Ask these questions before signing anything. They help distinguish a documented medical process from a sales-first offer, but they do not replace checking the clinician's current credential and the specific medication's status.
Which 503A pharmacy fills your prescriptions?
A legitimate Fort Worth clinic will name the pharmacy without hesitation, usually a Texas-licensed or out-of-state 503A facility with a documented prescriber relationship. Verify the license through the Texas State Board of Pharmacy in about two minutes. If the answer is "we keep our supply in-house," that is a 503B, a research-chemical reseller, or worse. That's your signal to walk away.
Will you run baseline bloodwork before prescribing?
For anything in the growth-hormone axis the answer must be yes. At minimum a comprehensive metabolic panel, IGF-1, a hormone panel relevant to your sex and age, and inflammatory markers. A clinic that writes a sermorelin or tesamorelin script without baseline labs is not practicing medicine. It is running a subscription. For a comparison with how other doctor-authority markets handle baseline workup, see our
Nashville, TN directory.
What does the follow-up cadence look like?
Six-to-twelve week re-labs are the standard of care for GH-axis peptides. Clinics that hand you a six-month supply with no scheduled follow-up are not the ones you want. The good Fort Worth practices structure this as a clinical relationship, not a transaction.
What happens if the medication's availability or regulatory status changes?
Ask how the clinic communicates changes, whether it reassesses the treatment plan, and which alternatives it may consider. The answer should focus on medical continuity and documentation, not a promise that a particular compound will always remain available.