Informational only. Not medical advice.INFORMATIONAL PLATFORM ONLY — NOT MEDICAL ADVICE, DIAGNOSIS, OR TREATMENT
Informational only. Not medical advice.INFORMATIONAL PLATFORM ONLY — NOT MEDICAL ADVICE, DIAGNOSIS, OR TREATMENT
Head-to-head comparison of GHRP-2 and Hexarelin — mechanism, dosing, side effects, legal status, and pricing.
GHRP-2 (pralmorelin) is a synthetic hexapeptide ghrelin receptor agonist that stimulates pituitary growth hormone release. It is approved in Japan (Kaken Pharmaceutical, 2004) as a single-dose diagnostic agent for GH deficiency, but is NOT FDA-approved in the US and is research-only. Unlike ipamorelin, GHRP-2 is non-selective and modestly raises ACTH, cortisol, and prolactin.
Hexarelin (His-D-2MeTrp-Ala-Trp-D-Phe-Lys-NH2) is a synthetic hexapeptide growth hormone secretagogue developed by Mediolanum (Italy) in the 1990s. It is a potent ghrelin-receptor (GHSR-1a) agonist that also binds the CD36 scavenger receptor, giving it a cardioprotective signal distinct from other GHRPs. It is not FDA-approved for any indication and remains a research-only compound; its clinical development for GH deficiency and cardiac indications did not reach approval. A defining feature versus other GHRPs is rapid, pronounced tachyphylaxis with chronic daily dosing.
GHRP-2
Hexarelin
Category
Legal Status
Mechanism
Dose Range
Route
COA-verified vendors · trust score ≥70 required · single-vial price — bulk/bundle deals may be lower
GHRP-2
Hexarelin
COA corpus from Disclosed Labs — independently tested batches only.
GHRP-2
13
COAs
99.3%
Avg purity
6
Labs
Hexarelin
10
COAs
99.4%
Avg purity
4
Labs
GHRP-2 is among peptides under FDA review for the Category 1 (503A) list; if added, it would require a prescription to be compounded by registered 503A/503B pharmacies — not yet authorized. Hexarelin remains research-only. In April 2026 the FDA removed 12 peptides from Category 2, which does not place them on the Category 1 list or authorize compounding. The FDA's Pharmacy Compounding Advisory Committee is advisory and meets July 23–24, 2026 to review nominations and make recommendations to the FDA.
GHRP-2 is approved in Japan (Kaken Pharmaceutical, 2004) as pralmorelin for single-dose diagnostic GH-stimulation testing; Chihara et al. (2007, PMID 17609397) validated a 100 mcg IV dose with a peak-GH <15 mcg/L cut-off against the insulin tolerance test. Arvat et al. (1997, PMID 9285939) showed GHRP-2 raises GH, prolactin, ACTH, and cortisol in healthy men, with hormonal effects similar to hexarelin. Laferrère et al. (2005, PMID 15699539) demonstrated that IV GHRP-2 significantly increases food intake in healthy men, consistent with its ghrelin-like activity. Pralmorelin review: Drugs R D 2004 (PMID 15230633). GHRP-2 is more potent than ipamorelin for raw GH output but is non-selective; grey-market anti-aging, muscle-gain, and performance use is not clinically validated in the US.
Key references
Ghigo et al. (1994, PMID 8126144, JCEM) characterized hexarelin's GH-releasing activity across IV, SubQ, intranasal, and oral routes in healthy men, establishing it as a potent GH secretagogue. Rahim & Shalet (1998, PMID 10990150, Growth Horm IGF Res) demonstrated that twice-daily SubQ hexarelin in healthy elderly subjects caused ~45% attenuation of the GH AUC over 16 weeks, with partial recovery 4 weeks after discontinuation — the canonical human tachyphylaxis study. Bodart et al. (2002, PMID 11988484, Circulation Research) showed that hexarelin's cardiovascular action in perfused hearts is mediated by CD36 rather than GHSR-1a and is absent in CD36-null animals. Hexarelin has never been FDA-approved; grey-market use for body composition, recovery, or cardiac benefit is not clinically validated.
Key references
GHRP-2 (Performance) and Hexarelin (Hormone) are in different categories and target different biological pathways. This is a common pattern in multi-compound research protocols. Researchers should monitor the biomarkers from both profiles and watch for interactions listed in each compound’s contraindications. Consult a licensed healthcare provider before combining any research compounds.
This platform provides informational tools only, not medical advice. This comparison is for educational purposes only. Consult a licensed provider.
Frequency
Dosing Notes
Half-life
Side Effects
Contraindications
Lab Testing
Disclosed Labs