Needle exchange services across Western Australia are reporting a dramatic increase in clients. This rise is specifically linked to the growing use of peptides among the population. Health providers are observing an "astronomical" spike in individuals seeking support for these injections. The trend highlights a shifting pattern in substance use within the region. These services provide a critical point of contact for harm reduction. Authorities are now monitoring the impact of this trend on public health. The surge underscores the need for updated strategies to address peptide misuse.