MOTS-c (Injectable) in South Carolina
Doctor-prescribed MOTS-c (Injectable) for South Carolina residents. Reviewed by licensed South Carolina physicians, compounded at FDA-registered pharmacies, and shipped to your door.
The pepti Pen cartridge for this treatment is sold out right now. The vial is the same medication at our best price.
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 by Dr. Gene, 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.
How it works in South Carolina
- 1Complete a free online intake (~5 minutes).
- 2A licensed South Carolina physician reviews your case within 24 hours.
- 3Your prescription ships from our FDA-registered compounding pharmacy.
- 4Free shipping arrives 2–4 business days later. Refills ship automatically when your supply runs out — cancel anytime.
What MOTS-c (Injectable) does
A mitochondrial-derived peptide that regulates metabolic homeostasis and cellular energy.
Amounts shown are per unit. Compounded fresh at a US FDA-registered pharmacy.
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.
Recent lots
- Lot 100526-MOT-10
Tested 2026-10-07 · Biolink Life Sciences Carolinas
Sterility
Sterile
Endotoxin
<2 EU/mL
Potency
98.8%
- Lot 100526-MOT-12
Tested 2026-10-07 · Biolink Life Sciences Carolinas
Sterility
Sterile
Endotoxin
<2 EU/mL
Potency
99.4%
- Lot 100526-MOT-2
Tested 2026-10-07 · Biolink Life Sciences Carolinas
Sterility
Sterile
Endotoxin
<2 EU/mL
Potency
98.0%
Telemedicine in South Carolina.
South Carolina permits telemedicine prescribing under the South Carolina Telemedicine Act and Board of Medical Examiners rules. A South Carolina-licensed physician can establish the patient relationship through online intake review. Pepti is available in all 50 states and Washington, D.C.
South Carolina cities Pepti serves
+ 11 more cities
, Spartanburg, Hilton Head Island, Bluffton, Fort Mill, Aiken, Anderson, Mauldin, Conway, Simpsonville, Easley, North AugustaYour protocol
How MOTS-c is prescribed in South Carolina.
Who it's for
- Adults focused on metabolic health, endurance, and insulin sensitivity
- Patients who want a mitochondrial-targeting peptide alongside training
Your physician decides whether MOTS-c is appropriate for you after reviewing your intake and labs.
Directions & duration
Inject 0.25 mL (25 units) subcutaneously Monday through Friday mornings.
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 South Carolina 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 MOTS-c in South Carolina.
The science
How MOTS-c works, and what the research shows.
How it works
MOTS-c is a peptide encoded within mitochondrial DNA.
It regulates metabolic homeostasis, improves insulin sensitivity, and acts as an exercise mimetic — boosting cellular energy and metabolic flexibility.
Clinical evidence
MOTS-c was identified as a mitochondrial-derived peptide regulating metabolic homeostasis, where it improved insulin sensitivity and exercise capacity in mice.
Lee et al., Cell Metab 2015Levels rise with exercise in humans, and an analog has entered early-phase human trials for metabolic disease.
Direct human outcome data for MOTS-c itself remains limited — it is prescribed as an investigational metabolic peptide.
