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Hexarelin

Examorelin, HEX

A synthetic hexapeptide growth hormone secretagogue that stimulates GH release by acting on the ghrelin receptor in the pituitary and hypothalamus.

Quick Stats
Studies 233
Trials 61
Formula C47H58N12O6
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Utility 2
pubmed Sep 17, 1999

Cardiac effects of hexarelin in hypopituitary adults.

Bisi. G G; Podio. V V; Valetto. M R MR; Broglio. F F; Bertuccio. G G; Aimaretti. G G; Pelosi. E E; D...

Hexarelin, a growth‑hormone‑releasing peptide, didn’t raise GH levels in men lacking the hormone, but it did give a quick, short‑lived boost to the heart’s pumping ability in both GH‑deficient and normal volunteers, without changing blood pressure or stress hormones.

Utility 2
pubmed Nov 1, 1996

The sequential administration of growth hormone-releasing hormone followed 120 minutes later by hexarelin, as an effective test to assess the pituitary GH reserve in man.

Micic. D D; Popovic. V V; Kendereski. A A; Peino. R R; Dieguez. C C; Casanueva. F F FF

The study shows that giving a growth‑hormone‑releasing hormone (GHRH) shot and then, 2 hours later, a tiny dose of the peptide hexarelin, reliably triggers two separate spikes of growth hormone in healthy people. If you flip the order, the second hormone doesn’t work as well. This tells us hexarelin is a strong, repeatable GH releaser, but the test is meant for doctors to check pituitary function, not a DIY performance hack.

Utility 2
pubmed 1998

The growth hormone response to hexarelin in patients with different hypothalamic-pituitary abnormalities.

Maghnie. M M; Spica-Russotto. V V; Cappa. M M; Autelli. M M; Tinelli. C C; Civolani. P P; Deghenghi....

Hexarelin can boost growth hormone (GH) when given by IV, but its effect depends on having an intact pituitary stalk. In kids with a partially missing stalk, it raised GH almost as well as a standard GH‑releasing hormone, while those with a completely absent stalk showed almost no response. This means the peptide’s GH‑releasing power isn’t universal—it needs the brain‑pituitary connection to work.

Utility 2
pubmed Aug 31, 2007

Hexarelin suppresses cardiac fibroblast proliferation and collagen synthesis in rat.

Xu. Xiangbin X; Pang. Jinjiang J; Yin. Hongchao H; Li. Meixiu M; Hao. Wei W; Chen. Chen C; Cao. Ji-M...

In a lab study using heart cells from newborn rats, the synthetic peptide hexarelin was shown to slow down the cells that cause scar tissue in the heart and cut down the production of collagen, a key component of that scar tissue. It does this by lowering a growth factor called TGF‑beta and working through specific receptors, but the work was done only in cell dishes, not in people.

Utility 2
pubmed Apr 25, 2003

Absence of binding of targeted analogs of somatostatin carrying cytotoxic radicals or radionuclides to growth hormone secretagogue receptors on human myocardium.

Halmos. Gabor G; Schally. Andrew V AV; Comaru-Schally. Ana Maria AM; Nagy. Attila A; Irimpen. Anand...

The study looked at whether certain cancer‑targeting drugs that are linked to a peptide similar to hexarelin would stick to the heart’s growth‑hormone secretagogue receptors. They found none of the tested drugs bound to the heart tissue, meaning they probably won’t add extra heart risk. This doesn’t change how you use hexarelin itself, but it reassures that related peptide‑drug combos aren’t likely to harm the heart.

Utility 2
pubmed 2000

Gamma-hydroxybutyric acid and growth hormone secretion studies in rats and dogs.

Rigamonti. A E AE; Müller. E E EE

The study shows that gamma‑hydroxybutyric acid (GHB) and the GABA‑B drug baclofen do not increase growth hormone (GH) levels in rats or dogs, even at high doses, and short‑term GHB use doesn’t cause harmful GH changes. Hexarelin still triggers GH release and isn’t affected by GHB.

Utility 2
pubmed 1998

The growth hormone response to hexarelin in patients with Prader-Willi syndrome.

Cappa. M M; Raguso. G G; Palmiotto. T T; Faedda. A A; Gurreri. F F; Neri. G G; Deghenghi. R R; Loche...

In kids with Prader‑Willi syndrome, a single high dose of the GH‑releasing peptide hexarelin only raised growth hormone levels as much as a standard GHRH test, and both were lower than the response seen in obese children without the syndrome. This suggests that hexarelin’s ability to boost GH is limited in this severe deficiency condition.

Utility 2
pubmed 1998

Binding sites for growth hormone-releasing peptide.

Ong. H H; Bodart. V V; McNicoll. N N; Lamontagne. D D; Bouchard. J F JF

Scientists made a special version of hexarelin that sticks to its receptors and used it to show that the peptide binds to a specific protein in both the pituitary gland and heart muscle, suggesting there are different receptor types in these tissues.

Utility 2
pubmed 2001

Cortistatin, but not somatostatin, binds to growth hormone secretagogue (GHS) receptors of human pituitary gland.

Deghenghi. R R; Papotti. M M; Ghigo. E E; Muccioli. G G

The study shows that cortistatin, a brain peptide similar to somatostatin, can attach to the same receptors that ghrelin and synthetic compounds like hexarelin use, while regular somatostatin fragments cannot. This suggests cortistatin might naturally influence growth hormone pathways, but the research is still early and done in lab tissue, not in people.

Utility 2
pubmed 2001

Growth hormone-independent cardiotropic activities of growth hormone-releasing peptides in normal subjects, in patients with growth hormone deficiency, and in patients with idiopathic or ischemic dilated cardiomyopathy.

