Recovery, energy, and renewal — built around how you actually feel.
West Annapolis Medical Spa offers individualized peptide and wellness programs, medically directed by Sandel Duggal Center for Plastic Surgery. Every plan starts with a medical review, uses prescription-based sourcing, and is adjusted to your goals and your response.
At a glance
Recovery
BPC-157 + TB-500
Recovery after surgery, athletic training, and soft-tissue strain.
SubQ injection · often 4–8 weeks
Energy
Take-home energy kit
Everyday energy, fatigue, mental clarity, and healthy-ageing goals.
SubQ injection · 4-week kit
Skin renewal
Topical, ± estradiol
Fine lines, crepey texture, and post-procedure skin recovery.
Topical cream · supplied by the jar
Weight management
Semaglutide or tirzepatide + B6
Appetite control, weight loss, and metabolic support.
Weekly injection · monthly plan
Metabolic health
Low-dose semaglutide or tirzepatide
Metabolic and healthy-ageing goals without significant weight loss.
Weekly injection · monthly plan
For men
Testosterone and enclomiphene therapy, with workout and supplement support.
Every plan is individualised after medical review. Results vary, and some therapies are compounded or prescribed off-label.
Customized care
Your history, medications, and goals are reviewed before any plan begins.
Quality discipline
Prescription-based sourcing, lot tracking, and sterile handling for every injectable.
Dose discipline
Doses are adjusted gradually, under provider guidance — never on your own.
We’re reachable
Call anytime with a side effect, a question, or before a scheduled procedure.
Our programs
Recovery
BPC-157 + TB-500 — the Wolverine Recovery Stack
A physician-directed subcutaneous program designed to support the body’s natural recovery response after cosmetic surgery, athletic training, or soft-tissue strain. Programs typically run four to eight weeks, adjusted by goal and response. Every kit ships with individually dosed syringes, so you always know exactly what you’re injecting and when.
Typical dosing is BPC-157 at 200–500 mcg daily, with TB-500 at 2–5 mg per week split across one or two injections. Post-surgical recovery plans usually begin within 24–72 hours of surgery or at your first post-op visit; athletic and soft-tissue plans are dosed toward the demand you are putting on the tissue.
Every kit includes: supplies, injection teaching, storage instructions, a dose calendar, and follow-up guidance.
Experimental / off-label adjunct. Competitive athletes should disclose testing status before starting.
Energy
A 4-week take-home kit for energy, mental clarity, and recovery
NAD+ plays a central role in how your cells produce energy and repair themselves. B12 supports normal neurologic function and red blood cell production. This program is built for patients who want steady, physician-directed support for everyday fatigue and mental clarity — not a one-time boost.
The Standard Energy Kit covers four weeks: 8 NAD+ syringes at 100 mg each, taken twice a week. The same kit is available with B12 added, which brings 4 further syringes taken once weekly. Dosing is individualised and adjusted at the four-week reassessment.
Every kit includes: prescription-based sourcing, individually dosed syringes, alcohol pads and supplies, injection teaching, storage instructions, a dose calendar, and provider-directed follow-up.
Persistent fatigue should be medically evaluated. This program supports wellness goals — it isn’t a diagnosis or a substitute for one.
Skin renewal
A topical program for fine lines, texture, and post-procedure recovery — with or without estradiol
GHK-Cu is a copper-binding peptide used topically to support collagen activity and skin remodeling. Patients who want additional support for skin thickness and elasticity can add low-dose estradiol, available after hormone-safety screening. Both formulations are compounded to your provider’s prescription and come with full application guidance.
Two formulations, supplied by the jar: the GHK-Cu Cream, for skin quality, fine lines, and texture, or the GHK-Cu + Estradiol Cream for enhanced skin renewal when appropriate, which requires hormone-safety screening first. Apply a thin layer to the face, neck, or chest nightly or two to three nights a week to start, increasing only as tolerated.
Every plan includes: prescription-based sourcing, application and storage guidance, post-procedure guidance, and provider-directed follow-up. Use a daily SPF — topical actives increase sun sensitivity.
Estradiol isn’t appropriate for every patient. See who should avoid it in our peptide therapy FAQ.
Weight management
Weekly GLP-1 or GIP/GLP-1 injections, paired with nutrition and follow-up
Semaglutide and tirzepatide support appetite control and metabolic health through hormone-signaling pathways your body already uses. Every plan pairs weekly injections with protein and hydration goals, movement guidance, and regular check-ins — so your dose is adjusted to your response, not a fixed schedule.
Two options, both paired with Vitamin B6: Semaglutide + B6 for weekly GLP-1 support and appetite control, and Tirzepatide + B6 for GIP/GLP-1 support, which patients typically tolerate with fewer GI symptoms. Syringe size is adjusted to your dose as you titrate.
Every plan includes: prescription-based sourcing, 4 weekly prefilled syringes, supplies, injection teaching, and provider-directed follow-up.
Tell us before any upcoming surgery, anesthesia, or sedation so timing can be coordinated.
Metabolic health
Low-dose weekly GLP-1, for metabolic health rather than weight loss
A separate program from Medical Weight Management, for patients who are already at a comfortable weight but want the metabolic benefits of GLP-1 signaling — steadier appetite and energy, reduced inflammation, and healthy-ageing support. Doses are kept well below weight-loss ranges, with the goal of maintaining your current weight rather than reducing it.
Low-dose semaglutide or tirzepatide, dosed weekly and titrated to the smallest amount that gives you the effect you are after. Because the dose is low, most patients tolerate it with minimal GI symptoms. It can be paired with Vitamin B6, and combined with the NAD+ and B12 program where energy is the primary goal.
Every plan includes: prescription-based sourcing, 4 weekly prefilled syringes, supplies, injection teaching, and provider-directed follow-up.
Not a weight-loss plan — if weight loss is your goal, Medical Weight Management is the right program. Tell us before any upcoming surgery, anesthesia, or sedation so timing can be coordinated.
How it works
Structure matters as much as the medication. Here is what happens before, during, and after you start.
01
We review your history, medications, and goals before any plan begins.
02
You’ll get hands-on instruction for safe injection or application technique.
03
You follow a clear dosing schedule on your own timeline, with supplies provided.
04
We check in and adjust your plan based on how you’re actually responding.
Straightforward about what we know
Some of these therapies, like semaglutide and tirzepatide, are backed by large FDA-approved clinical trials. Others, like BPC-157 and TB-500, are promising but still considered experimental, off-label, and often compounded. We think you deserve to know the difference before you start.
Read the full peptide therapy FAQ →Get started
Every program starts with a medical consultation, not a sales pitch. Come in, tell us your goals, and we will walk you through what actually fits.
Questions
Administration, monitoring, cost, and an honest account of where the evidence and regulatory picture stand.
Ask Sandel Duggal
Answers from our website
Ask about our procedures, our surgeons, or where to find something on the site. I cannot give medical advice or tell you whether a treatment is right for you — those are conversations for the office.
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