Fitish
A skincare label that added a prescription line, where Fitish sells and bills while a separate platform, DrTelx, runs every consultation.
Review by Craig Palmer, peptide pharmacology writer · Updated September 2026
The short version
The prices are unusually plain, one monthly figure per product with the consult and shipping inside it, but the clinical side is almost entirely borrowed. Fitish says in its own consent form that it does not consult, names DrTelx as the platform that does, and never names a clinician or the pharmacy that fills the order.
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Fitish began as an active-lifestyle skincare brand founded by Jenna Owens, and Fitish RX is the prescription line it added, sold through the same Shopify store by Fitish, LLC of Fort Worth, Texas. The peptide catalog runs to compounded semaglutide with vitamin B6 and compounded tirzepatide as weekly injections, tirzepatide as a daily tablet under the tongue, and sermorelin by injection. NAD+ comes as an injection and a nasal spray, and GHK-Cu as a tablet under the tongue and a face cream. A MIC B12 injection and a lower-dose GLP-1 microdosing program sit beside them.
What Fitish prescribes, by goal
Weight
- SemaglutideFDA-approved
- Injection (compounded)From $219/mo
- TirzepatideFDA-approved
- Injection (compounded)From $339/mo
- Sublingual (compounded)From $339 per 4 wks$367 a calendar month, our arithmetic
Compounded semaglutide with vitamin B6 is $219 a month and compounded tirzepatide is $339, both as once weekly injections titrated by the provider, with no dose in milligrams printed for either. Tirzepatide also comes as a daily tablet placed under the tongue at $339 for four weeks. A separate microdosing program, at $179 for semaglutide and $269 for tirzepatide per 28 days, holds one low fixed dose that the page says does not increase.
Longevity
- NAD+Legal to compound
- Injection (compounded)From $219/mo
- Nasal spray (compounded)From $149/mo
NAD+ is $219 a month as an injection and $149 as a nasal spray used once or twice a day, and neither page prints a strength or a volume beyond a 14 mL bottle mentioned in the spray FAQ. GHK-Cu is $189 a month as a tablet dissolved under the tongue and $150 a month as a face cream, and the site frames both as skin and hair support rather than as anything the provider measures.
Recovery
- GHK-CuLegal to compound
- Sublingual (compounded)From $189/mo
- Topical (compounded)From $150/mo
- SermorelinLegal to compound
- Injection (compounded)From $149/mo
Sermorelin starts at $149 a month as a subcutaneous injection taken once each night, and the page describes low dose (3 mg) and high dose (9 mg) protocols without saying whether those figures are per vial or per month. Only the starting price is published, so what the high-dose protocol costs is not stated. It does not ship to AK, AR, CA, IN, MI, MN or SC.
Sleep
- SermorelinLegal to compound
- Injection (compounded)From $149/mo
Sermorelin is the product pitched at sleep, and its page says sleep quality often improves first, within the first two to four weeks of nightly use. That is a timeline offered without a study behind it, and the price is the same $149 starting figure quoted for recovery.
Each “From” figure is the seller’s own starting price, in the unit the seller states. Where a required fee or a package length changes what one month costs, the smaller line under it is our arithmetic, not a figure the seller prints. Compounded preparations are not FDA-approved.
Who prescribes
A licensed clinician
Fitish is not the prescriber, and its telehealth consent says so in one line: Fitish does not provide doctor consultations, consultations are done through DrTelx. The clinic FAQ describes the same arrangement without the name, as a telehealth platform giving access to board-certified medical providers. That makes DrTelx the prescribing network, and no clinician inside it is named anywhere on the site, with no license number or state attached. The consent form adds that your treating provider may be a nurse practitioner or physician assistant rather than a physician. Fitish itself takes the money, since the store checkout is its own and payment is processed automatically once a provider approves. The pharmacy is described only as pharmacy partners and a state-licensed compounding pharmacy, so the facility that makes the product is not named either.
Every product page opens an online questionnaire on its own intake site, and the clinic FAQ says a licensed provider reviews it on submission. A live consultation is only required if your state mandates one, and the intake itself lets you choose an email or text visit, or a video or phone visit that is scheduled within about 24 to 48 hours. A decision is promised within one to two business days, and the card is charged only if the prescription is approved. After that, the product pages describe follow-up through the patient portal for dose adjustments and questions at no added cost, and the FAQ says you can message your provider around the clock by replying to Fitish's clinic email address.
Are labs required?
Not requested
No product page asks for bloodwork before a prescription, and no lab charge appears anywhere in the catalog. A page titled Fitish Blood Test exists in the sitemap, but it renders with a heading and nothing else.
Ready to start with Fitish?
Lowest listed price: NAD+ nasal spray, from $149/mo. Confirm it on the seller’s own site.
