Physician-prescribed growth-hormone-releasing peptides — 503A compounded, dosed by Dr. Indianos, MD, with IGF-1 lab monitoring and cycling protocols. Not a chain telehealth program.
Two complementary peptides — one cleaner GH release. Compounded by 503A pharmacy. Designed and dosed by Dr. Carolyn Indianos, MD.
CJC-1295 is a Growth Hormone-Releasing Hormone (GHRH) analog. It signals the anterior pituitary to release growth hormone over an extended window. The version we prescribe at Bespoke is the no-DAC variant — CJC-1295 without DAC — which has a shorter half-life and produces cleaner, more physiologic GH pulses than the long-acting CJC-1295 with DAC formulation.
Ipamorelin is a Growth Hormone-Releasing Peptide (GHRP) and selective ghrelin receptor agonist. It triggers an immediate, focused GH pulse without the cortisol or prolactin elevations seen with older GHRPs (GHRP-2, GHRP-6, hexarelin).
The two peptides act on different receptor systems and reinforce each other:
Documented or commonly reported benefits at therapeutic doses (10–16 weeks):
Outcomes vary by baseline labs, body composition, sleep, and adherence. Bespoke screens for hormone interactions, cancer history, and pituitary contraindications before prescribing.
Every CJC-1295 / Ipamorelin protocol at Bespoke is individualized after intake labs and physician evaluation. Standard framework:
CJC-1295 / Ipamorelin is generally appropriate for adults ≥ 30 with documented age-related GH decline, sleep dysfunction, slow recovery, or recomposition goals who have:
Patients with diabetes, active cancer history, or pregnancy/breastfeeding are not candidates. We screen carefully at intake.
All three approaches raise IGF-1, but they differ meaningfully:
When properly prescribed and dosed, CJC-1295 / Ipamorelin has a strong safety record. Reported side effects are typically mild:
Rare but possible: water retention, mild fatigue at higher doses, transient blood-sugar effects. These are why we monitor IGF-1, fasting glucose, and A1c during the cycle.
"I run every peptide protocol myself. Compounding source, dosing, IGF-1 monitoring, and cycle planning all happen in one chart with one physician — not a templated script signed off remotely."
Dr. Carolyn Indianos, MD • Bespoke Aesthetics
Common questions about CJC-1295 / Ipamorelin protocols at Bespoke.
CJC-1295 / Ipamorelin works upstream of growth hormone — it signals your own pituitary to produce GH in natural pulses. Exogenous HGH replaces the hormone directly, which suppresses your own production and carries a much different regulatory and side-effect profile. The peptide approach preserves your endocrine feedback loop.
All peptides at Bespoke are sourced from state-licensed 503A compounding pharmacy partners (Empower, Boom RX, RUSH, Southend) under USP 797 sterile-compounding standards. We do not use research-chemical or overseas sources.
Standard protocol is a small subcutaneous injection 5 nights per week, taken at bedtime. Bedtime dosing aligns with your natural overnight GH pulse. We use insulin-syringe-sized needles — the injection itself is brief and painless.
Sleep and recovery improvements often appear within 2–4 weeks. Body-composition and skin/joint changes typically need 8–12 weeks. We re-check IGF-1 mid-cycle to confirm response and adjust if needed.
Yes. Standard Bespoke protocol is 12–16 weeks on, then 4 weeks off, to preserve pituitary receptor sensitivity. This pattern protects long-term responsiveness and avoids tachyphylaxis.
CJC-1295 / Ipamorelin act on the GH axis, not the gonadal axis directly. They do not suppress testosterone or estrogen. Some patients on combined TRT + peptide protocols report better recovery and body composition than TRT alone.
Pricing varies by dose and cycle length. Most patients fall in the $350–$650/month range for the compounded peptide plus included physician follow-up and labs at the cycle midpoint. Call for a current quote.
Yes. New-patient peptide consultations with Dr. Indianos are complimentary. We review your goals, screen for contraindications, and outline a protocol before any commitment.
Begin your peptide protocol
Schedule a complimentary 30-minute consultation with Dr. Carolyn Indianos, MD. We’ll review your goals, intake your labs, and design a protocol tailored to your physiology — not a templated script.
Book a Free ConsultationDr. Carolyn Indianos, MD • Board-certified, fellowship-trained in regenerative and aesthetic medicine