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Growth Hormone / Anti-Aging StackEvidence Grade: A (Tesamorelin) / B (Ipamorelin, CJC-1295)

Ipamorelin + CJC-1295 + Tesamorelin Stack Protocol Guide

The Ipamorelin + CJC-1295 + Tesamorelin triple stack is the most comprehensive growth hormone secretagogue protocol available. Ipamorelin is a selective GHSR agonist that triggers pulsatile GH release without cortisol or prolactin elevation. CJC-1295 DAC extends GHRH signaling with a half-life of 6-8 days, amplifying overall GH output. Tesamorelin is an FDA-approved GHRH analog specifically targeting visceral adipose tissue. Together, these three peptides synergize at different points: CJC-1295 provides sustained GHRH baseline, ipamorelin triggers acute GH pulses, and tesamorelin adds GHRH signaling with preferential visceral fat reduction.

Protocol Overview

Compounds
Ipamorelin + CJC-1295 DAC + Tesamorelin
Category
GH Secretagogue Stack
Mechanism
Ipamorelin: GHSR agonism (pulse trigger). CJC-1295 DAC: sustained GHRH analog. Tesamorelin: GHRH analog with visceral fat targeting
Half-Life
Ipa: ~2 hrs | CJC DAC: 6-8 days | Tesa: ~26 min
Route
All subcutaneous injection
Frequency
Ipa: 2-3x daily | CJC DAC: 1-2x/week | Tesa: 1x daily
Cycle Length
12-16 weeks (4-week breaks)

Synergy & Mechanism

Triple Synergy Mechanism

This stack targets three points on the GH axis simultaneously. CJC-1295 DAC provides a sustained GHRH baseline that elevates tonic GH secretion. Ipamorelin triggers acute GH pulses via ghrelin receptor agonism, creating the pulsatile pattern essential for fat loss and tissue repair. Tesamorelin adds additional GHRH signaling with unique visceral fat targeting proven in clinical trials.

Why Three Compounds?

The triple approach creates a more physiologic GH profile than any dual combination. CJC-1295 elevates the baseline, ipamorelin creates peaks, and tesamorelin specifically addresses visceral adiposity. Clinical data on tesamorelin (Egrifta) shows it reduces visceral fat by 15-20% independently, and this effect compounds with the other two secretagogues.

Combined Dosing Protocol

ProtocolCompound 1Compound 2TimingDuration
StandardIpa 200mcg 2x/day + CJC 2mg/wkTesa 2mg/dayAM/PM Ipa, weekly CJC, AM Tesa12 weeks
AdvancedIpa 300mcg 3x/day + CJC 2mg/wkTesa 2mg/dayAM/pre-workout/PM16 weeks
PulseIpa 200mcg 2x/day (5on/2off) + CJC 2mg/wkTesa 2mg dailyWeekdays Ipa12 weeks

Reconstitution & Preparation

Ipamorelin + CJC-1295 Preparation

  • Ipamorelin: 5mg vial + 2mL BAC = 2,500mcg/mL
  • 200mcg = 8 units | 300mcg = 12 units
  • CJC-1295 DAC: 2mg vial + 1mL BAC = 2,000mcg/mL
  • 2mg dose = full vial (100 units)

Tesamorelin Preparation

  • Tesamorelin: 2mg vials lyophilized
  • Reconstitute with 2mL BAC = 1,000mcg/mL
  • 2mg dose = full vial or use larger multi-dose vial
  • Refrigerate all reconstituted peptides

Stacking Schedule (AM/PM Timing)

AM Protocol

  • Fasted AM: Tesamorelin 2mg SubQ, abdomen
  • 30 min later: Ipamorelin 200mcg SubQ
  • Wait 30-60 min before eating (fasted = peak GH)
  • CJC-1295 DAC: once weekly (Monday)

PM Protocol

  • Before bed (fasted 2+ hrs): Ipamorelin 200-300mcg SubQ
  • Synergizes with natural nocturnal GH pulse
  • Do not eat after PM injection for 30+ min
  • Optional pre-workout dose on training days

Expected Timeline

Week 1-2
GH pulses increase. Possible water retention. Sleep quality improves from enhanced nocturnal GH. Mild hunger increase.
Week 3-4
Noticeable sleep, skin, and recovery improvements. Tesamorelin begins visceral fat reduction. IGF-1 rising.
Week 6-8
Significant body composition changes. Visceral fat reduced. Lean mass gains with training. Skin improved.
Week 9-16
Full anti-aging benefits. Hair/nail growth accelerated. Continued recomp. Cognitive clarity reported.

Side Effects & Monitoring

Common Side Effects

  • Water retention / bloating (weeks 1-4, resolves)
  • Tingling in hands (carpal tunnel-like, from GH)
  • Increased hunger (ipamorelin, ghrelin pathway)
  • Joint stiffness (transient)
  • Injection site reactions

Precautions

  • Monitor IGF-1 - do not exceed 350 ng/mL
  • Active cancer - GH may promote growth
  • Diabetics: GH affects insulin sensitivity
  • Cycle 12 weeks on, 4 weeks off
  • CJC-1295 DAC may cause prolonged GH elevation

Blood Work Recommendations

PanelMarkersTiming
GH/IGF-1IGF-1, GH (fasted morning)Baseline, Week 6, Week 12
MetabolicFasting glucose, insulin, HbA1cBaseline, Week 8
LipidCholesterol panelBaseline, Week 12
BasicCBC, CMPBaseline, Week 8

IGF-1 is the key marker. Target range: 200-350 ng/mL. Values above 350 warrant dose reduction. Monitor fasting glucose.

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