Compound profile

Hexarelin

GH secretagogue / GHRP (synthetic hexapeptide)

A synthetic hexapeptide growth hormone secretagogue (a GHRP) that acts on the ghrelin/GHS receptor to potently release growth hormone, studied mostly in 1990s-2000s human pharmacology work.

Reviewed for accuracy · Last reviewed July 8, 2026
ClassGH secretagogue / GHRP (ghrelin-receptor agonist)
RouteSubcutaneous or intravenous in studies
Doses studied~1 – 2 mcg/kg (about 100 mcg)
StatusNot FDA-approved; no approved product

Overview

Hexarelin is a synthetic hexapeptide that acts on the growth hormone secretagogue (ghrelin) receptor to trigger growth hormone release from the pituitary. In human studies it released roughly twice the GH of an equal dose of GHRH, which is why it is grouped with the GH-secretagogue peptides alongside sermorelin, tesamorelin, and CJC-1295/ipamorelin. It has real human pharmacology data but was never developed into an approved therapeutic product.

Beyond GH, hexarelin also transiently raises cortisol and prolactin, and a small set of studies reported short-lasting positive effects on cardiac contractility that appear largely independent of GH. A known caveat for this whole peptide class is that the GH-releasing effect tends to attenuate (partially desensitize) with continued use, more so with continuous than intermittent dosing.

Dosing

Human studies gave hexarelin intravenously at roughly 1 to 2 mcg/kg (about 100 mcg) and subcutaneously at similar mcg/kg doses. It is investigational, so there is no approved dose, and the GH response can attenuate with continued use.

Read the full Hexarelin dosage guide →

Side effects

Reported effects include facial flushing, transient rises in cortisol and prolactin, and injection-site reactions. As a GH-secretagogue class effect, water retention and changes in insulin sensitivity are also discussed.

Read the full Hexarelin side effects guide →

Storage

Keep unmixed vials refrigerated and away from light. Once reconstituted, peptides like this are generally kept refrigerated and used within a few weeks. See the full storage & safety guide for handling and disposal basics.

FAQ

Is hexarelin FDA-approved?No. Hexarelin has real human pharmacology studies from the 1990s and 2000s but was never developed into an approved product. There is no approved dose or indication.
How does it compare to other GH secretagogues?It works on the same ghrelin/GHS receptor as GHRPs like ipamorelin, and in studies released more GH than an equal dose of GHRH. Unlike GHRH analogs such as sermorelin, it also tends to raise cortisol and prolactin.
Does the GH response fade with continued use?Reviews of GHRPs report partial desensitization of the GH-releasing effect with continued use, greater with continuous than intermittent dosing. This is a documented class caveat.

References

  1. Growth Hormone-Releasing Activity of Hexarelin, a New Synthetic Hexapeptide, After Intravenous, Subcutaneous, Intranasal, and Oral Administration in ManJournal of Clinical Endocrinology & Metabolism · 1994 · PMID 8126144 · DOI 10.1210/jcem.78.3.8126144
  2. Hexarelin-Induced Growth Hormone, Cortisol, and Prolactin Release: A Dose-Response StudyJournal of Clinical Endocrinology & Metabolism · 1996 · PMID 8954038 · DOI 10.1210/jcem.81.12.8954038
  3. Effects of Acute Hexarelin Administration on Cardiac Performance in Patients With Coronary Artery Disease During By-Pass SurgeryEuropean Journal of Pharmacology · 2002 · PMID 12144941 · DOI 10.1016/s0014-2999(02)01934-9
  4. Growth Hormone-Releasing PeptidesEuropean Journal of Endocrinology · 1997 · DOI 10.1530/eje.0.1360445
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This page is an independent educational reference and is not medical advice, and does not indicate any approval status for any use. Talk to a doctor before starting any compound.