MOTS-C injections onlineCellular energy. Metabolic support.

MOTS-C is a peptide your mitochondria make naturally, studied for cellular energy, metabolic signaling and exercise adaptation. Steady support, not a stimulant — clinician-guided care, made simple.

  • From $160/mo, no membership or hidden fees
  • A peptide your own mitochondria make, studied for energy and metabolism
  • Single-ingredient MOTS-C from a licensed U.S. pharmacy
  • No insurance needed, shipped to your door if prescribed
Option 1 Month 3 Month Per month
Injection $175 $479 $160
What you get with Riovie
  • Single-ingredient MOTS-C injection, with dose adjustments if clinically appropriate
  • Quick online assessment and licensed clinician review
  • Secure portal messaging and scheduled check-ins with your clinician
  • Secure portal messaging with Riovie Support
  • If prescribed, medication ships directly to your door — no pharmacy trip required
  • All plans include supplies, shipping, and ongoing clinical monitoring
What to expect

Steady, not a stimulant. MOTS-C is positioned around mitochondrial and metabolic support, not a jolt of energy you feel right after a dose.

Any noticeable changes would be expected to develop gradually. Human research is still early, so your clinician sets expectations for your situation.

How to take it
  • Injection: a small subcutaneous (under-the-skin) shot on the schedule your clinician sets, rotating sites each time.
  • Many people pair dosing with their training days — your clinician will tell you what fits your plan.
  • Your clinician sets your starting dose and how long you take it, and adjusts over time if clinically appropriate.
Active, and want to stay that way?

Your body already makes MOTS-C. Levels rise when you exercise, and research suggests they tend to fall with age.

For active adults in their 40s, 50s and beyond, MOTS-C is a peptide studied for how it may support cellular energy, metabolic health and workout capacity.

Your clinician builds your plan around your routine and your health history.

Potential side effects

Human safety data on MOTS-C are limited. Reported side effects may include pain, redness, swelling or itching where you inject, headache, tiredness, flushing, and a faster heartbeat. Because MOTS-C is studied for effects on blood sugar, tell your clinician if you take diabetes medication. Tell your clinician about anything that persists or worsens.

The science, simply

MOTS-C is a peptide coded in your mitochondrial DNA. It acts as a messenger between your mitochondria and the rest of the cell. Studies show:

  • Exercise turns it up — nearly 12× higher in muscle after a bike workout in adults
  • Physical capacity — older mice treated late in life roughly doubled treadmill running
  • Metabolic health — improved insulin sensitivity in mice on a high-fat diet
  • Cellular energy — activates AMPK, a key cellular energy sensor

Most research so far is in lab and animal studies. Results vary. Your clinician helps you track yours.

Sources: Reynolds 2021 · Lee 2015

The science, simply provides and inspires your access to research for yourself, this is not at all medical advice nor does it imply offerings or expectations of results or treatments from Riovie Operations LLC.

Why Riovie?

Provider Review

Licensed provider eligibility review

Medication Support

Included if clinically appropriate

Ongoing Support

Message your clinician or Riovie Support as needed

How It Works

Online Visit
Provider Review
Start With Support
Get Started

Common questions

What is MOTS-C?
MOTS-C (also written MOTS-c) is a 16-amino-acid, mitochondria-derived peptide studied for its role in cellular energy regulation, metabolic signaling, and exercise-related adaptation. Riovie offers it as a single-ingredient compounded injection, prescribed by a licensed clinician.
Why is MOTS-C called a mitochondrial peptide?
It is made from mitochondrial DNA — the separate DNA inside the “power plants” of your cells. Researchers are studying how it may carry signals between the mitochondria and the rest of the cell.
What can MOTS-C help with?
Researchers study MOTS-C for how it may support cellular energy, metabolic health and exercise capacity. Your body makes more of it when you exercise. Most of the research so far is in lab and animal studies, so your clinician will talk through what is realistic for you.
How do I take MOTS-C?
It is a small subcutaneous (under-the-skin) injection. Your clinician sets your dose and schedule and adjusts them at check-ins if clinically appropriate.
Who is MOTS-C for?
Active adults who want support for energy and metabolic health as they age. A licensed provider reviews your health history to decide whether it is appropriate for you.
Can I get MOTS-C combined with other peptides?
Not at this time. Riovie offers single-ingredient MOTS-C only. Peptide blends are not offered.
What should I expect?
MOTS-C is positioned around mitochondrial and metabolic support, not an immediate, stimulant-like effect. Any noticeable changes would be expected to develop gradually, and human research is still early. Your clinician sets expectations for your situation and adjusts your plan at scheduled check-ins.
Is MOTS-C right for everyone?
No. Peptide therapies are not appropriate for everyone, and responses vary — especially at higher doses or when peptides are stacked. A licensed provider reviews your health history before anything is prescribed.
Do I need insurance?
No. Riovie does not bill insurance. The price you’re presented is the price you pay, plus applicable taxes where required. HSA or FSA eligibility can apply to some program components — we recommend checking with your plan administrator before purchase.
Is MOTS-C FDA-approved?
No. In October 2026, the U.S. Department of Health and Human Services said licensed pharmacies may compound single-ingredient MOTS-C injections with a prescription while the FDA finishes its review. That is not an FDA approval. Compounded medicines are not FDA-approved.
Is this medical advice?
No. This is educational content, not medical advice. MOTS-C is a prescription product — always follow the recommendations of your licensed healthcare provider, which is exactly what the Riovie care team provides.

Consult a licensed provider. Prescription required. Not for everyone.