Sermorelin
Also known as: GHRH 1-29, Geref, Sermorelin Acetate, Sermorelin Acetate for Injection
Sermorelin is a bioidentical synthetic peptide comprising the first 29 amino acids of naturally occurring GHRH. It is FDA-approved for diagnostic use and widely prescribed off-label for anti-aging, stimulating growth hormone production in a natural pulsatile pattern that mimics the body's own rhythm.
Half-Life
10–20 minutes
Route
SubQ
Category
Growth Hormone Peptides, Anti-Aging & Longevity
Studies
50 references
Key Benefits
- Increases energy and vitality
- Improves body composition (more muscle, less fat)
- Enhances skin thickness and elasticity
- Strengthens immune system
- Improves sleep quality and REM sleep
- Supports bone density
- Enhances mental clarity and focus
- Safer than exogenous HGH — respects natural feedback loops
- FDA-approved for GH diagnostic use
Mechanism of Action
Sermorelin binds to GHRH receptors in the anterior pituitary gland, stimulating natural pulsatile growth hormone production and release. As a bioidentical GHRH fragment, it works through the body's own feedback mechanisms — it cannot overstimulate GH production beyond natural physiological levels. This safety profile distinguishes it from exogenous HGH injection.
Dosing Protocols
Standard Anti-Aging Protocol
- Dose
- 200–500 mcg
- Frequency
- 5–7 days per week
- Timing
- Before bedtime on empty stomach
- Cycle
- 3–6 months minimum; many continue indefinitely
Effects are cumulative over months. Bedtime dosing aligns with the body's natural GH pulse during slow-wave sleep. Consistent daily use produces best results.
Calculate your draw volume
Enter your vial size and BAC water to get exact injection volumes
Side Effects
- Injection site irritation
- Flushing
- Headache
- Dizziness
- Nausea (rare)
- Swelling at injection site
Contraindications
Active cancer or history of cancer. Pregnancy or breastfeeding. Untreated hypothyroidism (thyroid function should be optimized before use).
Storage
Lyophilized powder: store at −20°C. Reconstituted: refrigerate at 2–8°C, use within 30 days.
Featured In Stacks
Adult GH Deficiency & Hypopituitarism Support Protocol
A comprehensive growth hormone secretagogue protocol for adults with confirmed GH deficiency, hypopituitarism, or age-related somatopause. Restores the hypothalamic-pituitary GH axis through synergistic GHRH and ghrelin-receptor agonism, avoiding the risks of exogenous hGH administration.
Altitude & Mountaineering Performance Protocol
A protocol for mountaineers, altitude athletes, and competitive cyclists targeting improved hypoxic adaptation, pulmonary vasodilation to prevent HAPE, enhanced oxygen utilization efficiency, and accelerated recovery from altitude-induced tissue stress.
Bone Fracture Healing & Osteoporosis Prevention Protocol
A peptide protocol for accelerating fracture healing, preventing delayed union or non-union, and addressing osteoporosis-related bone fragility. Stimulates osteoblast activity, enhances bone matrix collagen deposition, promotes angiogenesis in the fracture callus, and supports systemic bone density.
Degenerative Disc Disease & Spinal Stenosis Protocol
A targeted peptide protocol for individuals suffering from degenerative disc disease, spinal stenosis, or chronic vertebral compression. Focuses on disc matrix regeneration, reduction of neuroinflammation, and structural collagen repair to restore mobility and reduce chronic pain.
