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ZYP Medical

A Nebraska nurse-practitioner clinic that names its one prescriber, prints the dose behind nearly every price, and sells research-only peptides beside its compounded GLP-1s.

Review by Leah Garner, clinical-evidence editor · Updated October 2026

The short version

The clinical side is unusually legible. One prescriber is named with his credential, every plan starts with a live visit, and most products print a strength and a schedule. The weaker side is the paperwork. The site quotes three different consult fees, most medication sales are final, and the peptide catalog prices compounds that have no lawful compounding route.

Disclosure: This Peptide is reader-supported. Some links below are affiliate links — if you start care through them we may earn a commission, at no extra cost to you. The order on this page is not commercial, and a commission never changes what we write about a provider. How we make money.

Lowest listed: NAD+ nasal spray, from $89/mo

7 states for weight loss; 6 for peptides

Visit ZYP Medical →

ZYP Medical, LLC is a direct-pay clinic in Gretna, Nebraska, near Omaha, seeing patients in person and by telehealth. It prescribes compounded semaglutide and tirzepatide injections, a tirzepatide tablet that dissolves under the tongue, and a chewable tirzepatide tablet. A separate catalog sells NAD+ in four forms, sermorelin, glutathione and GHK-Cu. The same catalog also prices BPC-157, TB-500, KPV, ipamorelin with CJC-1295, compounded tesamorelin and 5-Amino-1MQ.

What ZYP Medical prescribes, by goal

Weight

  • SemaglutideFDA-approved
    • Injection (compounded)Price not published
  • TirzepatideFDA-approved
    • Injection (compounded)From $299 per 4 wks$324 a calendar month, our arithmetic
    • Sublingual (compounded)From $250/mo

Compounded semaglutide and tirzepatide are weekly injections blended with vitamin B6, and each starter prints its doses. Semaglutide runs 0.25 mg weekly for four weeks, then 0.5 mg, then 1 mg. Tirzepatide runs 2.5 mg weekly for four weeks, then 5 mg. The tirzepatide tablet that dissolves under the tongue comes in 3, 4 and 5 mg, taken once daily. A chewable 3 mg tirzepatide tablet is also sold, with dosing frequency left to the provider.

Longevity

  • NAD+Legal to compound
    • Nasal spray (compounded)From $89/mo
    • Oral (compounded)From $109/mo
    • Sublingual (compounded)From $189/mo
    • Injection (compounded)From $249 for 6 weeks$180 a calendar month, our arithmetic
  • GlutathioneLegal to compound
    • Sublingual (compounded)From $159/mo

NAD+ is sold as an injection, a sublingual tablet, an oral capsule and a nasal spray, each with its strength printed. The injection reaches 100 mg three times weekly after a six-week titration. The capsule is 35 mg daily, and the spray comes in four concentrations. A glutathione troche of 250 mg is dissolved under the tongue daily and shipped cold.

Recovery

  • SermorelinLegal to compound
    • Injection (compounded)From $199 per 4 wks$215.58 a calendar month, our calendar-month conversion
    • Sublingual (compounded)From $219/mo
  • GHK-CuLegal to compound
    • Topical (compounded)From $209 per kit

The one recovery product this site can list is GHK-Cu cream at 0.2%, applied as 1 gram once daily. Everything else in the recovery group is research-only, including BPC-157, TB-500, KPV and injectable GHK-Cu. Those four are limited to Nebraska and Kansas by the pharmacy's licensing.

Sleep

  • SermorelinLegal to compound
    • Injection (compounded)From $199 per 4 wks$215.58 a calendar month, our calendar-month conversion
    • Sublingual (compounded)From $219/mo

Sermorelin is sold as a 15 mg injection vial, 0.2 mL nightly, and as a 500 mcg troche dissolved at bedtime. The catalog frames both as growth-hormone support dosed at night. It does not claim a measured sleep outcome for either.

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

The site names the prescriber: Josh Peterson, FNP-C, described as a board-certified family nurse practitioner and the founder. The weight-loss disclaimer says all treatments are prescribed by a licensed Family Nurse Practitioner after a comprehensive consultation. No second prescriber is named anywhere on the site; the one other professional named is a registered dietitian partner. ZYP states plainly that it does not dispense medication. Independent state-licensed 503A compounding pharmacies compound and ship every peptide, and the GLP-1 disclaimer names Strive Pharmacy for semaglutide and tirzepatide.

Every plan begins with a consultation before any prescription, by video or in person at the Gretna clinic. New GLP-1 patients book a 60-minute Deep Dive; patients already on a GLP-1 can book a 30-minute Power Consult. A health-history form is completed before the visit, and the provider reads it in advance. After that, the weight-loss plan describes check-ins before each refill and a week-seven follow-up before a tirzepatide reorder. Messaging runs through Spruce Health, by text, to the same provider.

Are labs required?

