Growth & Hormone · physician-directed
Composition, engineered.
Strength, with receipts.
Physician-directed protocols oriented around lean mass, GH pulse, and body composition — gated by labs before, during, and after.
Choose your route
3 routes to the same goal.
Pick the shape that fits how you want to work. Whichever you choose, a physician confirms it against your bloodwork — and can decline.
The Ascend protocol
Best for: Performance and body-composition goals, 28–50.
- CJC-1295 (no-DAC) — 100 mcg nightly SC
- Ipamorelin — 200 mcg nightly SC
12-month cadence includes the bloodwork panel.
Tesamorelin
Best for: Those whose specific target is visceral fat, on physician advice.
- Visceral fat, addressed on the axis.
- Wk 2 — Early metabolic response.
- Wk 12 — Composition reassessed.
Ipamorelin
Best for: Those who want pulse frequency without a cortisol or prolactin spike.
- Pulse frequency, without the cortisol.
- Wk 1 — Sleep depth.
- Wk 12 — Composition shift.
You don't have to pick correctly from a grid. Share your history and bloodwork; a physician matches you to the right route — or tells you none is appropriate.
Start your assessmentHow it works
Share your history
A private structured intake covering your goals, training, and medical history.
Get evaluated
Baseline bloodwork plus review by a U.S.-licensed physician — the only person who decides if a prescription is appropriate.
Start & stay monitored
If prescribed, your protocol ships from a state-licensed 503A pharmacy, with labs re-run every 90 days.
†Medication is dispensed only if a licensed provider determines a prescription is appropriate.
Progress you can point to.
Illustration · tracked against your quarterly labs
Peptides in this area
Questions, answered
How is eligibility decided?
By a licensed physician, from your intake and baseline bloodwork — never by a questionnaire alone. Medication is dispensed only if a licensed provider determines a prescription is appropriate.
How is progress measured?
Quarterly labs plus your own training data. Protocols are adjusted against numbers, not feelings.
Are these products FDA-approved?
Compounded medications are not approved or evaluated by the FDA for safety, effectiveness, or quality. They are prepared by state-licensed 503A compounding pharmacies.
Read before you decide
The journalPerformance · 11 min read
Growth hormone secretagogues: a complete clinical guide.
CJC-1295, ipamorelin, sermorelin — what each does, how they stack, and what your IGF-1 should tell you at 90 days.
Protocols · 12 min read
Reading your bloodwork without panic.
Reference ranges are population averages — not your personal optimum. A primer on biomarker interpretation.
One intake. Your protocol.
The evaluation is complimentary. You pay only if a physician prescribes.
Start your assessmentCompounded medications are not approved or evaluated by the FDA for safety, effectiveness, or quality. Availability varies by state.