Fitish RX review
By Nora Vance · Updated October 2026
All-in $149, bundles cheaper
Fitish RX sells a nightly sermorelin injection for $149 a month, with the consult and shipping included, or $135 and $119 a month on 3- and 6-month bundles.
Our verdict
Fitish RX offers a simple, all-inclusive sermorelin price. One month costs $149, and that covers the provider consult, the medication if you are approved, and shipping. Bundles bring it down to $135 a month for three months or $119 for six, applied during the intake. The page is clear about dosing and about which states it cannot ship to. It sells injections only and does not ship to seven states, including California. The FDA sent the company a warning letter in June 2026 about how it marketed compounded GLP-1 drugs, linked below.
Disclosure: Sermorelin Picks 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. Partners are listed first; a commission never changes what we write about a provider. How we make money.
FDA warning letter on record — public record, does not change our verdict.
At a glance
- Category
- sermorelin injections
- Format
- Injection
- From
- $149/mo injection
- Dose published
- Yes
- Prescription
- Required
- Compounded
- Yes — not FDA-approved
- Availability
- US except AK, AR, CA, IN, MI, MN, SC
What it is
Fitish RX is a telehealth clinic offering GLP-1 weight loss, microdosing, NAD+, B12 and hormone treatments, all delivered without office visits or insurance. Sermorelin sits in its hormone line. It is sold as a compounded subcutaneous injection on what Fitish calls a low-dose (3 mg) protocol, taken nightly to match the body's natural growth hormone rhythm. There is no tablet, troche or nasal version.
How it works
You start the intake online, and a licensed Fitish provider reviews every intake before any prescription is issued. If sermorelin is appropriate, a state-licensed pharmacy compounds it and it ships to you. The bundle discount is applied during this intake rather than chosen on the product page, so you will see the final plan price before you commit. Fitish sets expectations plainly: sleep often improves first, within two to four weeks, while recovery, body composition and energy changes build over three to six months of nightly use. After you start, your account lives in a patient portal. Fitish describes ongoing care as regular check-ins, progress tracking and direct messaging with your care team. Order problems go to a care-team email listed on the contact page. No insurance is involved at any step.
Pricing transparency
The one-month price is $149, and the page states that it is "for a monthly supply". Fitish's FAQ says the $149 includes "your provider consult, the medication if approved, and shipping", and no membership or extra fee is listed. Bundles cut the monthly rate: 10% off on three months, at $135 a month, and 20% off on six months, at $119 a month. Over six months that is a saving of $180. The page does not say whether bundles are billed up front or month by month, so ask during the intake. Shipping is included on every prescription order, though Fitish says delivery windows are not guaranteed. Prescription medication cannot be returned or exchanged once it ships. If an order arrives damaged, defective or wrong, the care team will sort it out. Undeliverable packages are reshipped after the team contacts you by email.
Branded vs compounded
Fitish's sermorelin is compounded by a state-licensed pharmacy and is not FDA-approved. The company says so clearly and notes that wellness, recovery and longevity uses are off-label. It names a specific protocol, 3 mg on a low-dose plan, set by your provider and injected nightly under the skin. The most common side effects it lists are mild injection-site reactions and flushing. Fitish's safety information page carries the full side-effect and interaction details.
FDA warning letter on record
The FDA issued a warning letter naming FITISH, the company behind Fitish RX — the seller this review covers.
- Letter 728280, issued June 8, 2026 — read it on fda.govFDA’s subject line: False & Misleading Claims/Misbranded (Telehealth)
We publish this because it is a matter of public record and a reader weighing this provider should have it. A warning letter is the FDA setting out alleged violations; it is not a court finding, and a company may have responded or corrected since. It does not remove Fitish RX from this site, and it does not change our verdict — read the letter and decide for yourself. Every letter listed here concerns advertising and labeling — how the company described its products — rather than a finding about the medication itself.
