Batch 001 - Live Allocation
3/100 SoldQ4 launch pricing · ends 31 Dec
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◭ V-Series Protocol

V-M2Popular · Next-Gen Metabolic

Metabolic Plus - Advanced Weight Loss

Triple-receptor weight reduction with sustained energy

Quick Takeaways
✓Triple-receptor agonist - GLP-1 / GIP / glucagon (Retatrutide)
✓Phase 2 weight reduction up to 24.2% at 48 weeks
✓Visceral lipid and recovery support layered (Tesamorelin, BPC-157)
TargetsMetabolic Health · Advanced Weight Reduction
Duration16–24 week titration
Cohort19 active members
Core Compounds
RetatrutideTesamorelin
Batch 001 Allocation
4 of 12 reserved8 open
Choose your supply
1-month supply
$374 USD/mo
Launch price · regular $415/mo from 1 Jan
Supply savings
1-month supply$374/mo
3-month supply$356/mo · $1068 total
6-month supply$338/mo · $2028 total
No subscriptions: a 3- or 6-month supply is one payment and one parcel. International shipping $35, free on orders of $250 or more.
◇ Optional Adjuncts
BPC-157
+$38/mo
Purpose: GI protection during titration
Indication: Strongly recommended for V-M2 given Retatrutide's higher GI side-effect profile. Optional, typically during titration weeks 1-8.
Adjuncts are selected based on your specific profile - they are not default purchases. Adjuncts are optional.
◇
Janoshik Verified
HPLC + MS purity, every batch
Independent third-party lab
⬡
COA Per Batch
Lot-level certificates published
Labeled vs actual mg disclosed
⊙
Lot-Tested
Every lot, independent lab
Report and verification code per lot
◆ Certificates for this stack
JANOSHIK ANALYTICAL2 of 2 published
10mg vial
LotRetatrutide-2026-07-30
Labeled → actual5 mg → 5.16 mg
Purity99.726%
Endotoxin0.3554 EU/mg
Report →Verify code ERPESIN5JUHC
10mg vial
LotTesamorelin-2026-07-30
Labeled → actual5 mg → 4.73 mg
Purity97.423%
Endotoxinnot tested
Report →Verify code 9PCF8V7IKJBR
V-M2 · Gold · Metabolic Vanguard
Composition

Each compound, and what it does

Every component is individually sourced and third-party verified. Tap any compound for its full clinical reference.

▸
Clinical Overview
V-M2 Explainer · 90 seconds
Video Coming Soon
Clinical explainer · ~90s
◉
Patient Selection
Who This Protocol Is For

An advanced weight-loss stack built around Retatrutide, a newer triple-action compound, for people who have plateaued on other options. Includes BPC-157 for digestive comfort during the build-up phase.

CLINICAL INDICATION: Refractory metabolic dysfunction, dual-agonist plateau, advanced weight reduction research

Cohort Outcomes · V-M2
What members on Metabolic Plus - Advanced Weight Loss report.
n=12 members completing Week 16 of V-M2 (early cohort - interpret with caution) · Population medians, individual results vary
Body weight reduction
-14.2%
Median, baseline → wk 16, n=12, range -8.1% to -19.4%
Fasting insulin
-41%
Median across cohort, baseline → wk 16
Hepatic fat (where measured)
-29%
Subset n=7 with baseline + wk 16 imaging
Protocol completion
10/12
2 discontinued (GI tolerability, wk 6 and wk 9)
Member VL-2026-0391 (M, 51) with dual-agonist plateau: additional 11% body weight reduction over 16 weeks on V-M2 after 9 months static on prior therapy. Lean mass preserved per DEXA. Investigational compound - outcomes are early-cohort and not generalizable.
Outcomes shown reflect cohort medians from members completing 12 weeks on protocol. Individual outcomes depend on baseline biomarkers and adherence. Past cohort performance does not guarantee future results.
◈
Mechanism
How V-M2 Works

Advanced metabolic protocol anchored by Retatrutide's simultaneous activation of GLP-1, GIP, and glucagon receptors. The glucagon pathway adds energy-expenditure and hepatic-lipid-mobilization effects absent in dual-agonist regimens. Tesamorelin preserves lean mass and dermal collagen during aggressive fat reduction. BPC-157 can be added - commonly paired with V-M2 given Retatrutide's higher GI side-effect profile relative to tirzepatide.