Broglio. F F; Benso. A A; Valetto. M R MR; Gottero. C C; Quaranta. L L; Podio. V V; Arvat. E E; Bobb...

Giving a single IV dose of the peptide hexarelin briefly improved heart pumping ability in healthy people and those lacking growth hormone, without changing blood pressure or heart rate, but it didn’t help people with severe heart failure.

Utility 2
pubmed 1998

Growth hormone status during long-term hexarelin therapy.

Rahim. A A; O'Neill. P A PA; Shalet. S M SM

A 16‑week study of twice‑daily hexarelin shots showed that the body’s GH surge gets smaller over time, but overall IGF‑1 levels, muscle, fat, and bone density stay about the same. After stopping the drug, the GH response comes back to normal.

Utility 2
pubmed 1997

Reduction of the somatotrope responsiveness to GHRH and Hexarelin but not to arginine plus GHRH in hyperprolactinemic patients.

Grottoli. S S; Razzore. P P; Arvat. E E; Oleandri. S E SE; Rossetto. R R; Ciccarelli. E E; Camanni....

The study shows that people with high prolactin levels have a weaker growth‑hormone response to the peptide hexarelin and to pure GHRH, but they respond normally when arginine is added, which blocks a hormone (somatostatin) that normally suppresses GH. This suggests that high prolactin or somatostatin activity can blunt hexarelin’s effect, and that adding arginine can restore GH release.

Utility 2
pubmed 1999

Selective lack of growth hormone (GH) response to the GH-releasing peptide hexarelin in patients with GH-releasing hormone receptor deficiency.

Maheshwari. H G HG; Rahim. A A; Shalet. S M SM; Baumann. G G

In people who lack a working growth‑hormone‑releasing‑hormone (GHRH) receptor, the peptide hexarelin does NOT trigger a growth‑hormone surge, even though it still raises prolactin, ACTH and cortisol. This shows that hexarelin needs a functional GHRH system to boost GH.

Utility 2
pubmed 2001

Effects of growth hormone and its secretagogues on bone.

Svensson. J J; Lall. S S; Dickson. S L SL; Bengtsson. B A BA; Rømer. J J; Ahnfelt-Rønne. I...

The study shows that growth hormone (GH) and its secretagogues, like hexarelin, can boost bone growth in children with growth issues and increase bone mineral content in rodents, but there’s no solid proof they improve bone mass in healthy adults yet.

Utility 2
pubmed 2000

Specific binding sites for synthetic growth hormone secretagogues in non-tumoral and neoplastic human thyroid tissue.

Cassoni. P P; Papotti. M M; Catapano. F F; Ghè. C C; Deghenghi. R R; Ghigo. E E; Muccioli. G G

The study shows that hexarelin and similar growth‑hormone‑releasing peptides stick to receptors in normal thyroid tissue and in some thyroid cancers, and at those same low‑dose levels they can slow down the growth of thyroid cancer cells in a dish. This doesn’t tell us they boost health or longevity in normal people, but it does suggest they interact with the thyroid and might have anti‑cancer effects in specific thyroid tumors.

Utility 2
pubmed 2003

Targeting the ghrelin receptor: orally active GHS and cortistatin analogs.

Deghenghi. Romano R; Broglio. Fabio F; Papotti. Mauro M; Muccioli. Giampiero G; Ghigo. Ezio E

The paper talks about ghrelin and man‑made compounds that stick to the same receptor, which can boost growth hormone, affect hunger, gut function, heart health, and even slow cell growth. Researchers are looking for natural and synthetic molecules that can turn the receptor on or off, which could help with things like appetite control, obesity, or growth‑hormone deficiency. One oral compound called EP1572 and a natural peptide called cortistatin are being studied, but no concrete dosing or usage advice is given yet.

Utility 2
pubmed 1998

Adrenocorticotropin and cortisol hyperresponsiveness to hexarelin in patients with Cushing's disease bearing a pituitary microadenoma, but not in those with macroadenoma.

Arvat. E E; Giordano. R R; Ramunni. J J; Arnaldi. G G; Colao. A A; Deghenghi. R R; Lombardi. G G; Ma...

Hexarelin, a growth‑hormone‑releasing peptide, causes a big jump in ACTH and cortisol in Cushing’s patients with small pituitary tumors, but only a small rise in those with larger tumors or healthy people. This shows the drug can strongly activate the stress‑hormone system in certain disease states.

Utility 2
pubmed 1999

Nitric oxide modulation of the growth hormone-releasing activity of Hexarelin in young and old dogs.

Rigamonti. A E AE; Cella. S G SG; Marazzi. N N; Müller. E E EE

In dogs, giving an NO‑donor drug together with the GH‑releasing peptide hexarelin made the hormone spike much bigger, and blocking NO or prostaglandins changed that effect, especially in older animals. The results hint that NO pathways can boost hexarelin’s action, but the study is in dogs and the age‑related differences are unclear for people.

Utility 2
pubmed Oct 1, 1997

Low hexarelin dose and pyridostigmine have additive effect and potentiate to the same extent the GHRH-induced GH response in man.

Arvat. E E; Di Vito. L L; Ramunni. J J; Gianotti. L L; Giordano. R R; Deghenghi. R R; Camanni. F F;...

The study shows that tiny IV doses of the peptide hexarelin trigger growth hormone (GH) release in a dose‑dependent way, and that the cholinergic drug pyridostigmine can boost the GH response, but only when paired with the very lowest hexarelin dose. Both low‑dose hexarelin and pyridostigmine similarly enhance the GH spike caused by a separate hormone (GHRH). However, the work involved only six healthy young men, used IV injections, and combined a drug (pyridostigmine) that has its own side‑effects, so the findings are of limited direct use for most DIY biohackers.