Pros and watch-outs
What we like
- $149 covers consult, medication and shipping
- Bundles drop to $119 a month
- Dose protocol stated up front
- No-ship states listed clearly
- Realistic timeline for results
Watch-outs
- Does not ship to seven states, including California
- Injection only; no oral option
- Bundle billing terms not stated
- Pharmacy not named
- No returns once medication ships
- FDA warning letter in June 2026 over its GLP-1 marketing claims
Best for
People who want one all-inclusive monthly price for sermorelin injections and are open to committing three or six months to save. It suits shoppers who like knowing the protocol before they start.
Who should look elsewhere
Anyone in Alaska, Arkansas, California, Indiana, Michigan, Minnesota or South Carolina, since Fitish does not ship sermorelin there. Shoppers who want a needle-free form should look elsewhere.
The evidence behind what Fitish RX prescribes
We grade the molecules, not the marketing. Here is what the human data actually shows for each thing on their menu.
- Does sermorelin work? What the trials actually measured
Sermorelin reliably makes your pituitary release growth hormone. Beyond that the evidence is one placebo-controlled trial in 19 adults from 1997 — lean body mass up in men only, nothing in women, and no effect on sleep in either.
- Is Sermorelin FDA-Approved? The Real Answer
Sermorelin was FDA-approved once, under a different name, and that approval is gone. What is sold today is compounded — which is legal, but not the same thing as approved.
- Sermorelin Dosage Chart: mcg, mL and Units vs. the Trial Dose
A mcg-to-mL-to-units chart with the math shown, the doses sermorelin trials actually used, how they compare to what sellers market, and why nobody has tested a “bodybuilding dose” in a controlled study.
How Fitish RX compares
A few alternatives worth a look, depending on what you’re optimizing for.
Viv HealthA published price on the format you came for
See Viv Health →
bmiMDComparing formats inside one seller
See bmiMD →- CoreAge Rx
A published price on the format you came for
See CoreAge Rx →
More sermorelin injection sellers reviews: Aspire HealthElite Health Center NYCAlphaMDTactus HealthPepHaūsRxSaludable
Reviews & prices
How we assessed this. This review reflects Sermorelin Picks’s own read of Fitish RX’s publicly-stated model — pricing transparency, clinical oversight, medication clarity, and access — against our editorial methodology. We publish no fabricated ratings or first-hand outcomes. A partnership never changes the assessment — see how we make money.
Frequently asked
- How much does sermorelin cost at Fitish RX?
- $149 for a one-month supply, including the provider consult, the medication if approved, and shipping. Three-month bundles are $135 a month and six-month bundles are $119 a month.
- Has the FDA warned Fitish RX?
- Yes. In June 2026 the FDA sent Fitish a warning letter about how it marketed GLP-1 weight-loss drugs, including tying its compounded versions to brand-name products. The letter does not concern sermorelin. It is linked on this page and worth reading before you buy.
- Can I return Fitish RX sermorelin?
- No. Fitish says prescription medication cannot be returned, exchanged or resold once it ships. If your order arrives damaged, defective or wrong, contact the care team and it will be resolved.
- Which states can't Fitish RX ship sermorelin to?
- Alaska, Arkansas, California, Indiana, Michigan, Minnesota and South Carolina. Fitish keeps the current list on its clinic FAQ page.
- How is Fitish RX's sermorelin taken?
- As a nightly injection under the skin, on a low-dose (3 mg) protocol that your provider sets.
- When will I notice results?
- Fitish says sleep often improves first, within two to four weeks. Recovery and body-composition changes build over three to six months of consistent nightly use.
- Is Fitish RX's sermorelin FDA-approved?
- No. Fitish states that its sermorelin is compounded by a state-licensed pharmacy, that compounded drugs are not FDA-approved, and that wellness and longevity uses are off-label.
- Is Fitish RX legit?
- FDA has a warning letter on record against FITISH, the company behind Fitish RX, issued June 8, 2026 as letter 728280; it is linked further down this page. On this desk a warning letter discloses, it does not disqualify — it is a public record to read before you decide. Fitish RX is a sermorelin injection seller. Its stated availability: US except AK, AR, CA, IN, MI, MN, SC. What the company does not say on its own pages: a single monthly price you can check before an intake. Ask for those in writing before you pay.