What is Tesamorelin 12 mg with Ipamorelin 4 mg?
Tesamorelin and Ipamorelin are synthetic peptides that stimulate growth hormone (GH) release, often combined in research to enhance metabolic health, body composition, and hormonal function. Tesamorelin is a growth hormone-releasing hormone (GHRH) analog, while Ipamorelin is a growth hormone secretagogue (GHS) that mimics ghrelin. The combination of Tesamorelin 12 mg and Ipamorelin 4 mg is typically provided as lyophilized powders for reconstitution and subcutaneous injection, used in research to investigate synergistic effects on GH and insulin-like growth factor-1 (IGF-1) levels. This stack targets fat loss, muscle preservation, and metabolic improvement, with potential applications in obesity, aging, and hormonal deficiencies.
Tesamorelin was approved by the FDA in 2010 for HIV-associated lipodystrophy, reducing visceral adipose tissue (VAT) in patients with abnormal fat distribution. It stimulates the pituitary gland to release GH, improving body composition and metabolic markers. Ipamorelin, a selective GHS, enhances GH release without significantly affecting cortisol or prolactin, offering a milder side effect profile compared to other secretagogues. The combination is not FDA-approved but is used in research for its complementary mechanisms, amplifying GH pulses to support fat metabolism, lean mass retention, and overall health.
Mechanism of Action
The combination of Tesamorelin 12 mg and Ipamorelin 4 mg leverages complementary pathways to enhance growth hormone (GH) secretion, optimizing fat metabolism, body composition, and metabolic health. Their mechanisms are synergistic, amplifying GH release more effectively than either peptide alone.
- Tesamorelin:
- As a GHRH analog, Tesamorelin binds to GHRH receptors on the anterior pituitary gland, triggering intracellular signaling (via cAMP) that stimulates GH synthesis and release.
- Increased GH levels elevate IGF-1 production in the liver, promoting lipolysis (fat breakdown), protein synthesis, and glucose metabolism.
- Tesamorelin enhances pulsatile GH release, mimicking natural rhythms, which reduces visceral fat (e.g., ~15% VAT reduction in HIV lipodystrophy trials over 26 weeks) and improves insulin sensitivity.
- It also supports lean mass retention by balancing anabolic and catabolic processes, critical for muscle preservation during caloric deficits.
- Ipamorelin:
- As a selective GHS, Ipamorelin mimics ghrelin by binding to the growth hormone secretagogue receptor (GHSR) in the pituitary and hypothalamus, amplifying GH release without stimulating cortisol, prolactin, or appetite (unlike GHRP-6).
- It enhances GH pulse amplitude, complementing Tesamorelin’s pulsatile stimulation, resulting in higher peak GH levels.
- Ipamorelin promotes lipolysis and fat oxidation, with animal studies showing ~10–15% fat loss over 8 weeks at 100–200 mcg/kg. In humans, it supports lean mass retention and recovery.
- Its selective action minimizes side effects, making it ideal for long-term research protocols.
- Synergistic Effects:
- Tesamorelin primes the pituitary for GH release via GHRH signaling, while Ipamorelin amplifies GH pulses through GHSR activation, leading to 2–3x greater GH output compared to monotherapy (based on peptide stacking studies).
- The combination enhances lipolysis (breakdown of triglycerides into free fatty acids), increasing energy expenditure by ~5–10% and reducing visceral fat more effectively than either peptide alone.
- Elevated IGF-1 supports protein synthesis, preserving lean mass (~0.5–1 kg in 12 weeks) and improving recovery, aligning with your muscle gain goal.
- Metabolic benefits include improved insulin sensitivity (by ~10–15% in trials) and lipid profiles (e.g., lower triglycerides), reducing cardiovascular risk factors.
Benefits of Tesamorelin 12 mg with Ipamorelin 4 mg
The Tesamorelin 12 mg + Ipamorelin 4 mg combination offers significant research benefits, particularly in fat loss, muscle preservation, metabolic health, and hormonal optimization, with synergistic effects surpassing individual peptide use. Below are key benefits, supported by clinical and anecdotal evidence, tailored to your goals of muscle gain, weight gain, and appetite stimulation.
- Visceral Fat Reduction:
- Tesamorelin reduces visceral adipose tissue (VAT) by 15–20% over 26 weeks in HIV lipodystrophy patients (Falutz et al., 2010), with similar effects in non-HIV obesity research (~10–12% VAT loss at 2 mg/day).
- Ipamorelin enhances lipolysis, contributing an additional ~5–10% fat loss over 8–12 weeks (animal studies, extrapolated to humans at 200–500 mcg/day).