Dual-agonist therapy (GLP-1/GIP) addresses appetite and insulin sensitivity but does not directly increase energy expenditure. Retatrutide's glucagon-receptor activity adds a thermogenic and hepatic-lipid-clearance mechanism that produced higher cohort weight reduction than Tirzepatide in early-phase trials. V-M2 pairs this with structural-preservation support so that aggressive reduction does not come at the cost of lean mass or dermal architecture. The GI side-effect burden is meaningful - BPC-157 is commonly paired with V-M2 given the higher tolerability stress relative to tirzepatide. Retatrutide is investigational - not a first-line option.

◇
Formulation
What arrives each month
◇ Multi-Vial Stack
3 separate vials · Separate injections per your schedule
Retatrutide is investigational and follows its own weekly schedule per investigational protocol. Tesamorelin and BPC-157 are administered separately per integrated protocol. Pre-blending is not appropriate.
What's in the boxSpecificationPer month
Retatrutide10mg vial · once-weekly administration covers ~4 weeks1×
Tesamorelin10mg vial · typical monthly allocation1×
BPC-1575mg vial · 2 vials typical monthly supply for adjunct support2×
V-M2 cohort tracks Retatrutide as the primary intervention with adjunct support tracked separately.
Vial counts shown are operational transparency - what arrives in the monthly allocation box. Administration frequency, per-administration amounts, and reconstitution method are not given on this page.
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Components
Core Compounds in V-M2
Weight loss · once weekly
Retatrutide
Triple Agonist · 10mg
GLP-1 / GIP / Glucagon Triple Agonist
Growth hormone support
Tesamorelin
GHRH Analog · 10mg
GHRH Receptor Agonism
∞
Protocol Timeline
Titration Schedule
The schedule is shown to signed-in customers with a paid order.
◐
Clinical Oversight
Monitoring & Safety
Lab Monitoring
Fasting insulin, HbA1c, lipid panel, hepatic panel, IGF-1, DEXA at baseline + wk 8, 16, 24
Contraindications
Personal/family history of MTC, MEN2, pancreatitis, active hepatic impairment, pregnancy, severe GI motility disorders. Investigational compound - read the evidence and contraindications first.
✚
Patient Bloodwork Guide
Bloodwork for Metabolic & Weight Protocols

GLP-1 class - Tirzepatide, Retatrutide, Semaglutide, Cagrilintide, V-03, V-M2

These protocols work on appetite, insulin sensitivity, and how your body stores fat. Monitoring tracks both the metabolic benefit and the things that change quickly during weight loss - blood sugar, lipids, and lean-mass markers.

Incremental approach. Doses are titrated upward slowly from a low starting point. Maintenance is typically a moderate dose - pushing higher rarely adds benefit and adds side effects. Monitoring guides where you settle.

Blood sugar & insulin
Fasting insulinTracks insulin sensitivity - usually the first thing to improve.
HbA1cYour 3-month average blood sugar.
Fasting glucoseRoutine blood-sugar tracking.
Heart & lipids
Full lipid panelLDL, HDL, triglycerides, ApoB - these shift meaningfully during weight loss.
Resting heart rate & BPSimple checks tracked through the protocol.
Muscle & body composition
IGF-1Helps protect lean mass during rapid weight loss.
DEXA / body compositionConfirms you are losing fat, not muscle - the goal of pairing with resistance training.
Overall safety
CMP & liver enzymesKidney and liver function (AST/ALT), watched especially when compounds are combined.
ThyroidBaseline check, as thyroid influences metabolic rate.
When the tests happen
BaselineCMP, HbA1c, fasting insulin, full lipids, liver, thyroid, IGF-1, DEXA.
Weeks 4 / 8 / 12 / 16Weight, resting HR, BP, symptom check.
QuarterlyCMP, HbA1c, fasting insulin, lipids, liver, IGF-1, body composition.

Educational only - not medical advice or a dosing instruction. Your own doctor orders tests, interprets results and decides what is right for you. See the Informed Consent & Disclaimer for full terms.

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Lean-Mass Support During Weight Loss
A related option

Rapid GLP-1/GIP weight loss reduces fat and lean muscle. The foundation for preserving muscle is resistance training and adequate protein (roughly 1.2–1.6 g/kg/day for most people losing weight) - these do most of the work and come first.

As an adjunct, some people consider a GH-axis secretagogue stack, on the rationale that supporting the growth-hormone / IGF-1 axis may help protect lean mass during a caloric deficit. This is mechanistically reasonable but not established by combination-outcome trials - there is no study showing it preserves more muscle than training and protein alone. Whether it is appropriate is a question for your own doctor.

