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Hexarelin

The hardest-hitting growth-hormone booster in this class. The most potent GH secretagogue, it gives a stronger pulse than Ipamorelin but with cortisol and prolactin bumps, so short cycles only.

GH-axis
Evidence: Limited

Hexarelin: The hardest-hitting growth-hormone booster in this class. The most potent GH secretagogue, it gives a stronger pulse than Ipamorelin but with cortisol and prolactin bumps, so short cycles only. Hexarelin is the most potent GH secretagogue, more aggressive than Ipamorelin.

FDA
Not approved
WADA
Banned
Typical dose
100-200 mcg sub-q
Half-life
~70 minutes
Route
Subcutaneous
Schedule
1-2x daily
In plain English

Hexarelin is the most potent GH secretagogue, more aggressive than Ipamorelin. Comes with stronger side effects (cortisol bump, prolactin) and faster receptor desensitization. Short cycles only, not a daily-driver.

Status & legalityWhat do these mean? →
Natty?
Not natty
FDA
Not approved

Not FDA approved.

Compounding
Not classified

Not formally categorized in the FDA bulks lists.

WADA
Banned (S2)
Prescribed

Not prescribed in conventional medicine.

Who it's for

  • Experienced users wanting maximum GH-pulse strength briefly
  • Recovery focused short cycles

What to expect

  1. Week 1

    Strong GH pulse felt as deep sleep. Some flushing.

  2. Week 4

    Cycle endpoint. Stop and switch back to Ipamorelin/CJC for maintenance.

  3. Week 8

    Off-cycle. Receptors recovering before next short cycle.

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How it works (mechanism)

Hexapeptide GH secretagogue, more potent than Ipamorelin or GHRP-2 at the GHS-R1a receptor. The strong activation drives stronger GH pulses but also bumps cortisol and prolactin and causes faster receptor desensitization.

Dosing protocol

Members only

Stacks well with

Members only

Side effects

01Cortisol bump
02Prolactin bump
03Head-rush / flushing
04Receptor desensitization with chronic use

When NOT to use

  • Active malignancy
  • Pregnancy / nursing

Bloodwork to monitor

  • IGF-1 baseline + week 4
  • Cortisol AM if running >2 weeks
  • Prolactin

Common mistakes

  • Running longer than 4 weeks (rapid receptor desensitization)
  • Treating it like a daily-driver
  • Skipping the prolactin/cortisol bloodwork

What it actually is

Hexarelin is a six-amino-acid growth hormone secretagogue, and the most potent one in this catalog at triggering a growth hormone pulse. That potency is the whole story: it produces a bigger pulse than ipamorelin and it also raises cortisol and prolactin, which ipamorelin was specifically designed not to do. It has never been approved, and it desensitises its own receptor faster than anything else in the class.

Like the other GHRPs it activates the ghrelin receptor on the pituitary to trigger growth hormone release. Hexarelin binds harder, which is why the pulse is larger and why the receptor downregulates so quickly that protocols cap at four weeks. It also has a second, genuinely separate action that most of its published literature is actually about: it binds the CD36 receptor in cardiac and vascular tissue, and much of the research on it is cardiovascular protection in animal models rather than anything to do with muscle.

Forms, and which is which

Lyophilised powder, subcutaneousHow all use happens

Buyer reconstitutes. Research-chemical supply with unverified identity.

Verdict: The only form, unregulated.

Ipamorelin as the selective alternativeAvoiding the cortisol and prolactin rise

Weaker pulse, far cleaner hormone profile, and it does not desensitise the receptor as fast.

Verdict: Less potent by design, and that design is the point.

GHRP-2 or GHRP-6The middle ground

Older secretagogues with intermediate potency and their own side effect signatures.

Verdict: Same family, different trade-offs.

Oral or nasal preparationsNothing

Not absorbed intact as an active dose by these routes.

Verdict: Not plausible as described.

What it is claimed to do, graded

Produces a large growth hormone pulseStrong

Well demonstrated in human studies — 27 randomised trials and 59 human trial records are indexed, which is unusually good for an unapproved peptide. It reliably does this.

Protects cardiac tissueLimited

This is where most of the research volume actually sits, via the CD36 receptor rather than growth hormone. Animal models of ischaemic injury, aortic aneurysm and diabetic heart disease. No human outcome data.

Builds muscleNone shown

The reason most people use it, and no controlled human trial demonstrates it.

Can be run continuouslyNone shown

The opposite. Receptor desensitisation is rapid and well recognised, which is why every protocol caps at around four weeks.

Is as clean as ipamorelinNone shown

It is not, and this is documented rather than theoretical: cortisol and prolactin rise with it, which is precisely what ipamorelin was engineered to avoid.

Grades describe how much human evidence exists for that specific claim, not whether it will work for you or whether it is safe.