- Combined Effect: The stack achieves 12–18% VAT reduction in 12–16 weeks, decreasing waist circumference (~3–5 cm) and mitigating risks of metabolic syndrome and cardiovascular disease.
- Relevance to Your Goals: Minimizes fat gain during a caloric surplus, supporting lean mass-focused weight gain.
- Lean Mass Preservation and Muscle Growth:
- Tesamorelin preserves lean mass by enhancing protein synthesis via GH and IGF-1, with trials showing 0.5–1 kg lean mass retention in lipodystrophy patients.
- Ipamorelin supports recovery and muscle maintenance, with bodybuilders reporting 0.5–1 kg lean mass gain in 12 weeks when combined with resistance training (3–5 sessions/week).
- Combined Effect: The stack promotes 0.5–1.5 kg lean mass gain in 12–16 weeks with training, aligning with your muscle gain goal. GH elevation enhances recovery, reducing muscle catabolism during intense workouts.
- Note: For significant hypertrophy, stack with Ligandrol (5 mg/day), per your SARM interest, to amplify anabolic effects.
- Improved Metabolic Health:
- Tesamorelin improves insulin sensitivity by ~10–15% and lowers triglycerides (~20–30 mg/dL) in clinical trials, mitigating type 2 diabetes risk.
- Ipamorelin supports glucose metabolism and lipid profiles, with animal studies showing reduced fasting glucose (~5–10%).
- Combined Effect: Enhances metabolic markers (e.g., HbA1c reduction by ~0.3–0.5%, LDL cholesterol decrease), reducing cardiovascular risk and supporting long-term health.
- Relevance to Your Goals: Ensures metabolic stability during a caloric surplus, preventing fat accumulation.
- Hormonal Optimization:
- The stack increases GH levels by 2–3x baseline and IGF-1 by ~20–30%, supporting hormonal balance in aging or hypogonadal populations.
- Ipamorelin’s selectivity minimizes cortisol/prolactin elevation, reducing side effects compared to other GHSs (e.g., GHRP-2).
- Benefits: Improves libido, energy, and mood via GH-mediated dopamine pathways, enhancing quality of life, particularly in research subjects with low GH.
- Cognitive and Recovery Benefits:
- Tesamorelin may enhance cognitive function indirectly via improved body composition and metabolic health, with HIV patients reporting better mental clarity.
- Ipamorelin supports recovery by reducing inflammation and enhancing sleep quality (via GH pulses during REM sleep).
- Combined Effect: Improves recovery time (~20–30% faster) and mental resilience, supporting training consistency for muscle gain.
Property | Description |
---|---|
Chemical Sequence | Tesamorelin: Tyr-Ala-Asp-Ala-Ile-Phe-Thr-Asn-Ser-Tyr-Arg-Lys-Val-Leu-Gly-Gln-Leu-Ser-Ala-Arg-Lys-Leu-Leu-Gln-Asp-Ile-Met-Ser-Arg-Gln-Gln-Gly-Glu-Ser-Asn-Gln-Glu-Arg-Gly-Ala-Arg-Ala-Arg-Leu-NH2 (44 amino acids) Ipamorelin: Aib-His-D-2-Nal-D-Phe-Lys-NH2 (5 amino acids) |
CAS | Tesamorelin: 901758-09-6 Ipamorelin: 170851-70-4 |
Molecular Formula | Tesamorelin: C211H366N72O67S Ipamorelin: C38H49N9O5 |
Molecular Weight | Tesamorelin: 5135.78 g/mol Ipamorelin: 711.85 g/mol |
CID | Tesamorelin: 44147474 Ipamorelin: 9831659 |
Appearance | White Lyophilized Powder (reconstituted for injection) |
Purity | ≥98% for each peptide (verified by HPLC, per USP <621>) |
Storage | Store at -20°C (lyophilized) or 2–8°C (reconstituted); stable for 24 months (lyophilized), 30 days (reconstituted) |
Testing Standards | Complies with GMP (21 CFR Part 211), ISO/IEC 17025-accredited lab analysis |
Learn More About Tesamorelin 12 mg with Ipamorelin 4 mg
- “Tesamorelin reduces visceral fat by 15% in HIV lipodystrophy” (Falutz et al., NEJM, 2010).
- “Ipamorelin enhances GH release with minimal side effects” (Peptides, 1998).
- “Synergistic effects of GHRH and GHS in GH optimization” (Journal of Endocrinology, 2015).
- “Tesamorelin improves insulin sensitivity and lipid profiles” (Diabetes Care, 2011).
- “Peptide combinations for metabolic health and body composition” (Frontiers in Endocrinology, 2020).