Chemical structure of GHRP-2

GHRP-2

A synthetic hexapeptide ghrelin-receptor agonist that provokes a sharp GH pulse — approved in Japan only as a diagnostic agent.

GHRP-2 at a Glance

GHRP-2 is a synthetic hexapeptide that activates the ghrelin receptor, producing a sharp, reliable pulse of growth hormone. It is potent enough to be used diagnostically — it is approved in Japan as a test agent for assessing pituitary GH reserve, which is an unusual level of regulatory recognition for a peptide in this category. Outside that single approval it is an unapproved research chemical. Along with the GH pulse it raises cortisol, prolactin and appetite, which distinguishes it from the more selective ipamorelin.

History & Development

GHRP-2 is one of very few compounds on this hub with an actual regulatory approval - and the approval is for a single diagnostic injection, not for anything it is sold to do.

First describedNot established in the sources consulted for this section
Discovered / synthesised byNot established in the sources consulted for this section
InstitutionNot established in the sources consulted for this section
OriginSynthetic hexapeptide; ghrelin-receptor (GHS-R1a) agonist
Key patentNot established in the sources consulted for this section
AssigneeNot established in the sources consulted for this section
Development statusApproved in Japan as a single-dose diagnostic agent for growth-hormone deficiency; not approved in the US, EU, UK or Australia

Discovery

GHRP-2 belongs to the growth-hormone-releasing peptide series - short synthetic peptides that activate the ghrelin receptor and provoke a sharp pituitary GH pulse. It predates the selective secretagogues, and it is not selective: alongside growth hormone it raises cortisol, prolactin and ACTH, which is precisely the profile that later compounds such as ipamorelin were designed to avoid.

That lack of selectivity is why it is a good diagnostic agent. A strong, reliable GH pulse is exactly what a provocation test needs.

Development & ownership

GHRP-2’s approval is Japanese, diagnostic, and single-dose: 100 µg intravenously in adults, or about 1 µg/kg in children, given once, to test whether the pituitary can release growth hormone. Transient flushing is the characteristic effect, and single doses have a long, well-documented tolerability record in that setting.

Nothing in that approval speaks to repeated use, which is the entire basis of the peptide market around it. The relevant finding is on the page below: five days of daily injection blunted the response - the pituitary stops answering as loudly. A diagnostic agent is optimised to work once.

How it reached the market

Outside Japan, GHRP-2 is an unapproved research chemical, sold for muscle gain, recovery and anti-ageing at daily subcutaneous doses. That regimen has no approval anywhere, and it is the one pattern of use its own literature suggests degrades over days.

What It's Used For

GHRP-2 — international nonproprietary name pralmorelin, development codes KP-102 and GPA-748 — is a synthetic hexapeptide (D-Ala-D-2-Nal-Ala-Trp-D-Phe-Lys-NH₂, ~818 Da) that agonizes the ghrelin / growth-hormone-secretagogue receptor GHS-R1a on pituitary somatotrophs and triggers a sharp pulse of growth hormone. It is a ghrelin mimetic, not a GHRH analogue: it does not act through the GHRH receptor at all 15Reference 15Chen C et al. · 1998In vitroGrowth hormone-releasing peptide-2 (GHRP-2) does not act via the human growth hormone-releasing factor receptorView study →, which is the mechanistic line separating it from sermorelin, CJC-1295 and tesamorelin, and it is the same receptor targeted by ipamorelin, GHRP-6 and oral MK-677.

The status fact comes first, and it is narrower than it sounds. GHRP-2 is the only growth-hormone secretagogue any national regulator has ever approved — Kaken Pharmaceutical markets it in Japan as GHRP Kaken 100, approved in 2004 for use in adults and children over four. But it is approved as a diagnostic agent, not a treatment: one intravenous dose, to see whether the pituitary can release growth hormone. A diagnostic approval validates exactly the one thing about this compound that nobody disputes — that it provokes a measurable GH pulse. It says nothing about whether that pulse does anything useful, and it is not a Western approval. Everywhere outside that Japanese diagnostic niche, GHRP-2 is an unapproved research chemical, sold “not for human consumption” and prohibited in sport at all times.

