Hexarelin

weak data

Also seen as: examorelin

The Dose Guy’s verdict
Aug 28, 2026
5 sources

Hexarelin pushes the biggest GH peak of the GHRP family in the dose-response data, and it brings the mess to prove it: cortisol and prolactin rise with every dose, and GH output roughly halves by week 16 of continuous use. If ipamorelin is the clean daily driver, hexarelin is the sledgehammer you pick up for a short run when you want a bigger pulse than the gentle option can deliver. Most people should start and stay with ipamorelin. The ones who reach for hexarelin already know why.

Would I take it?Caution, the brute-force burst tool.

What it is

A synthetic hexapeptide growth-hormone releasing peptide, one of the original GHRPs and the strongest of the family for peak GH output. Like ipamorelin, hexarelin is a ghrelin-receptor agonist, a secretagogue that tells your pituitary to fire a GH pulse. The difference is selectivity: ipamorelin triggers the pulse and leaves everything else alone, while hexarelin drags cortisol, prolactin, and ACTH up with it. That tradeoff, more GH but more noise, defines hexarelin.

It also binds CD36, a scavenger receptor on heart tissue, a separate mechanism from the GH pathway. That cardiac angle drew research interest, but it is not why people run it. People run hexarelin for the GH burst, paired with a GHRH analog like CJC-1295 the same way they pair ipamorelin.

What the research shows

Small human studies, mostly endocrine challenge work, showing potency and the tradeoffs that come with it:

In healthy men, IV hexarelin pushed peak GH to 55.0 ng/mL at 2 mcg/kg versus 3.9 on placebo. At 1 mcg/kg the peak was 52.3, near the ceiling already.Eur J Clin Pharmacol 1994 · RCT · n=12
In men undergoing bypass surgery, hexarelin raised left ventricular ejection fraction, cardiac index, and cardiac output, while GHRH and recombinant GH did not. The CD36 pathway, not the GH pathway.Eur J Pharmacol 2002 · controlled · n=24
Four nocturnal hexarelin doses raised GH and prolactin across the night, raised ACTH and cortisol in the first half, and reduced stage 4 sleep and EEG delta power versus placebo. More hormones, worse deep sleep.Psychoneuroendocrinology 2004 · RCT · n=7
In healthy elderly adults on twice-daily subcutaneous hexarelin, mean GH AUC fell from 19.1 to 10.5 mcg/L/hour by week 16, then bounced back to 19.4 four weeks after stopping. The receptor recovers, but only if you give it a break.Neuroendocrinology 1999 · n=12 · 16 weeks
After 16 weeks of twice-daily hexarelin, urinary free cortisol, basal cortisol, ACTH response, and prolactin response showed no significant chronic changes. The acute hits do not pile up.Clin Endocrinol 1999 · 16 weeks

Realistic protocols

Short cycles, not a daily-driver compound. The desensitization data tells the story: run hexarelin for more than a few weeks and the GH response fades. The community pattern is four to eight weeks on, then an equal or longer break to let the receptor recover. Pin it subcutaneously on an empty stomach, same timing rules as ipamorelin, because food blunts the pulse.

Most people run hexarelin alongside a GHRH analog so the pituitary is primed when hexarelin fires. Pre-bed is the common anchor dose, riding the natural overnight GH window, but the same sleep study that documented the hormone profile found reduced deep sleep and lower delta power after nocturnal dosing. If sleep quality matters, and it should, a morning or post-training dose may be the better anchor. Dose higher than 200 mcg per shot and you are mostly buying more cortisol and prolactin, not more GH, since the GH response plateaus while the sides keep climbing.

Standard dose100-200 mcgSub-q, empty stomach. GH response plateaus near 1 mcg/kg.
Frequency1-3x dailyPre-bed at minimum. Fasted gap around each dose.
Cycle length4-8 weeksThen off for equal time or longer. The receptor needs the break.
The stack+ CJC-1295GHRH analog primes the pituitary, hexarelin fires the burst.

Side effects

Stronger GH pulse, louder side profile. That is the deal:

commonFlushing, head rush, and dizziness right after the shot, more pronounced than with ipamorelin. The ghrelin-agonist hit, concentrated.
monitorCortisol and prolactin rise acutely with each dose but do not accumulate over months. If you stack other compounds that raise prolactin, watch the total load.
monitorDesensitization. The GH response roughly halves by week 16 of continuous use. This is not a side effect you push through. It is hexarelin telling you to cycle off.
commonWater retention and tingling hands, the standard GH-is-up tells. Dose-related, ease back if they show.

Where to buy

$34 / 5mg vial$6.80/mg
✓ verified Sep 12
$38 / 5mg vial$7.60/mg
✓ verified Sep 12

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