What is Ipamorelin?
Ipamorelin is a short peptide that stimulates growth-hormone release by engaging the ghrelin receptor (unlike GHRH analogues such as CJC-1295, which act on the GHRH receptor). What is special: ipamorelin is considered selective. In pigs it triggered a GH pulse without raising ACTH or cortisol more than the body's own GHRH, unlike the older GHRP-2 and GHRP-6. It is not appetite-neutral, though: in animal studies ipamorelin increased food intake and body fat, according to a review less than GHRP-2 or GHRP-6. Neither has been studied in humans.
It is used subcutaneously, dosed in micrograms, often several times a day. It ships as a freeze-dried powder you dissolve in bacteriostatic water.
Comparison
Two routes to growth hormone
Which receptor at the pituitary is targeted, as described in the TPD lexicon. Tap a card to open its entry.
Simplified: ghrelin mimetics act on the ghrelin receptor, GHRH analogues on the GHRH receptor. There is no study on ipamorelin together with CJC-1295. 110
How it works
Ipamorelin mimics ghrelin and triggers a short GH pulse at the pituitary. In healthy men the peak came about 40 minutes after an intravenous infusion, after which GH fell back to very low levels. In animal studies, the cortisol rise that older GH secretagogues trigger did not occur.
Especially common is the combination with a GHRH analogue like CJC-1295: one provides the GHRH signal, the other the ghrelin stimulus. In humans such synergy has been shown for related compounds (GHRP-6 and ghrelin, each together with natural GHRH); there is no study of ipamorelin plus CJC-1295.
Where it acts
One receptor, several sites of action
Tap a point or a card. Colour = receptor, grey = observed. Almost all from animal studies.
- Pituitary
Short GH pulse, ACTH and cortisol at GHRH level (pigs)1
GHSR - Stomach and gut
After abdominal surgery faster gastric emptying and an earlier first bowel movement (rats)6
GHSR - Bone
Lengthwise growth rose with the amount (rats)7
Observed in trials - Muscle
Under cortisone muscle strength was better preserved (rats)9
Observed in trials - Fat tissue
More body fat and food intake, independent of GH (mice)3
Observed in trials
Known targets1
Compound CHEMBL58547: one described target, Agonist according to studies, no mechanism recorded in ChEMBL.
- Gene
- GHSR
- UniProt
- Q92847
- ChEMBL
- CHEMBL4616
- Action
- Agonist according to studies, no mechanism recorded in ChEMBL
What you need
For subcutaneous use you need:
Supplies
5 things, numbered as in the picture
Tick off what you already have. Vial and BAC water are our real shop photos at the same size.
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Ipamorelin vial
The Ipamorelin vial with the freeze-dried powder
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Bacteriostatic water
Bacteriostatic water to dissolve it
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U-100 insulin syringes
U-100 insulin syringes
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Alcohol swabs
Alcohol swabs for the vial cap and the skin
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Sharps container
A sealable sharps container for used needles
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Reconstitution
The powder is dissolved in bacteriostatic water. How much water you add sets the concentration and therefore how many units you draw for your dose on the insulin syringe.
Use the peptide calculator for this: pick your vial size and the water volume to see the concentration and units per dose.
When dissolving, just add the bac water, it does not matter if it hits the powder directly. Then swirl or shake until everything has dissolved, both are fine.
Step by step
Dissolving the powder
Four steps, the same for every vial size.
- 1Wipe the cap
Clean the rubber stopper with an alcohol swab.
- 2Add BAC water
Just add it, it does not matter if it hits the powder directly.
- 3Swirl or shake
Until everything has dissolved, both are fine.
- 4Draw up
With the U-100 insulin syringe.
Injection
The injection is subcutaneous, into the fat layer under the skin, classically the abdomen (keep clear of the area around the navel), the front and the inner side of the thigh or the back of the upper arm. Many place a dose before sleep, because the natural GH pulse comes in deep sleep anyway.
Injection
Where and at what angle
Pick a spot or switch the angle. Subcutaneous means: into the fat layer, not the muscle.
Rotate the spot each time, never the same one twice in a row.
Rule of thumb: where there is more fat under the skin, insert straight at 90 degrees. In lean people with little fat, 45 degrees, so the needle stays in the fat layer. Simplified diagram.
