PinnyPeptide

Ipamorelin vs Tesamorelin

Side-by-side comparison: effects, dosing ranges, side effects, regulatory status, and reconstitution.

Peptide A

Ipamorelin

Growth Hormone

Selective growth hormone secretagogue with minimal side effects.

Peptide B

Tesamorelin

Growth Hormone

FDA-approved GHRH analog for HIV-associated lipodystrophy with potent GH-releasing activity.

Typical vial

5 mg

Typical dose

100-300 mcg

Half-life

~2 hours

FDA status

Not FDA approved for human use. Clinical development discont…

Typical vial

2 mg

Typical dose

1000-2000 mcg

Half-life

~26 minutes

FDA status

FDA approved. Egrifta (tesamorelin) approved November 2010 f…

Ipamorelin effects

  • Selectively stimulates growth hormone release
  • Promotes fat metabolism without affecting cortisol
  • Supports lean muscle growth and recovery
  • Improves sleep quality through enhanced GH pulsatility
  • Does not significantly increase appetite or prolactin

Tesamorelin effects

  • FDA-proven reduction of visceral adipose tissue
  • Stimulates physiological pulsatile GH release
  • Improves body composition by reducing trunk fat
  • May enhance cognitive function in older adults
  • Increases IGF-1 levels
  • Does not significantly affect glucose homeostasis at approved doses

Ipamorelin side effects

  • Mild head rush or flushing immediately after injection
  • Transient water retention
  • Injection site irritation
  • Occasional lightheadedness

Tesamorelin side effects

  • Injection site reactions (erythema, pruritus, pain)
  • Arthralgia (joint pain)
  • Peripheral edema
  • Myalgia (muscle pain)
  • Hypersensitivity reactions (rare)
  • Potential increase in IGF-1 above normal range

Ipamorelin dosing ranges

GH optimization and anti-aging

100-300 mcg · Two to three times daily (SubQ) · 8-12 weeks

Combined with CJC-1295 (Mod GRF)

100-200 mcg · Two to three times daily · 8-12 weeks

Tesamorelin dosing ranges

HIV lipodystrophy (FDA approved)

2000 mcg · Once daily (SubQ) · Ongoing as prescribed

Body composition / anti-aging (off-label)

1000-2000 mcg · Once daily · 8-12 weeks

Ipamorelin vs Tesamorelin — common questions

What is the difference between Ipamorelin and Tesamorelin?

Ipamorelin: Selective growth hormone secretagogue with minimal side effects. Typical dose 100-300 mcg. Tesamorelin: FDA-approved GHRH analog for HIV-associated lipodystrophy with potent GH-releasing activity. Typical dose 1000-2000 mcg. Both fall under the Growth Hormone category.

Can you stack Ipamorelin and Tesamorelin?

Stacking Ipamorelin with Tesamorelin is a protocol-design question best raised with a clinician — it depends on your goal, current bloodwork, and whether both peptides target overlapping mechanisms. Both peptides should be tracked independently with separate injection sites and timing. PinnyPeptide supports multi-peptide stacks with automatic injection site rotation.

Which is dosed more frequently, Ipamorelin or Tesamorelin?

Ipamorelin is typically dosed: Two to three times daily (SubQ) for GH optimization and anti-aging; Two to three times daily for Combined with CJC-1295 (Mod GRF). Tesamorelin is typically dosed: Once daily (SubQ) for HIV lipodystrophy (FDA approved); Once daily for Body composition / anti-aging (off-label).

Are Ipamorelin and Tesamorelin FDA approved?

Ipamorelin: Not FDA approved for human use. Clinical development discontinued by Novo Nordisk. Tesamorelin: FDA approved. Egrifta (tesamorelin) approved November 2010 for reduction of excess abdominal fat in HIV-infected patients with lipodystrophy. Egrifta SV (reformulated single-vial) approved 2019.

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