Clinical Research
- 1.Therapeutic Peptides in Orthopaedics: Applications, Challenges, and Future Directions
Rahman OF, Lee SJ, Seeds WA · Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2026ReviewPubMed Verified
- 2.Analysis of growth hormone releasing hormone and its analogs in urine using nano liquid chromatography coupled with quadrupole/orbitrap mass spectrometry
Uçaktürk E, Nemutlu E · Journal of pharmaceutical and biomedical analysis · 2026PubMed Verified
- 3.Growth hormone - releasing hormone antagonists induce autophagy in cancer cells
Sigdel M, Fakir S, Sarker MMR, Barabutis N · Growth hormone & IGF research : official journal of the Growth Hormone Research Society and the International IGF Research Society · 2025PubMed Verified
- 4.Growth Hormone-Releasing Hormone Antagonists Increase Radiosensitivity in Non-Small Cell Lung Cancer Cells
Gesmundo I, Pedrolli F, Giglioli FR, Jazaj F, Granato G, Bertoldo A et al. · International journal of molecular sciences · 2025PubMed Verified
- 5.Antagonist of Growth Hormone-Releasing Hormone Receptor MIA-690 Suppresses the Growth of Androgen-Independent Prostate Cancers
Muñoz-Moreno L, Gómez-Calcerrada MI, Arenas MI, Carmena MJ, Prieto JC, Schally AV et al. · International journal of molecular sciences · 2024PubMed Verified
- 6.A novel approach for the treatment of AML, through GHRH antagonism: MIA-602
Costoya J, Gaumond SI, Chale RS, Schally AV, Jimenez JJ · Reviews in endocrine & metabolic disorders · 2025ReviewPubMed Verified
- 7.Exploring the role of GHRH antagonist MIA-602 in overcoming Doxorubicin-resistance in acute myeloid leukemia
Gaumond SI, Abdin R, Costoya J, Schally AV, Jimenez JJ · Oncotarget · 2024PubMed Verified
- 8.Chromatographic-mass spectrometric analysis of peptidic analytes (2-10 kDa) in doping control urine samples
Thomas A, Walpurgis K, Thevis M · Journal of mass spectrometry : JMS · 2024PubMed Verified
- 9.Growth hormone-releasing hormone receptor antagonist MIA-602 attenuates cardiopulmonary injury induced by BSL-2 rVSV-SARS-CoV-2 in hACE2 mice
Condor Capcha JM, Kamiar A, Robleto E, Saad AG, Cui T, Wong A et al. · Proceedings of the National Academy of Sciences of the United States of America · 2023PubMed Verified
- 10.Cationic exchange SPE combined with triple quadrupole UHPLC-MS/MS for detection of GHRHs in urine samples
Cristea CD, Radu M, Toboc A, Stan C, David V · Analytical biochemistry · 2023PubMed Verified
- 11.In-house standards derived from doping peptides: Enzymatic and serum stability and degradation profile of GHRP and GHRH-related peptides
González-López NM, Guerra-Acero-Turizo LM, Blanco-Medina I, Barragán-Cárdenas AC, Ramírez-Celis DA, Martínez-Ramírez JA et al. · Biomedical chromatography : BMC · 2023PubMed Verified
- 12.Growth hormone-releasing hormone antagonist MIA-602 inhibits inflammation induced by SARS-CoV-2 spike protein and bacterial lipopolysaccharide synergism in macrophages and human peripheral blood mononuclear cells
Granato G, Gesmundo I, Pedrolli F, Kasarla R, Begani L, Banfi D et al. · Frontiers in immunology · 2023PubMed Verified
- 13.GHRH agonist MR-409 protects β-cells from streptozotocin-induced diabetes
Louzada RA, Blandino-Rosano M, Flores S, Lubaczeuski C, Cui T, Sha W et al. · Proceedings of the National Academy of Sciences of the United States of America · 2023PubMed Verified
- 14.Online large volume sample staking preconcentration and separation of enantiomeric GHRH analogs by capillary electrophoresis
Otin J, Tran NT, Benoit A, Buisson C, Taverna M · Electrophoresis · 2023PubMed Verified
- 15.Probing for peptidic drugs (2-10 kDa) in doping control blood samples
Thomas A, Thilmany S, Hofmann A, Thevis M · Analytical science advances · 2022PubMed Verified
- 16.Tumorigenic transformation of human prostatic epithelial cell line RWPE-1 by growth hormone-releasing hormone (GHRH)
Muñoz-Moreno L, Carmena MJ, Prieto JC, Schally AV, Bajo AM · The Prostate · 2022PubMed Verified
- 17.An antibody-free, ultrafiltration-based assay for the detection of growth hormone-releasing hormones in urine at low pg/mL concentrations using nanoLC-HRMS/MS
Coppieters G, Deventer K, Polet M, Van Eenoo P, Judák P · Journal of pharmaceutical and biomedical analysis · 2022PubMed Verified
- 18.Synthesis of potent antagonists of receptors for growth hormone-releasing hormone with antitumor and anti-inflammatory activity
