Compare Peptides

Select any two compounds for a side-by-side comparison of mechanism, uses, risks, and FDA regulatory status.

Popular comparisons

Hexarelin

Examorelin, His-D-2-MeTrp-Ala-Trp-D-Phe-Lys-NH2

Category 1
Growth Hormone Secretagogue

Sermorelin

Geref, GRF 1-29

Category 1
Growth Hormone Secretagogue
Overview

A synthetic hexapeptide growth hormone secretagogue and one of the most potent GH-releasing peptides known. Stimulates GH release more strongly than most other GHS peptides, but also has significant effects on cortisol and prolactin.

A synthetic analog of the first 29 amino acids of growth hormone-releasing hormone (GHRH). One of the longest-studied GH-releasing peptides with a history of FDA approval for pediatric GH deficiency.

Mechanism of Action

Binds to ghrelin receptors (GHS-R1a) in the pituitary and hypothalamus, triggering strong GH release. Also has direct cardioprotective effects independent of GH, including protection against ischemia-reperfusion injury. Activates the CD36 receptor in cardiac tissue.

Directly stimulates the pituitary gland to produce and release growth hormone through the natural GHRH pathway. Maintains the body's natural feedback mechanisms, reducing the risk of GH excess.

Common Uses
  • Growth hormone optimization
  • Muscle mass and strength
  • Fat loss
  • Cardiac protection (emerging research)
  • Recovery from injury
  • Growth hormone deficiency treatment
  • Anti-aging protocols
  • Improved sleep
  • Body composition improvement
  • Recovery enhancement
Known Risks
  • Significant cortisol and prolactin elevation (more than Ipamorelin)
  • Water retention
  • Increased appetite
  • Desensitization with prolonged use
  • Limited long-term human safety data
  • Injection site reactions (redness, swelling)
  • Headaches
  • Flushing
  • Dizziness
  • Generally well-tolerated in clinical studies
Regulatory Status
Category 1

Reclassified to Category 1 in February 2026 as part of the HHS announcement restoring compounding access. Not affected by the April 15, 2026 Category 2 removal action. Available through licensed 503A compounding pharmacies with a physician prescription.

Category 1

Previously FDA-approved as Geref for diagnostic use and pediatric GH deficiency (withdrawn from market for commercial reasons, not safety). Reclassified to Category 1 in February 2026 as part of the HHS announcement restoring compounding access. Not affected by the April 15, 2026 Category 2 removal action. Available through licensed 503A compounding pharmacies with a physician prescription.

This comparison is for educational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional before starting any peptide therapy.