Every medication we talk about, one page each
What each medicine is, who it is for, the evidence, the risks, and exactly what Summit does or does not do with it. Written by a physician, sourced, and updated as the facts change.
Information current as of November 10, 2026. Educational only. Medication is prescribed only after a physician evaluation determines it is appropriate.
Conditions
What Dr. Miranda evaluates and treats
Treatment begins with a physician evaluation, and no outcome is promised. Tap a condition to read the medicines involved.
Weight and metabolic health
GLP-1 medicines and the add-ons around them.
ConditionLow testosterone in men
Symptoms plus confirmed morning labs.
ConditionErectile dysfunction
Tadalafil, sildenafil, vardenafil and avanafil.
ConditionHair loss
Finasteride, dutasteride and minoxidil.
ConditionMenopause symptoms
Estrogen and progesterone, matched to risk.
ConditionFemale sexual arousal and desire concerns (FSAD and FSIAD)
Why the terms changed and which options exist.
Weight and metabolic health
Weight and metabolic health
A GLP-1 medication is the main tool for most people here. The pills are brand-name products Summit does not dispense; the add-on medicines are decisions your physician makes with you.
Semaglutide
Weekly GLP-1 injection, individually compounded and prescribed after a physician review.
Prescribed at SummitTirzepatide
Weekly GLP-1/GIP injection, individually compounded, titrated to your response.
Brand pill, educationWegovy tablets
The daily oral semaglutide pill: how to take it and what the trials show.
Brand pill, educationFoundayo (orforglipron)
The daily oral GLP-1 pill that does not need an empty stomach.
Add-on, physician decidesMetformin
An older diabetes medicine sometimes used off-label for prediabetes, PCOS and weight.
Add-on, physician decidesNaltrexone
Low-dose and combination use for cravings and weight, with the evidence stated honestly.
Add-on, physician decidesBupropion
An antidepressant that is also part of an FDA-approved weight medicine.
Men’s hormones and sexual health
Men’s hormones and sexual health
For men with symptoms and confirmed labs. Testosterone is a controlled substance, and telehealth rules differ by state.
Testosterone
Who qualifies, the forms, the monitoring, and the state telehealth limits.
Off-label, physician decidesClomiphene
An off-label way to raise testosterone while keeping fertility.
Off-label, physician decideshCG
Used alongside or instead of testosterone when fertility or testicle size matters.
Off-label, physician decidesAnastrozole
An aromatase inhibitor, used sparingly for high estradiol on testosterone.
Prescribed at SummitTadalafil
FDA-approved for erectile dysfunction and prostate symptoms.
Physician decidesSildenafil
The original ED pill: timing, food, alcohol, and who must not take it.
Physician decidesVardenafil
Tablet and dissolving ODT forms, and why they are not interchangeable.
Physician decidesAvanafil
The fast-onset ED pill: dose, timing and cautions.
Hair
Hair
Hair thinning can be a side effect of hormone changes. Both options have their own cautions.
Finasteride
FDA-approved for male pattern hair loss, with side effects worth a conversation.
Physician decidesDutasteride
A stronger 5-alpha-reductase blocker used off-label for hair loss: the trials, the cautions and the long half-life.
Prescribed at SummitMinoxidil
Topical and low-dose oral minoxidil for thinning hair.
Women’s hormones
Women’s hormones
Menopause care starts with symptoms, history and risk, not a template.
Women’s sexual health
Women’s sexual health
Arousal and desire concerns (FSAD and FSIAD) have more than one cause. No FDA-approved drug is designated for arousal disorder alone, so options are matched to your history.
Addyi (flibanserin)
A daily bedtime tablet for acquired low sexual desire: the label, the alcohol rule and the trial results.
Prescribed at SummitVyleesi (bremelanotide)
An as-needed injection for low sexual desire in premenopausal women: uses, trial results and cautions.
Physician decidesSildenafil cream
An investigational, compounded and off-label option for arousal concerns: what the trials did and did not show.
Peptides and related compounds
Peptides and related compounds
Peptides here are prepared for one patient by a state-licensed 503A pharmacy on a physician’s prescription. They are not FDA-approved drugs and the compounded products are not evaluated by FDA. Some rest on an FDA approved-drug component, some on FDA’s evaluation list, and six on a draft HHS policy of late October 2026 that is non-final and can change.
Sermorelin
A growth-hormone-releasing peptide: what it is, the evidence and the regulatory path.
Physician decidesTesamorelin
The approved visceral-fat peptide and where compounding stands.
Physician decidesGonadorelin
A GnRH peptide sometimes used to keep the testes signaled on testosterone.
Physician decidesOxytocin
The hormone peptide: approved uses, off-label interest and the evidence.
Physician decidesLiraglutide
An earlier GLP-1 peptide medicine: uses, trials and cautions.
Physician decidesNAD+
A coenzyme, not a peptide: what the evidence does and does not show.
Physician decidesGlutathione
A tripeptide antioxidant: routes, evidence and limits.
Physician decidesGHK-Cu
The copper peptide: topical use, injectable limits and the evidence.
Physician decidesVasoactive intestinal peptide (VIP)
A nominated peptide under FDA evaluation: what is known.
Physician decidesBPC-157
Draft HHS policy status, the animal-heavy evidence and the safety unknowns.
Physician decidesTB-500
A thymosin beta-4 fragment: status, evidence and unknowns.
Physician decidesKPV
A short alpha-MSH fragment: status, evidence and unknowns.
Physician decidesMOTS-c
A mitochondria-derived peptide: status, evidence and unknowns.
Physician decidesEpitalon
A tetrapeptide studied for aging: status and what the evidence is.
Physician decidesSemax
A Russian-developed heptapeptide: status, evidence and unknowns.
Physician decidesThymosin alpha-1
Studied for infection and immune response: regulatory basis and evidence.
Vitamins and nutrition
Vitamins and nutrition
Brand names and other medicines you will hear about
Not prescribed or dispensed by Summit
Summit does not dispense brand-name products such as Wegovy, Ozempic, Mounjaro or Zepbound, and does not prescribe research peptides. These guides explain them so you can compare.
Wegovy vs Ozempic
Same drug, different labels and doses.
EducationMounjaro
The brand tirzepatide for type 2 diabetes.
EducationZepbound
The brand tirzepatide for weight, and what it costs from the manufacturer.
EducationGLP-1 comparison guide
Every GLP-1 side by side.
EducationRetatrutide
Not FDA-approved. What the trials show and why Summit does not prescribe it.
Common questions
Before you read further
Does Summit prescribe every medication on this page?
No. Each page says what Summit does with that medicine. Some are prescribed at Summit after a physician review, some are brand-name products Summit does not dispense, and some are add-on options Dr. Miranda decides on case by case.
How do I know which medicine fits me?
Start with your history and labs. The free quiz is a good first step for weight medicines, and an application starts a physician review.
Are compounded medications FDA-approved?
No. Compounded medications are not approved or evaluated by the FDA for safety, effectiveness or quality. They are prepared for an individual patient by prescription at an independent, state-licensed 503A compounding pharmacy.
Can I get testosterone by telehealth?
It depends on your state and on federal telehealth rules, because testosterone is a Schedule III controlled substance. Dr. Miranda confirms this before any prescription.
Confirm with your provider. This page is general education, not medical advice. Every medication carries risks and is not right for everyone. Individual results vary and no outcome is promised. Information current as of November 10, 2026.
Next step
One physician for the whole plan
Tell us what you are taking now and what you want to change.