References
- Lee C, Zeng J, Drew BG et al.. The mitochondrial-derived peptide MOTS-c promotes metabolic homeostasis and reduces obesity and insulin resistance · Cell Metab (2015) · PMID 25738459
- Reynolds JC, Lai RW, Woodhead JST et al.. MOTS-c is an exercise-induced mitochondrial-encoded regulator of age-dependent physical decline and muscle homeostasis · Nat Commun (2021) · PMID 33473109
- Kim KH, Son JM, Benayoun BA et al.. The Mitochondrial-Encoded Peptide MOTS-c Translocates to the Nucleus to Regulate Nuclear Gene Expression in Response to Metabolic Stress · Cell Metab (2018) · PMID 29983246
- Zempo H, Kim SJ, Fuku N et al.. A pro-diabetogenic mtDNA polymorphism in the mitochondrial-derived peptide, MOTS-c · Aging (Albany NY) (2021) · PMID 33468709
- Ramanjaneya M, Bettahi I, Jerobin J et al.. Mitochondrial-Derived Peptides Are Down Regulated in Diabetes Subjects · Front Endocrinol (Lausanne) (2019) · PMID 31214116
- Cataldo LR, Fernández-Verdejo R, Santos JL et al.. Plasma MOTS-c levels are associated with insulin sensitivity in lean but not in obese individuals · J Investig Med (2018) · PMID 29593067
- Lu H, Wei M, Zhai Y et al.. MOTS-c peptide regulates adipose homeostasis to prevent ovariectomy-induced metabolic dysfunction · J Mol Med (Berl) (2019) · PMID 30725119
- Ming W, Lu G, Xin S et al.. Mitochondria related peptide MOTS-c suppresses ovariectomy-induced bone loss via AMPK activation · Biochem Biophys Res Commun (2016) · PMID 27237975
- Knoop A, Thomas A, Thevis M. Development of a mass spectrometry based detection method for the mitochondrion-derived peptide MOTS-c in plasma samples for doping control purposes · Rapid Commun Mass Spectrom (2019) · PMID 30394592
- Ozkaya DY, Haymana C, Demirci I et al.. MOTS-C levels in individuals with and without obesity and its association with inflammation, insulin resistance and endothelial dysfunction · Arch Endocrinol Metab (2025) · PMID 41004666
Citations are provided for educational purposes. They do not constitute medical advice. Always discuss any peptide protocol with your prescribing physician.
PCAB-accredited pharmacies on every order.
Every fulfillment runs through a PCAB-accredited pharmacy.
See the lab results
- Rigorous third-party quality & safety inspections
- Cleanliness and sterile processes
- Proper ingredient sourcing
- Accurate dosing and formulation
- Staff training and procedures
- Accredited by NABP & ACHC
Frequently asked
about MOTS-c (Injectable) in South Carolina.
Yes. MOTS-c (Injectable) is legal when prescribed by a physician licensed in South Carolina and dispensed by an FDA-registered compounding pharmacy. South Carolina permits telemedicine prescribing under the South Carolina Telemedicine Act and Board of Medical Examiners rules. A South Carolina-licensed physician can establish the patient relationship through online intake review.
Most orders ship from our FDA-registered compounding pharmacy within 1–3 business days after physician approval. Delivery within South Carolina typically arrives 1-3 business days after shipment. Pepti serves patients across South Carolina including Charleston, Columbia, North Charleston, and Mount Pleasant.
No. Pepti operates as a fully telehealth platform in South Carolina. South Carolina permits telemedicine prescribing under the South Carolina Telemedicine Act and Board of Medical Examiners rules. A South Carolina-licensed physician can establish the patient relationship through online intake review.
MOTS-c (Injectable) starts at $259 at Pepti. Pepti is subscription-based — your refill ships when your supply runs out, and you can cancel anytime. Pricing is the same nationwide — no South Carolina-specific markup. Shipping is free.
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.
You don't need an in-person peptide clinic — Pepti provides doctor-prescribed MOTS-c (Injectable) entirely online anywhere in South Carolina. A physician licensed in South Carolina reviews your intake, and your medication ships from an FDA-registered compounding pharmacy to your door. Unlike "research use only" peptide sites, every Pepti order requires a valid patient-specific prescription and a licensed dispensing pharmacy.
No. "Research use only" MOTS-c (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 MOTS-c (Injectable) is compounded for you at an FDA-registered US pharmacy after a licensed physician's review. When comparing MOTS-c (Injectable) options in South Carolina, only consider providers that can name their prescribing physicians and their dispensing pharmacy.
33 more questions about Pepti, answered.Show fewer
Pepti serves all of South Carolina. A physician licensed in South Carolina reviews every order within 4 hours, the prescription is compounded by a state-licensed, FDA-registered pharmacy, and it ships free and tracked to any South Carolina street address. The price is the same as every other state.
