Hexarelin
also known as Hex, Examorelin
Synthetic hexapeptide GHRP that activates the ghrelin receptor (GHS-R1a) with high potency. Distinct from ipamorelin in producing a stronger GH pulse but with measurable cortisol + prolactin elevation at higher doses. Most-studied GHRP for direct cardiomyocyte effects independent of GH — binding myocardial CD36 and the GHS receptor in cardiac tissue.
At a glance
SQ · Multiple sites · 1–3×/day
Mechanism
Primary target — Ghrelin receptor (GHS-R1a) + cardiac CD36 [smith-1996-hexarelin][ghigo-1997-hexarelin].
Pathway — GHS-R1a → Gαq → Ca²⁺ → GH release. CD36 engagement → direct cardio-tropic action [ghigo-1997-hexarelin].
Downstream effect — Strong GH pulse + IGF-1 elevation; cardio-protective effects in animal MI models [ghigo-1997-hexarelin].
Origin — Synthetic hexapeptide His-D-2-Methyl-Trp-Ala-Trp-D-Phe-Lys-NH₂ [smith-1996-hexarelin].
Feedback intact — Yes initially; tachyphylaxis with chronic use [ghigo-1997-hexarelin].
Dosage
Protocols described in the cited literature; not medical advice.
| Parameter | Value |
|---|---|
| Standard dose | 100–200 mcg per injection [smith-1996-hexarelin] |
| Frequency | 1–2× per day max (tachyphylaxis with chronic 3× daily) |
| Lower / starter dose | 50 mcg per dose |
| Evidence basis | Phase 1 / Phase 2 trials [smith-1996-hexarelin][ghigo-1997-hexarelin] |
| Duration | 4–8 weeks on / 4–8 weeks off (tachyphylaxis mitigation) |
| Reconstitution | Bacteriostatic water |
| Timing | Pre-sleep + fasted preferred |
| Half-life | ~70 min [semenistaya-2010] |
Reconstitution
A pure mass-to-volume utility. Enter what you have in the vial; the atlas computes the volume per dose. No prescription information.
Adverse events
Severities follow the FDA / CTCAE convention.
- — Active malignancy
- — Pregnancy / breastfeeding
- — Disrupted hypothalamic-pituitary axis
- — Untreated diabetes
- — Severe hyperprolactinemia
Administration
- 01Reconstitution
Add 2 mL bacteriostatic water to 5 mg vial → 2.5 mg/mL = 250 mcg per 0.1 mL.
- 02Injection site
SQ — abdomen or thigh. Rotate sites.
- 03Timing
Pre-sleep + fasted preferred. Cycle on/off to avoid tachyphylaxis.
- 04Storage
Lyophilised: room temp, light-protected. Reconstituted: refrigerate ≤30 days.
- 05Needle
29–31G, 4–8 mm insulin syringe.
Synergies
Sources
of 45 rendered claims carry a resolvable citation.
- [ghigo-1997-hexarelin]Ghigo 1997 — Growth hormone-releasing peptides
Eur J Endocrinol, 1997 - [semenistaya-2010]Semenistaya 2010 — Determination of growth hormone-releasing peptides for sports doping control
Anal Bioanal Chem, 2010 - [smith-1996-hexarelin]Smith 1996 — A nonpeptidyl growth hormone secretagogue
Science, 1996 - [teichman-2006]Teichman 2006 — Prolonged stimulation of growth hormone (GH) and insulin-like growth factor I secretion by CJC-1295
J Clin Endocrinol Metab, 2006