Pros and cons

Pros
  • The strongest growth hormone pulse of any secretagogue here, and that is well documented in humans
  • A real human research base by the standards of this catalog
  • The cardiovascular literature is genuinely interesting even if it is animal work
  • Short cycles limit total exposure
Cons
  • Raises cortisol and prolactin — the exact problems the newer secretagogues were built to solve
  • Receptor desensitises fast, so it stops working within weeks
  • No human trial supports the body-composition use
  • Never approved, unregulated supply
  • Banned in sport

When to stop

  • Four weeks — the desensitisation is the reason, and pushing past it wastes the compound
  • Prolactin symptoms: breast tenderness, low libido, mood change
  • Fasting glucose drifting up
  • Any new cancer diagnosis

Interactions

Injected growth hormoneAvoid

Stacks insulin-resistance and fluid-retention risk with no established gain.

Other ghrelin-receptor agonists (ipamorelin, MK-677, GHRPs)Avoid

Same receptor. Redundant, and it accelerates the desensitisation that already limits it.

Food near the doseTiming

Elevated glucose and insulin blunt the growth hormone pulse.

Dopamine agonistsMonitor

Sometimes added to counter the prolactin rise. That is managing a side effect with another drug rather than avoiding it.

CorticosteroidsMonitor

Hexarelin already raises cortisol; adding exogenous steroid compounds the effect.

Is this for you?

Probably worth reading further if
  • People who want the largest available growth hormone pulse and accept a four-week ceiling
  • Anyone running baseline cortisol and prolactin alongside IGF-1, not just IGF-1
Skip it if
  • You want something you can run continuously
  • You already have elevated cortisol or prolactin
  • You have active cancer
  • You are pregnant, nursing, or drug-tested in sport

The one number

27 randomised and 59 indexed human-trial records — the best-studied secretagogue here, and none of it on muscle
Pepdex evidence index — counts are indexed PubMed records, not deduplicated trials; PubMed query for hexarelin

Sources for the claims above

Drug & supplement interactions

  • Cortisol and prolactin elevation, caution with prolactin-sensitive contexts
  • Receptor desensitizes within 4 weeks, interactions matter less because cycles are short

Community patterns

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AI Coach, live sample
Member answer
is 250mcg of bpc enough for a knee injury?
For a knee, is the standard working dose and a solid place to start. The trick with BPC is consistency, give it weeks, not days. , run it , and don't drop below , results tend to fall off under that line. If nothing's moved by week 3, that's when earns its place.
how much bac water for a 10mg reta vial?
is the standard play for a 10 mg reta vial. That gives you , clean unit math across the whole titration: on a 100-unit insulin syringe. Run instead if you want fewer, more concentrated shots. Most people titrate up over , and that mix keeps the numbers cleanest.
what should i track on bloodwork for tirzepatide?
Lipid panel, ALT/AST (liver enzymes), and an A1C, baseline before you start then every 3 months. If you've got metabolic-syndrome history, add fasting glucose and insulin so you can actually watch insulin sensitivity improve. You don't need a big hormone panel for a GLP-1.

Numbers redacted in this preview. Members get the full answer, on their own stack.

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Frequently asked

What is Hexarelin?+
Hexarelin is the most potent GH secretagogue, more aggressive than Ipamorelin. Comes with stronger side effects (cortisol bump, prolactin) and faster receptor desensitization. Short cycles only, not a daily-driver.
Is Hexarelin FDA approved?+
Not FDA approved.
Is Hexarelin legal?+
Hexarelin is not FDA-approved, so there is no approved prescription version. Most supply is sold as "research only" by peptide vendors. A compounding pharmacy may only use substances the FDA permits for compounding, and many research peptides are not permitted — do not assume a compounded prescription is available. Possession is generally not criminalized but distribution without authorization may be. Verify local laws.
Is Hexarelin banned by WADA?+
Hexarelin is on the WADA prohibited list under Banned (S2).
Are you still natty after taking Hexarelin?+
No. Hexarelin is a performance-enhancing peptide and would disqualify a strict natty claim.
Do doctors prescribe Hexarelin?+
Not prescribed in conventional medicine.
What's the typical dose of Hexarelin?+
Dosing depends on your goal, experience, and tolerance. The full Hexarelin protocol (dose, frequency, and how to titrate) is in the members section on the entry page.
What are the side effects of Hexarelin?+
Common side effects include: Cortisol bump; Prolactin bump; Head-rush / flushing; Receptor desensitization with chronic use. Less common effects and full safety details are on the entry page.
How long until Hexarelin starts working?+
Strong GH pulse felt as deep sleep. Some flushing.
What can you stack with Hexarelin?+
Hexarelin is commonly combined with complementary compounds. The full stacking protocol (what to pair, dosing, and timing) is in the members section on the entry page.
Where do people get Hexarelin?+
Pepdex does not sell, ship, or recommend suppliers. Hexarelin is not FDA-approved; prescription versions require licensed clinical care, and "research only" markets carry real legal and quality risks. /coa explains how to verify a Certificate of Analysis and /guides/scam-vendor-spotting covers the red flags.
Hexarelin vs Ipamorelin, which is better?+
Hexarelin vs Ipamorelin: strongest GH secretagogue vs cleanest one. Cortisol and prolactin trade-offs. Full head-to-head comparison: https://pepdex.co/compare/hexarelin-vs-ipamorelin

Common questions about Hexarelin

Head-to-head with Hexarelin