Yes. The whole process is online in South Carolina: a free assessment, physician review, messaging, dose changes, and refills through your Pepti account or the Hello Pepti app. No clinic visit is required.
Pepti ships MOTS-c to South Carolina directly from the pharmacy: free, tracked, unbranded, in insulated packaging with ice packs for refrigerated medication. The pharmacy compounds in 1-3 business days and delivery takes 1-3 business days after shipment. PO Boxes are not accepted.
Every treatment on Pepti's catalog ships to South Carolina. Eligibility is confirmed during the assessment from your South Carolina shipping address, and if anything ever cannot ship to your address it is refunded.
The same as everywhere Pepti serves: one all-in monthly price per treatment that includes the medication, the physician, and shipping, with no South Carolina-specific markup and no membership or consult fee. Every price is on the product page.
Yes. Pepti's physicians hold licenses in South Carolina, and only a physician licensed where you live reviews and prescribes your order. Their names and credentials are on the providers page.
Yes. Pepti's partner pharmacies are state-licensed, FDA-registered 503A compounding pharmacies licensed to dispense into South Carolina, and every batch is independently tested before it ships.
A mitochondrial-derived peptide that regulates metabolic homeostasis and cellular energy. MOTS-c is prescription-only at Pepti: a licensed physician reviews your assessment and, if appropriate, prescribes it to be compounded by a state-licensed, FDA-registered pharmacy.
MOTS-c is commonly prescribed for: Adults focused on metabolic health, endurance, and insulin sensitivity; Patients who want a mitochondrial-targeting peptide alongside training. Whether it is appropriate for you is decided by the reviewing physician from your history, medications, and labs where required.
Yes. MOTS-c is prescription-only. The free online assessment takes about five minutes, a physician licensed in South Carolina reviews it within 4 hours, and if approved the prescription goes to the pharmacy. If not approved, the medication charge is refunded.
No. MOTS-c can be prescribed from the assessment alone. Bloodwork is required only for the GLP-1s and growth-hormone secretagogues, and the intake tells you if a medication on your order needs it.
MOTS-c is a subcutaneous injection into the abdomen or thigh with a small insulin syringe. Your kit ships with sterile syringes and alcohol prep pads, and the exact dose and schedule are printed on the pharmacy label. Dosing videos are in your account. It is also available as a pre-filled pepti Pen for $339.
One vial is your monthly supply at the dose your physician prescribes. A fresh vial ships about every 28 days, and the date moves if your physician changes your dose. Store it as the pharmacy label directs, refrigerated.
Once per fill, $259 each time, when the next vial ships. It renews until you cancel, which you can do anytime from your account with no cancellation fee.
The compounded MOTS-c with sterile syringes and alcohol prep pads, free tracked shipping in an unbranded box with insulated packaging, the physician review, ongoing physician care and dose adjustments, and unlimited messaging.
Reported side effects of MOTS-c are usually mild: mild redness or swelling at injection site; temporary fatigue or headache; mild nausea (uncommon). The physician screens your history, medications, and allergies before prescribing, the medication-specific consent lists the known risks, and you can message your physician about anything you notice. Seek emergency care for severe symptoms.
Response varies by person, goal, and dose, and MOTS-c is prescribed for ongoing use rather than a short trial. Your physician sets expectations at approval, tracks how you respond through your account, and adjusts the dose without an appointment.
Yes. Request it from your account or the app; your physician approves or declines. If approved you pay for the additional medication at the pharmacy's cost and the new dose applies to your next shipment.
Yes. Add MOTS-c to a plan with another treatment and both go through one assessment and one physician review, shipping together on one schedule. Each keeps its own catalog price. The physician reviews the combination and can adjust it.
No. Compounded MOTS-c is not FDA-approved. It is prepared to your physician's prescription by a state-licensed, FDA-registered 503A pharmacy and every batch is independently tested before release.