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Clean the spot with an alcohol swab and let it dry
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Pinch up a small fold of skin
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Insert the needle: at 90 degrees where there is more fat under the skin, at 45 degrees in lean people with little fat
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Inject slowly, wait a moment, then withdraw
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Put the needle straight into the sharps container
Rotate the site.
Dosing
Dosing
Dosing, titration and syringe
Loading the dosing information …
- Getting started and stepping up, drawn as a staircase
- Units on the U-100 syringe for every step
- How long one vial lasts
What the research shows
Ipamorelin is the compound with which the concept of a selective GH secretagogue was described. The discovery and pharmacology work showed in pigs that it triggers a GH pulse without raising ACTH and cortisol more than GHRH. That sets it apart from GHRP-2 and GHRP-6; prolactin was unchanged with all compounds in that study. In humans there is a pharmacokinetic study in healthy men (half-life about two hours) and a phase 2 trial after bowel surgery, in which ipamorelin as an infusion for up to 7 days was well tolerated but did not significantly speed up bowel recovery. Ipamorelin is not an approved medicine.
The studies with links are in the source block below.
Study results
What the trials measured
Interactive: switch tabs, tap points, show or hide arms. Arms are named relative to each other, no dosing advice.
Time to the first tolerated meal4
Median in hours, phase 2, given into a vein for up to 7 days
The difference was not significant (p = 0.15) and the further endpoints showed no difference to placebo either. A second phase 2 trial with 320 people has not published results.
Meal still in the stomach after 15 minutes6
Rats after abdominal surgery with bowel handling, share in percent
Ipamorelin brought gastric emptying after surgery close to animals without surgery. Animal model with one dose into a vein; in humans the effect on bowel recovery did not show.
Lengthwise growth of the shin bone7
Micrometres per day, adult female rats, 15 days under the skin
Growth rose with the amount while IGF-1 in the blood stayed unchanged. A second study saw more bone mineral, but density per volume stayed the same: the bones grew larger, not denser.
Research status
Where the research stands
Registered trials with ipamorelin: two phase 2 trials on bowel recovery after surgery, both completed. As of 26 Oct 2026.
- Preclinical GH release in cells, rats and pigs
- Phase 1 no registered trial
- Phase 2 2 trials, 2 completed
- Phase 3 no registered trial
- Approval not yet
Show all 2 phase 2 trials on a timelineHide timeline
NCT00672074 · 117 participants, started Apr 2008, primary endpoint reached Dec 2009.
Registry entry ↗ · Results: Beck et al., International Journal of Colorectal Disease, 2014
NCT01280344 · 320 participants, started Apr 2011, primary endpoint reached Jun 2013.
Registry entry ↗ · Results not yet in PubMed
Bar: start to primary endpoint (planned for running trials). Green = completed, blue = progress until 26 Oct 2026.
Side effects
Human data on side effects come only from the phase 2 trial (intravenous infusion, up to 7 days): there, adverse events were not more frequent with ipamorelin than with placebo. Studies on longer subcutaneous use are lacking. Described as effects of GH or the compound class are water retention, tingling in the hands and higher blood sugar. In animal studies, ipamorelin also increased food intake, weight and body fat.
Tolerability
Tolerability in the phase 2 trial
Phase 2 after bowel surgery, given into a vein for up to 7 days. The only published human data over several days.
| Event | Placebo | Ipamorelin |
|---|---|---|
| At least one adverse event4 | 95% | 88% |
Adverse events are common after bowel surgery, hence the high values in both groups. There is no study on giving it under the skin for weeks.4
Practice
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Often combined with CJC-1295
A stronger GH output has not been shown in studies for this exact combination.
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Dosing before sleep uses the natural GH rhythm.
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Inject with some gap from large, carb-heavy meals.
Storage
The undissolved powder is robust, normal room temperature (around 20 to 25 degrees) is fine, ideally kept in the dark. The reconstituted solution goes into the fridge (2 to 8 degrees) and stays stable there for at least 4 to 6 months with barely any loss of potency, in practice considerably longer. The bacteriostatic water brings a preservative that keeps the dissolved form stable for longer.
Shelf life
How long it keeps
Robust, no fridge needed. Keeps for several months without trouble.
At least 4 to 6 months with barely any loss of potency. The bacteriostatic water brings a preservative.
- Keep it dark
- Dissolved: 2 to 8 degrees
- Note the mixing date on the vial