Monthly
Flexibility with month-to-month billing.
- Compounded LL-37 therapy
- Licensed clinician oversight
- Care-team messaging
- Free discreet shipping
LL-37 is an antimicrobial peptide studied for its role in immune defense and tissue repair. Truvera’s LL-37 Therapy is designed to support immune resilience and skin health under medical supervision.
Potential Benefits
Short Version
An immune-focused peptide therapy designed to support the body’s natural defenses.
Peptide · Immune Support
LL-37 is the only known human cathelicidin antimicrobial peptide, produced naturally by immune cells and epithelial tissue. Prescribed by a licensed clinician, compounded to order, and shipped to your door.
How it works
From online intake to medication delivered — in as little as 3 days.
A 5-minute medical intake covers your health history, current immune concerns, medications, and wellness goals. No appointment needed.
A licensed US clinician reviews your intake and, if clinically appropriate, issues your LL-37 prescription and compounding order.
Your LL-37 is compounded at a licensed US pharmacy and shipped in discreet, temperature-controlled packaging.
Message your care team anytime. We monitor your immune response and adjust your protocol at every check-in.
Pricing
One monthly price covers your clinician visits, compounded medication, shipping, and care team access.
Flexibility with month-to-month billing.
Save 17% vs monthly
Best balance of savings and commitment.
Save 30% vs monthly
Our best price for long-term immune support.
LL-37 is a compounded peptide, not an FDA-approved drug. Prescriptions are issued only at the discretion of licensed clinicians and only when medically appropriate.
Eligibility
What is LL-37?
LL-37 is the only known human cathelicidin — a 37-amino acid peptide produced naturally by neutrophils, macrophages, mast cells, and epithelial cells lining the skin, lungs, and gut. It is named for the two leucine residues at its N-terminus and its total length of 37 amino acids. Unlike synthetic antimicrobial agents, LL-37 evolved as part of the innate immune system: it disrupts microbial membranes directly and simultaneously orchestrates the adaptive immune response, bridging both arms of immunity in a single molecule.
LL-37's mechanisms are broad and well-documented in peer-reviewed literature. It kills gram-positive and gram-negative bacteria, certain enveloped viruses, and fungi by embedding in and disrupting pathogen lipid bilayers — a physical mechanism that is difficult for microbes to develop resistance to. Beyond direct microbial killing, LL-37 acts as an immunomodulator: it promotes dendritic cell maturation, recruits neutrophils and monocytes to infection sites, regulates TLR (toll-like receptor) signaling, and stimulates angiogenesis and wound repair through keratinocyte migration. Research published in journals including Antimicrobial Agents and Chemotherapy, Journal of Immunology, and Nature Immunology has characterized these roles extensively.
Deficiencies in LL-37 expression have been linked to increased susceptibility to respiratory infections, skin conditions such as atopic dermatitis and rosacea, and impaired wound healing. Conversely, some inflammatory conditions involve dysregulated upregulation of LL-37. The clinical application of exogenous LL-37 — delivered as a compounded peptide — aims to supplement endogenous levels in patients whose immune defenses may benefit from additional support. LL-37 has not completed human clinical trials as a standalone approved therapeutic and is available through licensed clinicians via Section 503A compounding pharmacies.
Patient experience
"I was getting sick four or five times a year and each illness dragged on for weeks. After three months on LL-37 my recovery times are noticeably shorter and I've only had one minor cold. The intake process was thorough and my clinician took the time to explain what the peptide actually does."
"My functional medicine doctor mentioned LL-37 but couldn't prescribe it directly. TruVera made the process easy — the clinician reviewed my labs and history, and I had my first supply within a week. My energy during what would normally be my sick season has been much better."
"I appreciated that TruVera was transparent that this is a compounded peptide and not a cure-all. The care team has been responsive and we've adjusted my dose based on how I was responding. I feel like I have actual support, not just a product being sold to me."
FAQ
LL-37 is the only known human cathelicidin antimicrobial peptide — a 37-amino acid peptide produced naturally by immune and epithelial cells to defend against infection and coordinate immune responses. It is not FDA-approved as a standalone drug. TruVera provides LL-37 through licensed compounding pharmacies under Section 503A of the Federal Food, Drug, and Cosmetic Act — available only with a valid prescription from a licensed clinician.
Clinical interest in LL-37 centers on conditions where immune defense and regulation are suboptimal, including recurrent infections, chronic respiratory illness, impaired wound healing, and skin conditions such as atopic dermatitis and rosacea that are associated with reduced cathelicidin expression. It has also been studied for its role in gut mucosal immunity. A clinician will determine whether LL-37 is appropriate for your specific situation based on your health history and current symptoms.
LL-37 is most commonly compounded for subcutaneous injection, which allows systemic distribution and is the best-characterized route in research settings. Some compounding pharmacies also prepare intranasal or nebulized formulations for respiratory applications. Your care team will specify the dose, concentration, and route of administration based on your clinical needs during your consultation.
Some patients report feeling more resilient within the first few weeks; meaningful changes in infection frequency or recovery time are typically assessed over 8–12 weeks of consistent use. Immune modulation responses vary considerably by individual, baseline immune status, and indication. Your clinician will evaluate your progress at regular check-ins and adjust your protocol accordingly.
LL-37 is a naturally occurring human peptide, and compounded formulations generally have a favorable tolerability profile in clinical use. The most commonly reported effects are temporary injection-site reactions such as mild redness or local discomfort. Because LL-37 also has immunomodulatory properties, it is used with caution in patients with active autoimmune conditions or complex immune histories. Long-term human safety data from controlled trials is limited. Your clinician will review your full health history before prescribing.
Yes. You can pause or cancel at any time through your TruVera patient portal — no phone calls, no cancellation fees. If you have questions about your protocol before canceling, your care team is always available to discuss adjustments.