Summary
- What it does
- Ipamorelin is used for sleep quality, recovery, and body composition. A Phase 2 trial in slow bowel recovery after surgery failed to beat a dummy treatment.
- How it works
- A five-part peptide injected under the skin. It triggers the same receptor as the hunger hormone ghrelin, so the pituitary gland releases growth hormone without a rise in the stress hormone cortisol or the milk-making hormone prolactin.
- WADA status
- Prohibited by the World Anti-Doping Agency (WADA). Drug-tested athletes cannot use it.
Ipamorelin (also known as NNC 26-0161) is a modified peptide studied for its effects on growth hormone, sleep, and aging. Selective GHS-R1a agonist pentapeptide raising GH without cortisol or prolactin effects. Phase 2 trial failed; not FDA-approved; limited human data.
Ipamorelin is a synthetic pentapeptide (Aib-His-D-2-Nal-D-Phe-Lys-NH2) selective agonist of the ghrelin/growth hormone secretagogue receptor (GHS-R1a) derived from GHRP-1. Highly selective for GH release without affecting cortisol, prolactin, ACTH, or acetylcholine at any dose (even 200-fold above ED50), distinguishing it from GHRP-2/GHRP-6. Binds to GHSR on pituitary somatotroph cells, activating phospholipase C (PLC) to generate IP3 and DAG, mobilizing intracellular calcium and activating protein kinase C for GH vesicle exocytosis.
Overview
Preclinical studies showed dose-dependent increases in GH levels, longitudinal bone growth, and body weight gain in rats, though IGF-1 levels and bone markers remained unchanged.
Phase 2 clinical trials for post-operative ileus failed to show efficacy (no reduction in time to first meal vs placebo).
Limited clinical data on body composition effects in humans despite theoretical benefits.
Typical dosing: 100-300mcg subcutaneously 1-3x daily, preferably on empty stomach.
Best timing: pre-bed (aligns with natural GH surge, improves sleep quality), split dosing (AM fasted + pre-bed) for enhanced pulsatility.
Users report improved sleep quality within 2-4 weeks, with body composition changes over 3-6 months.
Cycling protocol: 8-12 weeks on, with 5-days-on/2-days-off weekly pattern to prevent receptor desensitization.
Minimal side effects: injection site reactions, mild headache, nausea (typically resolve in 1-2 weeks).
Does not suppress endogenous hormone production.
Not FDA-approved; removed from FDA Category 2 compounding list September 2024 due to nominator withdrawal.
FDA recommended against inclusion in 503A Bulks Regulation October 2024 due to insufficient safety data.
No longer available for compounding.
As a growth hormone secretagogue, it is prohibited by WADA under category S2 (peptide hormones, growth factors, and related substances), banned both in and out of competition.
Mechanism of action
Selectively triggers growth hormone release without raising cortisol or prolactin. Human efficacy unproven: a Phase 2 trial failed and body-composition benefits remain preclinical. Subcutaneous injection.
Reported effects
Effects reported in the literature and from preclinical models include:
- Released growth hormone from primary rat pituitary cells, in anaesthetised rats, and in conscious swine through a GHRP-like receptor, with potency and efficacy similar to GHRP-6. [1] Preclinical
- Did not raise ACTH or cortisol in swine beyond levels seen after GHRH stimulation, even at doses more than 200-fold above the effective dose for growth hormone release, and did not affect FSH, LH, prolactin, or TSH. [1] Preclinical
- Dose-dependently increased longitudinal bone growth rate and body weight gain in adult female rats over 15 days of subcutaneous dosing, without changing total IGF-I or serum markers of bone formation and resorption. [2] Preclinical
- Reduced cisplatin-induced body weight loss by approximately 24 percent during the late delayed phase in ferrets, but did not reduce acute or delayed emesis. [3] Preclinical
- Inhibited electrically stimulated contractions of isolated ferret ileum by 54.4 percent, with an IC50 of 11.7 micromolar. [3] Preclinical
- Increased food intake, spermatocyte and early spermatid numbers, and serum luteinizing hormone and 11-ketotestosterone in tilapia after 21 days of dosing. [4] Preclinical
Evidence grades: FDA approvedApproved (non-US)Phase IIIPhase IIPhase IPreclinicalAnecdotal
Dosage and administration
Standard dose
- 100-300mcg per injection, 1-3x daily (subcutaneous)
General
- Beginners/anti-aging: 200mcg once daily at bedtime
- Fat loss/general support: 200-300mcg twice daily (AM + pre-bed)
- Performance/recovery: 300mcg three times daily (AM + post-workout + pre-bed)
Timing
- On empty stomach, 30-60 min before/after meals
Best time
- 2 hours before bedtime for sleep and natural GH alignment
Split dosing
- Space 6-8 hours apart to mimic natural GH pulses
Cycle
- 8-12 weeks on, with 5-days-on/2-days-off weekly pattern
Results timeline
- Sleep improvements 2-4 weeks, body composition 3-6 months
Natty status
Ipamorelin is classified as not natty. It appears on the WADA prohibited list and is banned by major natural bodybuilding federations.[5] Use of this compound places the athlete in the enhanced category rather than the natural category in competitive contexts.
Research
The peptide has been the subject of 9 studies and reference works collected on this site. Additional bibliography is in § External links below.
Related compounds
Other peptides in this catalogue with overlapping mechanisms or status:
Frequently asked questions
What is Ipamorelin?
Selective GHS-R1a agonist pentapeptide raising GH without cortisol or prolactin effects. Phase 2 trial failed; not FDA-approved; limited human data.
What is Ipamorelin used for?
Ipamorelin is used for sleep quality, recovery, and body composition. A Phase 2 trial in slow bowel recovery after surgery failed to beat a dummy treatment.
How does Ipamorelin work?
A five-part peptide injected under the skin. It triggers the same receptor as the hunger hormone ghrelin, so the pituitary gland releases growth hormone without a rise in the stress hormone cortisol or the milk-making hormone prolactin.
Is Ipamorelin natty?
No. Ipamorelin is classified as not natty. It is prohibited by WADA and banned by most natural bodybuilding federations. Use places an athlete in the enhanced category.
Is Ipamorelin banned by WADA?
Yes. Ipamorelin is prohibited by the World Anti-Doping Agency (WADA), so drug-tested athletes cannot use it. Check the current WADA Prohibited List before competing.
How is Ipamorelin administered?
Ipamorelin is typically administered via: subcutaneous injection. Dosage and administration protocols vary; see the Dosage section for details.
References
- a b First selective GHS characterization study
- ^ Bone growth in rats research
- a b Cisplatin-induced weight loss study
- ^ Hypothalamic-pituitary-testicular axis effects
- a b World Anti-Doping Agency. (2026). Prohibited List 2026.
External links
- Wikipedia article
- Comprehensive GHS review
- Injectable Peptides in Sports Medicine: A Structured Narrative Review of Evidence, Safety, and Antidoping Implications.
- Therapeutic Peptides in Aesthetic, Metabolic and Endocrine Conditions: Effects, Safety, Clinical Applications, and Future Perspectives.
- The emerging landscape of performance-enhancing peptides modulating GH-IGF1 axis: bridging the gap between clinical evidence and patient self-administration.
- 10mg Ipamorelin — commercial
- Bacteriostatic Water Reconstitution Solution 10ml — commercial
This page was last updated on October 5, 2026, at 07:24 (UTC).
Research last reviewed on October 5, 2026.
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