Rapamycin Cream (Topical Sirolimus)

Topical cream (0.01%)Not available in all states

Marketing purposes only. Actual medications, if prescribed, are dispensed by a licensed pharmacy.

skin

Rapamycin Cream (Topical Sirolimus)Rapamycin Cream (Topical Sirolimus)

Topical mTORC1 inhibitor for skin anti-aging. Reduces cellular senescence, improves collagen production, and has demonstrated improvement in skin aging markers in pilot studies. Minimal systemic absorption at 0.01% concentration.

Reduces cellular senescence markers in skin

Improves collagen production

Minimal systemic absorption

Novel mechanism distinct from retinoids

No commitment · HSA/FSA eligibleNo commitment · HSA/FSA eligible

How it works

Mechanism of action

Topical mTORC1 inhibition in skin fibroblasts and keratinocytes enhances autophagy, reduces cellular senescence (SASP factors), improves collagen synthesis, and may reduce UV-induced photoaging.

The baseline panel.

Every Marek client receives this baseline panel before a provider review. Your provider may add additional biomarkers based on your health history, symptoms, and goals, pulling from 1,000+ available markers. See more biomarkers →

Hormone Profile

12 markers

Sex hormones

  • Total TestosteroneLC/MS
  • Free TestosteroneEquilibrium Dialysis
  • Estradiol, Sensitive / UltrasensitiveLC/MS
  • Sex Hormone Binding Globulin (SHBG)
  • ProgesteroneLC/MSFemale panel
  • Prolactin
  • Luteinizing Hormone (LH)
  • Follicle-Stimulating Hormone (FSH)
  • hCG, Total, QuantitativeFemale panel, pre-menopause

Adrenals & neurosteroids

  • Cortisol
  • DHEA-S

Growth hormone / IGF-1

  • Insulin-Like Growth Factor I (IGF-1)

Thyroid Status

3 markers

Thyroid hormones

  • Thyroid Stimulating Hormone (TSH)
  • Free T4
  • Free T3

Heart Health

9 markers

Cardiovascular health

  • Total Cholesterol
  • HDL Cholesterol
  • LDL Cholesterol
  • LDL:HDL Ratio
  • VLDL Cholesterol
  • Triglycerides
  • Apolipoprotein-B (ApoB)
  • C-Reactive Protein, High Sensitivity (hsCRP)
  • Lipoprotein(a) (Lp(a))

Metabolism

3 markers

Insulin sensitivity

  • Blood Glucose
  • Fasting Insulin
  • HbA1c

Organ Function

26 markers

Liver & pancreas

  • AST
  • ALT
  • Bilirubin, Total
  • γ-Glutamyl Transferase (GGT)

Kidney function

  • BUN
  • Creatinine w/ eGFR

Comprehensive Metabolic Panel (CMP)

  • Glucose
  • Blood Urea Nitrogen (BUN)
  • Creatinine
  • eGFR
  • BUN/Creatinine Ratio
  • Sodium
  • Potassium
  • Chloride
  • Carbon Dioxide, Total
  • Calcium
  • Protein, Total
  • Albumin
  • Globulin, Total
  • Albumin/Globulin (A/G) Ratio
  • Alkaline Phosphatase (ALP)
  • AST
  • ALT

Prostate health

  • Prostate-Specific Antigen (PSA)Male panel
  • Free PSAMale panel
  • % Free PSAMale panel

Nutrient Status

31 markers

Vitamins & minerals

  • Vitamin D, 25-OHD (25-Hydroxy)
  • Magnesium, RBC

Iron status

  • Iron
  • Iron Saturation
  • TIBC
  • UIBC
  • Ferritin

Complete Blood Count (CBC)

  • White Blood Count (WBC)
  • Red Blood Count (RBC)
  • Hemoglobin (Hgb)
  • Hematocrit (HCT)
  • MCV
  • MCH
  • MCHC
  • Red Cell Distribution Width (RDW)
  • Platelets
  • Neutrophils
  • Neutrophils (Absolute)
  • Lymphocytes
  • Lymphocytes (Absolute)
  • Neutrophil/Lymphocyte Ratio
  • Monocytes
  • Monocytes (Absolute)
  • Eosinophils
  • Eosinophils (Absolute)
  • Basophils
  • Basophils (Absolute)
  • Immature Cells
  • Immature Granulocytes
  • Immature Granulocytes (Absolute)
  • NRBC, w/ Reflex for Immature Cells

Clinical evidence

The research behind Rapamycin Cream (Topical Sirolimus).

Topical Rapamycin Reduces Markers of Skin Aging: Pilot Study

GeroScience (2019)

0.1% topical rapamycin applied to hands for 8 months increased collagen VII and reduced p16INK4A (senescence marker) vs placebo.

Safety profile

Monitoring & safety information.

Commonly reported side effects

  • Local irritation
  • Dryness
  • Mild erythema

Less common but serious risks

  • Minimal at topical concentrations
  • Delayed wound healing at application site

Generally not appropriate for

  • Active skin infection at site
  • Pregnancy

Typical monitoring

  • Skin assessment
  • Tolerance assessment

FAQ

Quick answers.

Topical mTORC1 inhibitor for skin anti-aging. Reduces cellular senescence, improves collagen production, and has demonstrated improvement in skin aging markers in pilot studies. Minimal systemic absorption at 0.01% concentration.
Reduces cellular senescence markers in skin. Improves collagen production. Minimal systemic absorption. Novel mechanism distinct from retinoids.
Common side effects include: local irritation, dryness, mild erythema. Most side effects are dose-dependent and may resolve with continued use or dose adjustment.
View all FAQs
See all FAQs

Topical mTORC1 inhibitor for skin anti-aging. Reduces cellular senescence, improves collagen production, and has demonstrated improvement in skin aging markers in pilot studies. Minimal systemic absorption at 0.01% concentration.

Treatments are dependent on licensed clinical prescription. Client costs vary based on individual labs and panel in treatments and services.