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Growth hormone and muscle

Peptides that prompt the body to release growth hormone, growth hormone itself, and the growth factors downstream of it. Tesamorelin is the one FDA-approved growth hormone releaser.

Which of these has the most human evidence? See Best Peptides for Muscle Growth, Ranked by Human Evidence.

GHRH analogues (act on the GHRH receptor)

  • CJC-1295

    aka CJC-1295 with DAC · CJC-1295 without DAC · Modified GRF (1-29)

    Investigated as a long-acting growth hormone-releasing hormone analogue to raise GH and IGF-I. Reached Phase 2 and was discontinued; never approved for any indication.

    Limited human dataResearch use only

    GuideDosage chart

  • Tesamorelin

    aka Egrifta · Egrifta WR · Egrifta SV

    Approved for reducing excess visceral abdominal fat in people with HIV-associated lipodystrophy.

    Strong human evidenceFDA-approved · prescription only

    GuideDosage

  • Sermorelin

    aka GHRH(1-29)NH2 · Geref · Sermorelin acetate

    Marketed to adults for sleep, body composition and aging. Its former FDA approvals, as Geref, were for growth hormone deficiency in children and a 0.05 mg diagnostic test; both are discontinued.

    Limited human dataUnapproved drug

    GuideDosage

GHRH analogues (act on the GHRH receptor): side by side

Doses for unapproved compounds are common practice, not trial-established.

CompoundMain useEvidenceUsual doseUS status
CJC-1295Investigated as a long-acting growth hormone-releasing hormone analogue to raise GH and IGF-I. Reached Phase 2 and was discontinued; never approved for any indication.Limited human data100-300 mcg, once daily, 5 days a week (5 days on, 2 off), usually the no-DAC formResearch use only
TesamorelinApproved for reducing excess visceral abdominal fat in people with HIV-associated lipodystrophy.Strong human evidenceFDA labelFDA-approved · prescription only
SermorelinMarketed to adults for sleep, body composition and aging. Its former FDA approvals, as Geref, were for growth hormone deficiency in children and a 0.05 mg diagnostic test; both are discontinued.Limited human data200-600 mcg, once nightly; most protocols run 5-7 nights a week, some as 5 days on/2 offUnapproved drug

Secretagogues (act on the ghrelin receptor)

  • Ipamorelin

    aka NNC 26-0161 · Aib-His-D-2-Nal-D-Phe-Lys-NH2

    Investigated for postoperative ileus, reaching Phase 2 before being discontinued for insufficient efficacy. Marketed to consumers for growth hormone release, an application never approved anywhere.

    Limited human dataResearch use only

    GuideDosage chart

  • MK-677 (Ibutamoren)

    aka Ibutamoren · Ibutamoren mesylate · L-163,191

    Developed as an oral, non-injectable alternative to peptide growth hormone secretagogues. Published trials in healthy older adults and obese men found it raised growth hormone and IGF-1 and increased fat-free mass; FDA references a hip-fracture trial that was stopped early. Marketed to consumers as a research chemical for muscle and recovery, a use never approved by any regulator.

    Limited human dataResearch use only

    GuideDosage

  • GHRP-2

    aka Growth Hormone Releasing Peptide-2 · Pralmorelin · KP-102

    Sold to consumers as a growth-hormone-release research chemical for muscle and recovery use, an application never approved anywhere. Historically investigated as a pituitary growth-hormone stimulus and diagnostic agent.

    Limited human dataResearch use only

    GuideDosage chart

  • GHRP-6

    aka Growth Hormone Releasing Peptide-6 · GHRP6 · His-D-Trp-Ala-Trp-D-Phe-Lys-NH2

    One of the original growth hormone-releasing peptides, studied since the 1980s as a pituitary GH secretagogue. Marketed to consumers for muscle and recovery goals, an application never approved anywhere.

    Limited human dataResearch use only

    GuideDosage chart

  • Hexarelin

    aka Examorelin · HEXA

    Investigated since the 1990s as a growth hormone-releasing peptide (GHRP), including for growth-hormone stimulation testing. Sold to consumers as a research chemical for muscle and recovery use, an application with no controlled human trial behind it.

    Limited human dataResearch use only

    GuideDosage chart

Secretagogues (act on the ghrelin receptor): side by side

Doses for unapproved compounds are common practice, not trial-established.

CompoundMain useEvidenceUsual doseUS status
IpamorelinInvestigated for postoperative ileus, reaching Phase 2 before being discontinued for insufficient efficacy. Marketed to consumers for growth hormone release, an application never approved anywhere.Limited human data100-300 mcg, once nightly on 5 days a week in physician-supervised protocols, up to three times daily on an empty stomach in less structured useResearch use only
MK-677 (Ibutamoren)Developed as an oral, non-injectable alternative to peptide growth hormone secretagogues. Published trials in healthy older adults and obese men found it raised growth hormone and IGF-1 and increased fat-free mass; FDA references a hip-fracture trial that was stopped early. Marketed to consumers as a research chemical for muscle and recovery, a use never approved by any regulator.Limited human data12.5-25 mg, once daily by mouth; the published 2008 trial dosed each morning, while compounding-pharmacy protocols commonly move dosing to before bedResearch use only
GHRP-2Sold to consumers as a growth-hormone-release research chemical for muscle and recovery use, an application never approved anywhere. Historically investigated as a pituitary growth-hormone stimulus and diagnostic agent.Limited human data100-300 mcg, 2 to 3 times daily, on an empty stomach, 5 days a week (5 on, 2 off)Research use only
GHRP-6One of the original growth hormone-releasing peptides, studied since the 1980s as a pituitary GH secretagogue. Marketed to consumers for muscle and recovery goals, an application never approved anywhere.Limited human data100-300 mcg, 2 to 3 times daily, on an empty stomach, spaced at least 3-4 hours apartResearch use only
HexarelinInvestigated since the 1990s as a growth hormone-releasing peptide (GHRP), including for growth-hormone stimulation testing. Sold to consumers as a research chemical for muscle and recovery use, an application with no controlled human trial behind it.Limited human data80-160 mcg, once or twice daily (morning and/or before bed), on an empty stomachResearch use only