Two further facts reframe the consumer use. First, GHRP-2 is not selective. Ipamorelin’s whole design premise was to release GH without raising ACTH, cortisol and prolactin — the off-target rise that GHRP-2 and GHRP-6 produce 14Reference 14Arvat E et al. · 1997Effects of GHRP-2 and hexarelin, two synthetic GH-releasing peptides, on GH, prolactin, ACTH and cortisol levels in manView study →.

GHRP-2 has the property ipamorelin was engineered to avoid, and here that is treated as a safety finding, not a footnote of pharmacology. Second, the acute GH spike does not straightforwardly become sustained anabolism. Five days of daily subcutaneous injection in healthy young men significantly attenuated the GH response and left IGF-1 completely unchanged 12Reference 12Nijland EA et al. · 1998A five day treatment with daily subcutaneous injections of growth hormone-releasing peptide-2 causes response attenuation and does not stimulate insulin-like growth factor-I secretion in healthy young menView study →.

The human literature on GHRP-2 is almost entirely GH and IGF-1 pulse data in healthy volunteers, plus pediatric diagnostic work: it is a biomarker record, and there is no controlled human outcome trial for muscle, fat, strength, or aging.

Best-supported:diagnosing growth-hormone deficiency. A single 100 µg IV dose reliably and reproducibly separates GH-deficient adults from healthy controls, validated against the insulin-tolerance test in 77 healthy subjects and 58 ITT-confirmed patients 2Reference 2Chihara K et al. · 2007A simple diagnostic test using GH-releasing peptide-2 in adult GH deficiencyView study →, confirmed in a three-way head-to-head in 71 pituitary-tumor patients 3Reference 3Kinoshita Y et al. · 2013The arginine and GHRP-2 tests as alternatives to the insulin tolerance test for the diagnosis of adult GH deficiency in Japanese patients: a comparisonView study →, and in routine Japanese clinical use since 4,5,6Reference 4Suzuki S et al. · 2022Clinical usefulness of the growth hormone-releasing peptide-2 test for hypothalamic-pituitary disorderView study →Reference 5Onuki T et al. · 2024Robust growth hormone responses to GH-releasing peptide 2 in adolescentsView study →Reference 6Ohara E et al. · 2017Laparoscopic sleeve gastrectomy resolves low GHRP-2-stimulated growth hormone levels in obese patientsView study →. This is the approved indication and the only application with approval-grade human data.
Genuine but small human treatment signal:an open-label, uncontrolled study of intranasal GHRP-2 in 15 short-stature children raised height velocity from 3.7 to 6.1 cm/year at six months — with no rise in IGF-1 or IGFBP-3 9Reference 9Pihoker C et al. · 1997Treatment effects of intranasal growth hormone releasing peptide-2 in children with short statureView study →. Real, human, and the closest thing to a therapeutic result GHRP-2 has; also a single center, no control group, and never followed by a pivotal trial. The program reached Phase II in Japan and was abandoned 1Reference 1Adis Editorial · 2004ReviewPralmorelin: GHRP 2, GPA 748, growth hormone-releasing peptide 2, KP-102 D, KP-102 LN — development, licensing and regulatory profileView study →.
One clean acute human pharmacodynamic result:seven lean healthy men infused with GHRP-2 ate 36% more at a buffet meal than on saline, every subject increasing intake 10Reference 10Laferrère B et al. · 2005Growth hormone releasing peptide-2 (GHRP-2), like ghrelin, increases food intake in healthy menView study → — a real ghrelin-like appetite effect, and an argument against it for body-composition goals.
Biomarker, not outcome — and the route matters.Thirty days of continuous subcutaneous infusion in older adults did sustain pulsatile GH and raise IGF-1, IGFBP-3 and IGFBP-5 11Reference 11Bowers CY et al. · 2004Sustained elevation of pulsatile growth hormone secretion and IGF-I, IGFBP-3 and IGFBP-5 concentrations during 30-day continuous subcutaneous infusion of GH-releasing peptide-2 in older men and womenView study →; five days of intermittent daily injection — the pattern gray-market use actually follows — did not raise IGF-1 at all and blunted the GH response 12Reference 12Nijland EA et al. · 1998A five day treatment with daily subcutaneous injections of growth hormone-releasing peptide-2 causes response attenuation and does not stimulate insulin-like growth factor-I secretion in healthy young menView study →. Even the positive result stops at the biomarker: nobody measured lean mass, fat mass, strength or function.
Popular but unstudied — and un-scored here:muscle gain, fat loss, body recomposition and “anti-aging.” These are the reasons GHRP-2 is bought, and there is not one controlled human outcome trial behind any of them.
The honest read:a compound with a real, approval-backed human record — for detecting a hormone deficiency, in one country, one dose at a time. Everything sold to consumers is chronic off-label use of a diagnostic-only agent, by injection, from unregulated supply, with cortisol and prolactin rising alongside the GH.
Evidence by IndicationStrength of support · Beta

