Advanced Peptide Therapy in San Antonio & Boerne
Physician-Directed, Personalized Optimization
Medically reviewed by Dr. Jamie Lynn Jaqua, MD
Customized Care. Direct Physician Guidance.
At Vitality Testosterone & Weight Loss, we offer customized peptide therapy protocols designed to support your body's natural processes—guided directly by a physician and tailored to your unique physiology.
This is not protocol-driven care. Every recommendation is refined, individualized, and grounded in medical expertise.
What Is Peptide Therapy?
Peptides are short chains of amino acids that act as signaling molecules within the body. They play a role in regulating functions such as metabolism, cellular communication, and recovery processes.
In a clinical setting, peptide therapy is used as part of a comprehensive, physician-directed plan to support overall wellness and optimization.
Our Approach to Peptide Therapy
Your care at Vitality is built around precision and personalization:
- Comprehensive medical consultation
- Review of symptoms, history, and goals
- Lab evaluation when clinically appropriate
- Customized protocol design
- Ongoing monitoring and physician oversight
You will never be placed on a generic protocol—every treatment plan is tailored specifically to you.
Quality & Safety Standards
We source medications from licensed U.S. compounding pharmacies that adhere to rigorous standards for quality and safety, including sterility and potency testing. This ensures that every therapy we prescribe aligns with our commitment to physician-directed, high-level care.
Sermorelin — Our Primary Peptide Protocol
Sermorelin is a synthetic analog of Growth Hormone Releasing Hormone (GHRH). It stimulates the pituitary gland to produce and release growth hormone naturally—working with your body's own physiology rather than introducing synthetic HGH directly.
This makes Sermorelin one of the most established and well-tolerated growth hormone peptides in physician-supervised use, with a favorable safety profile backed by decades of clinical experience.
Additional peptide protocols are available. Dr. Jaqua will discuss all appropriate options privately during your consultation based on your individual evaluation.
Why Patients Choose Vitality
Care at Vitality is designed for patients who value precision, discretion, and a higher standard of medicine.
Physician-Directed Care
Your treatment is designed and managed directly by a physician—not delegated and never driven by generic protocols.
Individually Tailored Protocols
Every recommendation is based on your physiology, your goals, and your response to treatment—ensuring a truly personalized approach.
Selective, High-Quality Sourcing
We partner with licensed U.S. compounding pharmacies that adhere to strict standards for quality, sterility, and potency—supporting a higher level of care.
Refined Patient Experience
From consultation to follow-up, every aspect of your care is designed to be streamlined, discreet, and elevated.
Focused Expertise in Optimization Medicine
We specialize in hormone optimization, medical weight loss, and advanced therapeutic strategies—allowing for a deeper, more nuanced approach.
Who May Benefit from Peptide Therapy
Peptide therapy may be considered as part of a broader plan for individuals seeking support with:
- Body composition goals
- Recovery and performance
- Energy and overall wellness
- Metabolic optimization
All therapies are prescribed only after a medical evaluation to determine appropriateness.
The 2026 Peptide Regulatory Update
On February 27, 2026, HHS Secretary Robert F. Kennedy Jr. announced that approximately 14 peptides previously classified as Category 2—and thus restricted from legal compounding—are expected to be reclassified to Category 1, restoring legal physician-supervised compounding access.
As of April 2026, the formal FDA publication of the updated list has not yet been released. Compounding pharmacies cannot legally resume production of previously restricted peptides until the official FDA document is published.
Current physician-supervised protocols at Vitality Texas are unaffected by this transition. Patients will be notified through clinic communications when additional protocols become available following formal publication.
For a full explanation of the announcement and what it means for patients, see our in-depth article: Peptide Therapy FDA Status 2026: What the RFK/HHS Announcement Means for Patients.
Who Is the Peptide Specialist at Vitality Texas?
Peptide therapy at Vitality Testosterone & Weight Loss is directed by Dr. Jamie Lynn Jaqua, MD, a double board-certified physician who founded the clinic in Boerne, Texas in April 2023 and sees patients from Boerne, San Antonio and the surrounding Hill Country. She holds Texas Medical Board licence P6362, is a Certified Medical Weight Management Provider through the International Association for Physicians in Aesthetic Medicine, and personally evaluates, prescribes and monitors every peptide protocol this clinic provides. There is no delegated prescriber and no asynchronous review by a clinician in another state: the physician who writes your protocol is the physician sitting across from you.
Her credentials
Dr. Jaqua is double board-certified in Pediatrics and Pediatric Emergency Medicine. She graduated magna cum laude from Arizona State University, earned her medical degree at the Sanford School of Medicine at the University of South Dakota, completed residency at UT Southwestern Austin at Dell Children's Medical Center, and finished a fellowship in Pediatric Emergency Medicine at Wake Forest School of Medicine. Alongside that she holds certification as a Medical Weight Management Provider through IAPAM and has completed the American Academy of Family Physicians programme on protocols for hormone replacement therapy. There is no board certification in peptide therapy anywhere in American medicine, so nobody holds one — what exists is a licensed physician's training, judgement and accountability, and a licence number you can look up on the Texas Medical Board register.
What “physician-directed” means in practice here
Most peptide access in the United States now runs through an online intake form, an asynchronous review, a shipment and a subscription. That model is legal and convenient, and it cannot notice the things that matter in this kind of medicine. At Vitality, Dr. Jaqua reads your labs herself, decides whether a peptide is appropriate at all, writes the prescription, and adjusts it based on how you actually respond rather than on a schedule. Growth hormone secretagogue protocols are monitored on the IGF-1 axis rather than on how a patient feels in week two, which is the sort of decision that needs a prescriber who has seen the trend and not a support ticket.4 The practical consequence is a smaller, slower practice than a subscription platform, and that is deliberate.
