No. 054 · Combos · Peptide Blend

Tesamorelin + Ipamorelin

— Not ranked · combination how tiers work →
  • Not approved as a combo
  • WADA ✗ S2
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Tesamorelin + Ipamorelin (no defined sequence)

Combos are blends of separate compounds, so there is no single sequence. This ring motif is decorative — open a component for its fingerprint.

01

Quick answers

What is Tesamorelin + Ipamorelin?
A potent GH blend combining the FDA-approved GHRH analog Tesamorelin with Ipamorelin for targeted visceral fat reduction and comprehensive growth hormone optimization. Tesamorelin (stabilized GHRH analogue) plus ipamorelin.
What is in Tesamorelin + Ipamorelin?
Tesamorelin + Ipamorelin typically combines Tesamorelin and Ipamorelin. Commercial products vary.
How strong is the evidence for Tesamorelin + Ipamorelin?
It is not ranked. A PubMed search found no published studies of this combination; only reviews mention it. Tesamorelin alone is FDA-approved (Egrifta) on the strength of phase 3 RCTs; ipamorelin has small human pharmacology studies.
Is Tesamorelin + Ipamorelin FDA-approved?
No. Tesamorelin + Ipamorelin is not an approved product; no regulator has reviewed the combination. Only tesamorelin on its own is approved (Egrifta); the combination is not.
Is Tesamorelin + Ipamorelin banned in sport?
Yes. Tesamorelin + Ipamorelin is prohibited in sport by the World Anti-Doping Agency under S2 (peptide hormones, growth factors, related substances and mimetics).
How does Tesamorelin + Ipamorelin work?
This blend pairs the FDA-approved GHRH analog tesamorelin (which activates GHRH receptor/cAMP signaling with enhanced enzymatic stability) with ipamorelin (selective ghrelin receptor agonist). Tesamorelin specifically targets visceral fat reduction through GH-mediated lipolysis, while ipamorelin amplifies the GH pulse without cortisol or prolactin elevation.
What is known about the safety of Tesamorelin + Ipamorelin?
Tesamorelin is FDA-approved (Egrifta) with Phase III safety data. Ipamorelin has Phase II human data.

Last reviewed · editorial policy · markdown

02

Evidence

  1. D In vitro
  2. C Animal
  3. B Human pilot
  4. A RCT
  5. S Approved

Not ranked: combinations have no published studies of their own. See the components below.

A PubMed search found no published studies of this combination; only reviews mention it. Tesamorelin alone is FDA-approved (Egrifta) on the strength of phase 3 RCTs; ipamorelin has small human pharmacology studies.

Tiers rate the strength of published evidence — not effectiveness, safety, or a recommendation.

03

At a glance

Routes studied
Subcutaneous, Intramuscular Routes used in published research
FDA
Not approved as a combination Only tesamorelin on its own is approved (Egrifta); the combination is not.
WADA
Prohibited · S2 Peptide hormones, growth factors, related substances and mimetics
04

Overview

A potent GH blend combining the FDA-approved GHRH analog Tesamorelin with Ipamorelin for targeted visceral fat reduction and comprehensive growth hormone optimization.

Research status No published studies of the combination; tesamorelin alone is FDA-approved (Egrifta) based on phase 3 RCTs; ipamorelin has small human pharmacokinetic studies

05

Mechanism

This blend pairs the FDA-approved GHRH analog tesamorelin (which activates GHRH receptor/cAMP signaling with enhanced enzymatic stability) with ipamorelin (selective ghrelin receptor agonist). Tesamorelin specifically targets visceral fat reduction through GH-mediated lipolysis, while ipamorelin amplifies the GH pulse without cortisol or prolactin elevation.

06

Effects reported in research

These outcomes are attributed to the individual components. The combination itself has not been studied.

  • Significant visceral fat reduction
  • Robust GH and IGF-1 elevation
  • Improved lipid profiles
  • Enhanced body composition and recovery
07

Safety & unknowns

Tesamorelin is FDA-approved (Egrifta) with Phase III safety data. Ipamorelin has Phase II human data. Combined side effects may include injection site reactions, arthralgia, water retention, headache. Tesamorelin is contraindicated in active malignancy and pregnancy. Monitor IGF-1 levels. Not FDA-approved as a combination.

Unknowns. The combination itself has not been studied; interactions between its components are unknown.

Informational only — not medical advice. peptidemeta publishes no dosing, protocols, or sourcing. Talk to a qualified clinician about any treatment decision.

08

Studies [2]

  1. Clinical trial 2007

    Metabolic effects of a growth hormone-releasing factor in patients with HIV

    Phase 3 RCT of the tesamorelin component in HIV patients with abdominal fat accumulation: visceral fat fell 15.2% with tesamorelin versus a 5.0% rise with placebo over 26 weeks.

  2. Preclinical 1998

    Ipamorelin, the first selective growth hormone secretagogue

    Rat and swine study on the ipamorelin component showing selective GH release without increases in ACTH or cortisol.

09

Components

11

Status sources

Sources behind the tier, regulatory status, sequence and dates on this page.

12

Cite this entry

$ cite --format=apa

peptidemeta. (2026). Tesamorelin + Ipamorelin. In peptidemeta: The peptide library, ranked by evidence. Retrieved November 8, 2026, from https://peptidemeta.com/p/tesamorelin-ipamorelin/

$ cite --format=bibtex
@misc{peptidemeta-tesamorelin-ipamorelin,
  title = {Tesamorelin + Ipamorelin},
  author = {{peptidemeta}},
  year = {2026},
  howpublished = {\url{https://peptidemeta.com/p/tesamorelin-ipamorelin/}},
  note = {Accessed 2026-11-08}
}

Accessed date reflects when you opened this page. Cite primary studies for scientific claims.

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