Support is an experimental score I’m building — a composite weighted by study type (human > animal > in vitro > review) and study volume. It’s a beta: a fast way to rank strength of evidence at a glance, not a validated metric. Each application links down to its write-up.

Muscle gain, fat loss, body recomposition and “anti-aging” — the uses GHRP-2 is actually marketed for — are deliberately absent from this table. They rest on the acute GH spike plus vendor copy, not on any controlled human outcome trial, and they are not scored.

Note also that the 28% on the body-composition row is not simple absence of evidence. GHRP-2 was tested on the intermittent-injection schedule the community uses, and IGF-1 did not move 12Reference 12Nijland EA et al. · 1998A five day treatment with daily subcutaneous injections of growth hormone-releasing peptide-2 causes response attenuation and does not stimulate insulin-like growth factor-I secretion in healthy young menView study →. That is a null result, not an untested question.

Mechanisms

Target / pathwayEffectRelevant to
GHS-R1a (ghrelin receptor), pituitary somatotrophsAgonist → rapid pulsatile GH release
Diagnostic testing; all downstream claims
GHRH receptorNot engaged — GHRP-2 releases GH independently of the GHRH receptor 15Reference 15Chen C et al. · 1998In vitroGrowth hormone-releasing peptide-2 (GHRP-2) does not act via the human growth hormone-releasing factor receptorView study →
Distinguishes it from sermorelin / CJC-1295 / tesamorelin
Intracellular signalingActs through a route separable from GHRH’s cAMP pathway; synergizes with GHRH rather than duplicating it 11,16Reference 11Bowers CY et al. · 2004Sustained elevation of pulsatile growth hormone secretion and IGF-I, IGFBP-3 and IGFBP-5 concentrations during 30-day continuous subcutaneous infusion of GH-releasing peptide-2 in older men and womenView study →Reference 16Chen C et al. · 1998In vitroEffect of growth hormone-releasing peptide-2 (GHRP-2) and GH-releasing hormone (GHRH) on the cAMP levels and GH release in cultured acromegalic tumoursView study →
Why the two classes are co-injected
Somatostatin toneFunctionally opposes the inhibitory brake on GH
Magnitude of the provoked pulse
GHS-R1a, hypothalamic appetite circuitsAgonist → increased hunger and food intake
Appetite; cachexia; unwanted for fat loss
Corticotroph / lactotroph axisOff-target ACTH, cortisol and prolactin release 14Reference 14Arvat E et al. · 1997Effects of GHRP-2 and hexarelin, two synthetic GH-releasing peptides, on GH, prolactin, ACTH and cortisol levels in manView study →
Safety — the property ipamorelin was designed to avoid
Repeated dosingProgressive attenuation of the GH response (tachyphylaxis) 12Reference 12Nijland EA et al. · 1998A five day treatment with daily subcutaneous injections of growth hormone-releasing peptide-2 causes response attenuation and does not stimulate insulin-like growth factor-I secretion in healthy young menView study →
Why chronic bolus regimens under-deliver

