Informational only. Not medical advice.INFORMATIONAL PLATFORM ONLY — NOT MEDICAL ADVICE, DIAGNOSIS, OR TREATMENT
Informational only. Not medical advice.INFORMATIONAL PLATFORM ONLY — NOT MEDICAL ADVICE, DIAGNOSIS, OR TREATMENT
Head-to-head comparison of Ipamorelin and Tesamorelin — mechanism, side effects, legal status, and pricing.
Ipamorelin is a synthetic pentapeptide (Aib-His-D-2-Nal-D-Phe-Lys-NH2) originally developed by Novo Nordisk and later advanced by Helsinn/Nycomed. It is a selective ghrelin receptor agonist / growth hormone secretagogue (GHRP). Its defining feature versus older GHRPs (GHRP-2, GHRP-6, hexarelin) is that in preclinical and early clinical studies it raised GH without meaningfully increasing ACTH, cortisol, or prolactin. It is not FDA-approved for any indication; a Phase 2 trial for postoperative ileus failed to meet its primary endpoint and clinical development was discontinued. In the wellness/grey market it is sold as a research chemical and used off-label for anti-aging and body-composition goals despite no clinically validated human dose for those uses.
Tesamorelin (Egrifta / Egrifta SV) is a stabilized analog of human GHRH(1-44) with a trans-3-hexenoic acid moiety at the N-terminus that protects against protease degradation. FDA-approved in November 2010 for the reduction of excess abdominal fat in HIV-infected patients with lipodystrophy, it is the only FDA-approved GHRH analog for this indication. Off-label use for general body composition and visceral fat reduction in non-HIV populations is common but outside the approved label.
Ipamorelin
Tesamorelin
Category
Legal Status
Mechanism
Half-life
Side Effects
COA-verified vendors · trust score ≥70 required · single-vial price — bulk/bundle deals may be lower
Ipamorelin
Tesamorelin
COA corpus from Disclosed Labs — independently tested batches only.
Ipamorelin
153
COAs
99.7%
Avg purity
17
Labs
Tesamorelin
175
COAs
99.5%
Avg purity
14
Labs
Ipamorelin and Tesamorelin are both among peptides under FDA review for the Category 1 (503A) list; if added, they would require a prescription to be compounded by registered 503A/503B pharmacies — they are not yet authorized. In April 2026 the FDA removed 12 peptides from Category 2, which does not place them on the Category 1 list or authorize compounding. The FDA's Pharmacy Compounding Advisory Committee is advisory and meets July 23–24, 2026 to review nominations and make recommendations to the FDA.
The seminal preclinical characterization (Raun et al., 1998, PMID 9849822) established ipamorelin as the first GHRP-receptor agonist with GH-release selectivity comparable to GHRH, without raising ACTH or cortisol even at doses more than 200-fold above the ED50. Pharmacokinetic-pharmacodynamic modeling in healthy male volunteers (Gobburu et al., 1999, PMID 10496658) confirmed a roughly 2-hour half-life and dose-dependent GH response following IV infusion. The most advanced human study is Beck et al. (2014, PMID 25331030), a Phase 2, randomized, double-blind, placebo-controlled trial in 114 patients after bowel resection evaluating IV ipamorelin 0.03 mg/kg twice daily for postoperative ileus; the drug was well tolerated but did not separate from placebo on the primary endpoint (time to tolerance of solid food), and the sponsor (Helsinn/Nycomed) discontinued development. There are no completed registrational trials in adult GH deficiency, frailty, or body-composition indications. Ipamorelin is not FDA-approved for any indication. The 100–300 mcg dose range reflects community/compounding practice and is not clinically validated for anti-aging or body-composition use.
Key references
FDA approval (NDA 022505) was based on two Phase 3 trials reported by Falutz et al. (NEJM, 2007; PMID 18057338) and the pooled 52-week safety extension, showing ~15-18% reduction in visceral adipose tissue with improved triglycerides in HIV patients with abdominal fat accumulation. Stanley et al. (JAMA, 2014; PMID 25038357) demonstrated concurrent reductions in visceral and liver fat (NAFLD). Baker et al. (Arch Neurol, 2012; PMID 22869065) reported favorable effects on executive function in older adults with and without mild cognitive impairment at 1 mg/day for 20 weeks — note this cognition signal was in MCI / healthy older adults, not specifically APOE4-positive individuals. Current label dose is 1.4 mg SubQ daily (Egrifta SV); legacy Egrifta used 2 mg/day. Off-label use for general body composition in non-HIV populations is common but outside the FDA label.
Ipamorelin and Tesamorelin are both in the Performance category and may have overlapping mechanisms. Researchers should review both profiles carefully, understand the mechanisms of action, and monitor the relevant biomarkers when combining compounds in the same class. As always, consult a licensed healthcare provider before making any decisions about combining research compounds.
Cheapest verified Tesamorelin: live prices, vendors & COA data
The cheapest verified Tesamorelin by price-per-mg — a live board of in-stock vendors with COAs on file. Lab data from 14 labs across 173 COAs.
Cheapest verified Ipamorelin: live prices, vendors & COA data
The cheapest verified Ipamorelin by price-per-mg — a live board of in-stock vendors with COAs on file. Lab data from 17 labs across 163 COAs.
This platform provides informational tools only, not medical advice. This comparison is for educational purposes only. Consult a licensed provider.
Contraindications
Lab Testing
Key references
Disclosed Labs