Tesamorelin + Ipamorelin
What is in it
The components come in separate vials and are taken alongside each other:
| Component | Taken alone: typical dose | How often | Status |
|---|---|---|---|
| Tesamorelin | 1.4 mg (SV) or 1.28 mg (WR) | Daily | FDA-approved |
| Ipamorelin | 100–300 mcg | Daily, 1–3 times | Not approved |
Doses reported online
No dose has been established for this combination, because it has never been through a human trial. The figures below are what named websites publish, collected in October 2026. Several of those sites sell peptides or earn commission from sellers. We report them so you can see what is being said and where it comes from. This is not a recommendation.
Three sources, three different doses. A clinic uses roughly twice the tesamorelin of a coach’s newsletter. Two of the three dose five days a week with two days off.
| Based on | The clinic’s own combined vial mixed with 2 mL of water. |
|---|---|
| Each dose | Month 1: 20 units, tesamorelin 1 mg + ipamorelin 0.5 mg. Months 2–3: 30 units, 1.5 mg + 0.75 mg. |
| How often | Once a day before bed, 5 days on and 2 days off. |
| Weekly total | Tesamorelin 5–7.5 mg, ipamorelin 2.5–3.75 mg. |
| Length | 3 months on, 2 months off. |
| Each dose | Tesamorelin 600 mcg + ipamorelin 200 mcg. |
|---|---|
| How often | 5 days a week, fasted, before bed or after training. |
| Weekly total | Tesamorelin 3 mg, ipamorelin 1 mg. |
| Length | 8–12 weeks. |
| Each dose | From separate vials: tesamorelin 1–2 mg, ipamorelin 200–300 mcg. |
|---|---|
| How often | Tesamorelin once a day in the evening. Ipamorelin once or twice a day. |
| Weekly total | Tesamorelin 5–14 mg and ipamorelin 1–4.2 mg, depending on rest days. |
| Length | 8–12 weeks on, 4–8 weeks off. |
Weekly totals are our arithmetic from each source’s own figures. Syringe units only hold for the vial and water that source assumes.
What it is promoted for
Abdominal fat and growth hormone release. This is how the stack is marketed and discussed, not a finding.
What the evidence shows
We found no published human trial of the two together. Tesamorelin is FDA-approved on its own for one use: reducing excess abdominal fat in adults with HIV and lipodystrophy. That evidence does not extend to other people or to combining it with ipamorelin.
Cautions
- Tesamorelin can raise blood sugar and IGF-1 and cause fluid retention. Adding a second growth hormone stimulant has not been studied for safety.
- Both are prohibited in sport.
Measuring each one
Each component has its own vial and its own concentration, so each is measured separately:
Get the printable dosing chart
All 50 peptides on a few pages, as a PDF. We’ll also email you when a peptide’s approval status or dosing changes.
Reference only, not medical advice. Doses marked FDA-approved come from the US prescribing label. Doses marked Not approved are ranges reported from small studies or community use and have not been established as safe or effective in humans. Check anything here with a licensed clinician before acting on it. Read the full disclaimer.