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MUSCLE & GROWTHPEPTIDE PROFILE

Ipamorelin

Also known as NNC 26-0161

Ipamorelin is a selective growth hormone secretagogue that stimulates the pituitary gland to release growth hormone (GH). It is one of the mildest and most selective GH-releasing peptides, with minimal impact on cortisol, prolactin, or appetite — making it popular for anti-aging and body composition protocols.

Last updated April 10, 2026

TL;DR

Quick summary

Ipamorelin is a selective growth hormone secretagogue that binds the ghrelin/GHS-R1a receptor to trigger pulsatile GH release, with minimal effect on cortisol or prolactin. It is under FDA reclassification review and is commonly stacked with CJC-1295 in body composition protocols.

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Overview

Ipamorelin is a selective growth hormone secretagogue that stimulates the pituitary gland to release growth hormone (GH). It is one of the mildest and most selective GH-releasing peptides, with minimal impact on cortisol, prolactin, or appetite — making it popular for anti-aging and body composition protocols.

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Mechanism of action

Ipamorelin selectively binds to the ghrelin/GHS-R1a receptor in the pituitary gland, triggering pulsatile GH release. Unlike GHRP-6 or GHRP-2, it does not significantly increase cortisol, ACTH, or prolactin, and has minimal effect on appetite (ghrelin mimicry is low). Often stacked with CJC-1295 for synergistic GH release.

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Dosing protocols

PurposeRouteDosageFrequency
GH release / anti-agingsubcutaneous200300 mcg2-3x daily

Dosing information is for educational purposes only. Consult a qualified healthcare professional before using any peptide.

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Research summary

Phase II clinical trials demonstrated dose-dependent GH release with excellent safety profile. Animal studies show increased bone mineral density and improved body composition. Widely used in anti-aging clinics. Often combined with CJC-1295 (no DAC) for sustained GH elevation.[1][2][3][4][5]

📄This section cites 5 peer-reviewed sources. View all references →
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Evidence grading

Each claimed benefit is graded by the strength of available evidence. Grades reflect study quality, not effect size.

moderate
Growth hormone stimulationPhase 2 trials showing dose-dependent GH release with high selectivity
preliminary
Body composition improvementSmall clinical studies; no large RCTs
preliminary
Post-surgical recoveryPhase 2 data in post-operative ileus patients

Strong = multiple RCTs · Moderate = limited trials or observational · Preliminary = animal or in vitro only · Insufficient = anecdotal or no published data

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Side effects

Headache
Flushing
Injection site pain
Water retention
Numbness/tingling

Side effects vary by individual. This is not an exhaustive list. Report unusual symptoms to a healthcare professional.

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Common stacks

Peptides commonly paired with Ipamorelin for synergistic effects.

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Sourcing & access

Reclassification in progress

Ipamorelin is one of 14 peptides under FDA reclassification review. Access may be restored through licensed compounding pharmacies if reclassification is formalized. Check our regulatory timeline for the latest status.

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Frequently asked questions

Ipamorelin's defining advantage is selectivity. In direct comparisons, GHRP-6 and GHRP-2 raise cortisol and ACTH alongside GH. Ipamorelin produces no significant cortisol or ACTH elevation even at doses 200× above its GH-releasing ED₅₀ — making it far more hormonal-profile-friendly for long-term protocols.

Sermorelin is a truncated GHRH analog that stimulates GH via the GHRH receptor; ipamorelin works on the ghrelin/GHS-R1a receptor. Their downstream effects overlap substantially, but the receptor pathways are different. Stacking them produces additive GH release. Sermorelin has a longer published clinical history; ipamorelin's selectivity profile is generally considered cleaner.

CJC-1295 (no DAC) acts on the GHRH receptor, while ipamorelin acts on the ghrelin receptor. Activating both simultaneously is synergistic — combined GH output is 2-3× greater than either peptide alone. The combination also more faithfully mimics the natural dual-signal pulsatile GH release that occurs endogenously.

No. Because ipamorelin has a short half-life (~2 hours) and produces pulse-based GH release rather than sustained elevation, pituitary GHS-R1a receptors retain normal sensitivity between doses. Endogenous GH secretion resumes without suppression once the peptide clears, unlike exogenous recombinant GH.

