
Tesamorelin + Ipamorelin (Injectable)
Dual GH-axis blend
Choose your strength
Every strength is a 4-week supply. A higher strength means more medication per dose on the same monthly cycle. Your provider confirms the dose at review.
All-in monthly price · 10mg/5mg
No membership fee · this is the full price · free shipping · avg 4-week supply
Add in-depth bloodwork
Optional — add a physician-reviewed at-home blood panel to your plan.
Your sex-hormone baseline plus the safety markers that matter on therapy — blood counts, liver and kidney function — from one painless upper-arm device. Matched to your sex (PSA for men; progesterone & FSH for women). No needle, no clinic, physician-reviewed.
This treatment requires licensed provider review and approval. Treatment is not guaranteed. If prescribed, medication is fulfilled by a licensed U.S. pharmacy where permitted by law. Compounded medications are not FDA-approved or FDA-cleared.

Reviewed by Dr. Gene, MD · Board-certified Family Medicine
Every Pepti prescription is reviewed by a licensed U.S. physician before it's dispensed — and only provided if clinically appropriate.
Tesamorelin + Ipamorelin (Injectable)
A compounded nightly blend of tesamorelin and ipamorelin for GH-axis support, visceral fat reduction, and recovery. Compounded; not FDA-approved.
About a 4-week supply supply at the standard prescribed dose — your physician confirms exact dosing.
A licensed US physician reviews your intake and prescribes when appropriate.
Compounded fresh at a US pharmacy and shipped cold-chain to your door.
Every order ships free — medication, physician care and refills, one all-in price.
Amounts shown are per unit. Compounded fresh at a US FDA-registered pharmacy.
Every batch independently tested
Every medication batch dispensed through Pepti is independently tested by a qualified third-party laboratory for applicable quality and safety standards before the pharmacy releases it. Batches are tested to the same standard used by 503B outsourcing facilities.
Confirms the finished preparation is free of viable microorganisms.
Screens for endotoxins that can cause fever or inflammatory reactions.
Verifies the labeled concentration of the active peptide is what is in the vial.
Checks the active peptide against impurities and degradation products.
Confirms the peptide in the vial is the correct molecule.
Confirms the solution sits within the range specified for injection.
Checks the finished vial for visible and sub-visible particles.
Confirms the vial seal holds so sterility is maintained through the beyond-use date.
How Tesamorelin + Ipamorelin is prescribed.
- Adults who want tesamorelin's belly-fat research plus ipamorelin's gentler growth-hormone release
- Patients pursuing body recomposition with sleep and recovery support
Your physician decides whether Tesamorelin + Ipamorelin is appropriate for you after reviewing your intake and labs.
Inject 0.25 mL (25 units) subcutaneously Monday through Friday nights at bedtime.
- Licensed physician review of your intake, history, and labs
- Medication compounded to your prescription by a PCAB-accredited, FDA-registered pharmacy
- Every batch independently tested before release
- Sterile syringes and alcohol prep pads for injectables
- Tracked delivery to your door, refills on schedule
- Message your physician anytime; dose changes without an appointment
- Store refrigerated (36–46°F / 2–8°C) at all times, including before first use.
- One vial is your monthly supply. A fresh vial ships every 28 days on your refill schedule, so you're always well inside the beyond-use date on your label.
- Protect from light. Wipe the stopper with an alcohol pad before every draw.
- Dispose of syringes in the sharps container per the included instructions.
A typical course of Tesamorelin + Ipamorelin.
Everything published
about Tesamorelin + Ipamorelin.
How it is described to work, pathway by pathway. What the research shows and what it does not. Where it stands with the FDA, dated and sourced.
Read the referencepeer-reviewed, each verified on PubMed
mechanism, evidence, dosing, safety, FAQ
2026 · checked against fda.gov, not memory
How Tesamorelin + Ipamorelin works, and what the research shows.
Dual growth-hormone-axis stimulation: tesamorelin, a stabilized GHRH analog, drives the pituitary's natural GH pulses through the GHRH receptor, while ipamorelin amplifies release through the separate ghrelin receptor — selectively, without meaningful cortisol or prolactin elevation.
