Tesamorelin + Ipamorelin (Injectable) in Montana
Doctor-prescribed Tesamorelin + Ipamorelin (Injectable) for Montana residents. Reviewed by licensed Montana physicians, compounded at FDA-registered pharmacies, and shipped to your door.
All-in monthly price
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.
How it works in Montana
- 1Complete a free online intake (~5 minutes).
- 2A licensed Montana physician reviews your case within 24 hours.
- 3Your prescription ships from our FDA-registered compounding pharmacy.
- 4Free shipping arrives 2–4 business days later. Refills ship automatically when your supply runs out — cancel anytime.
What Tesamorelin + Ipamorelin (Injectable) does
A compounded nightly blend of tesamorelin and ipamorelin for GH-axis support, visceral fat reduction, and recovery. Compounded; not FDA-approved.
Amounts shown are per unit. Compounded fresh at a US FDA-registered pharmacy.
Quality
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.
Sterility
USP <71>Confirms the finished preparation is free of viable microorganisms.
Bacterial endotoxins
USP <85>Screens for endotoxins that can cause fever or inflammatory reactions.
Potency
AssayVerifies the labeled concentration of the active peptide is what is in the vial.
Purity
HPLCChecks the active peptide against impurities and degradation products.
Identity
Mass spectrometryConfirms the peptide in the vial is the correct molecule.
pH
USP <791>Confirms the solution sits within the range specified for injection.
Particulate matter
USP <788>Checks the finished vial for visible and sub-visible particles.
Container closure integrity
USP <1207>Confirms the vial seal holds so sterility is maintained through the beyond-use date.
Telemedicine in Montana.
Montana permits telemedicine prescribing by Montana-licensed physicians under Board of Medical Examiners rules. Online intake review establishes the physician-patient relationship for non-controlled medications. Pepti is available in all 50 states and Washington, D.C.
Montana's dispersed population makes telehealth a primary access path for specialty care.
Montana cities Pepti serves
Your protocol
How Tesamorelin + Ipamorelin is prescribed in Montana.
Who it's 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
Your physician decides whether Tesamorelin + Ipamorelin is appropriate for you after reviewing your intake and labs.
Directions & duration
Inject 0.25 mL (25 units) subcutaneously Monday through Friday nights at bedtime.
What's included
- 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
Storage & handling
- 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 to your Montana address 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.
What to expect
A typical course of Tesamorelin + Ipamorelin in Montana.
The science
How Tesamorelin + Ipamorelin works, and what the research shows.
How it works
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.
Clinical evidence
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.
PCAB-accredited pharmacies on every order.
Every fulfillment runs through a PCAB-accredited pharmacy.
See the lab results
- Rigorous third-party quality & safety inspections
- Cleanliness and sterile processes
- Proper ingredient sourcing
- Accurate dosing and formulation
- Staff training and procedures
- Accredited by NABP & ACHC
Frequently asked
about Tesamorelin + Ipamorelin (Injectable) in Montana.
Yes. Tesamorelin + Ipamorelin (Injectable) is legal when prescribed by a physician licensed in Montana and dispensed by an FDA-registered compounding pharmacy. Montana permits telemedicine prescribing by Montana-licensed physicians under Board of Medical Examiners rules. Online intake review establishes the physician-patient relationship for non-controlled medications.
Most orders ship from our FDA-registered compounding pharmacy within 1–3 business days after physician approval. Delivery within Montana typically arrives 1-3 business days after shipment. Pepti serves patients across Montana including Billings, Missoula, Great Falls, and Bozeman.
No. Pepti operates as a fully telehealth platform in Montana. Montana permits telemedicine prescribing by Montana-licensed physicians under Board of Medical Examiners rules. Online intake review establishes the physician-patient relationship for non-controlled medications.
Tesamorelin + Ipamorelin (Injectable) starts at $259 at Pepti. Pepti is subscription-based — your refill ships when your supply runs out, and you can cancel anytime. Pricing is the same nationwide — no Montana-specific markup. Shipping is free.
Yes — Pepti is available in all 50 states and Washington, D.C. Wherever you are in the country, a physician licensed in your state reviews your intake and your medication ships from an FDA-registered compounding pharmacy.
You don't need an in-person peptide clinic — Pepti provides doctor-prescribed Tesamorelin + Ipamorelin (Injectable) entirely online anywhere in Montana. A physician licensed in Montana reviews your intake, and your medication ships from an FDA-registered compounding pharmacy to your door. Unlike "research use only" peptide sites, every Pepti order requires a valid patient-specific prescription and a licensed dispensing pharmacy.
No. "Research use only" Tesamorelin + Ipamorelin (Injectable) is sold with no prescription, no physician, and no dispensing pharmacy, and is not legally sold for human use — independent testing of research-grade peptides has repeatedly found underdosing, mislabeling, and contamination. Prescription Tesamorelin + Ipamorelin (Injectable) is compounded for you at an FDA-registered US pharmacy after a licensed physician's review. When comparing Tesamorelin + Ipamorelin (Injectable) options in Montana, only consider providers that can name their prescribing physicians and their dispensing pharmacy.
32 more questions about Pepti, answered.Show fewer
Pepti serves all of Montana. A physician licensed in Montana reviews every order within 4 hours, the prescription is compounded by a state-licensed, FDA-registered pharmacy, and it ships free and tracked to any Montana street address. The price is the same as every other state.
Yes. The whole process is online in Montana: a free assessment, physician review, messaging, dose changes, and refills through your Pepti account or the Hello Pepti app. No clinic visit is required.
Pepti ships Tesamorelin + Ipamorelin to Montana directly from the pharmacy: free, tracked, unbranded, in insulated packaging with ice packs for refrigerated medication. The pharmacy compounds in 1-3 business days and delivery takes 1-3 business days after shipment. PO Boxes are not accepted.
Every treatment on Pepti's catalog ships to Montana. Eligibility is confirmed during the assessment from your Montana shipping address, and if anything ever cannot ship to your address it is refunded.
The same as everywhere Pepti serves: one all-in monthly price per treatment that includes the medication, the physician, and shipping, with no Montana-specific markup and no membership or consult fee. Every price is on the product page.
Yes. Pepti's physicians hold licenses in Montana, and only a physician licensed where you live reviews and prescribes your order. Their names and credentials are on the providers page.
Yes. Pepti's partner pharmacies are state-licensed, FDA-registered 503A compounding pharmacies licensed to dispense into Montana, and every batch is independently tested before it ships.
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 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 Montana 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.
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 Montana. 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 Montana 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.
Tesamorelin + Ipamorelin (Injectable) in every state
Pepti is available in all 50 states and Washington, D.C.
Pepti operates in Montana through licensed physician partnerships. Compounded medications are produced at FDA-registered 503A pharmacies. Treatment decisions are made by your prescribing physician.