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Sermorelin

Geref, GHRH (1-29)

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Stimulates natural growth hormone release to counter age-related decline.

Sermorelin is a synthetic peptide analog of growth hormone-releasing hormone (GHRH) that stimulates the pituitary gland to produce and release its own growth hormone (GH). In a healthspan context, it aims to restore more youthful, pulsatile GH secretion patterns that decline with age (somatopause), potentially improving body composition, sleep quality, and tissue repair without the risks of direct GH administration.

Verdict

A supervised option for restoring GH levels; longevity benefits are unproven.

HEALTHSPAN IMPACT

Moderate

RISK LEVEL

High

EVIDENCE GRADE

B

MONTHLY COST

$150 - $400

Protocol

  • Daily subcutaneous injections of 100-300 mcg at bedtime, often cycled 5 days on/2 days off.

Flags

  • Requires a prescription and ongoing medical supervision.
  • Long-term effects on cancer risk via IGF-1 modulation are a theoretical concern.
  • Contraindicated in individuals with active malignancy.
  • Prohibited for use in competitive sports by WADA.
  • Glucocorticoids may blunt the growth hormone response to Sermorelin.