GH secretion peaks within 15-30 minutes of subcutaneous injection and returns to baseline within approximately 2 hours. Downstream IGF-1 elevation — the proxy for anabolic and recovery effects — rises gradually over days to weeks of consistent use. Most users report sleep quality and recovery improvements within 2-4 weeks.

Yes — this is one of the most cited reasons for use. The largest endogenous GH pulse naturally occurs during slow-wave sleep; ipamorelin amplifies this nocturnal pulse and may independently deepen sleep architecture through hypothalamic GHS-R1a signaling. Dosing before bed is standard in published protocols.

Mild water retention is a reported side effect, attributed to GH's physiological action on renal sodium and water reabsorption. It typically resolves within days of dose reduction or cessation. Because ipamorelin does not raise cortisol (unlike GHRP-2 or GHRP-6), cortisol-driven fluid retention is not a compounding factor.

Growth hormone peptides including ipamorelin are prohibited under the WADA Prohibited List (Section S2, Peptide Hormones and GH Secretagogues). Detection methods using liquid chromatography-mass spectrometry have been validated for GH-releasing peptides. Competitive athletes in tested sports should consider ipamorelin prohibited regardless of jurisdiction.

Both activate GHS-R1a, but MK-677 is orally bioavailable and sustains receptor activation continuously, producing a tonic rather than pulsatile GH elevation. Ipamorelin creates discrete 2-hour GH pulses that preserve receptor sensitivity and circadian GH rhythms. MK-677 more commonly causes appetite stimulation and water retention due to continuous ghrelin mimicry.

Rat studies by Svensson et al. (1998) showed that ipamorelin produced IGF-1-mediated longitudinal bone growth comparable to GHRP-6, confirmed to act through the GH receptor pathway. GH and IGF-1 promote osteoblast activity and bone matrix mineralization; sustained GH secretagogue use in aging rodent models has shown bone density benefits, though controlled human trials are lacking.

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Research references

  1. Ipamorelin, the First Selective Growth Hormone SecretagogueRaun K, Hansen BS, Johansen NL, et al.Eur J Endocrinol, 1998PubMed
  2. Ipamorelin, a New Growth-Hormone-Releasing Peptide, Induces Longitudinal Bone Growth in RatsSvensson J, Lönn L, Jansson JO, et al.Growth Horm IGF Res, 1998PubMed
  3. Prospective, Randomized, Controlled, Proof-of-Concept Study of the Ghrelin Mimetic Ipamorelin for the Management of Postoperative Ileus in Bowel Resection PatientsBochicchio GV, Turner SM, Doria RA, et al.Int J Colorectal Dis, 2014PubMed
  4. Efficacy of Ipamorelin, a Novel Ghrelin Mimetic, in a Rodent Model of Postoperative IleusGreenwood-Van Meerveld B, Kriegsman M, Staniforth V, et al.J Pharmacol Exp Ther, 2009PubMed
  5. Efficacy of ipamorelin, a ghrelin mimetic, on gastric dysmotility in a rodent model of postoperative ileusGreenwood-Van Meerveld B, Tyler K, Mohammadi E, Pietra CJ Exp Pharmacol, 2012PubMed
● READER REVIEWS

What readers say about Ipamorelin

4.0 · 1
Sean Tehrani

Review by Sean Tehrani, 4 out of 5 stars

Eight weeks on Ipamorelin at 200 mcg subQ pre-bed, then a second 200 mcg dose mid-morning in weeks 5-8. Sleep quality was the signal I could actually measure — faster sleep onset, fewer night wakes per my wearable's data. Recovery between sessions at the gym felt smoother, though isolating Ipamorelin from training periodization is hard. No appetite spike (which is the whole point of choosing Ipamorelin over GHRP-6 or MK-677). No tolerability issues at the 200 mcg dose; a brief head-rush for the first week on the mid-morning dose that faded. Pricey per-mg at retail, and you're going through a lot of it across 8 weeks. Efficacy rating reflects my modest expectations met; not a body-composition miracle, but a quiet baseline improvement.

Efficacy
Tolerability
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