Tesamorelin/Ipamorelin
Dual GHRH + ghrelin pathway activation combining tesamorelin's visceral fat targeting with ipamorelin's clean GH pulse.
Medically reviewed by Dr. Jonathan Snipes, MD. Last reviewed May 6, 2026.What It Is
The premium combination of Tesamorelin and Ipamorelin in one vial. Combines visceral fat targeting with clean, selective GH stimulation.
How It Works
Tesamorelin targets visceral fat through GHRH-pathway GH release, while Ipamorelin adds a ghrelin-mediated GH pulse for broader body composition benefits.
Who It's For
Those seeking maximum body recomposition results. Popular among serious biohackers and those with significant visceral fat to address.
Who Should Avoid It
Same as individual GH secretagogues. Monitor IGF-1 levels regularly.
Protocol & Pricing
OBP Pharmacy Price
$120/12mg+6mg
You pay pharmacy price. No markup.
Starting Dose
20 units (0.48mg/0.24mg)
Form
Injectable vial (5mL, 2.4mg-1.2mg/mL, 12mg+6mg total)
Dosing Protocol
20 units subcutaneous injection daily for 5 days, 2 days off. Inject in evening to align with natural GH peak. 20 units = 0.2mL × 2.4mg/mL = 0.48mg Tesamorelin + 0.2mL × 1.2mg/mL = 0.24mg Ipamorelin per injection.
Beyond Use Date
90 Days from compounding (USP <797>)
Use within this window from the date your vial is compounded. BUD is set per USP <797> sterile compounding standards and printed on every label.
Stacking Guide
Stacks Well With
Related Peptides
Independently tested
Tesamorelin/Ipamorelin lab test reports
Every Tesamorelin/Ipamorelin batch dispensed by Optimal Balance Pharmacy is independently tested by Eagle Analytical Services (FDA-registered, A2LA ISO 17025 accredited) for sterility (ScanRDI) and bacterial endotoxin (USP <85>). The 4 most recent reports:
| Submission | Lot | Sample | Sterility | Endotoxin | |
|---|---|---|---|---|---|
| ETX-260318-0583 | LG342006504 | Tesamorelin/Ipamorelin 2.4mg-1.2mg/ml (5ml) TI126 | Pass | Pass <2 EU/mL / 375 EU/mL | Download |
| ETX-260317-0142 | 031626-06 | Tesamorelin/Ipamorelin 2.4mg-1.2mg/ml (5ml) TI126 | Pass | Pass <2 EU/mL / 375 EU/mL | Download |
| ETX-260223-0613 | 022426-06 | Tesamorelin/Ipamorelin 2.4mg-1.2mg/ml (5ml) TI126 | Pass | Pass <2 EU/mL / 375 EU/mL | Download |
| ETX-260225-0652 | 022326-02 | AOD 9604/MOTs-C/Tesamorelin/Ipamorelin 1.2mg/2mg/2mg/2mg/ml (5ML) AMTI* | Pass | Pass <2 EU/mL / 375 EU/mL | Download |
Eagle Analytical Services is an independent FDA-registered laboratory, A2LA accredited to ISO 17025, based in Houston, Texas. They have no commercial relationship with PeptideRx. PeptideRx prescribes; Optimal Balance Pharmacy compounds and dispenses; Eagle tests every batch. Three separate companies. Browse our full quality program on the quality page.
Common questions about Tesamorelin/Ipamorelin
- What is the Tesamorelin/Ipamorelin combo?
- Tesamorelin/Ipamorelin pairs the longer-acting GHRH analog tesamorelin with the selective ghrelin receptor agonist ipamorelin. The combination produces a stronger and longer GH pulse than either peptide alone, while preserving the natural pulsatile release pattern that distinguishes secretagogue therapy from supraphysiologic synthetic HGH.
- How is the combo different from each peptide alone?
- Tesamorelin alone stimulates GH release at the GHRH receptor with a longer duration than sermorelin. Ipamorelin alone triggers a discrete GH pulse via the ghrelin receptor without raising cortisol. Together they hit two different receptor systems, so the combined GH pulse is stronger and more sustained. Compared to CJC-1295/Ipamorelin, this combo uses tesamorelin (FDA-approved) rather than CJC-1295 (compounded only).
- How is the combo dosed?
- Common protocols deliver 1 to 2 mg of tesamorelin plus 200 to 300 mcg of ipamorelin subcutaneously once daily. Optimal Balance Pharmacy compounds the blend against PeptideRx prescriptions; the per-dose draw on your insulin syringe depends on the vial concentration printed on your label. Your provider sets the protocol based on your goals.
- When and where do I inject the combo?
- Most patients inject 30 minutes before bed on an empty stomach for best GH pulse alignment with natural overnight release. Subcutaneous injection into the abdomen using a 31-gauge insulin syringe. Sterile syringes are included with every PeptideRx shipment.
- How is the combo supplied?
- Compounded by Optimal Balance Pharmacy under a 503A patient-specific prescription. Ships pre-reconstituted and ready to inject in cold-chain packaging. Every batch is tested by Eagle Analytical Services; the Certificate of Analysis is published on this product page.