Ghrelin-receptor / GH secretagogue
Hexarelin
ClinicalAlso known as Examorelin
The potent secretagogue with a heart story that never left the lab.
- Cited sources
- 3
- Human-tested claims
- 2 of 3
- Best evidence
- Tier 2 · Clinical
- Status
- Research-only
A methylated analog of GHRP-6 and one of the strongest peptide GH secretagogues tested in people. Human studies mapped its GH, prolactin and cortisol effects in detail in the 1990s and early 2000s. The cardioprotective claims that circulate rest on isolated rat hearts.
How it works
Hexarelin is GHRP-6 with a methyl group on the tryptophan, making it more stable and more potent. It acts at the ghrelin receptor to release GH, and in people also drives ACTH and cortisol, apparently through vasopressin. A separate cardiac binding site (CD36) is proposed to explain its effects on heart tissue in animals.
Sequence: His-D-2-Me-Trp-Ala-Trp-D-Phe-Lys-NH₂GHRP-6 with 2-methyl-D-tryptophan in position 2. Three-letter form; no one-letter equivalent.
What it's studied for
One claim per card, each with its own tier and source. Tiers 1 and 2 are human data. Tiers 3 and 4 are not yet.
- [1]Maccario et al., 2002 (Eur J Endocrinol)(opens in a new tab)
Two or three daily injections raised 24-hour GH secretion in healthy men without changing IGF-1, prolactin, ACTH or cortisol over one day.
Clinical - [2]Korbonits et al., 1999 (Clin Endocrinol)(opens in a new tab)
Produced higher peak GH than insulin-induced hypoglycemia as a test of pituitary reserve in patients with pituitary disease.
Clinical - [3]Torsello et al., 2001 (Endocrine)(opens in a new tab)
Protected isolated rat hearts from calcium-paradox damage, an effect GH itself did not reproduce.
Preclinical
Safety & limitations
Single doses in healthy volunteers raise ACTH and cortisol as well as GH and prolactin, and produce a small acute rise in appetite. Repeated daily injections blunted the GH response within a day, an early sign of tachyphylaxis.
[1]Maccario et al., 2002 (Eur J Endocrinol)(opens in a new tab)No long-term human safety data exist. The cardiac effects reported in animals have not been examined in people.
[3]Torsello et al., 2001 (Endocrine)(opens in a new tab)Regulatory & legal status
Never approved in any jurisdiction. Studied as a diagnostic test of pituitary reserve and as an experimental secretagogue; no therapeutic program reached registration.
[2]Korbonits et al., 1999 (Clin Endocrinol)(opens in a new tab)Frequently asked
Is hexarelin good for the heart?
In isolated rat hearts it protected against damage from calcium deprivation, independently of GH. No human study has tested a cardiac outcome. That is a hypothesis with a mechanism, not a benefit.
References
Written by Twenty Residues editorial. Medical review: pending; a named reviewer is being assigned.
Last updated October 1, 2026.
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Update history
- 2026-10-01 — Entry added.