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Anti-Aging · Reference

Ipamorelin + Sermorelin Dosage: Units, mL and mg for the IPA Sermorelin Vial

This page covers the dosage in units, millilitres and milligrams for both peptides, a conversion chart, how the paired vial compares with the single-peptide vials, when it is taken, what the published studies used and why that is not your dose, and the side effects to know about. Nothing here is a reason to change your own dose.

Sermorelin (Injectable) — pepti Pen
SermorelinVial $229 · Pen $299

At Pepti, Ipamorelin + Sermorelin is prescribed as 0.25 mL, which is 25 units on a U-100 insulin syringe, injected under the skin Monday through Friday nights at bedtime. The vial is 5 mL with both peptides at 2 mg/mL, so each 25 unit draw delivers 0.5 mg of ipamorelin and 0.5 mg of sermorelin together, and the vial holds 20 doses, about four weeks. Your physician sets your directions after reviewing your intake, and your exact dose is printed on the vial. The two peptides are in fixed 1:1 proportion, so there is no way to take more of one and less of the other.

This page covers the dosage in units, millilitres and milligrams for both peptides, a conversion chart, how the paired vial compares with the single-peptide vials, when it is taken, what the published studies used and why that is not your dose, and the side effects to know about. Nothing here is a reason to change your own dose.

Ipamorelin + Sermorelin Dosage

The short answer

Product Vial Typical directions Per 25 unit dose Doses per vial Price
Ipamorelin + Sermorelin 5 mL, ipamorelin 2 mg/mL + sermorelin 2 mg/mL (10 mg of each) Inject 0.25 mL (25 units) subcutaneously Monday through Friday nights at bedtime 0.5 mg ipamorelin + 0.5 mg sermorelin 20 $219/mo
Sermorelin 5 mL, 2 mg/mL (10 mg) Inject 0.25 mL (25 units) subcutaneously Monday through Friday nights 0.5 mg sermorelin 20 $229/mo
Ipamorelin 5 mL, 1 mg/mL (5 mg) Inject 0.25 mL (25 units) subcutaneously Monday through Friday nights at bedtime 0.25 mg ipamorelin 20 $239/mo

Every price is all-in, covering medication, physician review, refill management and shipping, with no separate membership fee. Pepti is cash-pay and does not bill insurance. These are the typical printed directions; your own directions are the ones on your vial.

Ipamorelin + Sermorelin Dosage

Ipamorelin + Sermorelin dosage in units, mL and mg

Directions are written in two forms, millilitres and units, because prescriptions are written in millilitres and insulin syringes are marked in units. On a U-100 insulin syringe, 1 unit is 0.01 mL, so 25 units is 0.25 mL. A unit is a volume mark on the barrel, not a measure of strength. In a two-peptide vial, one volume carries two medications, and the amount of each comes from its own concentration on the label.

What you read Value Where it comes from
Dose volume 0.25 mL Printed on the vial
On a U-100 insulin syringe 25 units 0.25 mL x 100 units per mL
Ipamorelin concentration 2 mg/mL Printed on the vial
Sermorelin concentration 2 mg/mL Printed on the vial
Ipamorelin per dose 0.5 mg, which is 500 mcg 2 mg/mL x 0.25 mL
Sermorelin per dose 0.5 mg, which is 500 mcg 2 mg/mL x 0.25 mL
Total in the vial 10 mg ipamorelin and 10 mg sermorelin in 5 mL Printed on the vial
Doses per vial 20 5 mL divided by 0.25 mL

Online sources often quote both peptides in micrograms. 1 mg is 1,000 mcg, so 0.5 mg and 500 mcg are the same amount; confusing the two is a thousandfold error. A vial labelled 10 mg of each is not a 10 mg dose of anything: it is twenty doses of 0.5 mg of each. If your label and your syringe seem to disagree, do not dose; message your care team. How long does a peptide vial last explains every number on a vial label.

Ipamorelin + Sermorelin Dosage

Ipamorelin + Sermorelin dosage chart: units to mL to mg

The chart below is the conversion for Pepti's vial, with both peptides at 2 mg/mL, drawn with a U-100 insulin syringe. It is math only. It is not a menu of doses, and the only line that applies to you is the one that matches the number printed on your vial.

