In Order to Buy Investigational Weight-Loss Drugs, a Group of Americans Learn to Use Bitcoin Payments

marsbitPublished on 2026-07-22Last updated on 2026-07-22

Abstract

To purchase the experimental weight-loss drug retatrutide, Americans like Zach are turning to Bitcoin despite initial skepticism. Retatrutide, an unapproved triple-agonist from Eli Lilly, offers significant weight loss but is inaccessible through U.S. channels. Buying from domestic resellers costs around $3,600 annually, whereas Zach found a Chinese seller offering a year’s supply for $240—with Bitcoin as the only payment option. This price disparity led him to learn cryptocurrency for the transaction. Online sellers of such “research chemicals” or peptides often use Bitcoin because traditional payment systems avoid the regulatory and legal risks. Chainalysis data shows crypto payments to grey-market peptide sellers reached $32 million in Q1 2026, suggesting an annualized volume exceeding $100 million, though this remains a fraction of the estimated $1-3 billion black market. The trend intersects with communities like DeSciNYC, where events on peptides draw crowds interested in biohacking and longevity, indicating shared interests between crypto and wellness circles. However, potential FDA moves to legalize certain peptides could shift demand away from the black market and reduce the need for crypto payments.

Original: Bloomberg

Compiled & Edited by: angelilu, Foresight News

A 49-year-old American marketing director, who previously considered Bitcoin to have "no underlying value," spent several days this year opening an account, buying cryptocurrency, and making a transfer. His goal was to purchase 20 bottles of an investigational weight-loss drug from a Chinese seller. A Bloomberg report on July 20 revealed that such transactions are forming a crypto payment market, with annual transaction volume projected to exceed $100 million at the current pace—and the buyers are mostly ordinary consumers who had never touched cryptocurrency before.

A Transfer to Save Money

The buyer interviewed by Bloomberg is named Zach (surname withheld for privacy), from the Pacific Northwest region of the US. He wanted retatrutide—an investigational weight-loss drug from Eli Lilly. It is a triple GIP, GLP-1, and glucagon receptor agonist; in simple terms, it targets one more point than current market drugs like semaglutide and tirzepatide. Eli Lilly released its phase 3 clinical data in March this year, showing weight loss of up to 28% at the highest dose over 80 weeks. However, this drug has not yet been approved by the US Food and Drug Administration (FDA) and is unavailable through regular channels.

Zach searched for months and finally found a Chinese seller willing to sell him 20 bottles of what they claimed to be that compound, roughly a year's supply, for a total of $240. In contrast, buying from secondary dealers in the US would cost him $300 a month, or $3,600 a year.

The only condition: Bitcoin only.

According to Bloomberg's description, Zach had previously categorized Bitcoin as a purely speculative asset. But the more than tenfold price difference changed his mind—"The spread is too vast; it felt like a risk worth taking." The seller gave him a webpage teaching him how to buy and transfer cryptocurrency. A few days later, he opened a Coinbase account, bought Bitcoin for the first time in his life, transferred it to the seller, and received the package a week later.

What Peptides Are, and Why They Need Crypto Payments

Peptides are short chains of amino acids that participate in regulating various physiological processes in the human body. They have entered the public spotlight over the past two years alongside the weight-loss drug craze—injectable drugs like semaglutide (Wegovy) and tirzepatide (Zepbound), which have undergone full clinical validation and approval, are themselves peptide drugs.

But beyond these approved drugs, a large number of similar products that have not undergone full human safety and efficacy verification circulate online, often sold under the label of "research chemicals," with packaging clearly stating they are not approved by the FDA and are not for human or animal use. They are shipped directly from overseas laboratories, requiring no prescription and bypassing insurance.

Due to the unproven health claims of these products and the high legal and regulatory risks, banks and credit card networks are often unwilling to provide services to such sellers. Locked out of the traditional payment system, more and more sellers accept only Bitcoin.

style="text-align: left;">It should be noted that crypto payments themselves are stratified: Data cited by Bloomberg shows that among sellers with an average transaction value exceeding $1,000, stablecoins have surpassed Bitcoin as the preferred choice; but on the end catering to small retail customers like Zach, Bitcoin remains mainstream.

Growing in Scale, but Still Small Overall

Data from blockchain analytics firm Chainalysis shows that in Q1 2026, gray-market peptide sellers received $32 million in cryptocurrency payments, a 700% year-on-year increase (a 159% increase from the previous quarter's $12 million). Projecting based on recent months' pace, the annualized scale now exceeds $100 million.

Security firm TRM Labs, using another method—combining on-chain analysis with public information investigations on drug precursor manufacturers—estimated crypto inflows into this sector at $41.4 million in 2025, a 20% year-on-year increase.

