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Evidence-based GLP-1 & peptide discussion since 2023
ForumsOther Peptides & Research CompoundsIpamorelin vs Tesamorelin — anyone have experience? Page 2

Ipamorelin vs Tesamorelin — anyone have experience?

PedsEndoPhilly Sun, Jun 16, 2024 at 3:05 PM 46 replies 2,741 viewsPage 2 of 10
Dr.LeslieOBGYN
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Jun 16, 2024 at 5:55 PM#6

What about CJC-1295 with DAC vs without DAC? I keep seeing conflicting advice. Some sources say the DAC version is better because you only inject 1-2x per week, others say no-DAC (Mod GRF) is superior because the pulses are more physiologic.

12 5Dr.BariatricHTX, LindaRN_retired, tommy_boulder and 9 others
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Dr.AddMedPHL
Senior Member
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Mar 2024
Philadelphia, PA
Jun 16, 2024 at 6:12 PM#7

This is probably the most debated topic in the GH peptide world. My take:

CJC-1295 with DAC:

  • Pro: Convenience — inject 2 mg once or twice per week
  • Pro: Sustained IGF-1 elevation (good if that's your goal)
  • Con: Creates a "GH bleed" — chronic low-level elevation rather than discrete pulses
  • Con: May cause more side effects (water retention, carpal tunnel) due to sustained GH elevation
  • Con: Potentially more suppressive of natural GH pulsatility over time

Mod GRF 1-29 (no DAC):

  • Pro: Mimics natural GH pulsatility better
  • Pro: Synergizes well with Ipamorelin when co-administered
  • Pro: Fewer side effects in my experience
  • Con: Requires daily injection
  • Con: More sensitive to timing (fasting state matters more)

I switched from DAC to no-DAC after about 3 months because I was getting noticeable water retention and occasional hand numbness with the DAC version. The no-DAC version has been much cleaner in terms of side effects while still producing good IGF-1 numbers.

Consensus among experienced users seems to lean toward no-DAC + Ipamorelin as the standard protocol. But reasonable people disagree. 🤷‍♂️

15 2sarah_nash92, FitDadDave, RunnerRach and 12 others
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TirzTom
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Jun 16, 2024 at 6:29 PM#8

Practical sourcing and reconstitution for this stack:

Both peptides are widely available from US research peptide suppliers. Typical vial sizes:

  • Mod GRF 1-29: 2 mg or 5 mg vials
  • Ipamorelin: 2 mg or 5 mg vials

You can reconstitute both in the same syringe for a single injection. Reconstitute each vial separately with BAC water, then draw your doses from each vial into one syringe.

Example math for a 5 mg Ipamorelin vial:
Reconstitute with 2.5 mL BAC water = 2000 mcg/mL
200 mcg dose = 0.1 mL (10 units on an insulin syringe)

Example for a 2 mg Mod GRF vial:
Reconstitute with 2 mL BAC water = 1000 mcg/mL
100 mcg dose = 0.1 mL

Total injection volume per dose: 0.2 mL — very manageable subQ with a 29g or 31g insulin syringe.

Monthly cost estimate: ~$60-100 for both peptides depending on source and vial size.

7 5Dr.EndoIndy, tom_AK, josh_phd_bmore and 4 others
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mike_mod
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Jun 16, 2024 at 6:46 PM#9

Solid thread. Just adding the standard caveat that these peptides are not FDA-approved for human use and GH secretagogues can have meaningful hormonal effects. Monitor IGF-1 levels if you're using these — excessively elevated IGF-1 has its own risks (association with certain cancers in epidemiological data). Stay in the physiologic range and get bloodwork.

5 13SleepFixSam, PurityPaulOR, MaxMetOK and 2 others
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