Cai R, Zhang X, Wang H, Cui T, Halmos G, Sha W et al. · Peptides · 2022PubMed Verified
- 19.Impact of growth hormone-releasing hormone antagonist on decidual stromal cell growth and apoptosis in vitro†
Wu HM, Chen LH, Schally AV, Huang HY, Soong YK, Leung PCK et al. · Biology of reproduction · 2022PubMed Verified
- 20.Advances in the detection of growth hormone releasing hormone synthetic analogs
Memdouh S, Gavrilović I, Ng K, Cowan D, Abbate V · Drug testing and analysis · 2021PubMed Verified
- 21.Effects of growth hormone-releasing hormone receptor antagonist MIA-602 in mice with emotional disorders: a potential treatment for PTSD
Recinella L, Chiavaroli A, Orlando G, Ferrante C, Veschi S, Cama A et al. · Molecular psychiatry · 2021PubMed Verified
- 22.Effects of growth hormone-releasing hormone agonistic analog MR-409 on insulin-secreting cells under cyclopiazonic acid-induced endoplasmic reticulum stress
Rodrigues-Dos-Santos K, Soares GM, Guimarães DSPSF, Araújo TR, Vettorazzi JF, Zangerolamo L et al. · Molecular and cellular endocrinology · 2021PubMed Verified
- 23.Agonist of growth hormone-releasing hormone enhances retinal ganglion cell protection induced by macrophages after optic nerve injury
Cen LP, Ng TK, Liang JJ, Xu C, Zhuang X, Liu YF et al. · Proceedings of the National Academy of Sciences of the United States of America · 2021PubMed Verified
- 24.Growth hormone-releasing hormone antagonistic analog MIA-690 stimulates food intake in mice
Recinella L, Chiavaroli A, Orlando G, Ferrante C, Gesmundo I, Granata R et al. · Peptides · 2021PubMed Verified
- 25.A potentially effective drug for patients with recurrent glioma: sermorelin
Chang Y, Huang R, Zhai Y, Huang L, Feng Y, Wang D et al. · Annals of translational medicine · 2021PubMed Verified
- 26.Growth hormone-releasing hormone agonists ameliorate chronic kidney disease-induced heart failure with preserved ejection fraction
Rieger AC, Bagno LL, Salerno A, Florea V, Rodriguez J, Rosado M et al. · Proceedings of the National Academy of Sciences of the United States of America · 2021PubMed Verified
- 27.Comparison of magnetic bead surface functionalities for the immunopurification of growth hormone-releasing hormones prior to liquid chromatography-high resolution mass spectrometry
Pont L, Alechaga É, Terrero A, Monfort N, Ventura R · Journal of chromatography. A · 2020PubMed Verified
- 28.GHRH Antagonists Protect Against Hydrogen Peroxide-Induced Breakdown of Brain Microvascular Endothelium Integrity
Barabutis N, Akhter MS, Uddin MA, Kubra KT, Schally AV · Hormone and metabolic research = Hormon- und Stoffwechselforschung = Hormones et metabolisme · 2020PubMed Verified
- 29.A glimpse at growth hormone-releasing hormone cosmos
Barabutis N · Clinical and experimental pharmacology & physiology · 2020PubMed Verified
- 30.Beyond the androgen receptor: the role of growth hormone secretagogues in the modern management of body composition in hypogonadal males
Sinha DK, Balasubramanian A, Tatem AJ, Rivera-Mirabal J, Yu J, Kovac J et al. · Translational andrology and urology · 2020ReviewPubMed Verified
- 31.Splice variant of growth hormone-releasing hormone receptor drives esophageal squamous cell carcinoma conferring a therapeutic target
Xiong X, Ke X, Wang L, Yao Z, Guo Y, Zhang X et al. · Proceedings of the National Academy of Sciences of the United States of America · 2020PubMed Verified
- 32.Signaling mechanisms of growth hormone-releasing hormone receptor in LPS-induced acute ocular inflammation
Liang WC, Ren JL, Yu QX, Li J, Ng TK, Chu WK et al. · Proceedings of the National Academy of Sciences of the United States of America · 2020PubMed Verified
- 33.Antinflammatory, antioxidant, and behavioral effects induced by administration of growth hormone-releasing hormone analogs in mice
Recinella L, Chiavaroli A, Orlando G, Ferrante C, Marconi GD, Gesmundo I et al. · Scientific reports · 2020PubMed Verified
- 34.Exquisite sensitivity of adrenocortical carcinomas to induction of ferroptosis
Belavgeni A, Bornstein SR, von Mässenhausen A, Tonnus W, Stumpf J, Meyer C et al. · Proceedings of the National Academy of Sciences of the United States of America · 2019PubMed Verified
- 35.Growth Hormone-Releasing Hormone Receptor Antagonist Modulates Lung Inflammation and Fibrosis due to Bleomycin
