GH Secretagogues Β· LongevityTier 2 β€” Good human studies

MK-677

Ibutamoren Β· Ibutamoren Mesylate Β· L-163,191

Orally active, non-peptide GH secretagogue that significantly raises GH and IGF-1 levels with once-daily dosing. Strongest evidence base among GH secretagogues for IGF-1 elevation.

πŸ’‰ Oral🧊 Room temperature if sealed; refrigerate after opening if liquid form

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Mechanism of Action

Oral ghrelin mimetic that binds GHSR-1a, stimulating pulsatile GH release from the pituitary. Raises IGF-1 by 40–90% in clinical studies. Half-life ~24 hours enables once-daily oral dosing.

Clinical Applications

  • βœ“GH and IGF-1 optimization (oral alternative to injections)
  • βœ“Muscle mass and strength improvement
  • βœ“Bone density enhancement
  • βœ“Sleep architecture improvement
  • βœ“Age-related GH decline

Dosing Protocol

Recommended Dosing

Oral capsule/liquid. 10–25 mg before bed. Start at 10 mg to assess tolerability. Run 3–6 month cycles with 2-month breaks. Monitor IGF-1 at baseline and 8 weeks.

Safety & Contraindications

Possible Side Effects

  • ⚠Increased appetite (significant, especially first weeks)
  • ⚠Water retention and oedema
  • ⚠Increased fasting glucose / mild insulin resistance
  • ⚠Lethargy and fatigue
  • ⚠Joint pain at high doses
  • ⚠Potential for worsening existing insulin resistance

Contraindications

  • βœ•Active malignancy or cancer history
  • βœ•Type 2 diabetes or severe insulin resistance
  • βœ•Diabetic retinopathy
  • βœ•Pregnancy
  • βœ•Pituitary pathology

Combinations & Synergies

πŸ”— BPC-157healing and GH support combination
πŸ”— Sermorelin/Ipamorelinavoid combining β€” redundant GH stimulation