Solutions

Hormone & Organ Health

Hormone & organ health starts upstream: peptides studied for their effect on the body's own growth hormone release, rather than supplying growth hormone itself. A licensed provider evaluates every request.

Coming soon in Hormone & Organ Health: Tesamorelin / Ipamorelin, MK-677 (Ibutamoren), CJC-1295, Ipamorelin, IGF-1 LR3

How it works.

From first intake to ongoing care — a clear path, guided by a clinician.

1

Complete your intake

Share your health history, goals, and current medications in a few minutes.

2

Meet a licensed clinician

Review your goals and options with a provider experienced in peptide therapy.

3

Receive a personalized plan

If appropriate, get a custom protocol with clear, step-by-step instructions.

4

Ongoing follow-up

Regular check-ins and adjustments keep you supported and on track.

In brief.

Growth hormone is not released in a steady stream. The pituitary puts it out in pulses, most of them overnight, on instructions that come down from the hypothalamus — and the size, timing, and rhythm of those pulses shift with age, sleep, body composition, and health.

The compounds in this category work on that instruction layer. None of them is growth hormone. Each is studied for its effect on the body's own pulsatile release, which is a meaningfully different proposition from supplying the hormone directly — and the reason a licensed provider evaluates and monitors rather than simply dispensing.

Growth hormone peptides: two ways to talk to the same gland

GHRH analogs are built to resemble growth-hormone-releasing hormone, the hypothalamic signal that tells the pituitary to release a pulse. Sermorelin, tesamorelin, and the CJC-1295 component all bind the GHRH receptor — in effect repeating a message the body already sends, with differences in stability and how long the signal persists.

Ipamorelin reaches the same pituitary cells through a different door. It is a selective growth hormone secretagogue, acting at the ghrelin receptor rather than the GHRH receptor — a second, parallel input to the same system. Selective is the operative word: research interest centers on its comparatively narrow action on that pathway.

Because the two mechanisms are separate, they are sometimes paired. CJC-1295 / ipamorelin and tesamorelin / ipamorelin combine an analog with the secretagogue. Of these growth hormone peptides, Promise offers sermorelin, tesamorelin and the CJC-1295 / ipamorelin blend; the tesamorelin / ipamorelin blend is coming soon — add me to the list.

MK-677, or ibutamoren, also acts at the ghrelin receptor, but it is an orally active small molecule rather than a peptide. It is coming soon to Promise — add me to the list — and it is not FDA-approved.

Why stimulating a pulse is not the same as supplying a hormone

The body regulates growth hormone with brakes as well as accelerators — somatostatin damps release, and circulating IGF-1 feeds back to the hypothalamus and pituitary. Working through the body's own signaling leaves those feedback loops in place; supplying the hormone from outside bypasses them.

That is the shared principle behind everything in this category, and it is also why these are not self-directed treatments. A stimulated axis still needs a clinician watching it: baseline and follow-up labs, dose adjustment, and a willingness to stop. None of these compounded formulations is FDA-approved, and compounded medications are not reviewed by the FDA for safety, effectiveness, or quality.

What a visit and a decision look like

Each compound has its own clinical questionnaire covering medical history, current medications, symptoms, and goals. A licensed provider reviews it and may request labs before deciding anything.

What follows is a judgement. The provider weighs your history against the current evidence, decides whether the axis is the right thing to address at all, and selects a compound and dose if it is. Some histories take this class off the table entirely, and the provider will say so. If treatment is appropriate, a licensed U.S. pharmacy compounds and ships it with instructions, and follow-up check-ins keep the plan under review.

If your questions are more about appetite, glucose, and body composition than the growth hormone axis, metabolic support and fat loss is the more relevant place to start.

Common questions

Do I need a prescription for these peptides?

Yes. Every product on Promise is prescription-only. A licensed provider reviews each request and prescribes only when treatment is medically appropriate for you, and may decline. Not everyone qualifies.

Is sermorelin FDA-approved?

Not in the compounded forms listed here. Sermorelin, CJC-1295 / ipamorelin, tesamorelin, and tesamorelin / ipamorelin as listed here are compounded medications and are not FDA-approved. An FDA-approved tesamorelin product exists for one narrow purpose, and that approval does not extend to these formulations; an FDA-approved sermorelin product was once marketed and has since been discontinued. Compounded medications are not reviewed by the FDA for safety, effectiveness, or quality; they are prepared for an individual patient by a state-licensed pharmacy under a prescription.

What is the difference between a GHRH analog and a secretagogue?

A GHRH analog resembles the hypothalamic signal that prompts the pituitary to release a growth hormone pulse, and binds the GHRH receptor. Ipamorelin is a selective secretagogue and acts at the ghrelin receptor instead — a parallel input to the same pituitary cells. Because the receptors differ, the two are sometimes combined.

Is this the same as taking growth hormone?

No. These compounds are studied for their effect on the body's own pulsatile release rather than supplying growth hormone itself, which leaves the body's feedback signaling in place. That is a different clinical situation, and it is why a provider evaluates and monitors rather than simply dispensing.

Will I need lab work?

A provider may request baseline or follow-up labs before or during treatment. What is ordered, and how often, is a clinical decision made during your visit and at follow-up check-ins.

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