A combined therapeutic regimen utilizing Sermorelin and Ipamorelin, two distinct Growth Hormone-Releasing Peptides (GHRPs), to synergistically stimulate the pulsatile release of endogenous Growth Hormone (GH) from the pituitary gland. This combination aims to maximize the physiological benefits of GH secretion, such as improved body composition and enhanced recovery, while minimizing potential side effects. The term refers to the clinical co-administration protocol.
Origin
The development of these compounds and their combined use stems from clinical endocrinology research into the somatotropic axis and the desire for more physiological approaches to GH replacement. Sermorelin, a GHRH analog, and Ipamorelin, a selective GHRP, were engineered to mimic and enhance the natural hypothalamic-pituitary signaling cascade. The stacking protocol leverages the distinct mechanisms of action for a superior overall effect.
Mechanism
Sermorelin acts on the pituitary somatotrophs by binding to the Growth Hormone-Releasing Hormone Receptor (GHRH-R), directly stimulating GH release in a pulsatile manner. Ipamorelin, a ghrelin mimetic, also stimulates GH release but does so through a separate receptor, and crucially, does not significantly increase prolactin or cortisol levels. The stack operates by engaging two separate, yet synergistic, regulatory pathways to amplify the natural GH pulse.
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