Recommended, not required

No bloodwork is required before a GLP-1 or peptide prescription. The peptide FAQ says baseline labs are recommended for several protocols and are discussed at the consult. A price for those labs is not given there. The at-home BioBox lab kits are sold separately.

Ready to start with ZYP Medical?

Lowest listed price: NAD+ nasal spray, from $89/mo. Confirm it on the seller’s own site.

What it claims, and what it cites

The outcome claims are borrowed from brand-name trials and labeled that way. The FAQ gives semaglutide as roughly 10 to 15% average body-weight loss and tirzepatide as 15 to 22%. It calls those published trial averages, and adds that results vary and are not guaranteed. No study is linked beside either range. The quality claim is specific but unevidenced on the page. The site says every prescription is filled by a 503A pharmacy that verifies the potency of each batch. The peptide page adds testing for potency and sterility. No certificate of analysis, batch record or lab name is published. One marketing claim sits awkwardly beside the site's own terms. The weight-loss page says ZYP does not run ads and grows by referral. The terms of use describe retargeting cookies used to show ads to past visitors. The peptide copy is more candid than most. It says much of the research behind these compounds is preclinical, and that ZYP guarantees no result. It also concedes that ZYP will not be the cheapest option. The tesamorelin card calls it the only GHRH analog on the page with FDA approval in any population. That approval belongs to the brand product, and ZYP sells a compounded vial.

On ZYP Medical’s siteSource it gives
On ZYP Medical’s site“Semaglutide: ~10–15% of body weight · Tirzepatide: ~15–22% of body weight”Source it givesCalled published trial averages; no study is linked
On ZYP Medical’s site“Filled by a licensed 503A compounding pharmacy that verifies the potency of each batch before it ships”Source it givesNone given
On ZYP Medical’s site“We don't run ads — ZYP grows through patients who tell a friend.”Source it givesThe terms of use describe retargeting cookies used to show ads to past visitors
On ZYP Medical’s site“200+ Google reviews”Source it givesNo link to the listing appears beside the figure
On ZYP Medical’s site“The only GHRH analog on this page that carries FDA approval in any population”Source it givesThe approval is for the brand product; the vial sold is compounded

Sold by ZYP Medical, not listed here

BPC-157
On no 503A list (removed from Category 2 in April 2026, never in Category 1). The FDA's compounding advisory committee voted 8–6 (one abstention) in July 2026 to favor listing it; the vote is a recommendation, not binding on the FDA, and pharmacies may not compound it until final rulemaking.
TB-500
On no FDA compounding list: absent from the 503A categories (updated May 14, 2026) and the 503B categories (updated March 21, 2025). FDA's compounding advisory committee voted 8-6 (one abstention) in July 2026 to favor listing it; the vote is a recommendation, not binding on the FDA, and pharmacies may not compound it until final rulemaking.
KPV
On no FDA compounding list. KPV appears in neither the 503A bulk drug substances categories (updated May 14, 2026) nor the 503B categories (updated March 21, 2025). FDA's compounding advisory committee voted 8-6 (one abstention) in July 2026 to favor listing it; the vote is a recommendation, not binding on the FDA, and pharmacies may not compound it until final rulemaking.
Ipamorelin
"Ipamorelin Acetate" is in 503B Category 2, bulk drug substances that raise significant safety risks (list updated March 21, 2025). It is named on no 503A list, so neither an outsourcing facility nor a 503A pharmacy has a listed route to it.
CJC-1295
On no FDA compounding list. The name does not appear in the 503A bulk drug substances categories (updated May 14, 2026) or in the 503B categories (updated March 21, 2025), so neither a 503A pharmacy nor a 503B outsourcing facility has a listed route to it.
Tesamorelin
Approved only as Egrifta, for excess abdominal fat in adults with HIV-associated lipodystrophy. Its label says it is not indicated for weight loss. Egrifta became a biologic (BLA) on March 23, 2020, and FDA says compounded versions of these products do not qualify for the 503A or 503B compounding exemptions.
5-Amino-1MQ
On no FDA compounding list. 5-Amino-1MQ (5-amino-1-methylquinolinium) appears in neither the 503A bulk drug substances categories (updated May 14, 2026) nor the 503B categories (updated March 21, 2025).
BPC-157, as an injection, capsules and in the Wolverine stack
On no 503A list (removed from Category 2 in April 2026, never in Category 1). The FDA's compounding advisory committee voted 8–6 (one abstention) in July 2026 to favor listing it; the vote is a recommendation, not binding on the FDA, and pharmacies may not compound it until final rulemaking.
TB-500 (thymosin beta-4)
On no FDA compounding list: absent from the 503A categories (updated May 14, 2026) and the 503B categories (updated March 21, 2025). FDA's compounding advisory committee voted 8-6 (one abstention) in July 2026 to favor listing it; the vote is a recommendation, not binding on the FDA, and pharmacies may not compound it until final rulemaking.
KPV, alone and with BPC-157
On no FDA compounding list. KPV appears in neither the 503A bulk drug substances categories (updated May 14, 2026) nor the 503B categories (updated March 21, 2025). FDA's compounding advisory committee voted 8-6 (one abstention) in July 2026 to favor listing it; the vote is a recommendation, not binding on the FDA, and pharmacies may not compound it until final rulemaking.
Ipamorelin / CJC-1295
"Ipamorelin Acetate" is in 503B Category 2, bulk drug substances that raise significant safety risks (list updated March 21, 2025). It is named on no 503A list, so neither an outsourcing facility nor a 503A pharmacy has a listed route to it.
Compounded tesamorelin, alone and in stacks
Approved only as Egrifta, for excess abdominal fat in adults with HIV-associated lipodystrophy. Its label says it is not indicated for weight loss. Egrifta became a biologic (BLA) on March 23, 2020, and FDA says compounded versions of these products do not qualify for the 503A or 503B compounding exemptions.
5-Amino-1MQ, alone and with NMN
On no FDA compounding list. 5-Amino-1MQ (5-amino-1-methylquinolinium) appears in neither the 503A bulk drug substances categories (updated May 14, 2026) nor the 503B categories (updated March 21, 2025).
GHK-Cu injection
Injectable GHK-Cu is on no FDA compounding list; only non-injectable GHK-Cu is under evaluation, so the cream is listed and the injection is not.
Chewable tirzepatide tablets
Priced at $199 for 30 tablets, but the provider sets the dosing frequency, so the page states no supply length to compare.

