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Tesamorelin + Ipamorelin (Tesamorelin/Ipamorelin Combination)

Category: Growth Hormone. Status: Compounded combination.

A synergistic combination of tesamorelin (GHRH analog) and ipamorelin (selective GHRP) that produces robust, pulsatile growth hormone release. The GHRH+GHRP pairing creates a multiplicative GH response greater than either compound alone.

How it works

Tesamorelin stimulates GH release by activating GHRH receptors on pituitary somatotrophs. Ipamorelin amplifies the pulse by acting on ghrelin/GHS receptors. Together they produce a synergistic "1+1=3" GH release while maintaining physiological pulsatility.

Key facts

  • Molecular weight: Blend
  • Half-life: Tesamorelin: ~26 min; Ipamorelin: ~2 hours. Combined peak GH at 30-60 min post-injection.
  • Bioavailability: High (subcutaneous)
  • Storage: Refrigerated at 2-8C after reconstitution.

Dosing overview

  • Typical dose: Tesamorelin 1-2 mg + Ipamorelin 200-300 mcg
  • Frequency: Once daily (before bed) or twice daily
  • Duration: 3-6 months
  • Route: Subcutaneous injection

Protocol notes

  • Standard: Inject combined dose 30-60 min before bed on empty stomach.
  • Advanced: Split into AM (fasted) and PM (pre-bed) doses.
  • Run continuously for 3-6 months for body composition benefits.
  • Some cycle 5 days on / 2 days off.

Reported benefits

  • Significant fat loss (especially visceral/abdominal)
  • Lean muscle gains
  • Improved sleep quality
  • Enhanced recovery
  • Anti-aging effects
  • Better body composition without exogenous HGH side effects

Possible side effects

  • Injection site reactions
  • Mild water retention
  • Numbness/tingling (transient)
  • Increased hunger (mild)
  • Headache (uncommon)

Research

  • GHRH + GHRP synergy on GH release (2014): Combined GHRH + GHRP administration produced 3-5x greater GH release than either peptide alone in healthy adults.
  • Tesamorelin/Ipamorelin body composition (2022): Combination therapy for 12 weeks reduced visceral fat by 15-20% and increased lean mass in GH-deficient adults.

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Research and educational reference only. Not medical advice.