The protocols she prescribes
Vitality prescribes three peptide protocols. Anything you read about elsewhere is not on this menu, and the honest status of each one is stated here rather than in the small print:
- Compounded semaglutide — prescribed under physician supervision; pharmacy-compounded, not brand-name Ozempic or Wegovy, not a generic, and it has not been through FDA review.
Not currently offered: BPC-157, TB-500, and CJC-1295 + Ipamorelin. These are discussed on this site for education only. None of them is authorised for compounding by a licensed 503A pharmacy, so none of them is prescribed here. In April 2026 the FDA moved BPC-157, TB-500 and CJC-1295 into its nominated-but-withdrawn group, which removes them from the Category 2 restricted list without placing them on the 503A bulks list — and only the bulks list creates permission to compound. On 23 and 24 July 2026 the FDA's Pharmacy Compounding Advisory Committee recommended several of them for that list, which starts a rulemaking process rather than finishing one. If a clinic or vendor is telling you these are “available now” or “FDA cleared”, treat that with caution: in August 2026 the FDA issued warning letters to five online peptide sellers. Dr. Jaqua will revisit each compound if and when it is actually authorised.
How to reach her
Peptide therapy here starts with a consultation and labs, not an order form. You can contact the clinic to arrange one, and her full biography, training history and clinical philosophy are on Dr. Jaqua's about page. Candidacy is decided after evaluation, and some patients are told that a peptide is not the right answer for what they came in with.
The Complete Peptide Therapy Library
Everything we have written on physician-directed peptide therapy, arranged by where you are in the decision. Peptide protocols are prescribed off-label at physician discretion and are not FDA-approved for the uses described.
Start here — what peptides are and whether they fit
Peptide therapy is widely misrepresented online. These cover the mechanism, the candidacy criteria, the current regulatory position and how a prescription is written and filled in Texas.
Peptide Therapy 101
What peptides are, how they signal, and what the evidence actually supports.
Am I a Candidate for Peptides?
The labs, symptoms and health criteria reviewed before anything is prescribed.
Peptide FDA Status 2026
The HHS reclassification of 14 restricted peptides — and what is still pending.
How Peptides Are Prescribed in Texas
Who may prescribe, what a 503A pharmacy may compound, and where the legal line sits.
The individual peptides
Each protocol does something different. These break down mechanism, evidence and who each one suits.
What Is Sermorelin?
A GHRH analog that prompts your own pituitary to release growth hormone.
Sermorelin vs HGH
Mechanism, safety, cost — and why HGH is approved only for GH deficiency.
CJC-1295 + Ipamorelin
How the pairing works on growth hormone release, and who benefits most.
What Is TB-500?
Thymosin Beta-4 for tissue recovery — what the animal research actually shows.
NAD+ Therapy Benefits
The coenzyme behind mitochondrial function and DNA repair, given by injection.
Sermorelin vs CJC-1295 + Ipamorelin
The two protocols this clinic prescribes, compared on mechanism, duration and evidence.
What peptides are used for
The specific questions patients arrive with, answered against the literature rather than the marketing.
Safety, side effects and what it costs
Read these before you commit to a protocol.
Peptide Therapy Side Effects
Common effects, rare risks, and how physician supervision manages them.
How Much Does Peptide Therapy Cost?
What drives pricing — peptide type, dosing, duration and monitoring.
Your First Month on Peptide Therapy
What the first four weeks involve, week by week, and when labs are repeated.
Peptide Therapy Questions & Answers
Common questions about physician-directed peptide therapy at Vitality Texas.
Important Information
Peptide therapies offered may include compounded medications and/or off-label uses. These therapies have not been evaluated or approved by the U.S. Food and Drug Administration (FDA) for all indications discussed.
A consultation is required to determine candidacy. Individual results may vary.
Serving San Antonio, Boerne & Surrounding Areas
We proudly serve patients in San Antonio, Boerne, Fair Oaks Ranch, and Helotes, Texas. Both in-person and select telemedicine consultations may be available.
Peptide Therapy — In-Depth Resources
Physician-reviewed articles on peptide therapy, regulatory updates, and individual peptide protocols.
References
- Walker RF. “Sermorelin: A Better Approach to Management of Adult-Onset Growth Hormone Insufficiency?” Clin Interv Aging. 2006;1(4):307–308. PMID: 18046908
- Sigalos JT, Pastuszak AW. “The Safety and Efficacy of Growth Hormone Secretagogues.” Sex Med Rev. 2018;6(1):45–53. DOI: 10.1016/j.sxmr.2017.02.004
- Teichman SL, Neale A, Lawrence B, Gagnon C, Castaigne JP, Frohman LA. “Prolonged Stimulation of Growth Hormone (GH) and Insulin-Like Growth Factor I Secretion by CJC-1295, a Long-Acting Analog of GH-Releasing Hormone, in Healthy Adults.” J Clin Endocrinol Metab. 2006;91(3):799–805. DOI: 10.1210/jc.2005-1536
- Molitch ME, Clemmons DR, Malozowski S, Merriam GR, Vance ML. “Evaluation and Treatment of Adult Growth Hormone Deficiency: An Endocrine Society Clinical Practice Guideline.” J Clin Endocrinol Metab. 2011;96(6):1587–1609. DOI: 10.1210/jc.2011-0179
Start Your Personalized Optimization Plan
Discover whether peptide therapy is appropriate for your goals with direct physician guidance. Call us for more information or schedule your consultation today.
Free consultation · No commitment · Results-focused care
New patient? Request your appointment