Pharmacokinetics

GHRP-2 has measured human pharmacokinetics, which is unusual on this hub. After a single 1 µg/kg intravenous dose in prepubertal children, disposition was biexponential with a terminal half-life of 0.55 ± 0.14 hours (~33 minutes), plasma clearance 0.66 L/h/kg, apparent volume of distribution 0.32 L/kg and Cmax 7.4 ng/mL; the GH response it drives peaks around 25 minutes and itself decays with a ~0.37-hour half-life 7Reference 7Pihoker C et al. · 1998Pharmacokinetics and pharmacodynamics of growth hormone-releasing peptide-2: a phase I study in childrenView study →. So both the peptide and the pulse it triggers are gone within a few hours — the compound is a provocative stimulus, not a sustained hormone therapy, and that is the physical reason a once-daily injection schedule struggles to hold IGF-1 up while a continuous infusion can 11,12Reference 11Bowers CY et al. · 2004Sustained elevation of pulsatile growth hormone secretion and IGF-I, IGFBP-3 and IGFBP-5 concentrations during 30-day continuous subcutaneous infusion of GH-releasing peptide-2 in older men and womenView study →Reference 12Nijland EA et al. · 1998A five day treatment with daily subcutaneous injections of growth hormone-releasing peptide-2 causes response attenuation and does not stimulate insulin-like growth factor-I secretion in healthy young menView study →.

Route is load-bearing but less absolutely than for most peptides. The approved product is a single-dose intravenous diagnostic formulation; research and community use is subcutaneous; and GHRP-2 is one of the few GHRPs with documented intranasal activity — the pediatric treatment study dosed 5–15 µg/kg intranasally and achieved GH responses above 10 µg/L, against 1 µg/kg intravenously for the same effect size 8,9Reference 8Pihoker C et al. · 1995Diagnostic studies with intravenous and intranasal growth hormone-releasing peptide-2 in children of short statureView study →Reference 9Pihoker C et al. · 1997Treatment effects of intranasal growth hormone releasing peptide-2 in children with short statureView study →. That dose multiple implies nasal bioavailability on the order of a few per cent; it is real but inefficient, and it has never been formally quantified. The compound’s original development profile also describes it as orally active 1Reference 1Adis Editorial · 2004ReviewPralmorelin: GHRP 2, GPA 748, growth hormone-releasing peptide 2, KP-102 D, KP-102 LN — development, licensing and regulatory profileView study →, which distinguishes it from peptides like sermorelin that are wholly digested — but no oral bioavailability figure has been published, no oral product exists, and nothing here rests on an oral route.

It is supplied as a lyophilized powder requiring reconstitution; dry powder is stored cold and protected from light, and reconstituted solution needs refrigeration and has a short shelf life. Stability figures for gray-market material are not independently documented.

Clinical & regulatory status

Approved — in Japan, as a diagnostic. Pralmorelin is marketed by Kaken Pharmaceutical as GHRP Kaken 100, approved by Japan’s PMDA in 2004 as a single-dose intravenous diagnostic agent for assessing growth-hormone deficiency in adults and children over four. It is the only GH secretagogue ever approved by any national regulator — and the approval is for detecting a deficiency, not treating one. The Adis development profile records the licensing chain: the compound came out of Cyril Bowers’ group at Tulane University with Polygen, Kaken acquired worldwide rights, and Kaken sublicensed the US and Canada to Wyeth; the Japanese diagnostic application (KP-102 D) was pending approval with a planned 2004 launch, the Japanese short-stature program (KP-102 LN) was in Phase II, and the US program under Wyeth was discontinued 1Reference 1Adis Editorial · 2004ReviewPralmorelin: GHRP 2, GPA 748, growth hormone-releasing peptide 2, KP-102 D, KP-102 LN — development, licensing and regulatory profileView study →. Tulane holds US Patent 6,468,974 (October 2002) on the peptide series 1Reference 1Adis Editorial · 2004ReviewPralmorelin: GHRP 2, GPA 748, growth hormone-releasing peptide 2, KP-102 D, KP-102 LN — development, licensing and regulatory profileView study →.

