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Evidence profile · Growth Hormone Axis

Sermorelin

Sermorelin is a GHRH 1-29 analog. It held FDA approval as a diagnostic agent until 2008.

EvidenceModerateRegulatoryApproval discontinuedWADAProhibited (S2.2.4)

Checked by the PU Research editorial teamevidence-graded against primary sources. Last check: 23 July 2026. Sources: 3. Who checks this

Sport prohibition notice. WADA prohibits GHRH analogs and growth hormone secretagogues under section S2.2.4. Seven of the eight compounds in this category fall under that section. IGF-1 LR3 falls under S2, and its insulin cross-activity also relates to S4. Check the live WADA list before any decision that involves competition.

01

Identity & Classification

Sermorelin is a synthetic analog of the first 29 amino acids of GHRH. The short name is GHRH 1-29. The former brand names were Geref and Geref Diagnostic.

02

Mechanism: How It Works

Sermorelin binds the GHRH receptor on anterior pituitary somatotrophs. It stimulates the body's own pulsatile growth hormone release.

Somatostatin feedback still controls that release. This is a difference from injected growth hormone.

03

Research Findings

Evidence tier: clinical, for the diagnostic use only.

The FDA approved sermorelin in 1997. The approval covered the diagnostic evaluation of pituitary growth hormone secretion and growth hormone deficiency.

Peak growth hormone occurs 30 to 60 minutes after the injection.

Evidence limit. No controlled trial supports a body-composition claim in healthy adults.

04

Reported Dosing & Delivery

The historic diagnostic use was one 1 µg/kg intravenous dose.

Sermorelin now reaches the market through compounding pharmacies. Any body-composition dosing is non-clinical. It is not a recommendation.

05

Pharmacokinetics & Timing

The half-life is short. Growth hormone peaks 30 to 60 minutes after the dose.

06

Interactions & Combinations

Sermorelin acts on the growth hormone axis.

Community protocols combine it with a growth hormone secretagogue. That combination is anecdotal. No published human trial tests it.

Compare with Tesamorelin and CJC-1295.

07

Safety & Contraindications

Sermorelin was well tolerated in its approved diagnostic use. Injection site reactions occurred.

Long-term safety in healthy adults is not established.

08

Monitoring & Biomarkers

  • IGF-1.
  • Glucose.
09

Regulatory Status

The FDA approval ended in 2008. The reason was commercial, not a safety finding. FDA records list it as a discontinued drug product. It reaches patients through compounding.

WADA prohibits it under S2.2.4. See the WADA prohibited list status.

10

Works Cited

  1. 01FDA discontinued drug product records. View source →
  2. 02Prakash A, Goa KL. Drug review of sermorelin. View source →
  3. 03WADA 2025 Prohibited List, section S2.2.4. View source →

Research use only. This is not medical advice.

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