With another GH/IGF-axis medicine
Duplicate GH/IGF-axis stimulation may amplify IGF-1 elevation, edema, joint symptoms, and glucose intolerance.
Interaction evidence sourceBlends
Prepared by the ezGLP team. Sources last checked . Profile reviewed .
Also known as CJC-1295 (no DAC) + Ipamorelin
Routes represented in the knowledgebase: Subcutaneous (SubQ).
CJC-1295 / Ipamorelin is listed in the ezGLP knowledgebase under Blends. Evidence and regulatory status can vary by formulation, route, and jurisdiction.
CJC-1295 / Ipamorelin is a fixed-ratio compounded blend that pairs a growth hormone-releasing hormone (GHRH) analogue with a ghrelin-receptor agonist. The CJC-1295 component is usually the short-acting form without DAC, a modified GHRH(1-29) fragment that acts on pituitary GHRH receptors. Ipamorelin is a synthetic pentapeptide that binds the ghrelin receptor GHS-R1a and was described by Raun and colleagues in 1998 as the first selective growth hormone secretagogue, meaning it released growth hormone with little effect on cortisol, ACTH, or prolactin in their models. The two mechanisms are complementary, and stimulating both receptors together produces a larger GH pulse than either alone.
The evidence base is entirely component-level and small. Ipamorelin has a 1998 preclinical characterisation, a 1999 pharmacokinetic and pharmacodynamic model built from healthy human volunteers by Gobburu and colleagues, and a 2014 randomised proof-of-concept trial by Beck and colleagues in postoperative ileus after bowel resection, which did not lead to an approved indication. Human CJC-1295 data come from Teichman and colleagues' 2006 phase I and II program using the with-DAC form. No published clinical trial has evaluated the fixed-ratio CJC-1295 / Ipamorelin product itself, so claims about combined efficacy, body composition, sleep, or recovery rest on extrapolation rather than direct study.
The blend has no marketing approval from the FDA, the EMA, or comparable regulators, and it is available in the United States only from compounding pharmacies or as a research-labelled product. The FDA has placed ipamorelin acetate among bulk substances that may present significant safety risks for compounding, citing possible immunogenicity from aggregation or peptide impurities and literature reports of serious adverse events, including death, with intravenous administration. CJC-1295 salts were reviewed unfavourably by the agency's Pharmacy Compounding Advisory Committee in 2024. Both ipamorelin and CJC-1295 appear by name on the World Anti-Doping Agency Prohibited List under section S2.
Compounded blends are supplied as one lyophilised vial containing both peptides in a set ratio, reconstituted with bacteriostatic water before subcutaneous injection, with some pharmacies also offering nasal or oral forms of ipamorelin. An inventory record for a blend generally notes total peptide mass per vial, the stated split between components, lot number, reconstitution date, and storage temperature, since the two components cannot be tracked separately once dissolved. No approved label sets storage or beyond-use limits, and the stability of the two peptides sharing one solution has not been published; the compounding pharmacy's own documentation is the only formal reference for handling.
Common or reported: injection-site reactions, flushing or vasodilation, increased heart rate, headache, nausea, dizziness.
Serious or important: hypotension, immunogenicity or peptide-impurity concerns.
Not FDA-approved; long-term safety is unknown.
Safety evidence sourceThese are general, pairwise evidence notes. Green identifies the potential-synergy category, while Lv3/Lv2/Lv1 communicates evidence strength; it does not guarantee benefit or cancel a safety warning.
Duplicate GH/IGF-axis stimulation may amplify IGF-1 elevation, edema, joint symptoms, and glucose intolerance.
Interaction evidence sourceThe two peptides stimulate growth hormone release through different pituitary receptors: the CJC-1295 component acts on GHRH receptors and ipamorelin on the ghrelin receptor GHS-R1a. In human physiology studies each raised growth hormone on its own, and combined GHRH and ghrelin-receptor stimulation is known to be additive. Downstream effects on IGF-1, body composition, or sleep from the blended product have not been measured in any published clinical trial.
No. Neither component nor the blend has marketing approval from the FDA or any other major regulator. The FDA lists ipamorelin acetate among bulk substances that may present significant safety risks in compounding, and in 2024 the agency proposed that CJC-1295 not be added to the section 503A bulks list. Compounded products carrying both names are therefore unapproved drugs whose safety and effectiveness have not been evaluated by a regulator.
Raun and colleagues coined the description in 1998 after observing that ipamorelin released growth hormone in animal and in-vitro models without meaningfully raising ACTH, cortisol, or prolactin, unlike GHRP-6 and GHRP-2. That selectivity is the main reason it is paired with GHRH analogues in compounded blends. Human data confirming the selectivity are limited to small pharmacology studies and a single randomised trial in postoperative ileus.
Yes. The World Anti-Doping Agency Prohibited List names ipamorelin as an example of a growth hormone secretagogue and CJC-1295 as an example of a GHRH analogue, both under section S2.2.4, growth hormone-releasing factors. The class is prohibited at all times and treated as non-specified for sanctioning. Anti-doping laboratories have published detection methods for these releasing factors in urine.
Summarised from published literature for reference only, with citations to the source. Evidence is graded as reported and is not a recommendation to combine, dose, or use any compound.
For personal tracking and education only. Not medical advice, diagnosis, or treatment, and not a medical device. Peptides may be prescription-only or unapproved where you live. Consult a licensed healthcare professional.