Tesamorelin High-Dose
Same GHRH-analog mechanism as standard Tesamorelin, formulated at 8mg/mL for higher per-injection dosing.
Medically reviewed by Dr. Jonathan Snipes, MD. Last reviewed May 6, 2026.Select your protocol step
Checking your status…A 26-week provider-supervised course, dosed Monday to Friday at night before bed. The first two steps raise the dose and change the vial with it, so the units you draw change too. The final step holds at the top dose and is refilled until the course is done. Your provider reviews and approves every step before the pharmacy fills it.
New to tesamorelin? Start at Weeks 1 to 5. Existing RxPepsDirect patients can also step up from their patient portal once the step below is approved. Pricing is what the pharmacy charges for the medication. Your visit is $39 either way.
What It Is
Higher-concentration tesamorelin (8mg/mL) for patients already titrated past standard 3mg/mL dosing or following extended protocols.
How It Works
Delivers the same visceral fat-targeting GHRH pathway activation as standard Tesamorelin, at a higher per-mL concentration so larger doses can be drawn without burning through vials.
Who It's For
Established Tesamorelin users on extended protocols. Patients tolerating standard dosing who want fewer refills.
Who Should Avoid It
Not for active cancer, pituitary tumors, or pregnancy. Monitor IGF-1 levels. Provider-supervised step-up from 3mg/mL only.
Protocol & Pricing
OBP Pharmacy Price
$200/24mg
You pay pharmacy price. No markup.
Starting Dose
20 units (1.6mg)
Form
Injectable vial (3mL, 8mg/mL, 24mg total)
Dosing Protocol
20 units subcutaneous injection daily for 5 days, 2 days off. 20 units = 0.2mL × 8mg/mL = 1.6mg per injection. Provider-supervised escalation from 3mg/mL only.
Beyond Use Date
90 Days from compounding (USP <797>)
Optimal Balance Pharmacy assigns this date and prints it on your vial label. Always follow the label. Once a multi-dose vial is punctured, the in-use date on the label is shorter than the compounding date shown here.
Already on Tesamorelin? Transfer at your current dose
If another provider prescribes Tesamorelin for you today, you do not have to start the course over at weeks 1 to 5. Select the step that matches your current dose and we will verify it.
How the transfer works
Tesamorelin runs as a 26-week provider-supervised course, and every step above the starting dose is dispensed only after a provider confirms you are already established at the step below it. For a patient transferring in, that proof is your current prescription: pick the step that matches the dose you take today, and upload your documentation during onboarding, after the $39 medical visit. Our provider reviews it and, when it checks out, prescribes the same dose so your treatment continues without interruption.
New to Tesamorelin? Choose Weeks 1 to 5 instead. That is the starting dose, and it needs no documentation.
What you can upload
- A copy of your current prescription (PDF or photo)
- A medical record or chart note from your prescribing provider showing the active medication and dose
- A pharmacy printout or label from your most recent fill
Existing RxPepsDirect tesamorelin patients skip the upload entirely: we match your email to your prior approved visit automatically.
When you'll upload
You'll upload your documentation during onboarding, after you complete the intake form and the contraindication review, just before consent. Your provider sees the document alongside your intake and confirms your step before anything is sent to the pharmacy.
Begin onboarding →Stacking Guide
Stacks Well With
Do Not Combine With
GHRH analog (FDA-approved as Egrifta)
Read the Tesamorelin High-Dose protocol guide
The only GHRH analog with Phase III trials and an FDA approval. Visceral fat reduction, the 31 percent non-responder rate, and what reaccumulates when you stop.
Related Peptides
Independently tested
Tesamorelin High-Dose lab test reports
Every Tesamorelin High-Dose batch dispensed by Optimal Balance Pharmacy is independently tested by Eagle Analytical Services (FDA-registered, A2LA ISO 17025 accredited) for sterility (ScanRDI or Celsis) and bacterial endotoxin (USP <85>). The most recent report:
| Submission | Lot | Sample | Sterility | Endotoxin | |
|---|---|---|---|---|---|
| ETX-260518-0271 | 051426-14 | TESAMORELIN 8MG/ML 3ML | Pass | Pass <2 EU/mL / 400 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 RxPepsDirect. RxPepsDirect prescribes; Optimal Balance Pharmacy compounds and dispenses; Eagle tests every batch. Three separate companies. Browse our full quality program on the quality page.
How to get Tesamorelin High-Dose prescribed online
Tesamorelin High-Dose is available by prescription through a licensed telehealth visit and dispensed for human use by a named 503A pharmacy. That is what separates it from research-use-only vials sold without a prescription. There is no subscription and no membership, just a one-time visit fee.
- 1
Complete a $39 medical visit. Answer a short intake about your health history and your goals for Tesamorelin High-Dose. The $39 fee is the only charge RxPepsDirect collects, paid once, not a recurring subscription.
- 2
A licensed provider reviews it. A US-licensed nurse practitioner or physician reviews your intake and, if Tesamorelin High-Dose is appropriate for you, writes a patient-specific prescription. The starting dose is typically 20 units (1.6mg).
- 3
The pharmacy compounds and ships it. Optimal Balance Pharmacy, a 503A pharmacy in Texas, compounds Tesamorelin High-Dose and ships it pre-reconstituted by FedEx overnight in a reusable cooled case. Your fill is Injectable vial (3mL, 8mg/mL, 24mg total), and you pay the pharmacy $200/24mg at wholesale, with no clinic markup, plus a $15 flat FedEx overnight shipping fee charged by the pharmacy.
RxPepsDirect prescribes Tesamorelin High-Dose in the 29 jurisdictions its medical team is licensed in. Start a $39 visit or browse the full Muscle Growth & Body Composition range. Comparing services first? See how RxPepsDirect stacks up against seven other providers in our best telehealth for compounded peptides comparison.
Common questions about Tesamorelin High-Dose
- What is Tesamorelin High-Dose?
- Higher-concentration tesamorelin (8mg/mL) for patients already titrated past standard 3mg/mL dosing or following extended protocols.
- How does Tesamorelin High-Dose work?
- Delivers the same visceral fat-targeting GHRH pathway activation as standard Tesamorelin, at a higher per-mL concentration so larger doses can be drawn without burning through vials.
- Who is Tesamorelin High-Dose for?
- Established Tesamorelin users on extended protocols. Patients tolerating standard dosing who want fewer refills.
- How much does Tesamorelin High-Dose cost?
- Tesamorelin High-Dose costs $200/24mg from Optimal Balance Pharmacy at wholesale, with a flat $39 medical visit fee from RxPepsDirect. The form is Injectable vial (3mL, 8mg/mL, 24mg total).
- What is the Beyond Use Date for Tesamorelin High-Dose?
- Optimal Balance Pharmacy assigns the Beyond Use Date for Tesamorelin High-Dose and prints it on the vial label. The listed figure is 90 Days from compounding (USP <797>). Always follow the date on your own label, and note that once a multi-dose vial is punctured, the in-use date on the label is shorter than the compounding BUD.