Typically a small daily or cycled subcutaneous injection, your provider will set the protocol.

Where is Mots C available?

Mots C is available in every state except Alabama, Mississippi, Ohio, or South Carolina. Availability is checked before it is added to your cart.

How do I get started?

Complete a short online medical intake. A US-licensed clinician reviews your history, then either issues a prescription, requests labs, or recommends an alternative.

Where does my treatment come from?

Every prescription is dispensed by a US-licensed pharmacy and ships in discreet, temperature-controlled packaging when required.

Can I change my dose or cancel?

Yes. Programs are month to month. You can pause, adjust your dose with your provider, or cancel at any time with no fees.

Who do I contact with questions?

You can message your care team directly, or call us at +1 425-728-6182. Most questions are answered the same day during clinic hours.

MOTS-c Injection

A mitochondria-derived peptide studied for its role in metabolic health, insulin sensitivity, and exercise capacity. Supports how the body produces and uses energy.

Subcutaneous injection, self-administered at home
Naturally produced by the body's mitochondria
Studied for insulin sensitivity and glucose metabolism

Select your supply

Billed every 90 days, cancel anytime.

Shipping State

Prescribed by a US-licensed provider
Compounded at a US 503(a) pharmacy
Shipped cold, ready to use
HSA / FSA eligible

Safety information

Side effects are possible with any medication. Read the full safety information for MOTS-c and discuss all medications with your provider.

Compounded medication. Compounded products are not FDA approved. Optera provides compounded MOTS-c from US-licensed 503(a) pharmacies only.

Common side effects. Injection site redness or discomfort, headache, fatigue, and nausea. Individual responses vary. Tell your provider about any side effect you think is related to MOTS-c.

Talk to your provider first. If you are pregnant, breastfeeding, or planning to become pregnant, if you take medication that lowers blood sugar, or if you are being treated for a chronic medical condition.

When to stop. Stop and contact your care team if you experience a severe reaction. For a medical emergency, call 911.

Prescription treatments are dispensed only when clinically appropriate after provider review. Compounded medications are not FDA approved.

Round Out Your Plan

Commonly prescribed together. Add a second product for $60 off, or three for $120 off.

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What Is MOTS-c?

(mitochondrial open reading frame of the 12S rRNA type-c)

MOTS-c is a small peptide encoded in the DNA of your mitochondria, the structures inside cells that produce energy. It acts as a signal that helps muscle cells take up glucose and use fuel efficiently. Research shows circulating MOTS-c declines with age, and lower levels have been linked to insulin resistance and reduced metabolic flexibility.

MOTS-c activates AMPK, an enzyme that acts as the cell's fuel gauge. When AMPK is switched on, cells take up more glucose, burn more fat for energy, and build new mitochondria.

MOTS-c levels decline with age

Illustrative only. Individual levels and results vary.

Metabolic Health

May support healthy glucose and fat metabolism.

Energy Production

Supports mitochondrial function.

Exercise Capacity

May support endurance and physical performance.

Healthy Aging

Studied for its role in age-related metabolic decline.

Individual results vary and are not guaranteed.

How MOTS-c Works

What MOTS-c does in the body over time.

Day 1

MOTS-c signals muscle cells to take up and use glucose more efficiently, activating pathways tied to cellular energy.

30 Days

You may notice more energy and better stamina during training.

3 Months

Studied for its effect on insulin sensitivity and metabolic flexibility, the body's ability to switch between burning carbohydrates and fat.

6 Months

Continued use may support body composition and exercise capacity.

1 Year and Beyond

Part of a long-term approach to metabolic health as mitochondrial function declines with age.

Timeline reflects the general mechanism and published research. Individual results vary and are not guaranteed.

A Prescription, Not a Research Vial.

Many peptides sold online are labeled for research use only. Here is what changes when yours is prescribed.

Research-use sites

On the label: For research use only. Not for human use.
Who sets the dose: You guess it from a forum.
Where it is made: No pharmacy. No prescription.
What arrives: Loose powder you mix on your kitchen counter.
If you have a question: No one to call.

Optera

On the label: Your name. Your prescription.
Who sets the dose: A US-licensed provider sets it for you.
Where it is made: A US-licensed 503(a) compounding pharmacy.
What arrives: Ready to use. No mixing.
If you have a question: A care team that answers.

How Optera Works

100% online care, personalized dosing, and treatment delivered to your door.

Build your protocol and share your health history.

Get Started

Our providers review and prescribe if it's right for you.

Pre-Qualify

Patient messaging an Optera provider on a tablet

Compounded and shipped cold to your door.

Shop Protocols

Learn More About MOTS-c

Ready When You Are

Answer a few questions and a licensed provider will tell you whether this is a fit.

Check If I Qualify

MOTS-c Injection

Round Out Your Plan

NAD+

CJC-1295 / Ipamorelin