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Tesamorelin + Ipamorelin stack calculator

Mix a 5 mg tesamorelin vial with 2 mL of bacteriostatic water (2.5 mg/mL) and a 1 mg dose is 0.4 mL — 40 units on a U-100 syringe. Mix a 5 mg ipamorelin vial with 2.5 mL (2 mg/mL) and a 200 mcg dose is 0.1 mL — 10 units. Tesamorelin (a GHRH analogue) and ipamorelin (a GHRP) are calculated separately and only share a schedule.

Last reviewed

Educational reference only. Not medical advice — follow the instructions from your clinician or pharmacy.

Per-compound reconstitution

Each compound is calculated on its own — different vials, different concentrations, different draws. Use these references, then run your exact numbers on each compound's calculator.

Tesamorelin reference

U-100 units to draw for each common Tesamorelin dose, by vial size, reconstituted with 2 mL of bacteriostatic water.

VialConcentration1 mg1.5 mg2 mg
2 mg1 mg/mL100 u(1 mL)150 u(1.5 mL)200 u(2 mL)
5 mg2.5 mg/mL40 u(0.4 mL)60 u(0.6 mL)80 u(0.8 mL)
10 mg5 mg/mL20 u(0.2 mL)30 u(0.3 mL)40 u(0.4 mL)

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Educational reference only — not a dose recommendation. Units assume a U-100 insulin syringe (100 units = 1 mL on U-100). Always confirm against your own vial, diluent, and clinician or pharmacy instructions.

Ipamorelin reference

U-100 units to draw for each common Ipamorelin dose, by vial size, reconstituted with 2.5 mL of bacteriostatic water.

VialConcentration100 mcg200 mcg300 mcg
2 mg0.8 mg/mL12.5 u(0.13 mL)25 u(0.25 mL)37.5 u(0.38 mL)
5 mg2 mg/mL5 u(0.05 mL)10 u(0.1 mL)15 u(0.15 mL)

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Educational reference only — not a dose recommendation. Units assume a U-100 insulin syringe (100 units = 1 mL on U-100). Always confirm against your own vial, diluent, and clinician or pharmacy instructions.

How are tesamorelin and ipamorelin run together?

Tesamorelin and ipamorelin act on different parts of the GH axis, so they are often dosed together. Each vial reconstitutes to its own concentration — tesamorelin doses are in milligrams, ipamorelin in micrograms — so the draws look very different. Calculate each on its own page.

  • Tesamorelin: mg doses; ipamorelin: mcg doses
  • Different concentrations — never share a draw figure
  • Commonly dosed at the same time

Tesamorelin + ipamorelin dosage chart: tesamorelin units

Units to draw on a U-100 syringe for common tesamorelin doses (1.4 mg is the Egrifta SV daily dose) at three vial set-ups.

Tesamorelin dosage chart in U-100 units

Dose5 mg + 2 mL2.5 mg/mL10 mg + 2 mL5 mg/mL10 mg + 3 mL3.33 mg/mL
1 mg40 u(0.4 mL)5 per vial20 u(0.2 mL)10 per vial30 u(0.3 mL)10 per vial
1.4 mg56 u(0.56 mL)3 per vial28 u(0.28 mL)7 per vial42 u(0.42 mL)7 per vial
2 mg80 u(0.8 mL)2 per vial40 u(0.4 mL)5 per vial60 u(0.6 mL)5 per vial

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Educational reference only — not a dose recommendation. Units assume a U-100 insulin syringe (100 units = 1 mL on U-100); “per vial” is how many of that dose the vial holds, before the small dead-space loss on each draw. Confirm against your own vial label, diluent, and clinician or pharmacy instructions.

Tesamorelin + ipamorelin dosage chart: ipamorelin units

Units to draw on a U-100 syringe for common ipamorelin doses at three vial set-ups. Ipamorelin is dosed in micrograms, so its draws are far smaller than tesamorelin's.

Ipamorelin dosage chart in U-100 units

Dose2 mg + 2 mL1 mg/mL5 mg + 2 mL2.5 mg/mL5 mg + 2.5 mL2 mg/mL
100 mcg10 u(0.1 mL)20 per vial4 u(0.04 mL)50 per vial5 u(0.05 mL)50 per vial
200 mcg20 u(0.2 mL)10 per vial8 u(0.08 mL)25 per vial10 u(0.1 mL)25 per vial
300 mcg30 u(0.3 mL)6 per vial12 u(0.12 mL)16 per vial15 u(0.15 mL)16 per vial

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Educational reference only — not a dose recommendation. Units assume a U-100 insulin syringe (100 units = 1 mL on U-100); “per vial” is how many of that dose the vial holds, before the small dead-space loss on each draw. Confirm against your own vial label, diluent, and clinician or pharmacy instructions.

Why are the tesamorelin and ipamorelin draws so different?

Because tesamorelin is dosed in milligrams and ipamorelin in micrograms, their syringe units differ by an order of magnitude even at the same vial size and water volume. The per-compound reference tables above show each independently so you do not mix them up.

  • An order-of-magnitude difference in dose scale
  • Calculate and draw each separately
  • Track two reconstitution dates and doses-remaining counts

Frequently asked questions

Can I mix tesamorelin and ipamorelin in one syringe?
Calculate each compound's volume separately first, because the two vials have different concentrations. Combining the two solutions afterward is a handling choice, not a way to skip the separate math.
Which has the larger draw, tesamorelin or ipamorelin?
Usually tesamorelin, because its doses are in milligrams while ipamorelin's are in micrograms. The reference tables above show each compound's units at its own concentration.
Is tesamorelin a GHRP like ipamorelin?
No — tesamorelin is a GHRH analogue and ipamorelin is a GHRP. They act on different pathways, which is why they are paired. The reconstitution math is the same for both.

Primary sources

Background references for this page. PepSync does not make clinical claims; these citations support the educational context only.

  1. 1
    EGRIFTA SV (tesamorelin for injection) prescribing information
    DailyMed / National Library of Medicine · n.d.
  2. 2
    EGRIFTA WR (tesamorelin for injection) prescribing information
    DailyMed / National Library of Medicine · 2025
  3. 3
  4. 4
    Ipamorelin, the first selective growth hormone secretagogue
    PubMed / European Journal of Endocrinology · 2001
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