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Peptides/Sermorelin
GHRH analogue

Sermorelin

Synthetic GHRH(1-29) historically marketed as Geref. Common in US anti-aging compounding.

Human RCT · t½ ~10–20 min · 100–500 mcg/night

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AHuman RCT evidenceHuman RCTGHRH analogue

Also: GRF 1-29 · Geref

Synthetic GHRH(1-29) historically marketed as Geref. Common in US anti-aging compounding.

Scientific Consensus Engine

Evidence Intelligence Score™

Heuristic — no indexed evidence yet
6.5/ 10
Overall confidence
Moderate
Outlook
Moderate
Evidence maturity
  1. Preclinical
  2. Pilot human
  3. RCT← current
  4. Multi-RCT
  5. Meta-analysis

Confidence aggregates eight dimensions of evidence — human data, safety maturity, mechanism, clinical readiness, momentum, consistency, long-term follow-up, and translational signal. It is a measure of what is known, not a recommendation. Methodology.

Eight-dimension breakdown
  1. Human evidence
    Weight of RCT and observational data
    8.8
  2. Safety maturity
    Follow-up depth and adverse-event signal
    6.9
  3. Mechanism confidence
    Pathway specificity and clarity
    6.1
  4. Clinical readiness
    Distance to physician-prescribable use
    7.8
  5. Research momentum
    Recency of indexed clinical evidence
    5.0
  6. Study consistency
    Effect direction across cohorts
    4.4
  7. Long-term data
    Follow-up beyond initial trial windows
    5.4
  8. Translational confidence
    Animal → human signal preservation
    7.6
Strongest supported claim

Effects on the indexed outcomes are supported by randomized human data, with 1 citation on file.

Weakest / unclear

Effect sizes outside trial populations and durations beyond the studied window remain less characterized.

Major unknowns

Interactions outside listed contraindications, long-term safety, and effect heterogeneity across age and sex are not fully resolved.

Scientific outlook

Outlook: maturing. Expect the consensus to harden as multi-site replications publish.

Reported outcomes · graded
Recovery & sleep
Bgrade
6.0
Mechanism
Endogenous GHRH receptor agonist; physiologic GH pulses.
Reported uses
  • Recovery & sleepHuman observational→
Clinical evidence · 1 study indexed

Growth hormone elevation

1 study
  • ↑
    Long-term treatment of growth hormone-deficient children with sermorelin (GHRH 1-29)
    Thorner M, Rochiccioli P, Colle M, et al.

    Sermorelin 30 mcg/kg SC at bedtime for 12 months increased growth velocity in GH-deficient children; rise in IGF-1.

    Observationaln=1101996unreviewed
    moderate
Observed research protocols · 1 regimen

Growth hormone elevation

1 regimen
Clinical trialsource ↗

Injection-site reactions; antibody development reported. Commercial Geref withdrawn from US market 2008.

12 months; response attenuated in some patients due to antibody formation.

These are observed research regimens drawn from approved labels, clinical trials, or preclinical literature — not dosing recommendations. Suggestive, never prescriptive.

Citations
  • Walker, 2006 — Clin Interv Aging
What we don't know yet
  • —Long-term safety beyond reported study durations.
  • —Effect size in populations under-represented in the cited trials.
  • —Interactions with concomitant medications outside listed contraindications.

We surface uncertainty next to every claim. Suggestive, never prescriptive — discuss with a clinician.

Editorial team
Independent · No affiliate revenue
Reviewed quarterly
Typical dose100–500 mcg/night
Half-life~10–20 min
RoutesSubcutaneous
Evidence tierHuman RCT
Safety confidence
Short
Mid
Long-term

No indexed safety data yet — bars reflect editorial tier baseline.

Contraindications
  • — Active malignancy
  • — Hypothyroidism (uncontrolled)

Suggestive, never prescriptive. Discuss with a clinician.

Brands carrying this peptide

3 brands across three tiers.

Medicine

1 brand

Regulator-approved finished medicines. Prescribed for specific indications, manufactured under GMP, distributed through licensed pharmacies.

  • Geref
    EMD Serono (legacy)
    0.03 mg/kg/day SC
    FDA-approved (discontinued)
    →

Compounded (US 503A)

2 brands

Patient-specific preparations from US 503A compounding pharmacies. Require a valid prescription, not FDA-approved as finished drugs. Check the pharmacy's licence and the active ingredient's status on the FDA 503A bulks list.

  • Empower Sermorelin
    Empower Pharmacy
    15 mg lyophilised vial
    503A
    →
  • Tailor Made Sermorelin+CJC
    Tailor Made Compounding
    Sermorelin 3 mg + CJC 6 mg vial
    503A
    →