Syringe mark (U-100) Volume Ipamorelin Sermorelin
5 units 0.05 mL 0.1 mg 0.1 mg
10 units 0.1 mL 0.2 mg 0.2 mg
15 units 0.15 mL 0.3 mg 0.3 mg
20 units 0.2 mL 0.4 mg 0.4 mg
25 units (Pepti's typical directions) 0.25 mL 0.5 mg 0.5 mg
30 units 0.3 mL 0.6 mg 0.6 mg
40 units 0.4 mL 0.8 mg 0.8 mg
50 units 0.5 mL 1 mg 1 mg
100 units 1 mL 2 mg 2 mg

The rule behind every row: units divided by 100 gives millilitres, and millilitres multiplied by 2 gives milligrams of each peptide. Because both are at the same concentration, the two columns are always identical. A chart written for a different vial, or for a single-peptide vial, gives different figures for the same units, which is the main reason not to dose from a chart, including this one.

Why the units do not carry over between ipamorelin products

The same 25 unit draw delivers different amounts of ipamorelin depending on the vial. From the single ipamorelin vial at 1 mg/mL it is 0.25 mg; from Ipamorelin + Sermorelin at 2 mg/mL it is 0.5 mg; from CJC-1295 / Ipamorelin at 2.4 mg/mL it is 0.6 mg. The sermorelin side is simpler: the single sermorelin vial and the paired vial are both 2 mg/mL, so 25 units is 0.5 mg of sermorelin from either. If you switch products, read the new label and never carry a number over. More on ipamorelin across the catalogue is in ipamorelin dosage, and the single-peptide sermorelin vial is in sermorelin dosage.

Ipamorelin + Sermorelin Dosage

How long an Ipamorelin + Sermorelin vial lasts

Step Value
Dose 25 units, 0.25 mL, 0.5 mg of each peptide
Doses per week 5 (Monday through Friday)
Doses per vial 20 (5 mL divided by 0.25 mL)
Used per vial 20 x 0.5 mg = 10 mg of each, the whole vial
Time per vial 20 doses divided by 5 per week = 4 weeks

Four weeks is why refills run every 28 days, one vial per fill. Vials are multi-dose solutions shipped ready to use, refrigerated with ice packs, with sterile syringes and alcohol prep pads. Nothing is mixed at home. Keep the vial in the fridge between doses and follow the beyond-use date on the label, which runs from first puncture; how to store peptides covers storage. Ipamorelin + Sermorelin is a vial only, with no pen.

If a vial runs short before the refill, message your care team rather than adjusting anything yourself. If you miss a dose, follow your directions and do not take two doses to make up for one.

Ipamorelin + Sermorelin Dosage

When Ipamorelin + Sermorelin is taken

At bedtime

Growth hormone is released in pulses, and the largest natural pulse of the day occurs in the first hours of deep sleep. Both peptides prompt the pituitary to release its own growth hormone in a short pulse. Sermorelin acts at the GHRH receptor, and in a 1997 trial of a GHRH(1-29) analogue the pulse appeared within about ten minutes and lasted about two hours. Ipamorelin acts at the ghrelin receptor, and in a 1999 volunteer study its pulse peaked at about 40 minutes and faded to negligible levels. A bedtime dose places both alongside the pulse the body is already producing.

Monday through Friday

The five-nights-on, two-off pattern is a prescriber convention rather than a schedule derived from trials. Prescribers describe the two nights off as a way of keeping the pituitary responsive. It also makes the vial arithmetic exact: 20 doses at five a week is four weeks. Weekends off are part of the schedule, not missed doses.

Directions say What it means in practice
0.25 mL (25 units) Draw to the 25 mark on a U-100 insulin syringe
Subcutaneously Into the fat layer, abdomen or thigh, rotating sites
Monday through Friday Five doses a week, weekends off
Nights at bedtime Shortly before sleep
20 doses per vial About four weeks, then the next refill

Technique is covered in how to inject peptides safely.

