Richmond Anti-Aging Clinic
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Physician-Prescribed · CPSBC Licensed · Compounded Pharmacy

Peptide TherapyPhysician-Supervised Regenerative Medicine

Individualized protocols grounded in your bloodwork and health goals

At RAAC Richmond, Dr. Charles Jiang (CPSBC) designs physician-prescribed peptide programs based on your comprehensive blood panel — including IGF-1, metabolic, and hormonal markers. Peptides are compounded by a Health Canada licensed compounding pharmacy and dispensed under ongoing medical supervision. Results vary by peptide, protocol, and individual physiology.

What are Peptides?

Molecular Signals for Cellular Function

Peptides are short chains of amino acids that naturally occur in the body, acting as signalling molecules that communicate with specific cell receptors. Rather than replacing hormones directly, certain peptides prompt your body to modulate its own production of growth hormone, repair factors, and metabolic regulators — though clinical evidence varies by peptide type and individual response.

Dr. Jiang's peptide programs use physician-prescribed, compounded peptides dispensed by a Health Canada licensed pharmacy. Each protocol is individualized to your labs and goals, not based on a standard menu. Ongoing blood monitoring every 8–12 weeks is a clinical requirement, not optional.

Receptor-Specific Signalling

Each peptide targets distinct receptor subtypes, reducing off-target effects compared to broad-spectrum hormone therapy — though individual responses still vary.

Compounded to Your Prescription

Dispensed by a Health Canada licensed compounding pharmacy under Dr. Jiang's prescription. Dosing and formulation are matched to your blood panel results.

Goals Determined by Bloodwork

Protocol selection — whether for metabolic support, tissue repair, sleep, or recovery — is driven by your lab results and medical history, not by symptom checklists alone.

Molecular Signals for Cellular Function
How It Works

The Science: Receptor Signalling Mechanism

Each peptide binds to specific cellular receptors, triggering targeted downstream effects — such as stimulating pituitary release of growth hormone or activating tissue repair pathways. As natural peptide levels decline with age, physician-supervised supplementation may support these processes, with effects ranging from subtle to clinically meaningful depending on the peptide and the individual.

Receptor-Targeted Action

Peptides bind specific receptor subtypes rather than flooding the endocrine system, which may reduce the risk of systemic hormonal disruption compared to direct hormone replacement.

Compounded Formulations

Most therapeutic peptides in Canada are not approved as standalone drugs — they are prescribed off-label or as compounded preparations from a Health Canada licensed pharmacy under physician oversight.

Stimulatory, Not Replacement

GH-releasing peptides such as Ipamorelin/CJC-1295 and Sermorelin prompt the pituitary to release its own growth hormone rather than substituting exogenous HGH — preserving the natural feedback loop.

Monitored with Lab Work

IGF-1, fasting glucose, and relevant metabolic markers are assessed at baseline and at each 8–12 week cycle review to verify response and safety.

Who Qualifies

Ideal Candidates for Peptide Therapy

Candidacy is determined by Dr. Jiang after a comprehensive blood panel and medical history review. Peptide therapy is not appropriate for everyone, and specific contraindications apply to individual peptide types.

You May Be a Candidate If You Are:

  • +Adults 30+ experiencing age-related decline in energy, sleep quality, or recovery — confirmed by lab values
  • +Seeking physician-supervised support for weight management with muscle preservation (GLP-1 protocols)
  • +Recovering from musculoskeletal injury or post-procedure tissue repair under medical guidance
  • +Presenting with suboptimal IGF-1, growth hormone, or metabolic markers on bloodwork
  • +Committed to 8–12 week supervised cycles with quarterly blood monitoring and follow-up

Not Recommended For:

  • Women who are pregnant or breastfeeding
  • Individuals with active cancer, history of hormone-sensitive cancers, or at elevated cancer risk — GH-stimulating peptides are contraindicated
  • Those with uncontrolled thyroid disorders or uncontrolled diabetes
  • Patients with severe kidney or liver disease
  • Individuals unable or unwilling to complete required blood monitoring and follow-up visits
Clinical Benefits

Evidence-Informed Health Goals

Peptide therapy at RAAC is not a single-treatment fix. Dr. Jiang sets realistic expectations at consultation: benefits are peptide-specific, individualized, and develop over weeks to months of supervised use. Below are the areas where clinical evidence is most commonly cited.