Educational only - not a recommendation to combine compounds or a dosing instruction.

⊟
Clinical Monitoring Reference
What Gets Tracked - and Why
Retatrutide is an investigational triple agonist (GLP-1 / GIP / glucagon). Because the glucagon pathway adds energy-expenditure and hepatic-lipid effects absent in dual agonists, monitoring in the trials was more intensive than a standard GLP-1 protocol. The following is the reference set tracked in the trials - it is not a self-administration guide.
Dosing & Frequency
Titration over 16–24 weeks in the trials, with review checkpoints at weeks 4, 8, 16, and 24. Frequency and dose are individual and are not given on this page.
BiomarkerWhy It's MonitoredBaselineCadence
HbA1cGlycemic control; glucagon-receptor activity can shift glucose handlingYesWk 8, 16, 24
Fasting insulinInsulin sensitivity trend; core efficacy signal for metabolic recompositionYesWk 8, 16, 24
Fasting glucoseHypo/hyperglycemia surveillance through titrationYesEach checkpoint
Lipid panel (fractionated)Glucagon pathway mobilizes hepatic lipids; track LDL-P, ApoB, triglyceridesYesWk 8, 16, 24
ALT / ASTHepatic safety; hepatic-lipid mobilization warrants liver-enzyme surveillanceYesWk 8, 16, 24
Hepatic panel (full)Broader liver-function picture if ALT/AST trend upwardYesAs clinically indicated
IGF-1Tracked when paired with Tesamorelin; growth-axis surveillanceYesWk 8, 16, 24
Lean mass (DEXA)Aggressive fat reduction risks lean-mass loss; confirm preservationYesWk 8, 16, 24
Resting heart rate / BPGLP-1-class agents can affect heart rate; baseline cardiovascular checkYesEach checkpoint
Renal panel (eGFR, creatinine)Volume status and renal safety during GI-driven intake changesYesWk 8, 16, 24
Amylase / lipasePancreatic-safety surveillance (class-wide caution)YesIf symptomatic / indicated
Thyroid (TSH) + MTC screenClass contraindication screen (MTC/MEN2) before and duringYesBaseline; re-screen if indicated
Body weight / waistPrimary efficacy outcome; rate-of-loss informs titration paceYesEach checkpoint
GI tolerability logNausea/satiety/transit guide titration speed and supportive careYesOngoing, every checkpoint
Investigational compound. Metabolic history and contraindication screening matter before any use. Cohort outcomes published by Vivre carry n, time period, and variance and are early-cohort - not generalizable.
This reference describes monitoring practice for educational purposes. It is not a prescription, a dosing instruction, or medical advice. Treatment, dosing, and frequency are not given on this site.
§
Clinical Literature
Evidence Behind The Stack
V-M2 is anchored on Retatrutide, with Tesamorelin and BPC-157 in supporting roles. Retatrutide is investigational with Phase 2 evidence; Tesamorelin is approved-class for its specific indication; BPC-157 is preclinical-only.
Retatrutide

Triple–Hormone-Receptor Agonist Retatrutide for Obesity - A Phase 2 Trial

Jastreboff AM, Kaplan LM, Frías JP, et al. · 2023 · New England Journal of Medicine 2023;389:514–526
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Findings

Phase 2 randomized controlled trial in 338 adults with obesity. At the 12 mg dose, mean weight reduction was approximately 24.2% over 48 weeks versus ~2% in the placebo group. Gastrointestinal adverse events were dose-related, predominantly mild-to-moderate. The study established proof-of-concept for triple GLP-1/GIP/glucagon receptor activation; Retatrutide remains investigational and not an approved therapy.

View on publisher ↗

Retatrutide, a GIP, GLP-1 and glucagon receptor agonist, for people with type 2 diabetes: a randomised, double-blind, placebo and active-controlled, parallel-group, phase 2 trial

Rosenstock J, Frías JP, Jastreboff AM, et al. · 2023 · The Lancet 2023;402:529–544
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Findings

Phase 2 trial in 281 adults with type 2 diabetes. At the 12 mg dose, mean body-weight reduction was approximately 16.9% at 24 weeks, with clinically meaningful improvements in HbA1c. Magnitude of weight reduction was notable given that weight loss in type 2 diabetes has historically been harder to achieve than in obesity alone. Results supported progression to the Phase 3 TRIUMPH programme.

