Sermorelin
GHRH(1-29)
fatigue
sleep
training recovery
tissue repair
metabolic health
muscle
fat distribution
body recomposition
bone density
healthspan
The shortest fragment of natural GHRH that still works. It was a licensed medicine with a paediatric safety record before it was withdrawn commercially.
Goal profile
PERFORMANCE
3/4 axes
LONGEVITY
4/7 axes
RECOVERY
3/6 axes
WEIGHT
2/5 axes
ENERGY
1/5 axes
MOOD
1/8 axes
Evidence
1982
first described
579
indexed studies
How strong the evidence is
Licensed medicine
Held FDA approval as Geref and was withdrawn for commercial reasons rather than safety. The registration trials behind it still stand.
Highest study design
registration trials
Human studies
38
Replication
independent international
Regulatory status
FDA or EMA approval
Last reviewed
2026-08-14
The bar is derived from these five facts, not set by hand. Human study counts follow the weekly PubMed refresh; the rest change only when a trial is published or a regulator acts.
How strong the effect is
strength 2 of 5 · weight 0.39
Noticeable but modest
A mild rise in your own growth hormone.
What's unique
It was a licensed medicine with a paediatric safety record — rare company on this list.
Unexpected positive evidence
Sleep-depth reports improved more reliably than any body-composition marker.
Benefits
restoration of your own GHRH pulse pattern instead of replacing it
Fatigue · from week 2
deeper sleep and steadier next-day energy within the first weeks
Sleep · from week 3
slow, physiological improvement in body composition
Fat distribution · from week 8
pituitary preservation — the negative-feedback loop stays intact
Fatigue · from week 2
support for skin quality, joint comfort, and post-exercise recovery
Tissue repair · from week 5
better bone density and joint resilience with sustained use
Tissue repair · from week 5
Timeline
Days 1–7
Sleep depth improves first — usually within the first three nights. Vivid dreams are common and normal early on.
Weeks 2–6
Recovery, morning energy and skin quality improve together. Because it works through your own pituitary, changes arrive gradually rather than switching on.
Weeks 6–12
The full window. Body composition shifts slowly, joint comfort improves, and sleep architecture stabilises. Nightly dosing matters more than dose size here.
Post-cycle
Growth hormone pulses return to baseline within a week and sleep depth fades with them. Cycled use — 12 weeks on, four off — is the convention.
Risks
Short-term
Flushing, injection-site itch, occasional headache in the first week.
Long-term
It works through your own pituitary, so the ceiling is physiological. Lower risk than direct GH, not zero.
Tolerance & withdrawal
Nightly dosing, cycled 12 weeks on and four off.
Dosing
Dose
100–500 mcg per injection
200–300 mcg is the usual; higher doses raise side effects before results.
Route
Subcutaneous — abdomen
Pinch a fold of belly fat; the shot is shallow and painless when you get the angle right.
Timing
Before bed, at least two hours after eating
The bedtime shot rides the natural night pulse. Eating late wastes the dose.
Frequency
Daily, or 5 on / 2 off
Daily is the standard; dropping to 5/2 saves a third of the cost with little visible loss.
Cycle
8–12 weeks
Three months is a fair first read — anyone judging it at four weeks is judging noise.
Duration
Long blocks
The changes people want from it arrive over months, so a short run tells you nothing either way.
Forms
injectable
~100%
+ Full dose delivered; nothing lost to first-pass
− Daily needles, sites, sharps disposal
Refrigerate 2–8 °C after reconstitution
sublingual
5–20%
+ Avoids the stomach; fast onset
− Hold time matters more than people admit
Room temperature, sealed
Sources
579 indexed papers in the source catalog snapshot; not a live PubMed count
Catalog evidence category: known. This is an editorial classification, not a clinical review.
Community anecdotes do not establish safety or efficacy.
Primary regulatory sources are linked below; clinical literature has not been independently reviewed for this FAQ.
FAQ
Sermorelin (GHRH(1-29)) is a truncated GHRH (29 amino acids). The HEIVE catalog describes it as: The shortest fragment of natural GHRH that still works. It was a licensed medicine with a paediatric safety record before it was withdrawn commercially. It is also known as GRF 1-29.
Regulatory sources checked: . Source verification only; no clinician review is claimed.