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.
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>)
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
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.
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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 28 states its medical team is licensed in. Start a $39 visit or browse the full Muscle Growth & Body Composition range.
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?
- 90 Days from compounding (USP <797>) BUDs are assigned per USP <797> sterile compounding standards and printed on every vial label.