PeptideAmerica

GH secretagogues

Sermorelin

GHRH(1–29); formerly Geref

US status
Compoundable (503A)
Class
GH secretagogues
Approved product
None
Route
Subcutaneous injection

Regulatory record

August 2026
Compounded by 503A pharmacies with a valid prescription; the discontinued approval was withdrawn for commercial, not safety, reasons.

Status verified for this index · August 2026

Definition

Sermorelin is the first 29 amino acids of growth hormone-releasing hormone, the shortest fragment that retains the full hormone's activity at the pituitary; it stimulates the body's own growth hormone release rather than replacing the hormone directly.

Its regulatory history distinguishes it from most compounded peptides: sermorelin was an approved drug, marketed as Geref for pediatric growth hormone deficiency, and the approval was withdrawn in 2008 for commercial rather than safety reasons.

Evidence

The approval-era evidence is pediatric: in a one-year study of once-daily subcutaneous GHRH(1–29) in prepubertal children with growth hormone deficiency, treatment accelerated growth velocity [1]. Adult use for body composition, sleep, or longevity rests on the pharmacology rather than on comparable trials; a 2026 review of GH-axis peptides finds the clinical evidence for such uses thin [2].

A reader weighing sermorelin against injected growth hormone is weighing a stimulus with intact feedback control against direct replacement; the safety argument favors the former, and the outcome data for modern adult indications are limited for both.

Lawful access

Licensed 503A pharmacies compound sermorelin with a valid prescription; its history as a component of an approved drug is what makes that position durable. No telehealth supplier is listed in this index yet; programs carrying sermorelin are under review.

Material sold without a prescription as research-use-only sermorelin sits outside pharmacy quality standards, whatever the molecule's own status.

References

  1. Thorner M, Rochiccioli P, Colle M, et al. Once daily subcutaneous growth hormone-releasing hormone therapy accelerates growth in growth hormone-deficient children during the first year of therapy. J Clin Endocrinol Metab. 1996;81(3):1189–1196. PMID 8772599
  2. Frontiers in Endocrinology. The emerging landscape of performance-enhancing peptides modulating the GH-IGF1 axis. 2026. PMID 42395176