HealthRX.com · Printable question sheet
Sermorelin and thymosin alpha stack prescriber visit sheet
Use this sheet before talking with a prescriber or pharmacist about sermorelin or thymosin alpha peptides. Fill it in by hand, bring it to the visit, and keep it at home to track answers.
Current peptide details
Write what you have now. Leave blank what you do not know.
Sermorelin sourceWrite the name of the supplier or compounding pharmacy
Thymosin alpha sourceWrite the name of the supplier, pharmacy or country of label
Prescriber name and phoneWrite who prescribed or supervises each peptide
Pharmacy nameWrite the pharmacy that fills or compounds your peptides
Reason for stacking themWrite the goal you were given for combining them
Bring to the visit
Gather these before you go.
- Bring the labels or packaging for every peptide you have used
- Write a list of every other medicine, supplement and hormone you take
- Bring any written protocol or dosing sheet you were given
- Note any sport you compete in and whether you are tested
- Bring this sheet and a pen
- Confirm whether the peptide is compounded or finished product
- Check with the pharmacist whether any ingredient is listed on the label
Questions to ask
- Has any study tested sermorelin and thymosin alpha together?
- Is there a recognized combined protocol for these two peptides?
- Are either of these peptides FDA-approved for my condition?
- Is my sermorelin compounded, and what does that mean for quality checks?
- What side effects should I report, and how should I report them?
- What tests will you order to monitor me, and when?
- Which tests or hormone levels will show whether this is working?
- Is thymosin alpha-one named on any sport list I am subject to?
- What should I do if I miss a dose or take too much?
- What happens to my plan if I stop one peptide but not the other?
Notes from each conversation
Record who you spoke with and what they said.
| Date | Who I spoke with | Answer or advice given | Next step |
|---|---|---|---|