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Hexarelin is a synthetic growth hormone secretagogue that stimulates the release of growth hormone and is used in biomedical research.
Hexarelin is a synthetic growth hormone secretagogue that stimulates the release of growth hormone and is used in biomedical research.
Hexarelin (also known as Examorelin) is a synthetic hexapeptide belonging to the class of growth hormone secretagogues (GHS). Developed in the 1990s, it selectively binds to the ghrelin receptor (GHSR-1a), thereby stimulating the release of growth hormone (GH) from the pituitary gland. Hexarelin is considered one of the most potent peptides of its class and has been extensively studied in biomedical research.
Hexarelin exerts its effects primarily through two mechanisms:
In addition, specific binding sites for Hexarelin have been identified in cardiac tissue, independent of the growth hormone pathway. These so-called CD36 receptors mediate cardioprotective effects, making Hexarelin a subject of research in cardiology.
Hexarelin remains primarily in the preclinical and clinical research stage. Potential areas of application include:
In clinical studies, Hexarelin has been administered primarily intravenously, subcutaneously, or intranasally. Typical study dosages ranged from 1 to 2 µg/kg of body weight. It is important to emphasize that Hexarelin is not an approved pharmaceutical for clinical use in humans and must be used exclusively for research purposes. Self-administration without medical supervision is strongly discouraged.
The following side effects have been observed in clinical studies:
Long-term safety data in humans are limited, as Hexarelin has not received market authorization to date.
Compared to other GHS such as GHRP-2, GHRP-6, or Ipamorelin, Hexarelin is considered particularly potent in stimulating GH release. Unlike GHRP-6, Hexarelin has a less pronounced appetite-stimulating effect. Ipamorelin displays a more selective action profile with fewer side effects on cortisol and prolactin levels, while Hexarelin stands out for its cardioprotective effects, which are less evident with other GHS peptides.
Hexarelin is not approved as a pharmaceutical in most countries and is listed on the World Anti-Doping Agency (WADA) Prohibited List. Its use in competitive sports is therefore banned. In some countries, it is available as a research chemical but may not be marketed for human use.
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