Ipamorelin & CJC-1295: The Safe Stack for Growth Hormone Optimisation
Ipamorelin and CJC-1295 (without DAC) are the two most selective and physiologically appropriate growth hormone secretagogue peptides available. Used together, they produce 3-5x greater GH pulse amplification than either alone, timed to the body's natural nocturnal GH secretion pattern. This...
Evidence strength
Level 4
Case series / Animal studies
Peer-reviewed refs
3
Reading time
13 min
Key Takeaways
- Ipamorelin is the most selective GHRP available — it raises GH without cortisol, prolactin, or ACTH elevation that other GHRPs (GHRP-2, GHRP-6, Hexarelin) produce.
- CJC-1295 (no DAC) and Ipamorelin activate different receptor types — synergistic dual-pathway GH stimulation produces 3-5x greater GH pulse than either alone.
- Fasted pre-sleep injection is critical — glucose/insulin can reduce GHRH-stimulated GH release by up to 70%. Always inject 2+ hours after last meal.
- WADA prohibits both peptides. Active cancer and diabetic retinopathy are absolute contraindications. IGF-1 elevation requires monitoring in susceptible individuals.
Why GH Declines and Why It Matters
Growth hormone secretion follows a predictable age-related decline. Peak GH output occurs in the second decade of life. By age 40, total GH secretion has declined by approximately 50%. By age 60, it may be 80% below youthful levels.
The consequences extend beyond muscle and fat composition. Growth hormone plays roles in:
- Sleep architecture: GH secretion is tightly coupled to slow-wave sleep; GH decline contributes to reduced sleep quality with age
- Tissue repair: The majority of soft tissue repair occurs during GH-stimulated sleep windows
- Cognitive function: GH receptors in the hippocampus and frontal cortex influence memory and executive function
- Immune function: GH modulates thymic activity and natural killer cell function
The pharmaceutical approach to GH decline is direct recombinant HGH injection — expensive, requiring prescription, and producing supraphysiological GH levels with attendant side effects. The Ipamorelin + CJC-1295 approach is different: it amplifies the body's own pulsatile GH secretion rather than replacing it.
The Two Receptor Pathways
The pituitary's GH-secreting somatotrophs have two distinct receptor types relevant to secretagogue peptides:
GHRH receptor (activated by CJC-1295): When stimulated, increases cAMP and prepares the somatotroph's secretory granules for release. Think of this as "loading the gun" — building up the GH available to be released.
GHSR (Ghrelin receptor) (activated by Ipamorelin): When stimulated, triggers the actual release of pre-formed GH secretory granules. Think of this as "pulling the trigger."
Activating both pathways simultaneously — which is what the combined stack does — produces a GH pulse 3-5x greater than activating either pathway alone. [] This synergism is the mechanistic foundation of the stack.
Ipamorelin vs Other GHRPs
| GHRP | GH Stimulation | Cortisol | Prolactin | Receptor Selectivity | |---|---|---|---|---| | GHRP-2 | Strong | Yes (+75%) | Yes | Non-selective | | GHRP-6 | Strong | Yes (+60%) | Yes | Non-selective | | Hexarelin | Very strong | Yes (+100%) | Yes | Rapid desensitisation | | Ipamorelin | Moderate | No | No | Highly selective |
Ipamorelin produces less absolute GH stimulation than GHRP-2 or Hexarelin — but it does so without the cortisol and prolactin elevation that make the others problematic for sustained use. Over a 12-16 week cycle, the cumulative advantage of clean GH stimulation without cortisol suppression of its benefits is substantial. []
Why Pre-Sleep Fasted Injection Is Critical
The body's largest natural GH pulse occurs during the first cycle of slow-wave sleep — typically 30-90 minutes after sleep onset. This is when 70-80% of the day's total GH secretion occurs, and when the majority of GH-mediated repair processes are initiated. []
Injecting Ipamorelin + CJC-1295 30-60 minutes before sleep amplifies this natural pulse at the physiologically correct time. The fasted state is mandatory: insulin (elevated after meals) suppresses GH secretion by increasing somatostatin tone. Studies show post-meal insulin can reduce GHRH-stimulated GH release by up to 70%.
Rule: Last meal at least 2-3 hours before injection. No protein shakes or carbohydrates after injection until the morning. Water and electrolytes are fine.
Standard Protocol
Nightly injection (30-60 min before sleep, fasted):
- Ipamorelin: 100-200mcg subcutaneous
- CJC-1295 (no DAC): 100mcg subcutaneous
- Inject both simultaneously, any subcutaneous site
Cycle: 12-16 weeks on, 4-8 weeks off
Reconstitution:
- Ipamorelin 5mg vial + 2.5ml bacteriostatic water = 2mg/ml. 200mcg dose = 0.1ml
- CJC-1295 5mg vial + 2.5ml bacteriostatic water = 2mg/ml. 100mcg dose = 0.05ml
Adding to the Wolverine Stack
The Ipamorelin + CJC-1295 combination adds a third layer to the Wolverine Stack:
- BPC-157 — local tissue repair environment
- TB-500 — systemic repair cell mobilisation
- Ipamorelin + CJC-1295 — elevated GH during sleep amplifies the repair processes that layers 1 and 2 have initiated
BPC-157 specifically upregulates GH receptors in healing tissue — so the elevated GH produced by Ipamorelin + CJC-1295 has more sensitive targets to work on. The interaction is mechanistically sound and consistently reported as additive in the practitioner community.
Scientific References
- [1]Raun K, et al.. Ipamorelin, a new growth-hormone-releasing peptide — European Journal of Endocrinology (1998)Oxford 4PMID 9849822
- [2]Ionescu M, Frohman LA. Modified GRF 1-29 and combination with GHRP — Journal of Clinical Endocrinology & Metabolism (2006)Oxford 2bPMID 17018654
- [3]Van Cauter E, et al.. Growth hormone pulse characteristics in sleep — American Journal of Physiology (1992)Oxford 3PMID 1514608