Rankings / Muscle Building

Sermorelin

Muscle Building · GHRH(1-29) analog

Tier B-

gh-axis
5.9 / 10
Tier B-
Ev 6.0 Bn 5.0 Sf 7.0 Ax 5.0

What this is

Considered the most 'physiological' GH-axis intervention because it preserves the pituitary's own regulatory feedback. Geref withdrawn 2008 despite efficacy — commercial decision. Currently only available from compounding pharmacies in US; FDA has restricted some peptide compounding since 2023.

Mechanism

N-terminal 29-amino-acid fragment of endogenous GHRH; natural receptor agonist; very short half-life (~10 min); preserves physiological GH pulsatility and feedback

Dose & route

Typical anti-aging: 200-500 mcg subQ at bedtime

Citations

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This is an independent synthesis of published research by a non-clinician. Scores are opinions supported by citations, not prescriptions. See the full disclaimer and methodology for how this score was produced and what it does and doesn't mean.