Side-by-side
| Hexarelin | Ipamorelin | |
|---|---|---|
| Mechanism | Hexapeptide GHS; potent non-selective ghrelin-receptor agonist. | Selective GHS-R1a agonist; minimal cortisol or prolactin effect. |
| Half-life | Short. | ~2 hours. |
| Dose | 100 mcg × 2-3 daily SC. | 200-300 mcg × 2-3 daily SC. |
| Cycle | 4-8 weeks. | 12 weeks on / 4 off. |
| Research context | Strong acute GH release; cortisol and prolactin elevation1. | Selective GH release; minimal off-target endocrine effects2. |
| Cost tier | Low-to-mid. | Low-to-mid. |
Hexarelin and Ipamorelin both activate GHS-R1a, the ghrelin receptor. The difference is in what else they activate. Hexarelin produces the strongest acute GH release in the class but also elevates cortisol and prolactin, and it stimulates appetite via ghrelin-like activity1. Ipamorelin was specifically engineered to avoid those off-target activities; its selectivity profile is the reason it became the default GHS pairing in extended research cycles2.
The practical consequence shows up in cycle length. Hexarelin protocols run 4-8 weeks because receptor desensitisation accelerates with the higher potency and because the cortisol/prolactin profile compounds over time. Ipamorelin supports 12-week cycles because its cleaner profile does not accumulate endocrine noise. Daily dose timing is similar for both (2-3 injections spread across the day) because neither compound maintains a long circulating half-life.
Research protocols select Hexarelin when the endpoint is acute GH-release capacity, pituitary responsiveness in elderly or compromised populations, or short-term pulse amplitude studies. Ipamorelin wins when the protocol is extended, when IGF-1 elevation is wanted without cortisol interference, or when the researcher intends to pair a GHS with a GHRH analog for the canonical complementary-pathway stack. See the GH secretagogue cycle design for the full class view.
Frequently asked
Why pick Hexarelin over Ipamorelin?
Does Hexarelin cause cortisol issues?
Can either be stacked with CJC-1295?
Go deeper
Related comparisons
- Comparison CJC-1295 vs Ipamorelin CJC-1295 vs Ipamorelin: GHRH analog vs selective GHS. The canonical GH-stack mechanism question answered with cited research.
- Comparison CJC-1295 vs Hexarelin CJC-1295 vs Hexarelin: sustained GHRH analog vs potent ghrelin-receptor agonist. Mechanism, dose, and research context from PubMed.
- Comparison Hexarelin vs Tesamorelin Hexarelin vs Tesamorelin: ghrelin-receptor agonist vs FDA-approved GHRH analog. Mechanism and clinical registration contrasted with cited research.
- Comparison Ipamorelin vs Tesamorelin Ipamorelin vs Tesamorelin: selective GHS vs FDA-approved GHRH analog. Complementary mechanisms often stacked in research protocols.
References
- Ghigo E, et al. Growth hormone-releasing activity of hexarelin. J Clin Endocrinol Metab. 1994. PMID: 8126144
- Raun K, et al. Ipamorelin, the first selective growth hormone secretagogue. Eur J Endocrinol. 1998. PMID: 9849822
All references verified against PubMed via NCBI E-utilities.