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 and are not FDA approved. 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. The injection uses a very fine needle, and most people find any discomfort brief and minor.
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.
Medically reviewed by Dr. Carolyn Indianos, MD, Founder and Medical Director, Bespoke Aesthetics.
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 ConsultationDr. Carolyn Indianos, MD • Fellowship-trained in regenerative and aesthetic medicine.
Important information. Peptide therapies are prescribed as compounded medications based on physician judgment after a consultation and evaluation by Dr. Indianos. Compounded medications are not FDA-approved, and their availability depends on physician assessment and current pharmacy regulations. Individual results vary and are not guaranteed. Peptide therapy is not suitable for everyone, and possible side effects and alternatives will be reviewed with you before treatment. This page is general information and is not medical advice. Please consult Dr. Indianos about your individual situation.