Not approved anywhere else. GHRP-2 has never been approved by the FDA, EMA, MHRA or TGA for any indication, and it is not a dietary supplement. It is prohibited by WADA at all times (class S2, peptide hormones/growth factors/mimetics), and it has been identified as an undeclared adulterant in a “nutritional supplement” sold to consumers 22Reference 22Thomas A et al. · 2010In vitroIdentification of the growth-hormone-releasing peptide-2 (GHRP-2) in a nutritional supplementView study → — evidence that the product circulating outside the regulated channel is not reliably what its label says.

Registered trials: none. A ClinicalTrials.gov API search this pass for GHRP-2, pralmorelin and KP-102 returns zero studies (the only hits on the spelled-out term are unrelated nutrition and microbiome trials). The entire substantive human record is Japanese diagnostic work, 1990s Tulane/Seattle pediatric studies, and small healthy-volunteer pharmacology — none of it in a modern trial registry.

CompletedOngoingTerminatedPreclinical
0registered (≈8 published human studies outside the registries; 1 approved diagnostic indication)00registered (the Japanese Phase II short-stature and US Wyeth programs were both discontinued without published results)Modest — rat inflammation/cachexia models, in-vitro receptor work

Last checked: July 2026.

Regulatory status — hold both fences at once. GHRP-2 sits in a category almost nothing else on this hub occupies: it is a currently approved medicine, and that approval buys the consumer use nothing. The two limits are separate and both bind. First, the approval is Japanese, not Western — the FDA, EMA, MHRA and TGA have never approved it for anything, so there has been no Western regulatory review of its dossier. Second, and more important, the approval is diagnostic: one intravenous dose, in a clinic, to measure whether a pituitary works. It is not an approval to take GHRP-2 repeatedly for growth, muscle, leanness or aging, and the fact that it reliably provokes a GH pulse — the thing the approval certifies — is the one claim about this compound that was never in dispute. Marketing that leans on “approved in Japan” is borrowing a diagnostic credential for a therapeutic claim. Outside that niche GHRP-2 is an unapproved research chemical, sold “for research use only / not for human consumption,” and it is banned in sport at all times (WADA S2).

How it’s supplied and administered. The Japanese product is a single-dose vial for intravenous injection. Research-chemical GHRP-2 is a lyophilized powder requiring reconstitution — typically with bacteriostatic water — and is self-administered by subcutaneous injection; the intranasal route used in the pediatric studies requires roughly an order of magnitude more peptide for the same GH response 8,9Reference 8Pihoker C et al. · 1995Diagnostic studies with intravenous and intranasal growth hormone-releasing peptide-2 in children of short statureView study →Reference 9Pihoker C et al. · 1997Treatment effects of intranasal growth hormone releasing peptide-2 in children with short statureView study →. Dry powder is kept cold and dark; reconstituted solution is refrigerated and short-lived. The pulse it produces lasts hours, not days, and repeated bolus dosing produces a diminishing response 12Reference 12Nijland EA et al. · 1998A five day treatment with daily subcutaneous injections of growth hormone-releasing peptide-2 causes response attenuation and does not stimulate insulin-like growth factor-I secretion in healthy young menView study → — so the practical temptation is dose escalation, which is precisely what the evidence argues against.

Sourcing reality (this is a safety issue, not a footnote). Outside Japan, effectively all GHRP-2 reaches users through unregulated vendors with no manufacturing oversight, no pharmacopoeial quality control and no clinical accountability. The concrete risks are under- or over-concentrated product, peptide mislabeling or outright substitution, incomplete-synthesis by-products, and bacterial endotoxin — the last being serious specifically because this is an injected product. That these risks are real rather than theoretical is documented: GHRP-2 has been found as an undeclared ingredient in a consumer supplement 22Reference 22Thomas A et al. · 2010In vitroIdentification of the growth-hormone-releasing peptide-2 (GHRP-2) in a nutritional supplementView study →. A vendor’s own certificate of analysis is not independent verification and can be falsified. None of the human data here were generated with gray-market material — they came from pharmaceutical-grade peptide in hospitals. This page does not recommend or link vendors.