Growth hormone and growth factors

  • HGH 191AA

    aka Somatropin · rHGH · 191-amino acid recombinant human growth hormone

    Marketed to consumers for body recomposition, recovery and anti-aging in adults who do not have a diagnosed growth hormone deficiency. The identical molecule, somatropin, is FDA-approved by prescription for defined deficiency and wasting conditions - see the "Where approved somatropin fits" section on the main guide for that distinction.

    Limited human dataResearch use only

    GuideDosage chart

  • IGF-1 LR3

    aka Long R3 IGF-1 · Long-R3-IGF-1

    Originally engineered as a laboratory reagent - an IGF-1 variant with reduced binding to IGF-binding proteins, used to study IGF-1 signalling in cell culture. Sold to consumers as a research chemical for muscle growth, a use with no controlled human trial behind it.

    Animal / lab onlyResearch use only

    GuideDosage chart

  • IGF-1 DES

    aka Des(1-3)IGF-1 · IGF-1 Des(1-3) · Truncated IGF-1

    Originally isolated and studied as a naturally occurring IGF-1 fragment in laboratory pharmacology, used to probe IGF-1 receptor signalling with reduced interference from binding proteins. Sold to consumers as a research chemical for localised, site-specific muscle growth, a use with no controlled human trial behind it.

    Animal / lab onlyResearch use only

    GuideDosage chart

  • MGF

    aka Mechano Growth Factor · IGF-1Ec · Non-pegylated MGF

    Marketed to consumers as a peptide injected directly into a trained muscle immediately after exercise, for local muscle repair and growth. No completed human trial has tested it for this or any outcome.

    Animal / lab onlyResearch use only

    GuideDosage chart

  • PEG-MGF

    aka Pegylated Mechano Growth Factor · PEGylated MGF · IGF-1Ec peptide analogue

    Marketed to consumers for muscle repair and growth after resistance training. Never approved for human use; FDA states it has identified no human exposure data on it by any route.

    Animal / lab onlyResearch use only

    GuideDosage chart

  • Follistatin

    aka FST · Follistatin-344 · FST-344

    The body's own brake on activin and myostatin signalling, studied academically as a gene-therapy payload for muscle-wasting disease. Sold separately, as an injected research-chemical protein, for grey-market muscle-building use that its own human trials have never tested.

    Animal / lab onlyResearch use only

    GuideDosage chart

Growth hormone and growth factors: side by side

Doses for unapproved compounds are common practice, not trial-established.

CompoundMain useEvidenceUsual doseUS status
HGH 191AAMarketed to consumers for body recomposition, recovery and anti-aging in adults who do not have a diagnosed growth hormone deficiency. The identical molecule, somatropin, is FDA-approved by prescription for defined deficiency and wasting conditions - see the "Where approved somatropin fits" section on the main guide for that distinction.Limited human data333-1333 mcg, Once daily (split into a morning and evening dose above roughly 3 IU/day), subcutaneousResearch use only
IGF-1 LR3Originally engineered as a laboratory reagent - an IGF-1 variant with reduced binding to IGF-binding proteins, used to study IGF-1 signalling in cell culture. Sold to consumers as a research chemical for muscle growth, a use with no controlled human trial behind it.Animal / lab only20-50 mcg, once dailyResearch use only
IGF-1 DESOriginally isolated and studied as a naturally occurring IGF-1 fragment in laboratory pharmacology, used to probe IGF-1 receptor signalling with reduced interference from binding proteins. Sold to consumers as a research chemical for localised, site-specific muscle growth, a use with no controlled human trial behind it.Animal / lab only20-120 mcg, on training days only, about 4-5 times a week, not on rest daysResearch use only
MGFMarketed to consumers as a peptide injected directly into a trained muscle immediately after exercise, for local muscle repair and growth. No completed human trial has tested it for this or any outcome.Animal / lab only100-400 mcg, Immediately post-workout, 2-3 times a week (training days only)Research use only
PEG-MGFMarketed to consumers for muscle repair and growth after resistance training. Never approved for human use; FDA states it has identified no human exposure data on it by any route.Animal / lab only200-400 mcg, 2-3 times a week, post-workoutResearch use only
FollistatinThe body's own brake on activin and myostatin signalling, studied academically as a gene-therapy payload for muscle-wasting disease. Sold separately, as an injected research-chemical protein, for grey-market muscle-building use that its own human trials have never tested.Animal / lab only100-500 mcg, 2 to 4 times a weekResearch use only