Ipamorelin + Sermorelin Dosage

What the studies used, and why that is not your dose

No study has tested ipamorelin and sermorelin together, at any dose. The studies on each component are often quoted online as if they were adult protocols:

Study Who How it was dosed What it measured
National Institute on Aging, Journal of Clinical Endocrinology and Metabolism, 1992 10 healthy men around age 68 GHRH(1-29), the sermorelin sequence, twice daily for 14 days at two doses IGF-1 reached the young-adult range only at the higher dose
Johns Hopkins, Metabolism, 1997 11 healthy men aged 64 to 76 2 mg GHRH(1-29) as a single nightly injection for six weeks Nocturnal growth hormone rose; IGF-1 and body composition did not change
UC San Diego, Journal of Clinical Endocrinology and Metabolism, 1997 19 men and women aged 55 to 71 A related GHRH(1-29) analogue nightly for 16 weeks IGF-1 rose within two weeks, then drifted back toward baseline
Pharmaceutical Research, 1999 40 healthy men Intravenous ipamorelin at five dose levels A half-life of about two hours and a single growth hormone peak at about 40 minutes
International Journal of Colorectal Disease, 2014 114 adults after bowel resection Intravenous ipamorelin twice daily in hospital, up to seven days Gut recovery; no significant difference from placebo

There is no human study of subcutaneous ipamorelin, no human dose-ranging study behind the adult sermorelin schedules in common use, and no study of the pair. A 1995 study in eight healthy men gave GHRH(1-29) and a different ghrelin-receptor peptide, GHRP-2, separately and together, and reported a roughly additive response with no synergy; whether this pairing behaves that way at nightly subcutaneous doses has not been tested. That is why your directions come from a physician who has reviewed your intake, not from a study table. The full background is in what is ipamorelin + sermorelin.

Ipamorelin + Sermorelin Dosage

What changes the directions

What can change How it shows up
Paired vial or a single peptide Each product has its own label and concentration
Your medical history Diabetes or impaired glucose tolerance, a cancer history, untreated sleep apnoea or a pituitary condition change the conversation
Your other medications Glucocorticoids, thyroid medication, insulin and other glucose-lowering drugs touch the growth hormone axis; the intake asks for everything you take
How you respond Puffiness, joint aches or tingling hands go to your physician, who may revise your directions

When directions change, the new numbers are printed on the new label. Bloodwork is not required for any Pepti treatment. If your physician wants labs for your care, they'll ask through your account.

Ipamorelin + Sermorelin Dosage

Side effects, in summary

What is reported How often What to do
Flushing or warmth for a few minutes after the injection Common; sermorelin's best-documented side effect Usually settles; report it if marked
Injection-site redness, soreness or a small lump Common Rotate sites
Headache, vivid dreams Common early on Report it if it persists
Water retention, joint aches, tingling hands Uncommon Message your care team; it usually means the dose is above what you need. Do not change the dose yourself
Facial or throat swelling, widespread rash, breathing difficulty Rare Emergency care first (call 911), then tell your physician

Growth hormone reduces insulin sensitivity, so diabetes or impaired glucose tolerance needs raising at intake, and a cancer history is a reason to discuss rather than proceed. The fuller picture is in is sermorelin safe. Tested athletes should know the 2026 WADA Prohibited List names both sermorelin and ipamorelin under S2.2.4, prohibited at all times.

On regulation: sermorelin was the active ingredient of an FDA-approved product discontinued in 2008 for commercial reasons, and in 2013 the FDA determined it was not withdrawn for safety or effectiveness reasons. Ipamorelin has never been approved; it was placed in Category 2 in 2023, the advisory committee voted 0 to 12 against listing it in October 2024, and its 503A nomination has since been withdrawn, so as of May 2026 it sits in no 503A category while remaining in Category 2 under the separate 503B policy. Compounded medications are not FDA approved.