The two mechanisms are complementary rather than redundant.
Tesamorelin is the best-evidenced peptide in the GH class — FDA-approved (Egrifta), with phase 3 trials showing 15–18% visceral fat reduction.
Falutz et al., N Engl J Med 2007Ipamorelin's selectivity was established in its original characterization, though it never completed clinical development.
Raun et al., Eur J Endocrinol 1998The pairing itself has not been trialed and is prescribed off-label.
References
- Falutz J, Allas S, Blot K et al.. Metabolic effects of a growth hormone-releasing factor in patients with HIV · N Engl J Med (2007) · PMID 18057338
- Raun K, Hansen BS, Johansen NL et al.. Ipamorelin, the first selective growth hormone secretagogue · Eur J Endocrinol (1998) · PMID 9849822
Citations are provided for educational purposes. They do not constitute medical advice. Always discuss any peptide protocol with your prescribing physician.
5 mL multi-dose vial, Tesamorelin 2 mg/mL + Ipamorelin 1 mg/mL (10 mg Tesamorelin / 5 mg Ipamorelin per vial)
Frequently asked
about Tesamorelin + Ipamorelin (Injectable).
A compounded nightly blend of tesamorelin and ipamorelin for GH-axis support, visceral fat reduction, and recovery. Compounded; not FDA-approved. Tesamorelin + Ipamorelin is prescription-only at Pepti: a licensed physician reviews your assessment and, if appropriate, prescribes it to be compounded by a state-licensed, FDA-registered pharmacy.
Tesamorelin + Ipamorelin is $259 per month at Pepti. That is all-in: medication, physician review and ongoing care, shipping, and messaging. No membership, consult, or visit fees, and the price is the same in every state.
Tesamorelin + Ipamorelin is commonly prescribed for: Adults who want tesamorelin's belly-fat research plus ipamorelin's gentler growth-hormone release; Patients pursuing body recomposition with sleep and recovery support. Whether it is appropriate for you is decided by the reviewing physician from your history, medications, and labs where required.
Yes. Tesamorelin + Ipamorelin is prescription-only. The free online assessment takes about five minutes, a physician licensed in your state reviews it within 4 hours, and if approved the prescription goes to the pharmacy. If not approved, the medication charge is refunded.
Yes. Tesamorelin + Ipamorelin is one of the medications Pepti requires recent bloodwork for before it is prescribed. Upload a recent lab report from any lab, or order Pepti's at-home panel; the physician reviews the results with your assessment.
Tesamorelin + Ipamorelin is a subcutaneous injection into the abdomen or thigh with a small insulin syringe. Your kit ships with sterile syringes and alcohol prep pads, and the exact dose and schedule are printed on the pharmacy label. Dosing videos are in your account.
32 more questions about Pepti, answered.Show fewer
One vial is your monthly supply at the dose your physician prescribes. A fresh vial ships about every 28 days, and the date moves if your physician changes your dose. Store it as the pharmacy label directs, refrigerated.
Once per fill, $259 each time, when the next vial ships. It renews until you cancel, which you can do anytime from your account with no cancellation fee.
The compounded Tesamorelin + Ipamorelin with sterile syringes and alcohol prep pads, free tracked shipping in an unbranded box with insulated packaging, the physician review, ongoing physician care and dose adjustments, and unlimited messaging.
Like any prescription medication, Tesamorelin + Ipamorelin can have side effects, and the physician screens your history, current medications, and allergies for anything that would make it inappropriate before prescribing. The medication-specific consent lists the known risks, and you can message your physician about anything you notice. Seek emergency care for severe symptoms.
Response varies by person, goal, and dose, and Tesamorelin + Ipamorelin is prescribed for ongoing use rather than a short trial. Your physician sets expectations at approval, tracks how you respond through your account, and adjusts the dose without an appointment.
Yes. Request it from your account or the app; your physician approves or declines. If approved you pay for the additional medication at the pharmacy's cost and the new dose applies to your next shipment.