1

Sleep & Recovery

GH-releasing peptides such as Ipamorelin may support deeper slow-wave sleep in some patients — an effect attributed to pulsatile GH release during overnight hours. Individual response varies.

2

Body Composition Support

Metabolic protocols may support gradual changes in body composition over sustained cycles. Results depend on diet, activity level, and the specific peptide — not peptide alone.

3

Cognitive & Energy

Some patients report improved mental clarity and reduced fatigue after hormonal optimization. These are subjective endpoints; monitoring objective lab markers alongside symptoms provides a more complete picture.

4

Tissue Repair

BPC-157 and TB-500 are researched for musculoskeletal and gut tissue healing. These are compounded peptides used under physician supervision — not Health Canada approved drugs for these indications.

Treatment Areas

Peptide Categories & Applications

Based on Dr. Jiang's assessment of your blood panel, medical history, and health goals, a protocol may draw from one or more of the following categories. All peptides are prescribed individually — combination use is determined clinically, not by patient preference alone.

Metabolic & Weight Management

Semaglutide (GLP-1 receptor agonist) is Health Canada approved for weight management and type 2 diabetes. It regulates appetite and blood glucose while supporting fat loss with muscle preservation when combined with adequate protein intake.

GH Optimization & Vitality

Ipamorelin/CJC-1295 and Sermorelin are GH-releasing peptides (GHRPs/GHRHs) that stimulate pulsatile growth hormone secretion. Used in 8–12 week supervised cycles; contraindicated in active cancer or certain cardiovascular conditions.

Tissue Repair & Gut Health

BPC-157 (Body Protective Compound) is a compounded research peptide used under physician supervision for musculoskeletal and gut lining repair. It is not Health Canada approved as a standalone drug. Clinical use is off-label via compounding pharmacy.

Skin Rejuvenation

GHK-Cu (Copper Peptide) supports collagen synthesis and wound healing. Available in topical and injectable compounded formulations. Evidence for skin benefits is supported by in-vitro and clinical data; results develop gradually over weeks.

Cognitive & Stress Resilience

Certain peptides are researched for neuroprotection and stress modulation. Clinical evidence in humans is limited compared to animal models; Dr. Jiang will discuss applicability and evidence strength at consultation.

Immune Support

Thymosin-based peptides are researched for immune modulation and cellular repair. Candidacy is assessed individually based on immune panel and health history.

Treatment Process

Your Peptide Journey

Dr. Jiang's peptide program is built around a structured clinical process — not a walk-in supplement service. Every step, from lab work to protocol selection to cycle monitoring, is medically supervised.

Before Treatment Begins

1

Comprehensive blood panel required: IGF-1, fasting glucose, HbA1c, metabolic panel, sex hormones, and thyroid function — establishes your baseline before any peptide is prescribed

2

Medical history consultation with Dr. Jiang: prior cancer history, cardiovascular conditions, and current medications are reviewed — certain conditions are contraindications

3

Individualized protocol design: peptide selection and dosing are based on your labs and goals, not a standard package

4

Compounding pharmacy prescription: all peptides are dispensed by a Health Canada licensed compounding pharmacy under Dr. Jiang's prescription

5

Administration training: patients requiring self-injection receive hands-on instruction at the clinic before initiating home use

During Your Treatment Cycle

1

Initiation Phase (Weeks 1–4)

Lower starting doses are used initially to assess tolerance. Dosing is titrated upward based on response, not a fixed loading protocol — safety takes priority over speed.

2

Active Treatment Phase (Weeks 4–12)

Optimized dosing maintained for the duration of the 8–12 week cycle. Patients track subjective response (sleep, energy, recovery) alongside objective lab markers.

3

Quarterly Blood Monitoring

IGF-1 and relevant metabolic or hormonal markers reviewed at each cycle. Protocol is adjusted or paused based on lab findings — not patient preference alone.

4

Cycle Review & Protocol Adjustment

At the end of each 8–12 week cycle, Dr. Jiang reviews your labs, response, and goals before determining whether to continue, adjust, or pause the program.