Safety

GHRP-2’s reassuring tolerability record belongs to single diagnostic doses given under medical supervision — which says nothing about months of self-injection. The headline liability is that it raises cortisol, ACTH and prolactin alongside growth hormone, and that off-target load does not fade even as the GH response does.

Safety at a Glance
Toxicity unknownDrug interactions
  • Not a selective secretagogue. ACTH, cortisol and prolactin rise with GH — intrinsic to the molecule, not a dose artifact.
  • Several groups should not use it. Active or previous malignancy, uncontrolled diabetes or glucose intolerance, and anyone under evaluation for adrenal or pituitary disease.
  • It confounds the very tests it resembles. Using it distorts pituitary assessment.
  • Tachyphylaxis is the real dose limit. Five days of daily injection blunted the GH response and produced no IGF-1 rise, while the off-target hormone load persisted.
  • Appetite goes up, not down. A 36% acute increase in food intake in healthy men — unwanted for anyone using it for fat loss.
  • Unregulated injected product. Injection-site reactions, abscess from non-sterile technique, and endotoxin risk.
Full Safety & Interactions Detail

The non-selectivity is the headline, and it belongs here rather than in the mechanism table. GHRP-2 raises ACTH, cortisol and prolactin alongside GH 14Reference 14Arvat E et al. · 1997Effects of GHRP-2 and hexarelin, two synthetic GH-releasing peptides, on GH, prolactin, ACTH and cortisol levels in manView study → — this is intrinsic to the molecule, not a contaminant or a dose artifact. It is worth being precise about the magnitude: in the head-to-head human comparison, GHRP-2 and hexarelin had a potent effect on GH and a slight stimulatory effect on prolactin, ACTH and cortisol at diagnostic doses 14Reference 14Arvat E et al. · 1997Effects of GHRP-2 and hexarelin, two synthetic GH-releasing peptides, on GH, prolactin, ACTH and cortisol levels in manView study →, so a single test dose is not a corticosteroid event. But the direction is fixed and the exposure scales with how often you dose. This is exactly the property ipamorelin was engineered to eliminate — ipamorelin’s selectivity claim is defined against GHRP-2 — so the two are not interchangeable, and stacking guides that treat them as equivalent GHRPs are wrong on the point that matters most for chronic use.

Documented adverse effects. Single diagnostic doses have a long human tolerability record in Japan and in the validation trials 2,3Reference 2Chihara K et al. · 2007A simple diagnostic test using GH-releasing peptide-2 in adult GH deficiencyView study →Reference 3Kinoshita Y et al. · 2013The arginine and GHRP-2 tests as alternatives to the insulin tolerance test for the diagnosis of adult GH deficiency in Japanese patients: a comparisonView study →, where transient facial flushing is the characteristic effect. Beyond that, the effects come from the pharmacology: appetite stimulation (a 36% acute increase in food intake in healthy men 10Reference 10Laferrère B et al. · 2005Growth hormone releasing peptide-2 (GHRP-2), like ghrelin, increases food intake in healthy menView study →) which is unwanted for anyone using it for fat loss, and the HPA/prolactin rise above. The class effects familiar from GH-raising agents generally — fluid retention, joint stiffness and aches, carpal-tunnel-type numbness, and impaired glucose tolerance — are inferred from the GH class, not measured for GHRP-2, because no trial ran long enough to look for them 20,21Reference 20Sinha DK et al. · 2020ReviewBeyond the androgen receptor: the role of growth hormone secretagogues in the modern management of body composition in hypogonadal malesView study →Reference 21Sigalos JT · 2018ReviewThe safety and efficacy of growth hormone secretagoguesView study →.

Dose-limiting reality. The practical ceiling is not a toxicity threshold — it is tachyphylaxis plus an unchanged off-target load. Five days of daily injection blunted the GH response and produced no IGF-1 rise 12Reference 12Nijland EA et al. · 1998A five day treatment with daily subcutaneous injections of growth hormone-releasing peptide-2 causes response attenuation and does not stimulate insulin-like growth factor-I secretion in healthy young menView study →, while the ACTH/cortisol/prolactin effect has no reason to attenuate in parallel. Escalating dose to recover the fading GH effect therefore worsens one side of the ledger without a demonstrated benefit on the other.