Yes. Add Tesamorelin + Ipamorelin to a plan with another treatment and both go through one assessment and one physician review, shipping together on one schedule. Each keeps its own catalog price. The physician reviews the combination and can adjust it.
Compounded Tesamorelin + Ipamorelin is not FDA-approved. A brand-name form of the active ingredient is FDA-approved for specific indications; Pepti's version is compounded to your physician's prescription by an FDA-registered 503A pharmacy and prescribed off-label.
Yes, when prescribed by a licensed physician and dispensed by a licensed pharmacy, which is how Pepti provides it in every state it serves. Research-use-only Tesamorelin + Ipamorelin sold without a prescription is labeled not for human use and is a different product.
Dual growth-hormone-axis stimulation: tesamorelin, a stabilized GHRH analog, drives the pituitary's natural GH pulses through the GHRH receptor, while ipamorelin amplifies release through the separate ghrelin receptor — selectively, without meaningful cortisol or prolactin elevation. At Pepti it is prescribed to support tesamorelin visceral fat, ipamorelin gh pulse, body composition & recovery, nightly injection. Individual response varies, and your physician sets expectations at approval.
Dual growth-hormone-axis stimulation: tesamorelin, a stabilized GHRH analog, drives the pituitary's natural GH pulses through the GHRH receptor, while ipamorelin amplifies release through the separate ghrelin receptor — selectively, without meaningful cortisol or prolactin elevation. The two mechanisms are complementary rather than redundant. Compounded Tesamorelin + Ipamorelin is not FDA-approved; it is prescribed off-label by a licensed physician after reviewing your assessment.
Tesamorelin + Ipamorelin is prescribed for tesamorelin visceral fat, ipamorelin gh pulse, body composition & recovery, nightly injection. It is commonly requested by adults who want tesamorelin's belly-fat research plus ipamorelin's gentler growth-hormone release; patients pursuing body recomposition with sleep and recovery support. Whether it is appropriate for you is the reviewing physician's decision.
Tesamorelin + Ipamorelin is studied for tesamorelin visceral fat, ipamorelin gh pulse, body composition & recovery, nightly injection. Those are the goals it is prescribed to support at Pepti; results vary by person, dose, and consistency, and no outcome is guaranteed. Your physician tracks how you respond through your account.
Tesamorelin is the best-evidenced peptide in the GH class — FDA-approved (Egrifta), with phase 3 trials showing 15–18% visceral fat reduction (Falutz et al., N Engl J Med 2007). Ipamorelin's selectivity was established in its original characterization (Raun et al., Eur J Endocrinol 1998), though it never completed clinical development. The pairing itself has not been trialed and is prescribed off-label. References are listed on this page.
At Pepti. Complete the free assessment, a physician licensed in your state reviews it within 4 hours, and if appropriate Tesamorelin + Ipamorelin is compounded by a state-licensed, FDA-registered pharmacy and shipped free to your door for $259 per month, all-in. Not prescribed means refunded.
Injectable vial: 5 mL, containing 10 mg Tesamorelin + 5 mg Ipamorelin. Injectable vial: 5 mL, containing 25 mg Tesamorelin + 7.5 mg Ipamorelin. Injectable vial: 5 mL, containing 15 mg Tesamorelin + 10 mg Ipamorelin. One vial is your monthly supply at the prescribed dose, and a fresh one ships about every 28 days.
Not currently. Tesamorelin + Ipamorelin ships as a multi-dose vial with sterile syringes and prep pads. The pepti Pen is available for 10 other treatments.
$259 per month covers the compounded Tesamorelin + Ipamorelin, the physician review, ongoing physician care including dose adjustments and refill review, unlimited messaging, and free tracked shipping. There is no membership, consult, visit, or refill fee; the only separate charges are optional at-home lab panels and a physician-approved dose increase billed at pharmacy cost.
Yes. Tesamorelin + Ipamorelin is on Pepti's live catalog, which lists only treatments a partner pharmacy can compound and ship today. If a physician prescribes it, it ships; if it ever cannot be dispensed, the charge is refunded.
