Pair page — what's published on the two together
Hexarelin with Sermorelin
Studied together in 1996: IV hexarelin with GHRH(1-29)NH2, the molecule sold as sermorelin, released more GH than either alone.
The receipt
3 studies gave them to people together
Human pilots · 3 small human studies (1996)
- Evidence on the combination
- Human pilots
Massoud et al., Clin Endocrinol 1996 · Massoud et al., J Clin Endocrinol Metab 1996 · Giustina et al., 1996
What each does alone
- Muscle & strength · Daily shotHexarelinGH secretagogueKnown for the biggest growth-hormone pulse of its family. The catch: it fades within 2–4 weeks of daily use.Human pilotsGray marketChecked Oct 18
- Muscle & strength · Daily shotSermorelinGH secretagogueThe first FDA-approved growth-hormone releaser, now compounded for adults. The approval was for kids, 1997.Controlled trialsCompounded RxChecked Oct 18
Mechanism overlap · reasoning, not evidence
- Hexarelin
- Peptide — GHRP (Growth Hormone-Releasing Peptide)
- Sermorelin
- Peptide — GHRH Analog, Growth Hormone Secretagogue
Reasoning, not evidence: what each is described to do says nothing about what they do together.
What the studies found
Healthy men, repeated IV doses (Massoud et al., Clin Endocrinol 1996)
- What was given — 6 healthy men; IV hexarelin 1 µg/kg, GHRH(1-29)NH2 1 µg/kg, or both, each repeated 60 or 120 minutes later.
- What it found — Peak GH secretion with both was greater than the sum of each alone (P = 0.001). A second dose 120 minutes later gave less, and the synergy was lost on repeat doses.
- Limits — 6 men, single-day lab studies.
Healthy men, low-dose hexarelin (Massoud et al., J Clin Endocrinol Metab 1996)
- What was given — Healthy adult men; GHRH(1-29)NH2 1.0 µg/kg alone or with a low dose of hexarelin (0.125 µg/kg).
- What it found — Together they produced “massive GH release” (115 mU/L), a moderate prolactin rise (84.9%) and no rise in cortisol.
Men with type 1 diabetes (Giustina et al., 1996)
- What was given — 10 men with type 1 diabetes and 7 healthy men; IV hexarelin 100 µg, GHRH(1-29)NH2 100 µg, or both.
- What it found — GH rose more with both than with either alone: synergistic in the healthy men, additive in the men with diabetes.
The studies used single IV doses in a lab, not the daily injections people run.
Legal Status
Hexarelin: Gray market. No FDA ruling — not on any list.
Sermorelin: Compounded Rx. Once an approved drug (Geref, 1990–2008); compounded legally today.
References
- Massoud AF, Hindmarsh PC, Matthews DR, Brook CG. The effect of repeated administration of hexarelin, a growth hormone releasing peptide, and growth hormone releasing hormone on growth hormone responsivity. Clin Endocrinol (Oxf). 1996;44(5):555-562. PMID: 8762732.
- Massoud AF, Hindmarsh PC, Brook CG. Hexarelin-induced growth hormone, cortisol, and prolactin release: a dose-response study. J Clin Endocrinol Metab. 1996;81(12):4338-4341. PMID: 8954038.
- Giustina A, Desenzani P, Perini P, Deghenghi R, Bugari G, et al. Hypothalamic control of growth hormone (GH) secretion in type I diabetic men: effect of the combined administration of GH-releasing hormone and hexarelin, a novel GHRP-6 analog. Endocr Res. 1996;22(2):159-174. PMID: 8799695.
Checked 14 Oct 2026 | A literature lookup, not a recommendation to combine anything.