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Tesamorelin/Ipamorelin

Dual GHRH + ghrelin pathway activation combining tesamorelin's visceral fat targeting with ipamorelin's clean GH pulse.

Dr. Jonathan Snipes, MDMedically reviewed by Dr. Jonathan Snipes, MD. Last reviewed May 6, 2026.
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Tesamorelin/Ipamorelin dispensed by a licensed U.S. 503A compounding pharmacy

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Maximum RecompositionDual PathwayVisceral Fat FocusPremium Stack

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. Report new swelling, joint pain, or hand numbness to your clinician. If you have diabetes or prediabetes, send a recent HbA1c or fasting glucose from your own doctor before your first fill.

Ready to add Tesamorelin/Ipamorelin?

A licensed provider reviews every order.

Protocol & Pricing

Pharmacy Price

$120

5mL vial of 2 peptides

You pay pharmacy price. No markup.

Starting Dose

20 units (0.48mg/0.24mg)

Form

Injectable vial, 5mL

Your pharmacy label will read

TESAMORELIN/ IPAMORELIN

2.4 MG/ 1.2 MG/ML (5 ML)

The label shows strength per mL, not the total in the vial.

What that means

Each ingredient, in the order the label lists them
IngredientLabel showsIn the vialPer 20 units
Tesamorelin2.4mg/mL12mg0.48mg
Ipamorelin1.2mg/mL6mg0.24mg

Listed in the same order as your label. Multiply each per-mL strength by the 5mL vial to get the amount in the vial. About 25 injections per vial.

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>)

A licensed U.S. 503A compounding pharmacy assigns this date and prints it on your vial label. Always follow the label.

Ready to add Tesamorelin/Ipamorelin?

A licensed provider reviews every order.

Stacking Guide

Stacks Well With

BPC-157

Ready to add Tesamorelin/Ipamorelin?

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GHRH analog (Egrifta is the FDA-approved brand)

Read the Tesamorelin/Ipamorelin protocol guide

The only GHRH analog with Phase III trials behind an FDA-approved brand. The 2 mg protocol, how a response is judged, and what returns when you stop.

Read guide

Related Peptides

BPC-157

A 15-amino acid peptide prescribed as an injection under the skin. Studied for tissue repair, mostly in animals.

$80 · 3mg/mL, 5mL vial (15mg total)

Independently tested

Tesamorelin/Ipamorelin certificate of analysis

All 5 Tesamorelin/Ipamorelin samples tested for sterility and endotoxin passed both. Latest sample received by the lab Oct 1, 2026.

Every Tesamorelin/Ipamorelin batch dispensed by a licensed U.S. 503A compounding pharmacy is independently tested by Eagle Analytical Services (FDA-registered, A2LA ISO 17025 accredited). Sterility testing checks that nothing grows in the sample; the USP <85> endotoxin test checks for bacterial toxins that can cause fever. Below is the lab's own report for each of the 5 most recent lots.

Lot LG342011007, received Oct 1, 2026

Sterility
PassCelsis Sterility Test. Started Oct 1, 2026, completed Oct 8, 2026. Method suitability ETX-251008-0152
Bacterial endotoxin
PassUSP <85>. Measured <2 EU/mL, limit 1750 EU/mL. Started Oct 2, 2026, completed Oct 2, 2026
Sample, as printed
TESAMORELIN/ IPAMORELIN 2.4 MG/ 1.2 MG/ML (5 ML) Injection
Lot #
LG342011007
Storage
Refrigerated
Received by lab
Oct 1, 2026
Laboratory
Eagle Analytical Services Inc., Houston, TX
Submission #
ETX-261001-0236
Signed
Alison Eng, Quality Control Manager
Scan of Eagle Analytical report ETX-261001-0236 for lot LG342011007. Opens the original PDF.
Eagle Analytical report ETX-261001-0236. Open the original PDF (opens in a new tab)

Eagle Analytical Services is an independent FDA-registered laboratory, A2LA accredited to ISO 17025, based in Houston, Texas. They have no commercial relationship with Rx Peps Direct. Rx Peps Direct prescribes; the pharmacy compounds and dispenses; Eagle tests every batch. Three separate companies. Results apply only to the tested sample as received. Browse our full quality program on the quality page.

