Hexarelin
Examorelin
aka Examorelin · HEX · Growth Hormone Releasing Hexapeptide
Research describes Hexarelin as the most potent synthetic GHRP, notable for GH release and cardiovascular protective properties.
Sequence
Mechanism of action
Hexarelin is a synthetic growth hormone-releasing peptide (GHRP) that stimulates the pituitary gland to release growth hormone (GH). It binds to the ghrelin receptor, also known as the growth hormone secretagogue receptor (GHSR), which triggers a cascade of intracellular events leading to increased GH secretion. This peptide also exhibits cardioprotective effects by modulating cardiac function and reducing myocardial fibrosis.
What the evidence actually shows
There are a limited number of human trials on Hexarelin, primarily focusing on its GH-releasing effects and cardiovascular benefits. These studies have shown promising results in increasing GH levels and improving cardiac function. However, more extensive clinical trials are needed to fully understand its long-term safety and efficacy.
Regulatory status
In the UK, Hexarelin is not approved for medical use and is classified as a research compound. It is not licensed for human consumption outside of clinical trials.
Source ↗Pharmacokinetics
Dosing — what backs each figure
Hexarelin has real human data, but only as an acute GH-stimulation agent: 0.5-2 mcg/kg given as a single intravenous bolus in healthy volunteers and in short-stature diagnostic testing. No published human study administers hexarelin subcutaneously at a fixed microgram dose on a repeated daily schedule, and no therapeutic dosing regimen has been established.
Single intravenous boluses of 0.5, 1 and 2 mcg/kg hexarelin (plus placebo) in a double-blind, placebo-controlled rising-dose study; GH rose dose-dependently, peaking around 30 min; ED50 approximately 0.5-0.64 mcg/kg and the 2 mcg/kg response was close to maximal
12 healthy adult male volunteers · intravenous bolus
Hexarelin 1 mcg/kg IV and 2 mcg/kg IV as a GH-provocative test, compared with GHRH 1 mcg/kg IV + pyridostigmine 60 mg PO and with arginine; the most effective hexarelin dose was 2 mcg/kg IV, though it carried a ~20% false-positive rate as a diagnostic
Children/adolescents with short stature undergoing GH-secretion testing · intravenous
- Dose
- Research literature cites ~100 mcg 1 to 3x/day
- Frequency
- 1-2x daily
Why this isn't evidence
Every published human hexarelin dose is a weight-based intravenous bolus (0.5-2 mcg/kg) given as a one-off GH-provocative stimulus, not a flat ~100 mcg subcutaneous dose repeated one to three times a day, and the dosingNotes claims of evening administration and 4-6 week cycling to prevent desensitisation appear in no clinical source.
This figure is shown because it is what circulates and what people search for — not because it is supported. Cycle lengths in particular tend to be convention copied between compounds rather than anything derived from a compound's own pharmacokinetics.
Handling and storage
Safety
- ·Injection site reactions
- ·Increased appetite
- ·Transient fatigue
- ·Gynecomastia
- ·Edema
- ·"Carpal tunnel syndrome"
- ·Active cancer
- ·Pregnancy
- ·Severe liver or kidney disease
- ·Corticosteroids may blunt the GH-releasing effects of Hexarelin by increasing somatostatin release.
Water retention, raised cortisol/prolactin, injection-site reactions
Reported combinations
- ·GHRP-2
- ·GHRP-6
- ·CJC-1295
- ·Somatostatin analogs
Combination claims in this dataset are largely unsourced and should be treated as folk knowledge until a citation appears beside them.
References (3)
- Imbimbo BP, Mant T, Edwards M, Amin D, Dalton N, Boutignon F, Lenaerts V, Wuthrich P, Deghenghi R (1994) Growth hormone-releasing activity of hexarelin in humans. A dose-response study ↗European Journal of Clinical PharmacologyPMID 7957536DOI
Double-blind placebo-controlled rising-dose study in 12 healthy adult men: single IV boluses of 0.5, 1 and 2 microg/kg hexarelin gave mean peak plasma GH of 26.9, 52.3 and 55.0 ng/mL versus 3.9 ng/mL on placebo, peaking about 30 min post-dose.
- Massoud AF, Hindmarsh PC, Brook CG (1995) Hexarelin induced growth hormone release is influenced by exogenous growth hormone ↗Clinical EndocrinologyPMID 8548947DOI
In six healthy adult men, a prior IV bolus of recombinant human GH blunted the subsequent GH response to an IV hexarelin bolus, indicating short-loop negative feedback on hexarelin-induced GH release.
- Mao Y, Tokudome T, Kishimoto I (2014) The cardiovascular action of hexarelin ↗Journal of Geriatric CardiologyPMID 25278975DOI
Review of hexarelin's cardiovascular actions, including GHS-R1a-independent binding to CD36 and reported cardioprotective effects in preclinical models.
Data provenance
Chemistry and citations on this page were checked against primary sources on 2026-08-14. Values that could not be verified were left blank rather than filled with a plausible guess.
Could not verify
sequence.oneLetter, storage.lyophilized, storage.reconstituted, storage.lightSensitive, reconstitution.solvent