Ipamorelin
GH secretagogue
- Injection
- Oral
- Nasal spray
- Suppository
- Gel or cream
Injection — daily, usually in the evening.
Available · from about $150/mo
Ipamorelin is a synthetic five-amino-acid peptide that prompts your pituitary gland to release growth hormone in pulses — the way your body already does naturally, mostly at night. It binds to the ghrelin receptor (GHSR-1a) on somatotroph cells in the anterior pituitary, triggering a burst of GH release that peaks around 40 minutes after administration and declines over the next two hours.
The defining feature is selectivity. Earlier growth hormone secretagogues in the same family — GHRP-2 and GHRP-6 — worked, but they also raised cortisol, ACTH, and prolactin as side effects. Ipamorelin releases GH without dragging those stress hormones upward, even at doses well above what’s needed to maximize GH output. That selectivity advantage is well-documented in the preclinical literature and preserved in the small human studies published so far.
“Ipamorelin is the cleanest growth hormone secretagogue in clinical use — it does one thing well, without the cortisol spike that complicates long-term protocols.”
The full mechanistic story — how pulsatile GH release translates into downstream effects on muscle, fat, bone, and recovery — lives on our PeptideWellness deep-dive. The short version: GH itself has to convert into sustained IGF-1 elevation to drive most of the anabolic effects people are seeking, and that conversion depends on training stimulus, sleep, and nutrition as much as it depends on the peptide.
Who it's for (or who should avoid)
What it's aimed at
Ipamorelin protocols are most commonly prescribed for:
- Body recomposition — preserving lean mass while reducing fat mass, particularly in adults over 35 where natural GH pulses decline
- Recovery support — athletes managing training load and looking to shorten recovery windows between sessions
- Sleep quality — deeper sleep architecture, less fragmentation, particularly in the first half of the night
- Post-injury recovery — soft-tissue healing where pulsatile GH release supports the repair process
- Age-related decline in GH — adults with documented low IGF-1 or clinical signs of GH deficiency
Who should avoid it
- Anyone with active cancer or a history of malignancy — GH promotes cell proliferation, which is the last thing you want in an oncology context
- People with diabetes or insulin resistance — GH is counter-regulatory to insulin, and long-term effects on glucose tolerance from pulsatile secretagogue use aren’t well-characterized in humans
- Anyone pregnant, breastfeeding, or planning a pregnancy — no controlled human data
- Patients with pre-existing kidney disease — spontaneous adverse-event reports (FAERS) include chronic kidney disease, though causality is unclear
The preclinical data on bone growth, fat-mass reduction, and lean-mass preservation is genuinely encouraging — and that is where it stops. The human controlled-trial data is thin — one pharmacokinetic study and one negative Phase II trial in postoperative patients. A second, larger Phase II in the same setting, 320 patients, finished in 2014 and never posted results. Most of what’s known about long-term use in healthy adults comes from clinician protocols rather than published trials.
Route, dose and course
Ipamorelin is prescribed as a subcutaneous injection, typically administered in the evening to align with the body’s natural GH pulse timing. Some clinicians write it for morning administration depending on training schedule and goals.
What sellers publish (we checked their own pages on 16 October 2026):
- Dose: Rx Peps Direct sells ipamorelin only in blends: 0.4 mg with CJC-1295, 0.72 mg with sermorelin, 0.24 mg with tesamorelin, per injection, and does not say how often. No dose is approved for ipamorelin
- Cycling: none of the sellers we checked publishes one
- Stacking: Rx Peps Direct sells ipamorelin only in blends, with CJC-1295, sermorelin or tesamorelin; no human trial has tested these pairs. Two of them have their own guides: the sermorelin + ipamorelin stack and the CJC-1295 + ipamorelin stack
No measured timeline
No human trial has measured how soon Ipamorelin works or how long any effect lasts, and we found no source we trust for a week-by-week picture, so we do not draw one. Agree with your prescriber what you will measure and when you will check it.
Available · from about $150/mo
Every headline price in this market excludes something. These are normalized to a calendar month, cheapest first, with the exclusion spelled out — the published figure is the footnote under it.
| Provider | From, per month | What that figure excludes | Coverage | Their own site |
|---|---|---|---|---|
| Live VitalPhysician-led, monthly pricing, Draper UT | $150read 2026-11-04 | The dose the figure buys, which is not published; sold as a 2-month subscription, $299 every 2 months. | All 50, stated | Go to site |
| Defy MedicalTampa clinic, physician-led | No price for this compound | Peptides are priced per vial rather than per month, and neither the consultation nor the lab work that has to precede it is priced anywhere on the site. | Not published | Go to site |
| PeRxPeptide-only telehealth, Wellness MD Group PC | No price for this compound | The only peptide figure on the site is a floor for the whole menu — treatment plans "starting at $199" — so there is no price for any individual compound. The provider review is included; there is no separate consultation fee. | All 50, stated | Go to site |
| RxPepsDirectPer-vial prices, 503A pharmacy in Texas | $100 per vialread 2026-11-04 | The $39 telehealth visit, charged per order. | A named list | Go to site |
Will it work where you live?