Ready to add Tesamorelin/Ipamorelin?

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How to get Tesamorelin/Ipamorelin prescribed online

Tesamorelin/Ipamorelin is available by prescription after an online medical review and dispensed for human use by a licensed 503A pharmacy. That is what separates it from research-use-only vials sold without a prescription. There is no membership, just a medical review fee per order, and automatic refills are optional.

  1. 1

    Complete a $39 medical review. Answer a short intake about your health history and your goals for Tesamorelin/Ipamorelin. The $39 fee is the only charge Rx Peps Direct collects, paid once, not a recurring subscription.

  2. 2

    A licensed provider reviews it. A US-licensed clinician reviews your intake and, if Tesamorelin/Ipamorelin is appropriate for you, writes a patient-specific prescription. The starting dose is typically 20 units (0.48mg/0.24mg).

  3. 3

    The pharmacy compounds and ships it. A licensed 503A compounding pharmacy in Texas compounds Tesamorelin/Ipamorelin and ships it pre-reconstituted by FedEx overnight in a reusable cooled case. Your fill is a 5mL injectable vial holding Tesamorelin 2.4mg/mL (12mg total), Ipamorelin 1.2mg/mL (6mg total), and you pay the pharmacy $120 per vial at wholesale, with no clinic markup, plus a $15 flat FedEx overnight shipping fee charged by the pharmacy.

Rx Peps Direct prescribes Tesamorelin/Ipamorelin in the 28 states plus Washington, DC where its medical team is licensed. Start your $39 medical review or browse the full Muscle Growth & Body Composition range. Comparing services first? See how Rx Peps Direct stacks up against seven other providers in our best telehealth for compounded peptides comparison.

Ready to add Tesamorelin/Ipamorelin?

A licensed provider reviews every order.

Common questions about Tesamorelin/Ipamorelin

What is the Tesamorelin/Ipamorelin combo?
Tesamorelin/Ipamorelin pairs the GHRH analog tesamorelin with ipamorelin, a ghrelin receptor agonist. The two act on separate routes to pituitary growth hormone release, which is why they are combined. No controlled human trial has evaluated the combination, so whether it outperforms either ingredient alone is not established.
How is the combo different from each peptide alone?
The difference is mechanistic rather than demonstrated. Tesamorelin acts at the GHRH receptor and has a longer duration than sermorelin. Ipamorelin acts at the ghrelin receptor; the frequently cited finding that it produces a GH pulse without raising cortisol comes from a 1998 study in rat cells, rats and swine, so it is animal pharmacology rather than a confirmed human result. Hitting two receptor systems makes an additive effect plausible, but no combination study has measured it in people. One real distinction: tesamorelin is an FDA-approved molecule (as Egrifta, for HIV-associated lipodystrophy), whereas CJC-1295 in the comparable blend is not approved for any indication.
How is the combo dosed?
The prescription label and your prescriber's directions control the dose. This is a fixed-ratio vial at 2.4mg/mL tesamorelin and 1.2mg/mL ipamorelin, so one volume sets both doses together and they cannot be adjusted separately. The listed protocol is 20 units subcutaneously, five days on and two days off: 20 units is 0.2mL, delivering 0.48mg of tesamorelin and 0.24mg of ipamorelin. Note that 0.48mg is under a quarter of the 2mg daily tesamorelin dose used in the Egrifta trials, so those visceral-fat results do not describe this blend. Dose ranges published for single-ingredient vials cannot be reproduced from this product.
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 Rx Peps Direct shipment.
How is the combo supplied?
Compounded by a licensed U.S. 503A compounding pharmacy under a 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.

Ready to add Tesamorelin/Ipamorelin?

A licensed provider reviews every order.