Interactions. No formal human drug-interaction program exists. Mechanism-level cautions only, labeled as such: GH release is additive or synergistic with GHRH analogues — GHRP-2 combined with GHRH drove GH secretion significantly more than either alone in humans 11Reference 11Bowers CY et al. · 2004Sustained elevation of pulsatile growth hormone secretion and IGF-I, IGFBP-3 and IGFBP-5 concentrations during 30-day continuous subcutaneous infusion of GH-releasing peptide-2 in older men and womenView study →, which is the pharmacological basis of the common GHRP + GHRH stack and is not evidence that the stack is safe or useful. Glucocorticoid signaling is relevant given the ACTH/cortisol rise. GH secretagogues affect insulin sensitivity and glucose handling as a class, so co-use with diabetes medication is a theoretical concern. None of these has been measured for GHRP-2.

Who should avoid it. Anyone with active or previous malignancy (GH/IGF-1 signaling is proliferative), uncontrolled diabetes or glucose intolerance, adrenal or pituitary disease under active evaluation — GHRP-2 will confound the exact tests used to assess it 4Reference 4Suzuki S et al. · 2022Clinical usefulness of the growth hormone-releasing peptide-2 test for hypothalamic-pituitary disorderView study → — and competitive athletes, for whom it is a doping violation at all times. Anyone unwilling to accept an injected product of unverified identity and sterility should not use gray-market material at all.

Injection-specific risks. Reconstituted peptide from unregulated supply carries injection-site reactions, infection or abscess from non-sterile technique, and systemic risk from endotoxin-contaminated product. Sterile reconstitution, aseptic technique and single-use needles are harm reduction, not a safety guarantee, and they do nothing about what is actually in the vial.

Scope disclosure (honesty, not a claim):

  • Human data? Yes, but narrow. Approval-grade only for diagnosing GH deficiency (Japan); plus measured human PK, one small open-label pediatric treatment series, and a handful of healthy-volunteer pharmacology studies. No controlled human outcome trial exists for muscle, fat loss, strength, performance or aging — and the one long-term human treatment result (height velocity in 15 children) was uncontrolled.
  • Interactions assessed? No. The GHRH synergy is a measured pharmacodynamic effect, not an assessed safety interaction; everything else is class/mechanism reasoning.
  • Pregnancy/lactation assessed? No.
  • Long-term safety established? No. The reassuring tolerability record belongs to single diagnostic doses under medical supervision, which says nothing about months of self-injection. Repeated dosing attenuates the GH response while the cortisol/ACTH/prolactin effect persists, and no long-term human safety dataset exists. Absence of reported harm is not evidence of safety.
Pregnancy & Lactation
Not established in pregnancy Not established in lactation

Not assessed / not established. There are no human pregnancy or lactation data, and no regulatory label addresses chronic exposure — the Japanese approval covers a single diagnostic dose. Given the GH-axis, appetite and HPA effects, avoid in pregnancy and breastfeeding.

Dosage

There is no established therapeutic dose for GHRP-2 anywhere in the world, and none is recommended here. The only approved regimen is diagnostic and single-use. Every figure below is research and regulatory data reported for context, not a protocol — no dose is recommended and GHRP-2 is not a supplement.

