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FDA-approvedVendors pendingFacts verified · 2026-05-25

Tesamorelin + Ipamorelin

Also known as ghrh(1–44) analog + ipamorelin, 2x blend tesamorelin, tesamorelin +ipamorelin, tesamorelin (11mg) + ipamorelin (3mg) blend

Tesamorelin + Ipamorelin is a compounded research-chemical blend pairing a stabilized GHRH(1-44) analog (tesamorelin, FDA-approved as monotherapy for HIV-associated lipodystrophy under the brand Egrifta) with the selective ghrelin/GHS-R1a agonist ipamorelin. The combination is positioned for GH/IGF-1 support, visceral fat reduction, recovery, and sleep quality, and is typically marketed as a 10-11 mg tesamorelin / 2-3 mg ipamorelin per vial blend. No controlled human trials of the blend itself exist; supporting evidence comes from monotherapy studies of each component. Also known as GHRH(1-44) analog + Ipamorelin.

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Formulation note

Tesamorelin (GHRH analog, FDA-approved monotherapy) + Ipamorelin (selective ghrelin agonist). The blend itself is not FDA-approved.

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Mechanism of action

The blend combines two complementary growth-hormone secretagogues. Tesamorelin is a stabilized GHRH(1-44) analog that binds the pituitary GHRH receptor to amplify endogenous GH pulse amplitude and uniquely reduces visceral adipose tissue (VAT) in HIV-associated lipodystrophy by roughly 11-18% across phase 3 trials (https://pubmed.

The blend combines two complementary growth-hormone secretagogues. Tesamorelin is a stabilized GHRH(1-44) analog that binds the pituitary GHRH receptor to amplify endogenous GH pulse amplitude and uniquely reduces visceral adipose tissue (VAT) in HIV-associated lipodystrophy by roughly 11-18% across phase 3 trials (https://pubmed.ncbi.nlm.nih.gov/20101189/ ; https://pubmed.ncbi.nlm.nih.gov/22050344/). Ipamorelin is a pentapeptide agonist of the growth hormone secretagogue receptor GHS-R1a (the ghrelin receptor) that recruits additional somatotrophs and suppresses somatostatin tone, increasing GH release without measurable rises in cortisol or prolactin (https://pubmed.ncbi.nlm.nih.gov/12168778/). Concurrent activation of GHRH and ghrelin pathways is synergistic in monotherapy studies of GHRH+GHS combinations, but the specific tesamorelin/ipamorelin blend has not been formally tested in humans.

Pharmacokinetic properties

Half-life

Tesamorelin ~26-38 min; ipamorelin ~2 h (both SC)

Routes

subcutaneous

Bioavailability

Both components short-acting; blend typically dosed once daily SC, often at bedtime to align with natural GH pulse.

Amino-acid sequence

(GHRH 1-44 analog) + Aib-His-D-2-Nal-D-Phe-Lys-NH2

Use & research dosing

No FDA-approved formulation of this blend exists; tesamorelin alone is FDA-approved at 2 mg SC daily for HIV lipodystrophy. In self-experimentation reports, blends are typically dosed once daily SC at bedtime to align with natural GH pulses, with users titrating a reconstituted 10 mg tes / 2 mg ipa vial to deliver roughly 1 mg tesamorelin + 200 mcg ipamorelin per injection. Cycle lengths of 8-16 weeks are most commonly described. Research framing only.

Research-use framing only. SavePeptides sells nothing for human consumption. Doses above reflect reported research / self-experimentation ranges, not clinical recommendations.

Editorial perspective

Marketed as a more potent visceral-fat-targeting alternative to CJC-1295/ipamorelin blends, leveraging tesamorelin's documented VAT-reducing effect in HIV lipodystrophy. Per-mg cost is materially higher than CJC/ipamorelin blends. Important caveat: no peer-reviewed human study of this specific combination has been published; all efficacy claims are inferred from monotherapy data on each component.

— SavePeptides editorial desk · last updated 2026-05-25

Cautions & contraindications

Before researching this compound, note:

  • Blend is not FDA- or EMA-approved; only tesamorelin monotherapy is approved (HIV-associated lipodystrophy)
  • No controlled human trials of the combination - efficacy and safety are extrapolated from component data
  • Avoid in active or suspected malignancy (GH/IGF-1 axis activation)
  • Avoid in pregnancy and breastfeeding
  • May cause glucose intolerance, insulin resistance, or worsen pre-existing diabetes
  • Fluid retention, arthralgia, peripheral edema, carpal-tunnel-like symptoms
  • Injection site reactions (erythema, pruritus, induration) are common with tesamorelin
  • Avoid in patients with disrupted hypothalamic-pituitary axis or active pituitary disease
  • Long-term safety data lacking for the blend; class caution for chronic supraphysiologic GH exposure

Facts verified

2026-05-25

Confidence

low

What this means

  • no human trials of the combined blend
  • efficacy extrapolated from monotherapy data on each component

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