Lean Stack (AOD-9604/MOTs-C/Tesamorelin/Ipamorelin)
Multi-pathway fat loss: AOD-9604 drives lipolysis, MOTs-C upregulates mitochondrial function and AMPK signaling, Tesamorelin targets visceral adipose via GHRH, Ipamorelin adds a clean ghrelin-mediated GH pulse.
Medically reviewed by Dr. Jonathan Snipes, MD. Last reviewed May 6, 2026.
What It Is
A premium four-peptide blend in a single vial. Combines fat-cell lipolysis, mitochondrial metabolic support, visceral fat reduction, and selective GH release.
How It Works
Four mechanisms in one injection: AOD-9604 directly drives fat breakdown without GH side effects; MOTs-C improves cellular energy use; Tesamorelin pulls down visceral fat through GHRH-mediated GH release; Ipamorelin amplifies the GH pulse without raising cortisol or prolactin.
Who It's For
Patients seeking comprehensive body recomposition. Those with both visceral and subcutaneous fat concerns. Stack-oriented biohackers.
Who Should Avoid It
Combined contraindications of all four components. Not for active cancer, pituitary tumors, or pregnancy. Monitor IGF-1.
Protocol & Pricing
OBP Pharmacy Price
$125/36mg
You pay pharmacy price. No markup.
Starting Dose
20 units (0.24mg AOD + 0.4mg MOTs-C + 0.4mg Tesa + 0.4mg Ipa)
Form
Injectable vial (5mL, 1.2mg-2mg-2mg-2mg/mL, AOD-9604 6mg + MOTs-C 10mg + Tesamorelin 10mg + Ipamorelin 10mg total)
Dosing Protocol
20 units subcutaneous injection daily for 5 days, 2 days off. 20 units = 0.2mL delivering AOD-9604 0.24mg + MOTs-C 0.4mg + Tesamorelin 0.4mg + Ipamorelin 0.4mg per injection.
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.
Stacking Guide
Stacks Well With
Do Not Combine With
Related Peptides
Independently tested
Lean Stack (AOD-9604/MOTs-C/Tesamorelin/Ipamorelin) lab test reports
Every Lean Stack (AOD-9604/MOTs-C/Tesamorelin/Ipamorelin) 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 2 most recent reports:
| Submission | Lot | Sample | Sterility | Endotoxin | |
|---|---|---|---|---|---|
| ETX-260518-0237 | 051326-09 | AOD 9604/ MOTS-C/ TESAMORELIN/ IPAMORELIN 1.2MG- 2MG- 2MG- 2MG/ML 5ML | Pass | Pass <2 EU/mL / 400 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 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 Lean Stack (AOD-9604/MOTs-C/Tesamorelin/Ipamorelin) prescribed online
Lean Stack (AOD-9604/MOTs-C/Tesamorelin/Ipamorelin) 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 Lean Stack (AOD-9604/MOTs-C/Tesamorelin/Ipamorelin). 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 Lean Stack (AOD-9604/MOTs-C/Tesamorelin/Ipamorelin) is appropriate for you, writes a patient-specific prescription. The starting dose is typically 20 units (0.24mg AOD + 0.4mg MOTs-C + 0.4mg Tesa + 0.4mg Ipa).
- 3
The pharmacy compounds and ships it. Optimal Balance Pharmacy, a 503A pharmacy in Texas, compounds Lean Stack (AOD-9604/MOTs-C/Tesamorelin/Ipamorelin) and ships it pre-reconstituted by FedEx overnight in a reusable cooled case. Your fill is Injectable vial (5mL, 1.2mg-2mg-2mg-2mg/mL, AOD-9604 6mg + MOTs-C 10mg + Tesamorelin 10mg + Ipamorelin 10mg total), and you pay the pharmacy $125/36mg at wholesale, with no clinic markup, plus a $15 flat FedEx overnight shipping fee charged by the pharmacy.
RxPepsDirect prescribes Lean Stack (AOD-9604/MOTs-C/Tesamorelin/Ipamorelin) in the 29 jurisdictions its medical team is licensed in. Start a $39 visit or browse the full Weight Loss & Metabolic range. Comparing services first? See how RxPepsDirect stacks up against seven other providers in our best telehealth for compounded peptides comparison.
Common questions about Lean Stack (AOD-9604/MOTs-C/Tesamorelin/Ipamorelin)
- What is Lean Stack (AOD-9604/MOTs-C/Tesamorelin/Ipamorelin)?
- A premium four-peptide blend in a single vial. Combines fat-cell lipolysis, mitochondrial metabolic support, visceral fat reduction, and selective GH release.
- How does Lean Stack (AOD-9604/MOTs-C/Tesamorelin/Ipamorelin) work?
- Four mechanisms in one injection: AOD-9604 directly drives fat breakdown without GH side effects; MOTs-C improves cellular energy use; Tesamorelin pulls down visceral fat through GHRH-mediated GH release; Ipamorelin amplifies the GH pulse without raising cortisol or prolactin.
- Who is Lean Stack (AOD-9604/MOTs-C/Tesamorelin/Ipamorelin) for?
- Patients seeking comprehensive body recomposition. Those with both visceral and subcutaneous fat concerns. Stack-oriented biohackers.
- How much does Lean Stack (AOD-9604/MOTs-C/Tesamorelin/Ipamorelin) cost?
- Lean Stack (AOD-9604/MOTs-C/Tesamorelin/Ipamorelin) costs $125/36mg from Optimal Balance Pharmacy at wholesale, with a flat $39 medical visit fee from RxPepsDirect. The form is Injectable vial (5mL, 1.2mg-2mg-2mg-2mg/mL, AOD-9604 6mg + MOTs-C 10mg + Tesamorelin 10mg + Ipamorelin 10mg total).
- What is the Beyond Use Date for Lean Stack (AOD-9604/MOTs-C/Tesamorelin/Ipamorelin)?
- Optimal Balance Pharmacy assigns the Beyond Use Date for Lean Stack (AOD-9604/MOTs-C/Tesamorelin/Ipamorelin) 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.