  • Approved diagnostic dose (Japan): a single 100 µg intravenous dose in adults, with GH sampled over the following two hours; a peak below ~15 µg/L indicates severe GH deficiency 2Reference 2Chihara K et al. · 2007A simple diagnostic test using GH-releasing peptide-2 in adult GH deficiencyView study →. In children the equivalent is about 1 µg/kg intravenously 7,8Reference 7Pihoker C et al. · 1998Pharmacokinetics and pharmacodynamics of growth hormone-releasing peptide-2: a phase I study in childrenView study →Reference 8Pihoker C et al. · 1995Diagnostic studies with intravenous and intranasal growth hormone-releasing peptide-2 in children of short statureView study →.
  • Continuous infusion (research): 1 µg/kg/h subcutaneously, the schedule that sustained GH and IGF-1 over 30 days in older adults 11Reference 11Bowers CY et al. · 2004Sustained elevation of pulsatile growth hormone secretion and IGF-I, IGFBP-3 and IGFBP-5 concentrations during 30-day continuous subcutaneous infusion of GH-releasing peptide-2 in older men and womenView study → and that produced the acute appetite effect over 270 minutes 10Reference 10Laferrère B et al. · 2005Growth hormone releasing peptide-2 (GHRP-2), like ghrelin, increases food intake in healthy menView study →. This requires a pump; it is not a regimen anyone self-administers.
  • Daily injection (research): 100 µg subcutaneously once daily — the five-day schedule that attenuated the GH response and produced no IGF-1 increase in healthy young men 12Reference 12Nijland EA et al. · 1998A five day treatment with daily subcutaneous injections of growth hormone-releasing peptide-2 causes response attenuation and does not stimulate insulin-like growth factor-I secretion in healthy young menView study →. This is the closest published analogue to community practice, and it is the one that did not work.
  • Intranasal (research, pediatric): 5–15 µg/kg two to three times daily, the only regimen ever given for months as a treatment 9Reference 9Pihoker C et al. · 1997Treatment effects of intranasal growth hormone releasing peptide-2 in children with short statureView study →. Roughly an order of magnitude more peptide than the IV dose for a comparable GH response.

Community injection regimens (typically ~100 µg one to three times daily, often stacked with a GHRH analogue) are not derived from any controlled human efficacy trial; where a comparable schedule was actually tested, the downstream marker did not move 12Reference 12Nijland EA et al. · 1998A five day treatment with daily subcutaneous injections of growth hormone-releasing peptide-2 causes response attenuation and does not stimulate insulin-like growth factor-I secretion in healthy young menView study →. Vendor and forum figures are not dose-finding data and are not laundered into a recommendation here. This entry is informational only.

References

  1. Adis Editorial. (2004). Pralmorelin: GHRP 2, GPA 748, growth hormone-releasing peptide 2, KP-102 D, KP-102 LN — development, licensing and regulatory profile. Drugs R D. — review. https://pubmed.ncbi.nlm.nih.gov/15230633/
  2. Chihara K, et al. (2007). A simple diagnostic test using GH-releasing peptide-2 in adult GH deficiency. European Journal of Endocrinology. — human (validation study, 77 healthy + 58 GH-deficient). https://pubmed.ncbi.nlm.nih.gov/17609397/
  3. Kinoshita Y, et al. (2013). The arginine and GHRP-2 tests as alternatives to the insulin tolerance test for the diagnosis of adult GH deficiency in Japanese patients: a comparison. Endocrine Journal. — human (comparative, n=71). https://pubmed.ncbi.nlm.nih.gov/23079545/
  4. Suzuki S, et al. (2022). Clinical usefulness of the growth hormone-releasing peptide-2 test for hypothalamic-pituitary disorder. Journal of the Endocrine Society. — human (n=36). https://pubmed.ncbi.nlm.nih.gov/35795807/
  5. Onuki T, et al. (2024). Robust growth hormone responses to GH-releasing peptide 2 in adolescents. Journal of Pediatric Endocrinology and Metabolism. — human. https://pubmed.ncbi.nlm.nih.gov/38958228/
  6. Ohara E, et al. (2017). Laparoscopic sleeve gastrectomy resolves low GHRP-2-stimulated growth hormone levels in obese patients. Obesity Surgery. — human. https://pubmed.ncbi.nlm.nih.gov/28623445/
  7. Pihoker C, et al. (1998). Pharmacokinetics and pharmacodynamics of growth hormone-releasing peptide-2: a phase I study in children. Journal of Clinical Endocrinology and Metabolism. — human (phase I, n=10). https://pubmed.ncbi.nlm.nih.gov/9543135/
  8. Pihoker C, et al. (1995). Diagnostic studies with intravenous and intranasal growth hormone-releasing peptide-2 in children of short stature. Journal of Clinical Endocrinology and Metabolism. — human (children). https://pubmed.ncbi.nlm.nih.gov/7559885/
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