Hexarelin
A peptide that releases growth hormone; repeated use can weaken the response.
Also called: Examorelin, HEX, EP-23905, MF-6003.
Growth hormone secretagogues (ghrelin receptor) · Ghrelin receptor agonist and growth hormone secretagogue.
What Hexarelin does
Hexarelin releases growth hormone and can raise prolactin and cortisol. Small studies tested injections, oral doses and nasal use. Repeated dosing can weaken the GH response. A 16-week study found no significant body-composition benefit. Acute heart effects do not establish treatment benefit or safety for chronic use.
- In small studies, it raised growth hormone, but the effect weakened with repeated use. (Studied in a trial)
- Small short-term studies found brief changes in heart pumping; lasting heart benefits were not shown. (Studied in a trial)
- In a very small study of children, growth speed stayed above their starting level as the hormone effect faded. (Studied in a trial)
Uses in the sources
- Studied to trigger GH release and explore GH-deficiency testing; this is not an approved treatment schedule. (Studied in a trial) (source)
- Small acute studies examined heart pumping function; lasting heart-disease benefits were not established. (Studied in a trial) (source)
- A 16-week SC study found no significant change in lean mass, body fat or bone density. (Studied in a trial) (source)
- A seven-person nighttime study reduced deep sleep despite raising GH. (Studied in a trial) (source)
Hexarelin dosage
Typical reported dose: 50–200 mcg two or three times a day
- IV dose test: 0.5: 0.5 mcg/kg IV once; ascending single-dose tests. once per test day, into a vein. Studied in a trial. Studied in: Adults in the cited study. (source)
- IV dose test: 1: 1 mcg/kg IV once; ascending single-dose tests. once per test day, into a vein. Studied in a trial. Studied in: Adults in the cited study. (source)
- IV dose test: 2: 2 mcg/kg IV once; ascending single-dose tests. once per test day, into a vein. Studied in a trial. Studied in: Adults in the cited study. (source)
- Single SC challenge: 1.5: 1.5 mcg/kg SC once. once per acute test, under the skin. Studied in a trial. Studied in: Adults in the cited study. (source)
- Single SC challenge: 3: 3 mcg/kg SC once. once per acute test, under the skin. Studied in a trial. Studied in: Adults in the cited study. (source)
- Single nasal challenge: 20 mcg/kg intranasally once. once per acute test, nasal spray. Studied in a trial. Studied in: Adults in the cited study. (source)
These are doses reported in labels, trials or user reports, not a personal plan. Check the source behind each one.
How to mix Hexarelin
Comes as: Lyophilized powder vial reported online, Controlled IV/SC study preparations, Nasal and oral research formulations.
Mixed with: Community threads mention bacteriostatic water; no approved hexarelin diluent or preparation label was found..
Common vial sizes: 2, 5 mg. Common water amounts: 1, 2 mL.
- Forum water volumes vary; these are observations, not validated mixing instructions.
- The mixing thread contains a mg/mcg error. Do not use that wording to calculate a dose.
- HPLC purity does not establish sterility or endotoxin safety after mixing.
Before mixing: Users report refrigerator or freezer storage. A validated shelf life for community vials was not found.
After mixing: Users report refrigeration; no validated duration, preservative compatibility or repeated-puncture sterility window was found.
Hexarelin side effects and risks
Reported side effects
- Cortisol and prolactin increases: In acute IV tests, prolactin rose up to about 180% and cortisol about 40%; these are changes, not incidence rates., moderate (source)
- Weaker GH response with repeated use: GH AUC fell from 19.1 to 10.5 mcg/L·hour by week 16; recovered after four weeks off., mild (source)
- Reduced deep sleep: Observed in a seven person nighttime experiment; event rate not reported., moderate (source)
- Blood pressure changes: unknown, moderate (source)
- Swelling, joint discomfort or glucose changes: unknown, moderate (source)
- Immune reaction or injection infection: unknown, serious (source)
Stop and get help if
- Trouble breathing, tongue swelling, fainting or widespread hives: Stop and get emergency care now.
- Sudden severe headache, new vision loss or repeated vomiting: Get emergency assessment now; a pituitary or pressure problem must be excluded.
- Chest pain, severe breathlessness or collapse: Call emergency services now.
- Persistent severe abdominal pain or repeated vomiting: Stop and get urgent medical assessment.
- Confusion, seizure, or low blood sugar that does not resolve: Get emergency help now; do not drive.
- Fever with a hot, spreading, painful injection site: Get urgent care for a possible injection infection.
Who should avoid it
- pregnant: Avoid during pregnancy. Reproductive safety is unstudied; this screen is precautionary.
- breastfeeding: Avoid while breastfeeding. Human infant exposure and safety are unknown.
- tryingToConceive: Avoid while trying to conceive. Human fertility and early-pregnancy safety are unknown.
- under18: Historical child studies do not support unsupervised use in minors.
- activeCancer: GH and IGF-1 are growth signals. Avoid with active cancer; this applies GH-treatment precautions to secretagogues.
- cancerHistory: Prior cancer needs a clinician review before raising GH or IGF-1. Recurrence risk with this compound is unknown.
- diabetes: GH-related changes can worsen insulin sensitivity. Review blood sugar control and medicines.
- heartCondition: Fluid retention may strain the heart. Heart-disease safety is not established for home-use schedules.
- uncontrolledBloodPressure: Review uncontrolled blood pressure before use. Fluid retention and pressure changes need assessment.
- kidneyDisease: Kidney-disease dose adjustments and repeated-dose safety are not established.