What it claims, and what it cites
The strongest outcome claim sits on the Rx Beauty page, which says studies show a 22% improvement in skin firmness and a 29% increase in skin thickness over 12 weeks of consistent topical use. No study, author or journal is named beside those figures, so the reader has two percentages and nothing to check them against. The NAD+ nasal spray FAQ says users commonly report feeling effects in as little as within an hour. That is a report of user experience rather than a measured result, and the clinic FAQ answers the same question more cautiously, saying it cannot predict a result for you. The oral tirzepatide page contradicts itself about how the tablet is taken. Its opening describes a daily tablet taken by mouth with a small amount of water, while its own dosage-form answer describes a sublingual tablet dissolved under the tongue rather than swallowed. The comparison page against Hers promises one flat monthly price at every dose, then qualifies it in brackets with some exclusions apply, and never says what the exclusions are. The weight-loss pages have their own federal record. FDA warning letter 728280, dated June 8, 2026, was addressed to Fitish. It found that the compounded semaglutide and tirzepatide pictured on the site carried the Fitish name on the label, which suggests Fitish compounds them when it does not. It also quoted two lines naming semaglutide and tirzepatide as the active ingredients in Ozempic, Mounjaro and Zepbound, which the FDA said imply approval the compounded drugs lack.
| On Fitish’s site | Source it gives |
|---|---|
| On Fitish’s site“Studies show a 22% improvement in skin firmness and a 29% increase in skin thickness over 12 weeks” | Source it givesNone given |
| On Fitish’s site“Users commonly report feeling effects in as little as within an hour (NAD+ nasal spray)” | Source it givesNone given |
| On Fitish’s site“Board-certified medical providers who guide you every step of the way” | Source it givesNo provider is named; the consent form names DrTelx as the platform that consults |
| On Fitish’s site“The same monthly price at every dose (some exclusions apply)” | Source it givesThe exclusions are not listed on any page |
Sold by Fitish, not listed here
- MIC B12 injection
- Methionine, inositol and choline with vitamin B12 is not a peptide, so it sits outside what this site covers. It is $109 a month.
- The GLP-1 microdosing program
- A fixed low dose of semaglutide ($179) or tirzepatide ($269) per 28-day supply that the seller says does not titrate up, so it is not set against full-dose prices.
- Oral semaglutide
- The online-prescription guide lists oral semaglutide tablets at $219, but the old product address now redirects to the semaglutide injection, and no tablet product is sold.
How it bills
Each product carries one figure, described as a monthly supply that includes the provider consult, the medication if approved, and shipping, with no separate consult or membership fee. The tirzepatide tablet is the exception to the calendar: its page says the monthly supply is four weeks, which is thirteen fills a year, so $339 works out to about $367 a calendar month. Nothing is sold on a multi-month plan. The clinic refund policy states that all sales are final, and that no refund or cancellation is offered once a purchase is completed. A refund is promised only for an error by Fitish, or for a prescription canceled before it is filled. No page describes how to stop a monthly refill.
Availability: Not published
For and against
- For: One monthly figure, consult and shipping inside it
- For: No membership fee on top of the medication
- For: No card charge until a clinician signs off
- For: An email, text, video or phone visit can be chosen
- For: The microdose lane is priced and labeled apart
- Against: Fitish says outright that it does not consult
- Against: No clinician or pharmacy is named anywhere
- Against: All sales are final once a purchase completes
- Against: No published way to stop a monthly refill
- Against: Skin and NAD+ claims carry no citation
- Against: FDA warning letter 728280 in 2026
The evidence behind what it sells
- Tirzepatide Headache: What the Labels and Trial Results Recorded
- Does NAD Cause Cancer? What Human and Animal Studies Show
- GHK-Cu Copper Toxicity: Copper per Milligram vs the Upper Limit
- Sermorelin vs HGH: A Signal to the Pituitary or the Hormone Itself
- Does Tirzepatide Make You Tired? What the Trials and Labels Show
- NAD for Parkinson's: What the Human Trials Have Found So Far
Right for
Someone who already knows which peptide they want and values a single monthly figure with the consult and shipping inside it, more than knowing who will write the prescription.
Look elsewhere if
Anyone who wants to know the name and license of the clinician before paying, or who needs a refund route beyond an error on the seller's side.
Other sellers for weight
50 Stars Health
Also prescribes Semaglutide, Tirzepatide.
Actin
Also prescribes Semaglutide, Tirzepatide.
AgelessRx
Also prescribes Semaglutide, Tirzepatide.
Fitish
Frequently asked questions
- Who actually prescribes at Fitish?
- A telehealth platform called DrTelx. Fitish's consent form says Fitish does not provide doctor consultations, and no individual clinician is named anywhere on the site.
- Does Fitish name its pharmacy?
- No. The pages say a state-licensed compounding pharmacy fills each order, and the FAQ refers to pharmacy partners, but none is named.
- Do I have to speak to someone before a prescription?
- Only if your state requires it. Otherwise a provider reviews the questionnaire, and the intake lets you pick an email, text, video or phone visit.
- Can I get a refund?
- Only for an error on Fitish's side, or for a prescription canceled before it is filled. The clinic refund policy says all sales are final once a purchase completes.
- Has the FDA sent Fitish a warning letter?
- Yes. Letter 728280, dated June 8, 2026, said the site pictured compounded GLP-1s with the Fitish name on the label. It also objected to lines tying those drugs to Ozempic, Mounjaro and Zepbound, because compounded drugs are not FDA-approved.
See what Fitish prescribes today
Fitish sets its own prices, plans and the states it serves. Check them before you start.