Ghrelin vs Sermorelin

Must be acylated at Ser3 (by GOAT enzyme) for GHSR-1a binding. Receptor activation in the pituitary stimulates GH release; hypothalamic action via NPY/AgRP neurons increases appetite and reduces energy expenditure.

An endogenous 28-amino acid peptide hormone produced primarily by gastric oxyntic cells. Functions as both the primary hunger signal and a potent GH secretagogue. The natural ligand for the growth hormone secretagogue receptor (GHSR-1a).

Sermorelin is a synthetic analogue of the first 29 amino acids of endogenous growth hormone-releasing hormone (GHRH). It binds to GHRH receptors on pituitary somatotrophs, stimulating pulsatile GH secretion in a physiological pattern that preserves the natural hypothalamic-pituitary feedback axis — contrasting with direct GH administration. Downstream IGF-1 elevation mediates many of its body composition, tissue-repair, and sleep quality effects.

Sermorelin is a GHRH analogue used to stimulate endogenous growth hormone production. It is one of the most widely prescribed peptides in the anti-aging and functional medicine space, valued for preserving the natural pituitary feedback axis while supporting body composition, sleep quality, and tissue repair. Compounded formulations are available in the US through 503A pharmacies.