sub-visible particles.
Container closure integrity
USP <1207>Confirms the vial seal holds so sterility is maintained through the beyond-use date.
— Your protocol
How ARA-290 is prescribed in Kailua, Hawaii.
— Who it's for
- Adults with burning, tingling or numb feet and hands their physician has evaluated
- People with nerve symptoms tied to diabetes, prediabetes or an autoimmune condition
- Patients who want a repair-focused option instead of, or alongside, pain medication
- Someone who tried standard nerve medications and did not tolerate the side effects
Your physician decides whether ARA-290 is appropriate for you after reviewing your intake and labs.
— Directions & duration
Inject 0.25 mL (25 units) subcutaneously once daily Monday through Friday.
— What's included
- Licensed physician review of your intake, history, and labs
- Medication compounded to your prescription by a PCAB-accredited, FDA-registered pharmacy
- Every batch independently tested before release
- Sterile syringes and alcohol prep pads for injectables
- Tracked delivery to your door, refills on schedule
- Message your physician anytime; dose changes without an appointment
— Storage & handling
- Store refrigerated (36–46°F / 2–8°C) at all times, including before first use.
- One vial is your monthly supply. A fresh vial ships to your Kailua, Hawaii address every 28 days on your refill schedule, so you're always well inside the beyond-use date on your label.
- Protect from light. Wipe the stopper with an alcohol pad before every draw.
- Dispose of syringes in the sharps container per the included instructions.
— What to expect
A typical course of ARA-290 in Kailua, Hawaii.
— The science
How ARA-290 works, and what the research shows.
— How it works
ARA-290 switches on the body's tissue-repair receptor, the same one erythropoietin uses to protect cells after injury.
Unlike erythropoietin it does not raise red blood cell counts, so it is studied purely for repair, especially of the small nerve fibers behind burning and tingling pain.
— Clinical evidence
Two mid-stage trials in people with small-fiber nerve damage from sarcoidosis reported less neuropathic pain and regrowth of nerve fibers measured in the eye.
Heij and colleagues 2012, Dahan and colleagues 2013Larger late-stage trials have not been completed.
How it works in Kailua
- Complete a free online intake (~5 minutes).
- A licensed Hawaii physician reviews your case within 24 hours.
- Your prescription ships from our FDA-registered compounding pharmacy.
- Free shipping arrives in Kailua 2–4 business days later. Refills ship automatically when your supply runs out — cancel anytime.
ARA-290 (Injectable) for Kailua patients
Kailua is part of Oahu and home to roughly 40K residents. Pepti serves Kailua and the surrounding Hawaii area through licensed Hawaii physicians — and is available in all 50 states and Washington, D.C. Hawaii permits telehealth prescribing by Hawaii-licensed physicians under state telehealth law. Online intake review establishes the physician-patient relationship — no in-person visit is required for non-controlled medications.
Whether it's a training setback or everyday wear and tear, Kailua patients use Pepti to get physician-reviewed recovery support without waiting rooms — the full process, from intake to delivery, happens online.
Hawaii's inter-island geography makes telehealth a primary access path for specialty care, and home delivery avoids inter-island clinic travel.
Dosing
Your prescribing physician determines the right dose, schedule, and how it's administered — based on your goals, medical history, and lab work. Your personalized protocol is provided after your consultation.
Important safety information
+
Possible side effects
Do not use if you have
If you experience severe side effects, call 911 or go to your nearest emergency room.
Frequently asked
in Kailua.
Can I get ARA-290 (Injectable) prescribed in Kailua?
Yes. Kailua residents can get ARA-290 (Injectable) prescribed online by a physician licensed in Hawaii, with no in-person visit. Your prescription is compounded at an FDA-registered pharmacy and shipped to Kailua. Hawaii permits telehealth prescribing by Hawaii-licensed physicians under state telehealth law. Online intake review establishes the physician-patient relationship — no in-person visit is required for non-controlled medications.
How long does delivery take to Kailua?
Orders ship from our FDA-registered compounding pharmacy within 1–3 business days of physician approval and typically arrive in Kailua 2–4 business days after shipment. Shipping is free to every Kailua address.
Do I need to visit a clinic in Kailua?
No. Pepti is fully telehealth — Kailua patients complete the entire process online, from intake to refills. Hawaii permits telehealth prescribing by Hawaii-licensed physicians under state telehealth law. Online intake review establishes the physician-patient relationship — no in-person visit is required for non-controlled medications.
How much does ARA-290 (Injectable) cost in Kailua?
ARA-290 (Injectable) starts at $219 at Pepti. Pepti is subscription-based — your refill ships when your supply runs out, and you can cancel anytime. Pricing is the same in Kailua as everywhere else — no city or Hawaii markup, and shipping is included.
Is Pepti available outside Kailua?
Yes — Pepti is available in all 50 states and Washington, D.C. Wherever you are in the country, a physician licensed in your state reviews your intake and your medication ships from an FDA-registered compounding pharmacy.
Is there a peptide clinic in Kailua that offers ARA-290 (Injectable)?
Kailua patients don't need an in-person peptide clinic — Pepti provides the same doctor-prescribed ARA-290 (Injectable) entirely online. A physician licensed in Hawaii reviews your intake, and your medication ships from an FDA-registered compounding pharmacy to any Kailua address. Unlike "research use only" peptide sites, every Pepti order requires a valid patient-specific prescription and a licensed dispensing pharmacy.
Is "research grade" ARA-290 (Injectable) the same as what Pepti ships to Kailua?
No. "Research use only" ARA-290 (Injectable) is sold with no prescription, no physician, and no dispensing pharmacy, and is not legally sold for human use — independent testing of research-grade peptides has repeatedly found underdosing, mislabeling, and contamination. Prescription ARA-290 (Injectable) is compounded for you at an FDA-registered US pharmacy after a licensed physician's review. When comparing ARA-290 (Injectable) options in Kailua, only consider providers that can name their prescribing physicians and their dispensing pharmacy.
References
- Dahan A, Dunne A, Swartjes M et al.. ARA 290 improves symptoms in patients with sarcoidosis-associated small nerve fiber loss and increases corneal nerve fiber density · Mol Med (2013) · PMID 24136731
- Heij L, Niesters M, Swartjes M et al.. Safety and efficacy of ARA 290 in sarcoidosis patients with symptoms of small fiber neuropathy: a randomized, double-blind pilot study · Mol Med (2012) · PMID 23168581
Citations are provided for educational purposes. They do not constitute medical advice. Always discuss any peptide protocol with your prescribing physician.
ARA-290 (Injectable) near Kailua
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Pepti operates in Kailua, Hawaii through licensed physician partnerships. Compounded medications are produced at FDA-registered 503A pharmacies. Treatment decisions are made by your prescribing physician.

— Pharmacy network accreditation
PCAB-accredited pharmacies on every order.
Every fulfillment runs through a PCAB-accredited pharmacy.
— Get started in Kailua
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