Realistic, evidence-based timelines for every protocol we prescribe — synthesized from peer-reviewed research and clinical observation. Because informed patients get better outcomes.
Your progress, mapped by science
The Universal Pattern
Across all 12 compounds, a consistent hierarchy emerges. You will feel your investment working before bloodwork confirms it. Understanding this pattern may help prevent premature discontinuation during the critical early-investment period.
Loading: 200–250 mcg SC daily (weeks 1–2), increasing to 300–500 mcg daily (weeks 2–6), then taper to 250 mcg daily or 3–5x/week. Plasma half-life is under 30 minutes, favoring split dosing.
Cycling: 6–8 weeks on, 2–4 weeks off. Effects typically plateau at approximately 6–8 weeks of continuous use.
Variability: Younger patients (<40) typically respond faster due to higher baseline GH levels. Chronic systemic inflammation, poor sleep, and inadequate protein intake may slow response. Exercise enhances blood flow to repair sites.
Loading: 2.0–2.5 mg per injection, 2–3x/week for 4–6 weeks. Maintenance: 1–2 mg, 1–2x/week.
Cycling: 3 months on, 6 weeks off (or 6 weeks on, 6 weeks off). Hair growth benefits may reverse within 2 weeks of cessation, suggesting continuous or frequent cycling for that goal.
Timing: Administer in the evening on an empty stomach (2+ hours post-meal) to align with natural nocturnal GH pulsing. Carbohydrates and insulin blunt GH release.
Titration: Start tesamorelin 500 mcg + ipamorelin 100 mcg (weeks 1–2), increase to tesamorelin 1 mg + ipamorelin 200 mcg (weeks 3–4), target 1.5–2 mg + 200–300 mcg thereafter.
Important: VAT reduction reverses upon discontinuation — patients switched to placebo regained visceral fat over 26 weeks in clinical trials.
Dosing: 10 mg SC daily for 10 days, twice yearly (100 mg/year). Evening administration preferred for circadian melatonin alignment.
Optimal bloodwork window: 6–8 weeks after completion of each course.
Loading: 100–200 mg SC daily for 7–10 days. Maintenance: 50–100 mg SC 1–3x/week.
Co-supplementation: Trimethylglycine (TMG) 500–1000 mg daily supports methylation capacity. Cycling: 8 weeks on, 2–4 weeks off; or continuous maintenance.
Across All Protocols
Age, sleep quality, and baseline inflammation level. Patients under 40 with good sleep and low inflammatory burden consistently reach each milestone 1–2 weeks earlier than patients over 55 with disrupted sleep and chronic inflammation. Optimizing sleep (7–9 hours) meaningfully accelerates outcomes across every compound.
For BPC-157, TB-500, GHK-Cu, epithalon, and NAD+, multiple cycles produce progressively greater benefit. Epithalon demonstrates this most dramatically — annual dosing showed 4.1-fold mortality reduction versus one-time treatment.
Tesamorelin has Phase III RCT data from 816 patients; BPC-157 has no controlled human trials. We transparently communicate these differences because sophisticated patients verify claims independently — and because it's the right thing to do.
All timelines use structure/function language: "supports," "promotes," "may help," and "patients commonly report." Where evidence is strong, we say so. Where it's emerging, we say that too. This transparency positions Genesis Health as a credible authority in a market where overclaiming is the norm.
Transparency
We believe you deserve to know the strength of the science behind every protocol we prescribe. Individual results vary.
| Protocol | Evidence Level | Key Data Point |
|---|---|---|
| Tesamorelin + Ipamorelin | Strong | Phase III RCTs, n=816 pooled |
| Retatrutide | Strong | Phase 2 NEJM, n=338 + Phase 3 |
| Kisspeptin | Strong | Multiple RCTs, JAMA Network Open |
| TB-500 | Moderate | Phase II/III human RCTs (ocular/dermal) |
| Epithalon | Moderate | 70-patient trial, 15-year follow-up |
| NAD+ | Moderate | Strong biology; SC route extrapolated |
| GLOW 50/70 | Moderate | GHK-Cu human topical studies |
| BPC-157 | Emerging | 190+ preclinical; ~30 human subjects |
| BPC + TB Combo | Emerging | No combination studies; mechanism-based |
| MOTS-C | Emerging | Phase 1a/1b analog, n=20 |
| KLOW 80 | Emerging | No combination or KPV human trials |
Ready to Begin
Every timeline above requires comprehensive lab work and physician evaluation before protocol design. Your investment deserves a plan built on your biology, not assumptions.
No obligation. Your physician will determine if a protocol is appropriate for your goals. Individual results vary.
Confidential & Complimentary
The information provided on this page is for educational purposes only and is not intended as medical advice. All peptide protocols require physician evaluation and comprehensive laboratory testing before initiation. Timelines represent ranges based on published research and clinical observation; individual results vary based on age, baseline health, and compliance. Statements about peptide therapy have not been evaluated by the FDA. These products are not intended to diagnose, treat, cure, or prevent any disease. Genesis Health NYC · 425 Madison Avenue, New York, NY · (212) 644-9100
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