PinnyPeptide

Hexarelin vs Sermorelin

Side-by-side comparison: effects, dosing ranges, side effects, regulatory status, and reconstitution.

Peptide A

Hexarelin

Growth Hormone

The most potent GHRP — strong GH release with documented cardioprotective signaling.

Peptide B

Sermorelin

Growth Hormone

The original GHRH analog and the first FDA-approved peptide secretagogue.

Typical vial

5 mg

Typical dose

100 mcg

Half-life

~55 minutes

FDA status

Not FDA approved for any indication.

Typical vial

5 mg

Typical dose

200-500 mcg

Half-life

~12 minutes

FDA status

Previously FDA approved (1997, as Geref) for pediatric GHD. …

Hexarelin effects

  • Most potent acute GH release of any GHRP at equivalent doses
  • Documented cardioprotective signaling via CD36 receptor
  • Stimulates IGF-1 elevation over multi-week courses
  • Supports tissue repair and recovery
  • Mild secondary stimulation of ACTH and prolactin

Sermorelin effects

  • Stimulates endogenous growth hormone release via the pituitary
  • Increases IGF-1 within physiological range
  • Improves sleep depth, particularly slow-wave sleep
  • Supports lean body mass and fat metabolism
  • Preserves the natural pulsatile rhythm of GH secretion

Hexarelin side effects

  • Strongest cortisol and prolactin elevation of the GHRPs
  • Pronounced water retention
  • Lethargy and fatigue with chronic use
  • Rapid tachyphylaxis (response diminishes after 3-4 weeks)
  • Mild appetite stimulation

Sermorelin side effects

  • Injection site redness or itching
  • Mild flushing immediately after injection
  • Headache (uncommon, usually transient)
  • Dizziness or sleepiness
  • Rare elevation of liver enzymes with chronic use

Hexarelin dosing ranges

Short-course GH stimulation

100 mcg · Two to three times daily (SubQ) · 4 weeks maximum, then 4-week break

Combined with CJC-1295 (Mod GRF)

100 mcg of each · Two to three times daily · 4 weeks on / 4 weeks off

Cardioprotective research

1-2 mcg/kg · Per protocol (research-only) · Variable

Sermorelin dosing ranges

GH optimization / anti-aging

200-500 mcg · Once daily before bed (SubQ) · 3-6 months, then reassess

Combined with Ipamorelin

200-300 mcg of each · Once daily before bed · 3-6 months

Pediatric GHD (historical, prescribing-physician only)

30 mcg/kg · Once daily before bed · Per endocrinologist

Hexarelin vs Sermorelin — common questions

What is the difference between Hexarelin and Sermorelin?

Hexarelin: The most potent GHRP — strong GH release with documented cardioprotective signaling. Typical dose 100 mcg. Sermorelin: The original GHRH analog and the first FDA-approved peptide secretagogue. Typical dose 200-500 mcg. Both fall under the Growth Hormone category.

Can you stack Hexarelin and Sermorelin?

Stacking Hexarelin with Sermorelin is a protocol-design question best raised with a clinician — it depends on your goal, current bloodwork, and whether both peptides target overlapping mechanisms. Both peptides should be tracked independently with separate injection sites and timing. PinnyPeptide supports multi-peptide stacks with automatic injection site rotation.

Which is dosed more frequently, Hexarelin or Sermorelin?

Hexarelin is typically dosed: Two to three times daily (SubQ) for Short-course GH stimulation; Two to three times daily for Combined with CJC-1295 (Mod GRF); Per protocol (research-only) for Cardioprotective research. Sermorelin is typically dosed: Once daily before bed (SubQ) for GH optimization / anti-aging; Once daily before bed for Combined with Ipamorelin; Once daily before bed for Pediatric GHD (historical, prescribing-physician only).

Are Hexarelin and Sermorelin FDA approved?

Hexarelin: Not FDA approved for any indication. Sermorelin: Previously FDA approved (1997, as Geref) for pediatric GHD. Brand discontinued 2008. Available in the US via compounding pharmacies on prescription.

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