Most sellers claim all fifty states or publish nothing about coverage; a few name the states they serve or the ones they exclude, and the Coverage column says which. Either way it is the seller's own claim, so we can't filter this list by state without inventing a fact. What we can tell you is which state-level rules decide access: telehealth rules, non-resident pharmacy licensing, and who is allowed to prescribe.
Prices and providers change. We keep track.
Questions we get about Ipamorelin
Is ipamorelin FDA-approved?
No — it's not an FDA-approved drug and isn't sold at retail pharmacies. There is no approved label for it to be prescribed off; licensed clinicians prescribe it and compounding pharmacies prepare it. It also has no lawful compounding route: the FDA placed ipamorelin in its Category 2 "significant safety risk" list in 2023, and in 2024 its 503A nomination was withdrawn and the Pharmacy Compounding Advisory Committee reviewed it. It now sits in no 503A category, has not been added to the 503A bulks list and was not on the July 2026 PCAC agenda, and for outsourcing facilities (503B) it is still in Category 2. Confirm current availability with your provider.
Is it legal?
Not to compound, even with a prescription. Section 503A lets a pharmacy compound only from an ingredient of an FDA-approved drug, a substance with a USP monograph or one on the FDA's 503A bulks list, and the FDA's interim policy adds its category 1 while it decides. Ipamorelin is in none of these: its 503A nomination was withdrawn in 2024, and an advisory committee reviewed it that October without the FDA adding it to the list. For outsourcing facilities (503B) it sits in category 2, the FDA's list of substances with significant safety risks. Some telehealth providers prescribe it anyway and have a 503A pharmacy prepare it. Buying it from "research chemical" sellers without a prescription is not a lawful supply route for human use, and the quality of those products is untested. We only feature providers and pharmacies with verifiable licensing. Availability can vary by state — confirm current access with the provider or your clinician.
Are there side effects?
In the small human studies published so far, reported side effects were typically mild: injection-site irritation, occasional headache, transient water retention. The FDA has flagged serious adverse events in one study involving IV administration for gastric motility, and there are spontaneous reports of chronic kidney disease in FAERS (passive reporting, causality unclear). Discuss your full medical history with your provider before starting.
Can I take it with my current medications?
The honest answer is that human data is too thin to have produced an interaction profile — two published studies, one of them a trial that missed its endpoint. One thing is characterized: growth hormone works against insulin, and what repeated GH pulses do to glucose regulation over months has not been studied, so anyone with diabetes or insulin resistance needs close monitoring. Always disclose your full medication list to your provider.
How much does it cost?
In the price table on this page, the monthly figure is about $150, read on November 4, 2026. Some sellers price it per vial or unit instead, shown in the same table. Nobody we track prices ipamorelin alone: those figures are for ipamorelin combined with CJC-1295. Like CJC-1295 it went onto the FDA's Category 2 list in 2023 and came off in 2024 pending the advisory process. The dose and the vial size both move the figure, so the only number that means anything is the one your provider puts in writing. Insurance does not cover compounded medications.
How the bill breaks downHow is ipamorelin different from sermorelin?
They start a growth-hormone pulse through two different receptors: sermorelin copies GHRH, the signal from the hypothalamus, and ipamorelin copies ghrelin. That is why clinics often sell them together. Neither has been tested in a large trial in adults, and no study has compared them. The bigger difference is legal: sermorelin can be compounded with a prescription, and ipamorelin has no route through a 503A pharmacy.
Sermorelin vs ipamorelin, in fullHow is ipamorelin different from tesamorelin?
Both raise growth hormone, through different receptors: tesamorelin through the GHRH receptor, ipamorelin through the ghrelin receptor. Tesamorelin is an FDA-approved drug with two Phase 3 trials behind it. Ipamorelin was never approved, and in the one trial that reported results it missed its endpoint. Under current FDA rules neither can be lawfully compounded, for different reasons. No trial has compared the two.
Tesamorelin vs ipamorelin, in fullWe publish no medical reviewer by design. Every claim on this page traces to a source we hold on file, and the reviewed write-up with those citations lives on our hub. Read the full research on PeptideWellness ↗