Skip to content
925-690-5525
Info@infuzemd-rx.com
Lorem ipsum dolor sit amet
Facebook
Linkedin
Instagram
Search
Search
$
0.00
0
Cart
Home
Shop
About Us
My account
Login
Register
Patient Access
FAQ’s
Contact Us
Menu
Home
Shop
About Us
My account
Login
Register
Patient Access
FAQ’s
Contact Us
My Account
Peptides Form
Peptides
Step
1
of
5
20%
Tell us what your goals are?
(Required)
Lose more than 20lbs.
Lighten my skin, reduce my pore size, and brighten my complexion.
Improve my energy and mental clarity.
Improve my sex drive.
Recover from a muscle or tendon injury.
Build more muscle mass and improve athletic performance.
I suffer from hair loss.
Name
(Required)
What is your First Name?
What is your Last Name?
Email
(Required)
Date
(Required)
MM slash DD slash YYYY
Based on your selections, we recommend the following therapies:
Medical Weight Loss
Medical Weight Loss
Glutathione & GHK-CU Peptide
Glutathione & GHK-CU Peptide
NAD+
NAD+
PT 141 Peptide
PT 141 Peptide
BPC 157 Peptide
BPC 157 Peptide
MIC Carnitine Injections, Sermorelin, and CJC-1295/Ipamorelin
MIC Carnitine Injections, Sermorelin, and CJC-1295/Ipamorelin
Hair Restoration
Hair Restoration
Peptides
Step
1
of
5
20%
Tell us what your goals are?
(Required)
Lose more than 20lbs.
Lighten my skin, reduce my pore size, and brighten my complexion.
Improve my energy and mental clarity.
Improve my sex drive.
Recover from a muscle or tendon injury.
Build more muscle mass and improve athletic performance.
I suffer from hair loss.
Name
(Required)
What is your First Name?
What is your Last Name?
Email
(Required)
Date
(Required)
MM slash DD slash YYYY
Based on your selections, we recommend the following therapies:
Medical Weight Loss
Medical Weight Loss
Glutathione & GHK-CU Peptide
Glutathione & GHK-CU Peptide
NAD+
NAD+
PT 141 Peptide
PT 141 Peptide
BPC 157 Peptide
BPC 157 Peptide
MIC Carnitine Injections, Sermorelin, and CJC-1295/Ipamorelin
MIC Carnitine Injections, Sermorelin, and CJC-1295/Ipamorelin
Hair Restoration
Hair Restoration