View on publisher ↗

Triple hormone receptor agonist retatrutide for metabolic dysfunction-associated steatotic liver disease (MASLD): a randomized phase 2a trial

Sanyal AJ, Kaplan LM, Frías JP, et al. · 2024 · Nature Medicine 2024
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Findings

Phase 2a sub-study in adults with MASLD. The 12 mg dose produced reductions in liver fat content of approximately 82–86% with a high proportion of participants achieving normalisation of liver fat. Effects were dose-dependent. Findings positioned Retatrutide as a candidate for MASLD/MASH indications, now under further Phase 3 investigation.

View on publisher ↗
Retatrutide is investigational. The Phase 2 data across obesity, type 2 diabetes, and MASLD indications are encouraging but do not constitute regulatory approval. The first Phase 3 readout from the TRIUMPH programme (TRIUMPH-4, December 2025) was announced via Eli Lilly press release - reporting up to 28.7% mean weight reduction at 68 weeks in adults with obesity and knee osteoarthritis - but the peer-reviewed publication is not yet available. Vivre does not cite press-release data at the same evidence weight as peer-reviewed trials. Further TRIUMPH Phase 3 readouts (T2D, cardiovascular outcomes, OSA, MASLD) are expected through 2026; FDA submission timeline indicated by the sponsor is Q4 2026 or Q1 2027. It is investigational, and its status is stated plainly here.
Tesamorelin

Metabolic Effects of a Growth Hormone–Releasing Factor in Patients with HIV

Falutz J, Allas S, Blot K, et al. · 2007 · New England Journal of Medicine 2007;357:2359–2370
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Findings

Pivotal Phase 3 RCT in HIV-associated lipodystrophy over 26 weeks. Tesamorelin produced selective reduction in visceral adipose tissue versus placebo, with improvements in lipid profile and no significant glycaemic worsening at the studied dose. This trial supported the FDA approval for the lipodystrophy indication. Use outside this indication is off-label.

View on publisher ↗
Tesamorelin has well-characterised evidence for visceral adipose reduction in its approved indication. Use in healthy adults for body composition is off-label.
BPC-157

Oral Peptide BPC-157 - An Emerging Adjunct to Inflammatory Bowel Disease Therapy: A Systematic Review

Joshi N, Patel S, et al. · 2025 · American Journal of Gastroenterology 2025;120(10S):Abstract S808
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Findings

PRISMA-compliant systematic review (36 studies, 1993–2025) summarising the BPC-157 evidence base. The authors documented BPC-157's mechanistic profile (growth hormone receptor enhancement, angiogenesis modulation, anti-inflammatory pathways) across preclinical IBD, GI ulcer, NSAID-induced injury, fistula, and anastomotic models. Critically, the review states: "No clinical safety data is available to date" - i.e. despite extensive preclinical activity, controlled human safety and efficacy data remain absent in the modern peer-reviewed literature.

View on publisher ↗

Pentadecapeptide BPC 157 in Clinical Trials as a Therapy for Inflammatory Bowel Disease (PL14736)

Sikirić P, Petek M, Ručman R, et al. (originating group; multiple publications) · 2003–2024 · Multiple publications; see Inflammopharmacology 2024;32:3119–3161 (review)
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Findings

Early Croatian Phase I/II clinical trials (PL10, PL14736) explored BPC-157 in mild-to-moderate ulcerative colitis, reporting safety and tolerability signals in small cohorts. Important caveats: these trials were conducted primarily by BPC-157's discoverers and have not been independently replicated in Western peer-reviewed RCTs at scale; detailed trial reports have not appeared in major Western journals despite frequent reference in subsequent reviews. The 2024 Sikiric et al. review summarises three decades of work but is from the originating group. Independent confirmatory trials remain absent.

View on publisher ↗

Pentadecapeptide BPC 157 Enhances the Growth Hormone Receptor Expression in Tendon Fibroblasts

Chang CH, Tsai WC, Hsu YH, Pang JS · 2014 · Molecules 2014;19:19066–19077
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Findings

In-vitro study on isolated Achilles tendon fibroblasts. BPC-157 produced time- and dose-dependent upregulation of Growth Hormone Receptor expression at the mRNA and protein level, with increased fibroblast proliferation markers. Mechanistic and preclinical; does not constitute evidence of efficacy in human tissue repair.