How it bills

Weight-loss patients start on a prepaid starter. Semaglutide is $399 for ten weeks, which the page shows as $160 a month. Tirzepatide is $450 for eight weeks, shown as $225 a month. After the starter, refills are priced by dose. Tirzepatide has a month-to-month refill at $299 for four weeks at any dose from 2.5 to 10 mg. Semaglutide refills run from $350 for ten weeks down to $235 for four, depending on dose. This site ranks tirzepatide on the four-week refill, which is $324 a calendar month. Semaglutide has no monthly starting plan, so its prepaid starter has no ranked monthly price. The consult fee is quoted three ways. The weight-loss hero calls the first consult free. The cost FAQ and the pricing page give $50 for a Deep Dive and $29.99 for a Power Consult. The footer FAQ on every page says $75 and $39.99. Peptide and NAD+ prices are stated as all-inclusive of medication, supplies, shipping and provider oversight. The NAD+ injection is $179 for a six-week starter, then $249 every six weeks. The sublingual NAD+ tablet is $169 on the NAD+ page and $189 on the peptide page. Refunds are narrow. All medication sales are final. On prepaid multi-vial plans, canceling before a later vial ships returns at most $100. NAD+ purchases are non-refundable. Peptide autoship can be canceled by phone or through the patient portal, with no cancellation fee.

Availability: 7 states for weight loss; 6 for peptides

For and against

  • For: Names its one prescriber and his credential
  • For: Every plan starts with a live consultation
  • For: Strength and schedule printed on most products
  • For: States plainly that pharmacies dispense, not ZYP
  • For: Peptide copy admits the research is preclinical
  • Against: Three different consult fees on one page
  • Against: Medication sales are final; refunds capped at $100
  • Against: Prices research-only peptides beside eligible ones
  • Against: Potency testing claimed without a certificate
  • Against: Month-to-month tirzepatide only after a starter

The evidence behind what it sells

Right for

Someone in one of the seven states served who wants a named clinician, a long first visit and a dose printed beside the price.

Look elsewhere if

Anyone outside the seven states, or anyone who wants a refund route if a compounded medication does not suit them.

Other sellers for weight

ZYP Medical

Frequently asked questions

Who prescribes at ZYP Medical?
Josh Peterson, FNP-C, a family nurse practitioner and the clinic's founder. He is the only clinician the site names, and he runs the consult and the follow-up texts.
Is the first consult free?
The site disagrees with itself. The weight-loss hero says free, the pricing page says $50 or $29.99, and the footer FAQ says $75 or $39.99. Ask which applies before booking.
Which pharmacy fills the prescription?
ZYP does not dispense. Independent 503A compounding pharmacies compound and ship, and the GLP-1 disclaimer names Strive Pharmacy for semaglutide and tirzepatide.
Which states does ZYP serve?
Weight loss covers Nebraska, Iowa, South Dakota, Minnesota, Kansas, Colorado and Arizona. Peptides and NAD+ cover the same list without Minnesota, and the tissue-repair line is Nebraska and Kansas only.
Can I get a refund?
Rarely. Medication sales are final, prepaid plans refund at most $100 before a later vial ships, and NAD+ purchases are non-refundable.

See what ZYP Medical prescribes today

ZYP Medical sets its own prices, plans and the states it serves. Check them before you start.

Written by Leah Garner from ZYP Medical’s own public pages, against the published methodology. No outcome is claimed first-hand and no score is given. A partnership never changes what this page says; see how the site is paid.