This refers to the synergistic clinical use of two distinct pharmacological agents: Tesamorelin, a Growth Hormone-Releasing Hormone (GHRH) analog, and Ibutamoren (MK-677), a potent, non-peptide Growth Hormone Secretagogue (GH-S). This combination is often employed to maximize the pulsatile release of endogenous growth hormone (GH) and increase Insulin-like Growth Factor 1 (IGF-1) levels. The combined therapy is designed for robust anabolic and metabolic support in clinical settings.
Origin
The term describes a specific stack or combination protocol in endocrinology and performance medicine, utilizing agents developed for treating GH deficiency and wasting syndromes. Their combined use reflects an advanced strategy for maximizing the somatotropic axis beyond single-agent efficacy.
Mechanism
Tesamorelin acts directly on the pituitary gland’s somatotroph cells, mimicking the action of endogenous GHRH to stimulate GH release. Ibutamoren, conversely, acts on the ghrelin receptor in the hypothalamus and pituitary to potentiate GH release and reduce somatostatin inhibition. The dual mechanism provides a powerful, multi-faceted stimulus to the somatotropic axis, resulting in elevated systemic GH and IGF-1 concentrations for tissue repair and metabolism.
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