Ongoing Program Management

1

Maintain proper injection technique and cold-chain storage of compounded peptides as directed

2

Do not miss scheduled blood monitoring appointments — labs drive protocol decisions

3

Report any new symptoms promptly: unusual fatigue, persistent swelling, visual changes, or mood shifts warrant immediate clinical review

4

If discontinuing GH-releasing peptides, gradual tapering under Dr. Jiang's guidance is recommended to allow the pituitary axis to re-regulate

5

Peptide therapy works best alongside meaningful lifestyle inputs: adequate protein, resistance training, sleep hygiene, and stress management

View Gallery

**Individual results vary by peptide type, dosing, patient biology, and lifestyle. These timelines are illustrative only — not clinical guarantees. Full benefits of GH-related protocols typically require multiple supervised cycles.

FAQ

Common Questions

Is peptide therapy safe?+

Safety depends on the specific peptide, your individual health profile, and the quality of medical oversight. When prescribed by a CPSBC-licensed physician like Dr. Jiang and dispensed by a Health Canada licensed compounding pharmacy, peptide therapy operates within a structured medical framework. That said, not all peptides have equivalent safety data: semaglutide (GLP-1) has extensive clinical trial evidence; GH-releasing peptides have a reasonable safety record under supervision; BPC-157 and similar compounded peptides have limited human trial data. Contraindications — including cancer history and certain cardiovascular conditions — are assessed before any prescription is written.

Do I have to inject myself at home?+

Most peptides used in Dr. Jiang's protocols are administered by subcutaneous injection using a fine insulin-gauge needle. The clinic provides hands-on training before you self-administer at home. Some peptides are available as oral capsules or topical creams where clinically appropriate. Injection frequency is determined by the specific protocol — daily, several times per week, or on a cycle schedule — and is reviewed at each monitoring visit.

How is this different from HGH injections or anabolic steroids?+

Direct HGH injection bypasses the pituitary's own regulatory feedback, which can suppress natural GH production over time and carries risks including fluid retention, joint pain, and potential oncological concerns. GH-releasing peptides like Ipamorelin and Sermorelin stimulate the pituitary to release its own GH in pulses, preserving the natural feedback loop. Anabolic steroids introduce synthetic androgens that can cause significant hormonal disruption, cardiovascular risk, and suppression of natural testosterone production. Peptide therapy used under physician supervision operates through endogenous signalling pathways — a meaningfully different risk profile, though not risk-free.

Can I combine peptide therapy with aesthetic treatments like Thermage?+

Combining protocols is clinically possible and is one of RAAC's integrative strengths. GHK-Cu, for example, may enhance skin's collagen response to energy-based treatments like Thermage or Ultherapy. Any combination protocol is reviewed by Dr. Jiang to ensure there are no contraindications or timing conflicts between treatments.

How long do the effects last after stopping?+

Duration of benefit varies by peptide. GLP-1 (semaglutide) effects on appetite regulation typically diminish after discontinuation; weight management benefits require ongoing use or a maintenance strategy. GH-related changes in body composition and sleep may persist for weeks to months after a completed cycle, depending on the patient's baseline. Dr. Jiang discusses post-cycle maintenance and tapering at each cycle review.

What are the potential side effects?+

Common and generally mild: injection site reactions (redness, swelling, bruising), transient water retention in GH-releasing protocols, and initial fatigue or appetite changes. GLP-1 side effects include nausea and GI discomfort, especially early in titration. Serious side effects are uncommon but monitored through quarterly blood work. Specific peptides carry specific risks — discussed at consultation and reviewed at each cycle check.

Start Your Journey

Optimize Your Biology With Medical Oversight

Book a functional medicine consultation with Dr. Charles Jiang (CPSBC) at RAAC Richmond. Your protocol is designed around your bloodwork — not a standard menu. Consult for a personalized program and cost assessment.

Also offered at our Burnaby location

SkinArt MD offers the same treatment. If Burnaby is more convenient, our sister clinic can help.

#101 - 4378 Beresford St, Burnaby, BC V5H 0H6 · +1 (604) 639-2581

Visit SkinArt MD