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EstablishedGrowth HormoneSubQDaily

Sermorelin

Geref · GHRH(1-29)

29-amino-acid minimum biologically active GHRH fragment; FDA-approved as Geref in 1990 but marketing was discontinued in 2008.

§ 01   Overview

Overview

29-amino-acid minimum biologically active GHRH fragment; FDA-approved as Geref in 1990 but marketing was discontinued in 2008.

FDA-approved 1990 (NDA 019863/020443). Marketing discontinued 2008; available via compounding.

§ 02   Mechanism

Mechanism of action

Sermorelin is GHRH(1-29)NH₂, the shortest fragment of GHRH that retains full activity. It stimulates pituitary somatotrophs via the GHRH receptor to release endogenous GH.

  • 01Stimulates physiological GH pulses
  • 02Historical FDA approval
  • 03Widely compounded off-label

§ 03   Dosing

Dosing protocol

Standard Protocol

Vial
3 mg
BAC Water
2 ml BAC water
Dose Range
100 – 500 mcg per dose
Route
SubQ
Timing
Before bed
Frequency
Daily
Cycle
3–6 months

§ 04   Evidence

Evidence & research

Established

FDA-approved 1990 (NDA 019863/020443). Marketing discontinued 2008; available via compounding.

FDA Status

FDA-approved but marketing discontinued (2008). Available via compounding.

§ 06   News

In the news

8 articles from the last 12 months · updates hourly

§ 07   Sourcing

Sourcing & supply

Regulatory status

FDA-approved

This compound has an FDA approval for at least one indication. Brand pharmacy channels exist. Compounding may or may not be available depending on shortage status.

503B pharmacies · 8

503B pharmacy

Empower Pharmacy

Rx required

One of the largest US compounders by volume; dual 503A + 503B. Repeat FDA enforcement history and ongoing Lilly litigation.

FDA 503B Registered6 flags on record
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503B pharmacy

Olympia Pharmaceuticals

Rx required

35+ year family-owned dual 503A/503B licensed in 48–49 states. Among the cleanest mid-sized 503Bs operating today.

FDA 503B Registered3 flags on record
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503B pharmacy

Belmar Pharma Solutions

Rx required

Webster Equity portfolio. Triple-credentialed (PCAB + NABP + LegitScript), licensed in all 50 states. Among the most credentialed operators.

FDA 503B Registered +31 flag on record
503B pharmacy

Strive Pharmacy

Rx required

503A, licensed in all 50 states. Triple-credentialed (PCAB + NABP + LegitScript). Partner of Lavender Sky.

PCAB Accredited +21 flag on record
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503B pharmacy

Hallandale Pharmacy (Pharmcore)

Rx required

503A with historic warning letter (2020, closed out 2022). Major telehealth fulfillment partner.

1 flag on record
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503B pharmacy

ReviveRX

Rx required

503A mail-order. High-risk: Class I recall April 2024 for mislabeled tirzepatide vials containing testosterone cypionate.

1 flag on record
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503B pharmacy

Fagron Sterile Services

Rx required

Established 503B outsourcing facility in FDA's registered list.

FDA 503B Registered
503B pharmacy

Wedgewood Connect

Rx required

FDA-registered 503B outsourcing facility.

FDA 503B Registered

Telehealth (Rx) · 7

Telehealth

Defy Medical

Rx required

Broadest peptide formulary in legitimate US telehealth. 13-year history, concierge cash-pay, no known lawsuits.

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Telehealth

Ro

Rx required

Only major telehealth that avoided lawsuits by signing direct partnerships with LillyDirect and NovoCare.

LegitScript Certified
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Telehealth

Marek Health

Rx required

Premium hormone optimization. All 50 states. 4.8 Trustpilot. Partners include Hallandale.

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Telehealth

Ivim Health

Rx required

~100 providers. Filed amicus brief supporting OFA's tirzepatide appeal. Joined Outsourcing Facilities Association.

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Telehealth

Maximus Tribe

Rx required

Performance medicine platform. Flagship 'Oral TRT+' (enclomiphene + pregnenolone). Claims LegitScript-certified pharmacy partners.

1 flag on record
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Telehealth

Blokes / Joi Women's Wellness

Rx required

Men's + women's optimization platform. TRT in 34 states. 4.6–4.8 Trustpilot.

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Telehealth

Superpower

Rx required

Longevity-biomarker subscription ($199/yr, 100+ biomarkers) with narrow prescription formulary.

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Research-use-only · 3

Research-use-only

Swiss Chems

Established SARMs/peptide vendor. FDA warning letter Dec 2024 for GLP-1s. Weaker peptide QC than SARMs QC.

Third-Party Testing1 flag on record
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Research-use-only

Limitless Life Nootropics

'Only BBB-accredited peptide company' (since 2020). Claims three-lab third-party testing. Broad catalog.

BBB Accredited +1
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Research-use-only

Core Peptides

Broad catalog, widest payment range. Mid-credibility: Knoji 2.5/5 and one scam-impersonation report.

Third-Party Testing1 flag on record
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Listings are informational, not endorsement. Verify credentials and flags against FDA and PCAB databases before purchasing. Full directory & how to verify →

§ 09   Safety

Safety & side effects

Side effects

  • 01Injection site reactions
  • 02Headache
  • 03Flushing

Contraindications

None specified.

§ 10   Questions

Sermorelin FAQ

What is Sermorelin?
29-amino-acid minimum biologically active GHRH fragment; FDA-approved as Geref in 1990 but marketing was discontinued in 2008. Sermorelin is GHRH(1-29)NH₂, the shortest fragment of GHRH that retains full activity. It stimulates pituitary somatotrophs via the GHRH receptor to release endogenous GH.
What is Sermorelin used for?
Reported uses include stimulates physiological gh pulses, historical fda approval, and widely compounded off-label. Evidence strength is rated Established — see the evidence section for detail.
How is Sermorelin dosed?
Commonly referenced dosing is 100 – 500 mcg per dose, typically daily, administered SubQ. This is educational reference only; consult a licensed clinician before use.
How do you reconstitute Sermorelin?
For Sermorelin, vials commonly come in 3 mg and a common reconstitution is 2 ml BAC water. Use the reconstitution calculator to convert any vial size and water volume into exact insulin-syringe units.
What are the side effects of Sermorelin?
Commonly reported side effects include injection site reactions, headache, and flushing. This list is not exhaustive.
Is Sermorelin legal?
This compound has an FDA approval for at least one indication. Brand pharmacy channels exist. Compounding may or may not be available depending on shortage status. FDA status: FDA-approved but marketing discontinued (2008). Available via compounding..

§ 11   References

Selected references

  1. 01

    Thorner — long-term GH deficiency treatment

    PMID: 8772599

  2. 02

    Prakash & Goa BioDrugs review

    PMID: 18031173

This site is for educational and research purposes only. It does not constitute medical advice. Always consult a qualified healthcare provider before using any peptide or supplement.