Ipamorelin + Sermorelin Dosage

Where to get Ipamorelin + Sermorelin prescribed

Ipamorelin + Sermorelin cannot be bought legitimately without a prescription. Sites selling it "for research use only" are not accountable for identity, purity, sterility or concentration, so even the concentration a units chart depends on is unknown. The prescription route:

  1. Complete a free online intake covering your history, medications and what you want help with.
  2. A physician licensed in your state reviews it, usually within 24 hours.
  3. If it is appropriate, a PCAB-accredited, FDA-registered US 503A compounding pharmacy prepares it to that prescription. Lot test results are published at /quality/lab-results.
  4. It ships refrigerated with your directions printed on the vial.
  5. Your physician stays reachable for questions and dose changes.

Pepti prescribes Ipamorelin + Sermorelin in every state except Oklahoma, plus DC Sermorelin alone has a step-by-step page at how to get sermorelin prescribed online, and the same intake covers the paired vial. Comparisons: sermorelin vs tesamorelin vs ipamorelin and CJC-1295 vs sermorelin.

References

What this is based on.

References

  1. Raun K, Hansen BS, Johansen NL et al.. Ipamorelin, the first selective growth hormone secretagogue · Eur J Endocrinol (1998) · PMID 9849822
  2. Walker RF. Sermorelin: a better approach to management of adult-onset growth hormone insufficiency? · Clin Interv Aging (2006) · PMID 18046908
  3. Tiulpakov AN, Brook CG, Pringle PJ et al.. GH responses to intravenous bolus infusions of GH releasing hormone and GH releasing peptide 2 separately and in combination in adult volunteers · Clin Endocrinol (Oxf) (1995) · PMID 7586605
  4. Sigalos JT, Pastuszak AW. The Safety and Efficacy of Growth Hormone Secretagogues · Sex Med Rev (2018) · PMID 28400207
  5. Greenwood-Van Meerveld B, Tyler K, Mohammadi E, Pietra C. Efficacy of ipamorelin, a ghrelin mimetic, on gastric dysmotility in a rodent model of postoperative ileus · Journal of Experimental Pharmacology (2012) · PMID 27186127
  6. Andersen NB, Malmlöf K, Johansen PB, et al.. The growth hormone secretagogue ipamorelin counteracts glucocorticoid-induced decrease in bone formation of adult rats · Growth Hormone & IGF Research (2001) · PMID 11735244
  7. Lall S, Tung LY, Ohlsson C, Jansson JO, Dickson SL. Growth hormone (GH)-independent stimulation of adiposity by GH secretagogues · Biochemical and Biophysical Research Communications (2001) · PMID 11162489
  8. Adeghate E, Ponery AS. Mechanism of ipamorelin-evoked insulin release from the pancreas of normal and diabetic rats · Neuro Endocrinology Letters (2004) · PMID 15665799
  9. Semenistaya E, Zvereva I, Thomas A et al.. Determination of growth hormone releasing peptides metabolites in human urine after nasal administration of GHRP-1, GHRP-2, GHRP-6, Hexarelin, and Ipamorelin · Drug Test Anal (2015) · PMID 25869809
  10. Nass R, Pezzoli SS, Oliveri MC et al.. Effects of an oral ghrelin mimetic on body composition and clinical outcomes in healthy older adults: a randomized trial · Ann Intern Med (2008) · PMID 18981485
  11. Moreno-Reyes R, Kerkhofs M, L'Hermite-Balériaux M, Thorner MO et al.. Evidence against a role for the growth hormone-releasing peptide axis in human slow-wave sleep regulation · Am J Physiol (1998) · PMID 9612233
  12. Copinschi G, Leproult R, Van Onderbergen A, Caufriez A et al.. Prolonged oral treatment with MK-677, a novel growth hormone secretagogue, improves sleep quality in man · Neuroendocrinology (1997) · PMID 9349662

Citations are provided for educational purposes. They do not constitute medical advice. Always discuss any peptide protocol with your prescribing physician.

Common questions

Ipamorelin + Sermorelin Dosage, answered.

At Pepti, 0.25 mL, which is 25 units on a U-100 insulin syringe, subcutaneously Monday through Friday nights at bedtime. Each dose delivers 0.5 mg of ipamorelin and 0.5 mg of sermorelin. Your physician sets your directions after reviewing your intake, and your exact dose is printed on the vial.

Next step

See what a physician recommends for you.

A licensed physician in your state reviews your intake and decides what is appropriate. A consultation does not guarantee a prescription.