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All of SS-31 (Elamipretide) (Injectable)
West Virginia

SS-31 (Elamipretide) (Injectable) in West Virginia

Doctor-prescribed SS-31 (Elamipretide) (Injectable) for West Virginia residents. Reviewed by licensed West Virginia physicians, compounded at FDA-registered pharmacies, and shipped to your door.

All-in monthly price

$249

No membership fee · this is the full price · free shipping · avg 4-week supply

Medication, provider care, labs & dose adjustments — all in one price.
~28-day supply. Your provider sets your exact dose, so yours may vary — your refill arrives as you finish the last one.
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Add in-depth bloodwork

Optional — add a physician-reviewed at-home blood panel to your plan.

At-home kit (1 device)+$149

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.

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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.

Dr. Gene
Physician Reviewed

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.

The process

How it works in West Virginia

  1. 1Complete a free online intake (~5 minutes).
  2. 2A licensed West Virginia physician reviews your case within 24 hours.
  3. 3Your prescription ships from our FDA-registered compounding pharmacy.
  4. 4Free shipping arrives 2–4 business days later. Refills ship automatically when your supply runs out — cancel anytime.
The treatment

What SS-31 (Elamipretide) (Injectable) does

Targets cardiolipin in the inner mitochondrial membrane, restoring cellular energy production.

✓Mitochondrial membrane repair
✓Cellular energy
✓Organ protection
✓Anti-aging
Formulation
Injectable vial5 mL · 2 mg/mL
SS-31 (Elamipretide)10 mg

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

Assay

Verifies the labeled concentration of the active peptide is what is in the vial.

Purity

HPLC

Checks the active peptide against impurities and degradation products.

Identity

Mass spectrometry

Confirms 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-SS-2

    Tested 2026-10-07 · Biolink Life Sciences Carolinas

    Sterility

    Sterile

    Endotoxin

    <2 EU/mL

    Potency

    98.1%

  • Lot 092826-SS-2

    Tested 2026-09-30 · Biolink Life Sciences Carolinas

    Sterility

    Sterile

    Endotoxin

    <2 EU/mL

    Potency

    98.2%

  • Lot 092126-SS-2

    Tested 2026-09-23 · Biolink Life Sciences Carolinas

    Sterility

    Sterile

    Endotoxin

    <2 EU/mL

    Potency

    98.2%

Compounded by licensed U.S. pharmacies. Prescribed by licensed medical providers. Shipped directly to patients in West Virginia.Documentation available upon request →View lab results by lot →
West Virginia

Telemedicine in West Virginia.

West Virginia permits telemedicine prescribing under the West Virginia Telemedicine Act and Board of Medicine rules. A West Virginia-licensed physician can establish the patient relationship through online intake review. Pepti is available in all 50 states and Washington, D.C.

West Virginia has the highest adult obesity rate in the country, driving strong demand for GLP-1 and metabolic peptide therapy delivered via telehealth.

West Virginia cities Pepti serves

Pepti delivers SS-31 (Elamipretide) (Injectable) to patients across West Virginia, including Charleston, Huntington, Morgantown, Parkersburg, Wheeling. All shipments use the same FDA-registered compounding pharmacy regardless of city.

Your protocol

How SS-31 is prescribed in West Virginia.

Who it's for

  • Adults interested in mitochondrial support for energy and recovery
  • Patients whose physician is targeting cellular energy rather than a single symptom

Your physician decides whether SS-31 is appropriate for you after reviewing your intake and labs.

Directions & duration

Inject 0.25 mL (25 units) subcutaneously Monday through Friday mornings.

Cycle. Ongoing monthly treatment. Most patients notice the most change in the first two months and continue for lasting support.
Ready for more? When you're ready for more, ask your physician to move you up to the next strength. Approved steps are charged at the price difference and applied to your next fill.
Directions shown are the pharmacy's standard for this preparation. Your prescription label is the final word.

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 West Virginia 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 SS-31 in West Virginia.

TimeframeWhat patients commonly report
Weeks 1–2Energy and recovery are the most commonly reported early changes.
Weeks 3–6Effects tend to build with consistent use.
Weeks 6–8 and onEffects tend to hold with continued use. Your physician adjusts the dose over time.
Individual results vary. Compounded medications are not FDA-approved; a licensed physician determines whether treatment is appropriate and monitors your progress.

The science

How SS-31 works, and what the research shows.

