Peptide Stacks for Longevity: NAD+, GHK-Cu & Semaglutide Protocol
Peptide stacks have become one of the most discussed topics in modern hormone and wellness therapy. Unlike single compounds, peptide stacks combine two or more agents to target multiple aspects of health at once.
Dr. John Doe, M.D.
Board-Certified Endocrinologist

Last updated on August 23, 2025
Peptide stacks have become one of the most discussed topics in modern hormone and wellness therapy. Unlike single compounds, peptide stacks combine two or more agents to target multiple aspects of health at once.
Why Everyone Talks About Peptide Stacks
Search interest in peptide stacks has grown rapidly in the U.S. - from best peptide stacks for fat loss to peptide stacks for women. A peptide stack usually refers to combining peptide-related or metabolic agents with the idea of supporting energy, body composition, or skin health.
Among the most frequently mentioned combinations in 2025 are:
- NAD+ support (via dietary supplements such as nicotinamide riboside or NMN),
- GHK-Cu peptide (copper peptide used cosmetically in skin and hair products),
- Semaglutide protocol (an FDA-approved GLP-1 therapy for type 2 diabetes and chronic weight management).
This article reviews what published evidence - and U.S. regulatory guidance – actually say.
Peptide Stacks for Fat Loss: The Role of Semaglutide
Among the most effective components of peptide stacks for weight management is semaglutide, an FDA-approved GLP-1 receptor agonist. Originally developed for type 2 diabetes, semaglutide received FDA approval for chronic weight management in 2021 under the brand name Wegovy.
Clinical trials demonstrate that semaglutide can lead to significant weight loss when combined with lifestyle modifications. However, it's important to understand that this is a prescription medication that requires medical supervision and is not appropriate for everyone.
NAD+ Supplements: Promise and Limitations
NAD+ (nicotinamide adenine dinucleotide) is a crucial coenzyme involved in cellular energy production and DNA repair. As we age, NAD+ levels naturally decline, leading to interest in NAD+ boosting supplements like nicotinamide riboside (NR) and nicotinamide mononucleotide (NMN).
While these supplements can raise blood NAD+ levels, the clinical benefits for health outcomes are still under investigation. More research is needed to establish optimal dosing, long-term safety, and effectiveness for specific health conditions.
GHK-Cu Peptide: Cosmetic Use Only
GHK-Cu (glycyl-L-histidyl-L-lysine-copper) is a copper peptide that appears naturally in human plasma, saliva, and urine. It has gained attention for its potential role in wound healing and skin regeneration.
However, it's crucial to understand that GHK-Cu is approved only for cosmetic use in topical products. Injectable forms are not FDA-approved and should be avoided. When considering GHK-Cu products, choose reputable topical formulations and consult with skincare professionals.
Exploring Peptide Stacks for Health and Hormone Balance
The appeal of peptide stacks lies in the potential to address multiple aspects of health simultaneously. For example, combining NAD+ support with approved weight management protocols might theoretically support both cellular energy and metabolic health.
However, it's essential to work with qualified healthcare providers who can ensure safety, monitor for interactions, and provide evidence-based guidance. Self-administering unproven combinations can be dangerous and may interfere with other treatments.
Are Peptides Safe?
The key question — are peptides safe? — depends entirely on the product. Peptides for weight loss like semaglutide have well-documented safety data, while many experimental peptides lack FDA approval and should be avoided. In practice, the safest approach is to explore only FDA-approved or legally marketed options and to discuss any interest in peptide stacks with a licensed healthcare provider.
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References
- Wilding J.P.H. et al. (2021). Once-Weekly Semaglutide in Adults with Overweight or Obesity. New England Journal of Medicine, 384(11), 989–1002.
- U.S. Food & Drug Administration. Wegovy (semaglutide) prescribing information. Updated 2023.
- U.S. Food & Drug Administration. Compounded semaglutide safety communication. 2023.
- Trammell S.A.J. et al. (2016). Nicotinamide riboside increases NAD+ in humans safely and sustainably. Nature Communications, 7, 12948.
- Martens C.R. et al. (2018). Chronic nicotinamide riboside supplementation is well-tolerated and elevates NAD+ in healthy middle-aged and older adults. Nature Communications, 9(1), 1286.
- Yoshino J. et al. (2021). Nicotinamide mononucleotide increases muscle insulin sensitivity in prediabetic women. Science, 372(6547), 1224–1229.
- Pickart L. et al. (2015). GHK-Cu peptide in skin and hair regeneration: review and clinical perspective. Journal of Cosmetics, Dermatological Sciences and Applications, 5(2), 145–152.
- U.S. Federal Trade Commission. Health Products Compliance Guidance. Revised December 2022.
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