Yes, when prescribed by a licensed physician and dispensed by a licensed pharmacy, which is how Pepti provides it in South Carolina. Research-use-only MOTS-c sold without a prescription is labeled not for human use and is a different product.
MOTS-c is a peptide encoded within mitochondrial DNA. At Pepti it is prescribed to support mitochondrial health, metabolic regulation, exercise mimetic, longevity. Individual response varies, and your physician sets expectations at approval.
MOTS-c is a peptide encoded within mitochondrial DNA. It regulates metabolic homeostasis, improves insulin sensitivity, and acts as an exercise mimetic — boosting cellular energy and metabolic flexibility. Compounded MOTS-c is not FDA-approved; it is prescribed off-label by a licensed physician after reviewing your assessment.
MOTS-c is prescribed for mitochondrial health, metabolic regulation, exercise mimetic, longevity. It is commonly requested by adults focused on metabolic health, endurance, and insulin sensitivity; patients who want a mitochondrial-targeting peptide alongside training. Whether it is appropriate for you is the reviewing physician's decision.
MOTS-c is studied for mitochondrial health, metabolic regulation, exercise mimetic, longevity. Those are the goals it is prescribed to support at Pepti; results vary by person, dose, and consistency, and no outcome is guaranteed. Your physician tracks how you respond through your account.
MOTS-c was identified as a mitochondrial-derived peptide regulating metabolic homeostasis, where it improved insulin sensitivity and exercise capacity in mice (Lee et al., Cell Metab 2015). Levels rise with exercise in humans, and an analog has entered early-phase human trials for metabolic disease. Direct human outcome data for MOTS-c itself remains limited — it is prescribed as an investigational metabolic peptide. References are listed on this page.
MOTS-c is generally not prescribed with: active cancer or history of cancer (unless approved by oncologist); pregnancy or breastfeeding; severe kidney or liver disease; known allergy to the peptide or excipients. The physician screens for these in your intake, and anything that rules MOTS-c out means it is not prescribed and is refunded.
At Pepti. Complete the free assessment, a physician licensed in South Carolina reviews it within 4 hours, and if appropriate MOTS-c is compounded by a state-licensed, FDA-registered pharmacy and shipped free to your door for $259 per month, all-in. Not prescribed means refunded.
Injectable vial: 10 mL at 2 mg/mL, containing 20 mg MOTS-c. Injectable vial: 5 mL at 6 mg/mL, containing 30 mg MOTS-c. Injectable vial: 5 mL at 10 mg/mL, containing 50 mg MOTS-c. Injectable vial: 5 mL at 2 mg/mL, containing 10 mg MOTS-c. Pepti Pen cartridge: 3 mL cartridge (300 units) at 10 mg/mL, containing 30 mg MOTS-c. One vial is your monthly supply at the prescribed dose, and a fresh one ships about every 28 days.
Yes. MOTS-c is available as a pre-filled pepti Pen cartridge for $339 per month, versus $259 as a vial. Same medication, same pharmacy; the reusable injector is free with your first pen order. Choose the format in the cart or ask your physician.
$259 per month covers the compounded MOTS-c, the physician review, ongoing physician care including dose adjustments and refill review, unlimited messaging, and free tracked shipping. There is no membership, consult, visit, or refill fee; the only separate charges are optional at-home lab panels and a physician-approved dose increase billed at pharmacy cost.
Yes. MOTS-c is on Pepti's live catalog, which lists only treatments a partner pharmacy can compound and ship today. If a physician prescribes it, it ships; if it ever cannot be dispensed, the charge is refunded.
MOTS-c ships to 50 states, free and tracked, in insulated unbranded packaging. Eligibility is confirmed during the assessment from your shipping address.
MOTS-c (Injectable) in every state
Pepti is available in all 50 states and Washington, D.C.
Pepti operates in South Carolina through licensed physician partnerships. Compounded medications are produced at FDA-registered 503A pharmacies. Treatment decisions are made by your prescribing physician.
