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Sermorelin vs ipamorelin: which is legal to prescribe, and what is the difference?

Sermorelin and ipamorelin are both “growth hormone secretagogues”: they prompt the pituitary gland to release your own growth hormone rather than supplying growth hormone directly. They work through different receptors and have very different regulatory status.

Sermorelin

  • A fragment of growth-hormone-releasing hormone (GHRH).
  • Was once approved by FDA as a brand-name drug (Geref); the brand was discontinued for commercial reasons rather than safety.
  • Commonly prescribed through licensed compounding pharmacies today. Compounded sermorelin is not FDA-approved.
  • Evidence for anti-aging benefits in healthy adults is modest and largely older.

Ipamorelin

  • Acts on the ghrelin receptor rather than the GHRH receptor.
  • FDA has listed ipamorelin among bulk substances that raise significant safety concerns for compounding, which means licensed pharmacies generally cannot compound it.
  • Products sold online as “research use only” are unapproved drugs. We do not sell or link to them.

Which is “better”?

There is no good head-to-head evidence in healthy people. In practice, the question is mostly settled by legality: sermorelin is the one a clinician can typically prescribe through a licensed pharmacy right now.

Before considering either

Sleep, resistance training, protein adequacy, and body-fat reduction all raise natural growth hormone output and carry far stronger evidence. See our longevity guide.

Safety information

Compounded peptides are not FDA-approved and have not been evaluated by FDA for safety, effectiveness, or quality. Only a licensed clinician can decide whether one is appropriate for you.

Sources

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