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How Peptides for Growth Hormone Deficiency Work: Protocol vs Mechanism Comparison

GHRH Analogues (CJC-1295, Sermorelin) Binds GHRH receptors on pituitary somatotrophs, triggering cAMP-mediated GH release Once daily (CJC-1295 has 6–8 day half-life; Sermorelin requires twice-daily dosing) 100–300 mcg per injection Requires GHRP co-administrat

This comparison does not assign a generated winner or score.

  • GHRH Analogues (CJC-1295, Sermorelin)
  • Binds GHRH receptors on pituitary somatotrophs, triggering cAMP-mediated GH release
  • Once daily (CJC-1295 has 6–8 day half-life; Sermorelin requires twice-daily dosing)
  • 100–300 mcg per injection
  • Requires GHRP co-administration for full effect; GHRH alone produces modest GH pulse
  • CJC-1295 is preferred for convenience. Longer half-life means fewer injections and more stable IGF-1 elevation
  • GHRPs (GHRP-2, GHRP-6, Ipamorelin)
  • Mimics ghrelin, binds growth hormone secretagogue receptors (GHS-R1a), amplifies GH pulse and inhibits somatostatin
  • 1–3 times daily
  • Works synergistically with GHRH analogues; solo use produces smaller GH elevation
  • GHRP-2 produces strongest GH response but increases cortisol and prolactin slightly; Ipamorelin is cleanest (no cortisol spike) but weaker GH pulse
  • Oral Ghrelin Mimetics (MK-677 / Ibutamoren)
  • Oral GHS-R1a agonist; sustained ghrelin receptor activation over 24 hours
  • Once daily (typically before bed)
  • 12.5–25 mg per day
  • Can replace injectable GHRPs but desensitises receptors with continuous use; no GHRH synergy
  • MK-677 simplifies protocol (no injections) but long-term use (beyond 6 months) shows diminishing IGF-1 response. Best for short cycles
  • IGF-1 LR3 (Direct IGF-1 Analogue)
  • Bypasses GH entirely; directly activates IGF-1 receptors in muscle and liver
  • 3–5 times per week
  • 40–80 mcg per injection
  • No synergy. Works independently of pituitary function
  • Used when pituitary reserve is completely absent; higher risk of hypoglycemia and requires glucose monitoring
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