Sorry to go off topic, but with tesamorelin I forget where you mentioned it wouldn't be advantageous to take with ipamorelin. I was considering adding ipamorelin to my 2mg tesamorelin dose
To cut to the chase, if you’ve been on Tesa for a while, 4 months+, and you want more of the same effects you’ve been observing, switch to rHGH. After 6 months you could switch back to Tesa for “maintenance” with a wide safety margin and little effort (ie no need to manage bloodwork, manage sides, timing and nutrition, just inject around the same time daily).
Stacking Tesa with other secretagogues is a Medspa relic from the days of very expensive rHGH and trying to avoid problems with the law. Because once you start combining secretagogues with Tesa, you give up Tesa’s proven safety, in exchange for what amounts to more risk than using rHGH, without results that are anywhere as good.
In other words, Tesa is a great, well understood, extremely safe clinically trialed pharmaceutical, with good results and minimal effort.
rHGH is also a well understood pharmaceutical with decades of use and millions of users. It requires more effort to use safely, in return for significantly more growth hormone benefits.
Tesa+secretagogue is uncharted territory, with all the risk that entails, in exchange for mediocre results compared to the well worn path of rHGH.