Perfect B Aesthetic Medicine | 06.24.26 | 5 min read.
This article is for educational purposes only and does not constitute medical advice. Peptide therapy requires evaluation and prescription by a licensed medical provider. Do not use this information to self-administer or self-diagnose. Contact Perfect B at (786) 502-2260 to schedule a clinical evaluation.
How Do You Reconstitute Tesamorelin/Ipamorelin?
Use the volume the calculator returns above. Reconstitute each peptide in its own vial separately.
- If your Tesamorelin vial is 2 mg, add 1 ml of bacteriostatic water.
- If your Tesamorelin vial is 5 mg, add 2.5 ml of bacteriostatic water.
- If your Tesamorelin vial is 10 mg, add 5 ml of bacteriostatic water.
- Apply the exact same reconstitution math to your Ipamorelin vial.
- Reconstitute each vial separately. Never combine Tesamorelin and Ipamorelin into one bottle of BAC water.
What Is the Concentration of Tesamorelin/Ipamorelin in Your Vial?
Concentration is held constant across every vial size so your unit count never changes.
- 2 mg vial reconstituted with 1 ml BAC water = 0.02 mg per unit.
- 5 mg vial reconstituted with 2.5 ml BAC water = 0.02 mg per unit.
- 10 mg vial reconstituted with 5 ml BAC water = 0.02 mg per unit.
- One unit on a 1 ml insulin syringe always equals 0.02 mg of Tesamorelin or Ipamorelin, regardless of vial size.
How Many Units of Tesamorelin/Ipamorelin Do You Inject Per Day?
Draw to the unit line on your insulin syringe, not to a milligram figure. The combo runs as a range that increases at Month 2.
- Daily range: 20 to 30 units per day per peptide on a 1 ml insulin syringe.
- At the low end (20 units): 0.40 mg per injection per peptide.
- At the high end (30 units): 0.60 mg per injection per peptide.
- Month-by-month: start at the low end. Dose increases at Month 2 and stays constant through Month 3.
When Do You Inject Tesamorelin/Ipamorelin?
Inject on the schedule the calculator returns above. Each peptide gets its own injection.
- Injection site: subcutaneous, abdomen.
- Timing: at night.
- Frequency: 5 days on, 2 days off.
- Two syringes per session: one for Tesamorelin, one for Ipamorelin. Inject each into its own site within the same abdominal area.
- Site rotation: rotate the exact spot within the same abdominal area each session.
What Is the Cycle for Tesamorelin/Ipamorelin?
The combo runs in a structured cycle with a built-in dose increase at Month 2.
- On phase: 3 months of active dosing per cycle.
- Month 1: low end of the range to allow adaptation.
- Month 2: dose increases. Stays at the higher number through Month 3.
- Off phase: 2 months pause.
- Repeat: patients typically run 2 cycles per year on this stack.
Clinical tip: use a separate syringe per peptide. Never mix Tesamorelin and Ipamorelin in the same syringe. Dose increases at Month 2 and stays constant through Month 3.
Want the Same Protocol Built Around Your Goals?
Perfect B Aesthetic Medicine’s peptide protocol tool is built on real clinical data from 2,000+ patients treated in Florida.
Answer 6 questions and see what patients with similar goals are running: which peptides they use, typical dosing, injection schedule, reconstitution steps, cycle length, and when they pause.
Why Calculate Your Tesamorelin/Ipamorelin Dose at Perfect B Aesthetic Medicine and Not at Home
A calculator gives you the numbers. A clinic gives you the answer to whether those numbers are safe for you. The protocol behind the tool above runs the same way for every patient at Perfect B Aesthetic Medicine, and that is what separates a supervised cycle from a guess at the kitchen counter.
- Pharmacy-grade sourcing: both Tesamorelin and Ipamorelin are dispensed through a licensed compounding pharmacy. Identity, purity, and sterility are documented per vial.
- Pre-protocol screening: labs, medical history, and contraindications are reviewed before a single vial is prescribed. Visceral fat baseline, IGF-1, fasting glucose, and lipid panel anchor the decision.
- Measured response: visceral fat by InBody, IGF-1, sleep quality, and body composition are tracked across the 3 month cycle. The Month 2 dose increase is data-driven, not arbitrary.
- Reconstitution done right: a mistake at the BAC water step on either peptide changes your dose by an order of magnitude. The clinic walks you through the first reconstitution so the math is correct from injection one.
- Two-syringe technique: the clinic teaches separate-syringe injection technique in person. Mixing the two peptides in one syringe is the most common at-home mistake on this stack.
- Florida-based clinical context: Perfect B Aesthetic Medicine is the clinic with the most peptide patients seen in Florida. That volume means every parameter in the calculator has been pressure-tested across thousands of real cycles.
You can run the calculator at home. You should not run the protocol at home. The numbers are accurate, but they are only safe inside a clinical relationship that screens you, supervises you, and adjusts when your physiology calls for it.
Frequently Asked Questions
1. What is the correct Tesamorelin/Ipamorelin dose for you?
20 to 30 units per day per peptide on a 1 ml insulin syringe, equal to 0.40 to 0.60 mg per injection. Start at the low end. Dose increases at Month 2.
2. How do you reconstitute Tesamorelin and Ipamorelin?
Add 1 ml of bacteriostatic water for a 2 mg vial, 2.5 ml for a 5 mg vial, 5 ml for a 10 mg vial. Same math for both peptides. Reconstitute each vial separately.
3. Can you mix Tesamorelin and Ipamorelin in the same syringe?
No. Use a separate syringe per peptide. Each peptide gets its own injection site within the same abdominal area.
4. Is this calculator a substitute for a consultation?
No. It surfaces the parameters the supervised protocol uses. The protocol itself starts with a medical evaluation, contraindication screening, and a written prescription from Perfect B Aesthetic Medicine.
- 📍 Visit us at Perfect B Aesthetic Medicine | 3905 NW 107th Ave, Suite 104, Doral FL 33178
- 📞 Call or message us at (786) 502-2260
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→ Book your peptide consultation at Perfect B Aesthetic Medicine today.