View on publisher ↗

The promoting effect of pentadecapeptide BPC 157 on tendon healing involves tendon outgrowth, cell survival, and cell migration

Chang CH, Tsai WC, Lin MS, Hsu YH, Pang JS · 2011 · Journal of Applied Physiology 2011;110:774–780
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Findings

Preclinical study mapping cellular pathways. Identified BPC-157 activity on the FAK–paxillin migration pathway, with enhanced cell outgrowth and survival in tendon-explant models. Cellular/animal level; human controlled trial evidence remains absent.

View on publisher ↗

Stable Gastric Pentadecapeptide BPC 157 and Wound Healing

Seiwerth S, Milavic M, Vukojevic J, … Sikirić P (originating group) · 2021 · Frontiers in Pharmacology 2021;12:627533 (review)
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Findings

Comprehensive narrative review of BPC-157 wound-healing data across skin wounds, burns, diabetic ulcers, alkali burns, and a distinctive body of fistula-healing work (colocutaneous, gastrocutaneous, esophagocutaneous, duodenocutaneous, vesicovaginal, rectovaginal). Documents the angiogenic mechanism - BPC-157 upregulates VEGF-a and promotes endothelial proliferation and vascular tube formation, with an angiogenic effect exceeding standard agents in the sponge assay. Two important caveats: (1) the evidence is almost entirely animal (rat/mouse, some pig) - not human outcome data; (2) it is a review by the originating Zagreb group, and most primary citations are that group's own work, so it has not been independently replicated at scale. Note also that the same pro-angiogenic/VEGF action that drives healing is the basis for the theoretical oncologic caution discussed for any angiogenic compound.

View on publisher ↗

BPC157 as Potential Agent Rescuing from Cancer Cachexia

Kang EA, Han YM, An JM, … Sikiric P, Hahm KB · 2018 · Current Pharmaceutical Design 2018;24(18):1947–1956
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Findings

Review proposing BPC-157 as a candidate for cancer cachexia (cancer-related muscle/fat wasting). In a C-26 colon-adenocarcinoma mouse model the peptide antagonised TNF-α and IL-6, cytokines central to cachexia. Preclinical and pre-clinical-trial - a proposal, not an outcome study - and from the originating (Sikiric) group.

View on publisher ↗

BPC 157 inhibits cell growth and VEGF signalling via the MAPK kinase pathway in the human melanoma cell line

Radeljak S, Seiwerth S, Sikiric P · 2004 · Melanoma Research 2004;14(4):A14–A15 (conference abstract)
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Findings

In vitro: BPC-157 (2–10 ng) reduced human melanoma cell S-phase fraction by up to ~55% and decreased ERK phosphorylation - i.e. it acted as an antimitogenic agent INHIBITING the VEGF-MAPK proliferative signal in melanoma cells. A conference abstract (no full text), from the originating group; counterintuitive against the “BPC promotes angiogenesis” healing literature, which is why both directions matter.

View on publisher ↗

Stable Gastric Pentadecapeptide BPC 157 as a Therapy and Safety Key: … Controlling and Modulating Angiogenesis and the NO-System

Sikiric P, Seiwerth S, Skrtic A, et al. · 2025 · Pharmaceuticals (Basel) 2025;18(6):928 (PMC12195719)
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Findings

A 2025 review in which the originating group directly addresses the tumour-risk speculation: it argues BPC-157 CONTROLS/MODULATES angiogenesis rather than driving tumorigenesis (e.g. it opposes corneal neovascularisation - “angiogenic privilege”), reports anti-tumour potential in vitro and in vivo per Folkman’s concept, and notes LD1 not achieved with no reported adverse effects. Important read: this is a defence authored by the compound’s originating group, so it answers but does not independently close the theoretical tumour-risk question.

View on publisher ↗
BPC-157 has an extensive preclinical literature spanning thirty years and early Croatian Phase I/II trials in ulcerative colitis from the discovering group - but no independently-replicated controlled human RCTs at scale, and no current FDA or EMA approval for any indication. The 2025 ACG systematic review explicitly notes that no modern clinical safety data exists. Important disclosure for competitive athletes: BPC-157 has been on the World Anti-Doping Agency Prohibited List since 2022 (S0 - non-approved substances). Vivre sells BPC-157 for research use only, with the evidence limitations and WADA status stated here.
Studies cited are real peer-reviewed publications. Summaries reflect what each source actually concluded. Educational only - not medical advice, a prescription, or a dosing instruction.
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Products are sold for research use only and are not intended to diagnose, treat, cure or prevent any disease. Content on this site is educational and is not medical advice. Lot results apply to the lot tested; see each report for details. For adults 21 and over.

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