Ari Redbord, Global Head of Policy at TRM Labs, believes, "This market is huge and expanding. I'm not sure there's another pharmaceutical market in the world growing as fast as peptides."

This paints a somewhat dramatic scene: regular gym-goers, podcast listeners, middle-aged individuals wanting to lose weight—these demographics are being linked to gray-market buyers.

Despite the growth, industry investors estimate the overall size of the peptide black market to be between $1 billion and $3 billion. The volume using cryptocurrency as a payment method remains very small.

A Bar Adorned with Crypto Memorabilia

The most interesting scene in Bloomberg's report takes place in a corner of a bar in Manhattan—walls covered with crypto memorabilia, over a hundred people crammed into a stuffy room, listening to a lecture on peptides.

The organizer was DeSciNYC, a monthly in-person gathering for science enthusiasts, with the slogan "Science for everyone." Its past themes have included: longevity, CRISPR gene editing, AI & science, microbiome, bioelectricity, tardigrades, cellular metabolism, academic publishing fraud, prediction markets, etc.

This peptide-themed session was called "Peptides 101." The speaker was Julius Ritter, in his twenties, founder of the California Peptide Club, who also runs a longevity-themed meal delivery company and operates a hackathon house in San Francisco. He spent an hour covering peptide chemistry, potential uses, some risks, and several specific products, finally lifting his black T-shirt and injecting himself on the spot, earning a round of applause.

This scene illustrates something more direct than payment data: the connection between crypto and this market is not just a payment channel; it's the same crowd. The DeSci, longevity, biohacking, and fitness self-optimization circles are highly overlapping, with the crypto community being frequent visitors.

Regulation Is Moving, This Use Case Might Disappear

It's worth noting that the US is moving in the direction of "legalization."

The FDA is convening advisory committees to discuss whether to allow the legal domestic production of some popular peptides. US Secretary of Health and Human Services, Robert F. Kennedy Jr., has publicly supported this direction, arguing that legalization "helps shift demand away from the black market." Lee Rosebush, President of the American Peptide Medical Association, which advocates for regulation, used the term "Wild West" to describe the current market state. He believes stricter rules could actually squeeze out "for research only" manufacturers, making it easier for patients to obtain safe medication.

If this path succeeds, crypto payments' position in this market could become awkward—its current share largely occupies the space left by the absence of the traditional payment system.

Zach himself plans to exit. He says he has already reached his target weight.

Trending Cryptos

Related Questions

QAccording to the article, why is a market for unapproved weight-loss peptides using Bitcoin payments emerging in the United States?

AThe market is emerging because these unapproved peptide products, often sold as 'research chemicals,' face significant legal and regulatory risks. As a result, traditional payment networks like banks and credit cards are often unwilling to process transactions for these sellers. Bitcoin provides a workaround, allowing sellers to receive payments from buyers who cannot access these products through approved channels. Additionally, the large price difference compared to buying from domestic 'gray market' sources is a key driver for consumers to learn and use Bitcoin.

QWhat key difference in payment preference is highlighted between large-scale and small-scale buyers in the peptide crypto market?

AAccording to blockchain data cited in the article, stablecoins have surpassed Bitcoin as the preferred payment method for sellers dealing with large-scale transactions where the average order value exceeds $1,000. However, for small-scale retail buyers making smaller purchases, Bitcoin remains the dominant cryptocurrency used for payment.

QWhat does the scene at the DeSciNYC event in a Manhattan bar illustrate about the connection between the crypto community and the peptide market?

AThe scene illustrates that the connection goes beyond just a payment method. It shows that the communities for decentralized science (DeSci), biohacking, longevity, fitness optimization, and cryptocurrency are highly overlapping. The event, focused on peptide education and featuring a live injection demonstration, attracted a crowd in a crypto-themed bar, indicating shared interests and values between these groups.

QBased on the article, what potential regulatory change in the U.S. could threaten the use of cryptocurrencies in the peptide market?

AThe U.S. Food and Drug Administration (FDA) is considering allowing the legal domestic production of some popular peptide compounds. Key figures like Health and Human Services Secretary RFK Jr. support this move to shift demand away from the black market. If successful, this legalization would likely integrate peptide sales into the traditional financial and pharmaceutical systems, reducing the need for cryptocurrency as a workaround payment method and potentially causing its role in this specific market to diminish.

QWhat was the primary motivation for 'Zach', the 49-year-old marketing director, to use Bitcoin for the first time?

AZach's primary motivation was the massive cost savings. He found a Chinese seller offering a one-year supply (20 bottles) of the unapproved weight-loss drug retatrutide for $240 total. In contrast, purchasing a similar supply from U.S.-based secondary sellers would cost him $300 per month, or $3,600 per year. The enormous price disparity made him decide that the risk and effort of learning to use Bitcoin were 'worth taking.'

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