- liverDisease: Liver-disease dose adjustments and repeated-dose safety are not established.
- diabeticRetinopathy: Review proliferative eye disease before raising GH or IGF-1. This is a GH-class precaution.
- pancreatitisHistory: Review prior pancreatitis. GH-class safety concerns do not establish a risk rate for this compound.
- sleepApnea: Review sleep apnea and new swelling. GH-related tissue or fluid changes are a class concern.
- surgeryPlanned: Tell the surgical team about use and all stacks. Perioperative safety depends on the specific study setting.
- testedAthlete: WADA bans this compound at all times, including out of competition.
- other: Do not add a GH secretagogue when GH or IGF-1 is already excessive. Investigate the cause.
- other: A pituitary mass needs specialist review. GH testing and GH-raising drugs are not interchangeable.
Interactions
- Insulin and sulfonylureas: GH-class precaution: insulin sensitivity and medicine needs can change. Exact interaction trials for this peptide are lacking.
- Other GH secretagogues, GH, and IGF-1: Overlapping GH/IGF-1 effects can add hormone, swelling and blood sugar risks. Combination benefit is not established.
- Glucocorticoids and oral estrogen: These can change GH responses or IGF-1 interpretation. Do not change prescribed hormone replacement to alter a peptide response.
- Anticoagulants and antiplatelets: General injection precaution: blood thinners increase bleeding/bruising risk. A direct interaction with this peptide has not been established.
Product quality risks
- Unregulated products may have the wrong identity, dose or sterility. A purity percentage alone cannot establish injection safety.
- Related GHRPs had altered identities in seized products. No hexarelin-specific market survey was found.
- No representative market-wide contamination or underdosing rate was found for this compound.
What to expect
At least 71 human research papers; some share participants. A small 16-week study found no significant change in body fat or lean mass.
Key studies
- Early IV dose response: The acute GH response approached a plateau while clinical benefits remained untested. (source)
- IV, SC, nasal and oral comparison: Much larger oral and nasal doses were needed to produce a GH response. (source)
- GH, cortisol and prolactin dose response: Hexarelin is not specific to GH release. (source)
- Hexarelin versus GHRP-2: The study does not establish that hexarelin is universally stronger or safer than GHRP-2. (source)
- Two IV doses one or two hours apart: A second injection did not simply reproduce the first hormone pulse. (source)
- Two versus three SC doses in a day: Three injections did not improve the measured 24-hour GH effect over two. (source)
Hexarelin FAQ
- Is Hexarelin FDA-approved? No FDA-approved product or dose label found; no approval for physique or performance use.
- How do people take it? Under the skin, two or three times daily. Source: reported by users, not an established dose.
- What's the difference between Hexarelin and Ipamorelin? Hexarelin: a peptide that releases growth hormone; repeated use can weaken the response. Ipamorelin: an experimental peptide that triggers growth hormone release. Why people pair them: users propose rotating secretagogues after short hexarelin cycles.
- Can I take it with Ipamorelin or GHRP-2 rotation? Users propose rotating secretagogues after short hexarelin cycles. No trial validates rotation to prevent response attenuation or reduce harms. Source: reported by users. Ask a doctor before combining anything.
- Is it banned in sport? Yes. It is banned in and out of competition (WADA 2026). Named on the 2026 list; prohibited in and out of competition.
- How long does a mixed vial last? Users report refrigeration; no validated duration, preservative compatibility or repeated-puncture sterility window was found.
Related to Hexarelin
- Ipamorelin: An experimental peptide that triggers growth hormone release.
- MK-677 (ibutamoren): This experimental oral drug raises growth hormone and IGF-1; risks include high blood sugar and swelling.
- GHRP-2: A peptide that releases growth hormone and can increase hunger.
- GHRP-6: A peptide studied in growth hormone tests and an experimental stroke combination.
Sources
- 503B Bulk Drug Substances List, FDA · FDA · 2026
- Bulk Drug Substances Nominated for Use in Compounding Under Section 503A of the Federal Food, Drug, and Cosmetic Act, FDA · FDA · 2026
- Bulk Drug Substances Used in Compounding Under Section 503A of the FD&C Act, FDA · FDA · 2026
- Certain Bulk Drug Substances for Use in Compounding that May Present Significant Safety Risks, FDA · FDA · 2026
- Find product information about medicines, Medicines and Healthcare products Regulatory Agency · MHRA · 2026
- Peptide products, Therapeutic Goods Administration · TGA · 2026
- The 2026 Prohibited List, World Anti-Doping Agency · WADA · 2026
- Therapeutic Goods (Poisons Standard—October 2026) Instrument 2026, Australian Government · Australian Government · 2026
- Think twice before injecting peptides bought online: unauthorized products can seriously harm you, Health Canada · Health Canada · 2026
- Bulk Drug Substances Nominated for Use in Compounding Under Section 503B of the Federal Food, Drug, and Cosmetic Act, FDA · FDA · 2025
- GENOTROPIN® (somatropin) for injection, for subcutaneous use, FDA · 2025
- 注射用GHRP科研100, PMDA · 2025
- October 29, 2024 Meeting of the Pharmacy Compounding Advisory Committee, FDA · 2024
- Using intramuscular injections in people on oral anticoagulants, NHS Specialist Pharmacy Service · NHS Specialist Pharmacy Service · 2023
- Evaluation and treatment of adult growth hormone deficiency: an Endocrine Society clinical practice guideline., Molitch ME et al. · The Journal of clinical endocrinology and metabolism · 2011
Sources checked: 2026-10-18.
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