Tesamorelin + Ipamorelin ships to 50 states, free and tracked, in insulated unbranded packaging. Eligibility is confirmed during the assessment from your shipping address.
$259 per month at Pepti. That includes the compounded Tesamorelin + Ipamorelin, the physician review and ongoing care, free tracked shipping, and messaging, with no membership, consult, or visit fee. The price is the same in every state and every refill is the same price.
Pepti supplies Tesamorelin + Ipamorelin as a monthly injectable vial with syringes and prep pads included, one vial per month at $259, prescribed by a licensed physician after a free online assessment and shipped free from a state-licensed, FDA-registered pharmacy in insulated packaging.
Yes. Pepti prescribes Tesamorelin + Ipamorelin online in 50 states after a free assessment reviewed by a physician licensed in your state. It is compounded by an FDA-registered pharmacy and shipped free, $259 per month all-in. Not prescribed means refunded.
Yes. At Pepti the entire process is telehealth: a five-minute online assessment, recent bloodwork from any lab or an at-home panel, physician review within 4 hours, then Tesamorelin + Ipamorelin ships from the pharmacy. No clinic visit and no video appointment in most cases. $259 per month, all-in.
Yes, for the real thing. Tesamorelin + Ipamorelin sold without a prescription is research-use-only product labeled not for human use, with no physician, no pharmacy, and no verified testing. Pepti's Tesamorelin + Ipamorelin is physician-prescribed, pharmacy-compounded, batch-tested, and $259 per month including the physician and shipping.
Pepti does, in 50 states, with named board-certified physicians, a state-licensed FDA-registered compounding pharmacy, independent batch testing, and one published all-in price of $259 per month with no membership or consult fee. Refunded if the physician does not prescribe.
It is legal to be prescribed Tesamorelin + Ipamorelin online by a licensed physician and have it dispensed by a licensed pharmacy, which is how Pepti provides it. Buying it as a research chemical without a prescription is a different product and is not for human use. Compounded Tesamorelin + Ipamorelin is not FDA-approved; a brand-name form of the active ingredient is FDA-approved for specific indications.
$259 per month at Pepti, including the medication, the physician, and shipping. Refills are the same price and there is no membership fee.
Yes. Pepti has no clinics: the assessment, physician review, messaging, dose changes, and refills all happen online, and Tesamorelin + Ipamorelin ships free from the pharmacy to your door in 50 states.
Start the free assessment at hellopepti.com, choose Tesamorelin + Ipamorelin, and answer the health questions and upload recent labs or order the at-home panel. A physician licensed in your state reviews it within 4 hours. If approved, Tesamorelin + Ipamorelin ships within 1-3 business days and arrives in 1-3 more; if not, the $259 is refunded.
Yes. Tesamorelin + Ipamorelin is one of the medications Pepti requires recent bloodwork for. Upload a lab report from any lab, or order a Pepti at-home panel from $129; the physician reviews it with your assessment.
Pepti ships Tesamorelin + Ipamorelin to 50 states, free and tracked, refrigerated in insulated packaging, directly from the pharmacy. Delivery is 1-3 business days after the pharmacy compounds it.
Questions people ask
about Tesamorelin + Ipamorelin (Injectable).
- Tesamorelin + Ipamorelin: What It Is, Where to Get It Prescribed, and What It CostsTesamorelin + Ipamorelin — 5 mL multi-dose vial, Tesamorelin 2 mg/mL + Ipamorelin 1 mg/mL (10 mg Tesamorelin / 5 mg Ipamorelin per vial). Specification, mechanism, dosing, formats, state availability and how to get it prescribed.
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- Do You Need a Doctor to Get Peptides? Yes, and Here Is Exactly WhyPeptides used clinically are prescription medications. Why a prescriber is legally required, what your own doctor will likely say, and what a real review looks like online.
- How to Inject Peptides Safely: Step by Step, Units, Sites and MistakesA practical subcutaneous injection walkthrough: reading your sig, converting millilitres to insulin-syringe units, the ten steps, site rotation, what to do about bubbles and missed doses.
Read more about Tesamorelin + Ipamorelin (Injectable).
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