New patients: Sermorelin starting at $99 your first month · cancel anytime
New-patient offer · Save $99
Sermorelin Peptide Therapy
Starting at $99
A nightly peptide that signals your pituitary to release your own growth hormone — the driver behind deep sleep, physical recovery, lean muscle and day-to-day energy. Prescribed online by licensed U.S. clinicians: $198 starting at $99 your first month.
- Deeper sleep, faster recovery — the shift most patients feel first, in weeks 2–4
- Lean muscle, steadier energy — supports body composition and daily drive as natural GH output declines with age
- Everything included — vials, syringes, swabs and a step-by-step video guide
- 24/7 chat support with our doctors — cancel anytime, no membership fee
Secure & HIPAA-compliant · 2-minute start
Prescribed only if medically appropriate after provider review.
*Most patients report improved sleep and recovery within the first 2–4 weeks, with energy, body composition and vitality building over 8–12 weeks; individual results vary. First month starting at $99 (reg. $198), then $198/mo — cancel anytime. Compounded medications are not FDA-approved.
Nightly · GHRH peptide
Full kit + video guide
2–4 wks
to first results*
First month
$99Your own growth hormone, switched back on.
Sermorelin is a growth hormone-releasing peptide. Instead of injecting synthetic HGH, it signals your pituitary gland to produce and release growth hormone on its own — inside your body’s natural feedback loop, so levels stay within your physiological range rather than being artificially elevated.
Growth hormone peaks in deep sleep — nightly dosing works with that rhythm. It’s the change patients notice first.
Bounce back between hard training days instead of carrying the fatigue into the next one.
Supports lean mass and healthy composition as natural growth hormone output declines with age.
Results build gradually — most patients describe the shift over eight to twelve weeks of consistent use.
Dosed subcutaneously in the evening to match your natural GH cycle, which peaks during deep sleep. Your clinician sets your protocol, dose and cycling schedule from your intake.
Clinical-grade, not research-grade
Made for people, not lab benches.
Most peptides sold online are research-grade — intended for laboratory use, with no oversight, no personalization and no support. Ours are prescribed by clinicians, compounded for you, and backed by a real care team.
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Licensed U.S. 503A pharmacy
Compounded to pharmaceutical standards for individual patients — never sourced from research suppliers or overseas.
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A protocol built for you
Dose, timing and cycling set by a licensed clinician from your intake — not a generic starting point or a forum thread.
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A care team that stays
Guidance on dosing, injections and anything else for as long as you’re on protocol.
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Everything included, one price
Vials, syringes, alcohol swabs and video instructions in every kit. No insurance, no prior authorizations, no hidden fees.
Simple by design
How RIVA works.
From first question to first dose — licensed clinicians guide every step, and your care team stays with you.
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Complete your health questionnaire
A secure, HIPAA-compliant intake that takes about two minutes, so our licensed providers can review your eligibility.
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Personalized medical review
Our medical team reviews your information and determines the right treatment, dose and protocol for you — typically within 4–7 days.
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Delivered to your door
Once approved, your prescription is prepared by our pharmacy partner and shipped to you with everything you need to self-administer at home.
Prescribed only if medically appropriate after provider review.
Clinical-grade vs. the alternatives
What you actually get for your money — and what you don’t.
| What you get |  |
Research-grade peptides | Synthetic HGH |
|---|---|---|---|
| Prescribed after a licensed medical review | Yes | No | Yes |
| Compounded in a licensed U.S. 503A pharmacy | Yes | No | No |
| Dose and cycling personalized to you | Yes | No | Yes |
| Works within your own GH feedback loop | Yes | Yes | No |
| Ongoing care-team support | Yes | No | Yes |
| Kit, syringes and video guide included | Yes | No | No |
| No insurance or prior authorization | Yes | Yes | No |
| First month starting at $99 | Yes New patients | No | No |
Comparison reflects the typical experience with unregulated research-grade peptide suppliers and with prescription synthetic HGH, based on publicly available information as of September 2026. RIVA is not affiliated with or endorsed by any third party. Not medical advice.
Prescribed only if medically appropriate after provider review.
FAQ
Get the answers you need
Still have questions? Our care team answers seven days a week at care@rivahealth.co.
How does the first-month offer work?
New patients start at $99 for their first month of Sermorelin Peptide Therapy, instead of the $198 regular price. You continue month-to-month at the regular price afterwards and can cancel anytime. You’re only charged if a licensed clinician prescribes.
Do I need a prescription?
Yes. Sermorelin is a prescription peptide therapy. When you complete your order, our licensed medical team reviews your health questionnaire and determines the right treatment and dosage for you. No prior prescription is needed on your end.
Is sermorelin the same as HGH?
No. Synthetic HGH introduces growth hormone directly into your system at a fixed dose, bypassing your body’s natural regulation. Sermorelin takes a different approach: it signals your pituitary gland to produce and release growth hormone on its own, within your body’s natural feedback loop. This means your hormone levels stay within a physiological range rather than being artificially elevated.
How long does it take to see results?
Most patients begin noticing improvements in sleep quality and recovery within the first two to four weeks. Changes in energy, body composition and overall vitality typically become more apparent over eight to twelve weeks of consistent use. Sermorelin works by stimulating your body’s own growth hormone production, so results build gradually and compound over time. Individual results vary.
How is sermorelin administered?
Sermorelin is given as a subcutaneous injection — a small needle into the fatty tissue just under the skin, typically in the abdomen or thigh. Every kit includes vials, syringes, alcohol swabs and step-by-step video instructions so you can self-administer confidently at home.
What time of day should I inject?
Sermorelin is typically administered in the evening, shortly before bed. This timing aligns with your body’s natural growth hormone cycle, which peaks during deep sleep. Your provider will confirm the optimal schedule based on your protocol.
Do I need to cycle sermorelin?
Many providers recommend cycling sermorelin — for example five days on and two days off, or structured cycles over several months — to maintain your body’s natural responsiveness. Your specific protocol is set by your clinician based on your intake and ongoing progress.
What are the potential side effects?
The most commonly reported side effects include mild redness or sensitivity at the injection site, occasional headache and temporary flushing. These tend to be mild and often resolve as your body adjusts. Your care team monitors your response throughout your protocol and adjusts dosing if needed.
Who is not a good candidate for sermorelin?
Sermorelin may not be appropriate for individuals with active cancer, certain pituitary conditions, or those who are pregnant or breastfeeding. Your eligibility is determined during the medical review before any prescription is issued. If sermorelin is not the right fit, your provider will recommend an alternative.
Do I need insurance?
No. RIVA treatments do not require insurance and are not submitted to insurance providers. The price shown includes your medical consultation, prescription and treatment shipped directly to you. HSA/FSA funds may apply; check with your plan administrator.
Can I cancel?
Yes — you can cancel anytime from your account. If your medication hasn’t shipped yet, our refund policy applies to that order.
Start today
Your first month, starting at $99.
Sermorelin Peptide Therapy — starting at $99 your first month (reg. $198), then $198/mo. Better sleep, faster recovery, lean muscle and steadier energy, from a protocol built around your intake. You’re only charged if a licensed clinician prescribes, and you can cancel anytime.
- Secure checkout
- HIPAA compliant
- No hidden fees
Prescribed only if medically appropriate after provider review.