Zhang C, Cai R, Lazerson A, Delcroix G, Wangpaichitr M, Mirsaeidi M et al. · Lung · 2019PubMed Verified
- 36.Agonists of growth hormone-releasing hormone (GHRH) inhibit human experimental cancers in vivo by down-regulating receptors for GHRH
Schally AV, Wang H, He J, Cai R, Sha W, Popovics P et al. · Proceedings of the National Academy of Sciences of the United States of America · 2018PubMed Verified
- 37.Induction of Apoptosis in Pterygium Cells by Antagonists of Growth Hormone-Releasing Hormone Receptors
Qin YJ, Chu WK, Huang L, Ng CHY, Chan TCY, Cao D et al. · Investigative ophthalmology & visual science · 2018PubMed Verified
- 38.Growth hormone-releasing hormone receptor antagonists modify molecular machinery in the progression of prostate cancer
Muñoz-Moreno L, Schally AV, Prieto JC, Carmena MJ, Bajo AM · The Prostate · 2018PubMed Verified
- 39.A new approach to the treatment of acute myeloid leukaemia targeting the receptor for growth hormone-releasing hormone
Jimenez JJ, DelCanto GM, Popovics P, Perez A, Vila Granda A, Vidaurre I et al. · British journal of haematology · 2018PubMed Verified
- 40.Inhibition of experimental small-cell and non-small-cell lung cancers by novel antagonists of growth hormone-releasing hormone
Wang H, Zhang X, Vidaurre I, Cai R, Sha W, Schally AV · International journal of cancer · 2018PubMed Verified
- 41.Protective effects of agonists of growth hormone-releasing hormone (GHRH) in early experimental diabetic retinopathy
Thounaojam MC, Powell FL, Patel S, Gutsaeva DR, Tawfik A, Smith SB et al. · Proceedings of the National Academy of Sciences of the United States of America · 2017PubMed Verified
- 42.Re: Antagonists of Growth Hormone-Releasing Hormone Inhibit Proliferation Induced by Inflammation in Prostatic Epithelial Cells
Atala A · The Journal of urology · 2017PubMed Verified
- 43.Growth Hormone Secretagogue Treatment in Hypogonadal Men Raises Serum Insulin-Like Growth Factor-1 Levels
Sigalos JT, Pastuszak AW, Allison A, Ohlander SJ, Herati A, Lindgren MC et al. · American journal of men's health · 2017PubMed Verified
- 44.Effects of an Antagonistic Analog of Growth Hormone-Releasing Hormone on Endometriosis in a Mouse Model and In Vitro
Köster F, Jin L, Shen Y, Schally AV, Cai RZ, Block NL et al. · Reproductive sciences (Thousand Oaks, Calif.) · 2017PubMed Verified
- 45.Growth hormone-releasing hormone antagonist inhibits the invasiveness of human endometrial cancer cells by down-regulating twist and N-cadherin expression
Wu HM, Huang HY, Schally AV, Chao A, Chou HH, Leung PC et al. · Oncotarget · 2017PubMed Verified
- 46.Growth hormone-releasing hormone receptor antagonists inhibit human gastric cancer through downregulation of PAK1-STAT3/NF-κB signaling
Gan J, Ke X, Jiang J, Dong H, Yao Z, Lin Y et al. · Proceedings of the National Academy of Sciences of the United States of America · 2016PubMed Verified
- 47.Antagonists of growth hormone-releasing hormone receptor induce apoptosis specifically in retinoblastoma cells
Chu WK, Law KS, Chan SO, Yam JC, Chen LJ, Zhang H et al. · Proceedings of the National Academy of Sciences of the United States of America · 2016PubMed Verified
- 48.Agonistic analogs of growth hormone releasing hormone (GHRH) promote wound healing by stimulating the proliferation and survival of human dermal fibroblasts through ERK and AKT pathways
Cui T, Jimenez JJ, Block NL, Badiavas EV, Rodriguez-Menocal L, Vila Granda A et al. · Oncotarget · 2016PubMed Verified
- 49.Anti-proliferative and pro-apoptotic effects of GHRH antagonists in prostate cancer
Muñoz-Moreno L, Arenas MI, Carmena MJ, Schally AV, Sánchez-Chapado M, Prieto JC et al. · Oncotarget · 2016PubMed Verified
- 50.Impact of Axis of GHRH and GHRH Receptor on Cell Viability and Apoptosis of the Placental Choriocarcinoma Cell Line
Liu AX, Zhang D, Zhu YM, Gao HJ, Jiang JY, Hu XL et al. · Current molecular medicine · 2016PubMed Verified
Medical disclaimer: This information is for educational purposes only and does not constitute medical advice. Many compounds listed are research chemicals not approved for human use. Always consult a qualified healthcare professional before starting any protocol.
Was this page helpful?
Launching soon
Build and track your protocol in Staqk
Log doses, track timing, monitor biomarkers, and manage every compound in your stack — all in one place.