HealthRX.com · Printable question sheet
GHK-Cu skin regeneration questions for your prescriber
Use this sheet before talking with a prescriber, pharmacist or insurer about GHK-Cu for skin regeneration, an unapproved and off-label use. Fill in the product details, bring the checklist and questions, and track skin changes you notice.
Product and source details
Write what is on the label or in the paperwork. Leave blank if unknown.
Product name on labelBrand or product name as printed
FormFor example cream, serum, injection or other
Strength stated by makerCopy exactly as shown, or write not stated
Sold as cosmetic or drugWrite what the seller says
Where obtainedStore, clinic, online seller or pharmacy
Prescriber or pharmacist namePerson you plan to ask
Before the visit
Items to gather or confirm. These are not medical instructions.
- Bring the product packaging or a photo of the label.
- Write the skin concern you want to discuss in your own words.
- List any other skin products, creams or serums you use.
- List any other medicines or supplements you take.
- Check with the seller whether the product is a cosmetic or a drug.
- Confirm whether a prescriber or pharmacist has reviewed this product.
- Bring any photos of your skin taken in the same light over time.
- Note any past skin procedures, such as laser treatment, and their dates.
Questions to ask
- Is there an FDA-approved drug that contains GHK-Cu for skin use?
- Is this product sold as a cosmetic, and does that mean it was not reviewed by FDA?
- Has GHK-Cu been tested in people for the skin concern I have?
- What did the human studies find on objective skin measures?
- Is injectable GHK-Cu treated differently from a topical product?
- What monitoring would you suggest if I choose to use this product?
- Which skin changes should I report to you, and how soon?
- Would an approved treatment for my skin concern be a better option?
Skin and product tracking
Record the same way each time. Share this log with your prescriber.
| Date | Product used | Skin observation | Change or concern |
|---|---|---|---|