What it is
Hexarelin is a synthetic hexapeptide GHS developed in the 1990s. Strong agonist at GHSR-1a, with secondary activity reported at the CD36 scavenger receptor.
Evidence snapshot
Category: Growth Hormone. Status: Preclinical. See the references section below for the underlying primary sources.
Mechanism
Activates GHSR-1a to produce GH release. The CD36 activity produces cardioprotective signalling in some preclinical models. Repeated dosing produces rapid tachyphylaxis.
Key research findings
Produces robust GH release in rodents and humans, with greater peak than GHRP-6. Cardioprotective effects in ischemic and pressure-overload heart failure models.
Limits of the evidence
Tachyphylaxis limits therapeutic utility. Most published clinical work was small Phase 1 pharmacokinetic studies; clinical efficacy was never established.