KevinMD January 14, 2026
Shiv K. Goel, MD

“Doc, can you prescribe me some BPC-157 with sermorelin, and maybe semaglutide too?”

He didn’t come in asking about his sleep.

He didn’t mention that his last meal the night before was at 11:30 p.m., eaten in front of a laptop glowing with unanswered emails.

He didn’t bring up the statin he’d been taking for years, the creeping fatigue he’d started to normalize, or the way his waistline had slowly expanded as his energy quietly shrank.

He came in with a shopping list. Not of groceries, but of peptides.

In that moment, I wasn’t just looking at a 45-year-old man chasing “optimization.” I was looking at a mirror held up to our entire longevity culture, one that promises transformation through...

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