How it works

SS-31 (Elamipretide) targets cardiolipin in the inner mitochondrial membrane, restoring electron transport chain efficiency and protecting against oxidative damage.

Critical for cellular energy production.

Clinical evidence

  • Elamipretide is one of the few peptides in this class with a real human trial program: randomized controlled trials in Barth syndrome (TAZPOWER), primary mitochondrial myopathy, and mitochondrial eye disease.

  • Results have been mixed — some endpoints improved while other trials missed their primary endpoints — and it is not FDA-approved.

  • Its cardiolipin-binding, mitochondria-stabilizing mechanism is well documented in the literature.

Full references with PubMed links are listed further down the page.

References

  1. Szeto HH. First-in-class cardiolipin-protective compound as a therapeutic agent to restore mitochondrial bioenergetics · Br J Pharmacol (2014) · PMID 24117165
  2. Birk AV, Liu S, Soong Y et al.. The mitochondrial-targeted compound SS-31 re-energizes ischemic mitochondria by interacting with cardiolipin · J Am Soc Nephrol (2013) · PMID 23813215
  3. Reid Thompson W, Hornby B, Manuel R et al.. A phase 2/3 randomized clinical trial followed by an open-label extension to evaluate the effectiveness of elamipretide in Barth syndrome, a genetic disorder of mitochondrial cardiolipin metabolism · Genet Med (2021) · PMID 33077895
  4. Thompson WR, Manuel R, Abbruscato A et al.. Long-term efficacy and safety of elamipretide in patients with Barth syndrome: 168-week open-label extension results of TAZPOWER · Genet Med (2024) · PMID 38602181
  5. Karaa A, Bertini E, Carelli V et al.. Efficacy and Safety of Elamipretide in Individuals With Primary Mitochondrial Myopathy: The MMPOWER-3 Randomized Clinical Trial · Neurology (2023) · PMID 37268435
  6. Karaa A, Haas R, Goldstein A et al.. A randomized crossover trial of elamipretide in adults with primary mitochondrial myopathy · J Cachexia Sarcopenia Muscle (2020) · PMID 32096613
  7. Karaa A, Haas R, Goldstein A et al.. Randomized dose-escalation trial of elamipretide in adults with primary mitochondrial myopathy · Neurology (2018) · PMID 29500292
  8. Karaa A, Bertini E, Carelli V et al.. Genotype-specific effects of elamipretide in patients with primary mitochondrial myopathy: a post hoc analysis of the MMPOWER-3 trial · Orphanet J Rare Dis (2024) · PMID 39574155
  9. Ehlers JP, Hu A, Boyer D et al.. ReCLAIM-2: A Randomized Phase II Clinical Trial Evaluating Elamipretide in Age-related Macular Degeneration, Geographic Atrophy Growth, Visual Function, and Ellipsoid Zone Preservation · Ophthalmol Sci (2024) · PMID 39605874
  10. Butler J, Khan MS, Anker SD et al.. Effects of Elamipretide on Left Ventricular Function in Patients With Heart Failure With Reduced Ejection Fraction: The PROGRESS-HF Phase 2 Trial · J Card Fail (2020) · PMID 32068002
  11. Zhao C, Zhuang X, Gao J. Elamipretide: The first cardiolipin-directed mitochondrial therapeutic for Barth syndrome approved under accelerated approval · Drug Discov Ther (2026) · PMID 41260682

Citations are provided for educational purposes. They do not constitute medical advice. Always discuss any peptide protocol with your prescribing physician.

Pharmacy network accreditation

PCAB-accredited pharmacies on every order.

Every fulfillment runs through a PCAB-accredited pharmacy.

See the lab results
PCAB — Pharmacy Compounding Accreditation Board · Accredited
  • 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
Common questions

Frequently asked
about SS-31 (Elamipretide) (Injectable) in West Virginia.

Yes. SS-31 (Elamipretide) (Injectable) is legal when prescribed by a physician licensed in West Virginia and dispensed by an FDA-registered compounding pharmacy. West Virginia permits telemedicine prescribing under the West Virginia Telemedicine Act and Board of Medicine rules. A West Virginia-licensed physician can establish the patient relationship through online intake review.

33 more questions about Pepti, answered.

Pepti serves all of West Virginia. A physician licensed in West Virginia 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 West Virginia street address. The price is the same as every other state.

Pepti operates in West Virginia through licensed physician partnerships. Compounded medications are produced at FDA-registered 503A pharmacies. Treatment decisions are made by your prescribing physician.