Protocol GuideExpert reviewedFact-checked March 2026

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:

  1. BPC-157 — local tissue repair environment
  2. TB-500 — systemic repair cell mobilisation
  3. 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. [1]
    Raun K, et al.. Ipamorelin, a new growth-hormone-releasing peptideEuropean Journal of Endocrinology (1998)Oxford 4
    PMID 9849822
  2. [2]
    Ionescu M, Frohman LA. Modified GRF 1-29 and combination with GHRPJournal of Clinical Endocrinology & Metabolism (2006)Oxford 2b
    PMID 17018654
  3. [3]
    Van Cauter E, et al.. Growth hormone pulse characteristics in sleepAmerican Journal of Physiology (1992)Oxford 3
    PMID 1514608