Library

Ipamorelin

Also: NNC 26-0161

Status
Research
Evidence
Limited
Field

Endocrine

Tissue recoverySleep and stressMetabolic health

Sequence

Aib-His-D-2-Nal-D-Phe-Lys-NH2

1

What it is

A clean-looking GH secretagogue on paper, with sparse modern human data. Popular in 'peptide clinic' stacks. There is no approved indication and no large efficacy program.

2

How it works

A selective ghrelin-receptor (GHS-R1a) agonist, or GHRP. Compared with older GHRPs it was designed to raise GH with less ACTH/cortisol and prolactin spillover — selectivity shown in early clinical pharmacology, not in outcome trials.

3

The evidence

Phase 1/2-era studies documented GH release and a relatively quiet cortisol profile. A postoperative ileus program did not produce an approved drug. Claims about sleep, recovery, and fat loss are extrapolations from GH biology.

4

Sourcing

Not FDA-approved. Research chemical. WADA-prohibited as a GH secretagogue.

Not approved. Ipamorelin acetate remains on FDA's Category 2 compounding list (significant safety risks, including a published serious-adverse-event/death signal when given IV for gastric motility). Not a 503A/503B routine compound. Research-chemical and cash-clinic channels are the unofficial market.

Same four pathways as the Sourcing guide.

5

Will insurance pay?

None.

6

Grey market

A staple of GH-secretagogue stacks. Sold as a 'selective' and therefore 'safe' GHRP — selectivity in early pharmacology is not a chronic-use safety database.

Strand does not list vendors. See the grey market.

7

Risks

GH-axis: water retention, insulin-resistance risk, theoretical IGF-1/cancer issues. Product quality in research vials varies. Not characterized for chronic self-administration.

  • Still Category 2 at FDA for compounding: immunogenicity, unnatural amino acids, limited safety data.
  • GH-axis water retention and insulin-resistance risk.
  • WADA-prohibited as a GH secretagogue.
  • IV ileus-program serious events including death are in the published record.

8

Papers

  • Raun et al. · 1998 · Eur J Endocrinol

    Ipamorelin, the first selective growth hormone secretagogue. PMID 9849822.

  • FDA Category 2

    Ipamorelin acetate — immunogenicity, characterization, published IV serious adverse events including death.

All papers in the library

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