GHRP-6 Dosage Guide

Evidence-based protocols for Growth Hormone Releasing Peptide-6 — subcutaneous dosing, reconstitution, appetite management, stacking with CJC-1295, cycling, and safety.

Last reviewed February 24, 2026

What Is GHRP-6?

GHRP-6 (Growth Hormone Releasing Peptide-6) is a synthetic hexapeptide (His-D-Trp-Ala-Trp-D-Phe-Lys-NH2) and one of the earliest growth hormone secretagogues (GHS) developed. It was first characterized by Cyril Bowers and colleagues in the 1980s as a potent ghrelin mimetic that binds the growth hormone secretagogue receptor type 1a (GHS-R1a) — the same receptor activated by the body's natural hunger hormone, ghrelin.

GHRP-6's defining characteristic is its powerful appetite stimulation — the strongest of any GHRP. Intense hunger typically begins 20–30 minutes after injection, driven by potent GHS-R1a activation. Beyond GH release, GHRP-6 has demonstrated cytoprotective properties in animal studies, including cardioprotective and gastroprotective effects that appear to be independent of growth hormone elevation. This guide covers subcutaneous dosing protocols, reconstitution, appetite management, stacking with CJC-1295, cycling, and safety considerations.

Use our Peptide Dosage to calculate your exact dose based on vial size and concentration.

Dosing information in this guide is derived from clinical studies, animal research, and community protocols — not from approved pharmaceutical labeling.

Key Characteristics:

  • Synthetic hexapeptide6 amino acids, sequence: His-D-Trp-Ala-Trp-D-Phe-Lys-NH2; one of the earliest GHS compounds developed
  • Ghrelin mimeticbinds GHS-R1a (ghrelin receptor) to stimulate pulsatile GH release from the anterior pituitary
  • Strongest appetite stimulationproduces the most intense hunger response of any GHRP; useful for bulking and weight recovery, challenging for fat loss
  • Moderate cortisol and prolactin elevationraises cortisol and prolactin more than Ipamorelin but less than Hexarelin; sits in the middle of the GHRP selectivity spectrum
  • Cytoprotective propertiesanimal studies demonstrate cardioprotective and gastroprotective effects independent of GH release
  • Short half-lifeplasma half-life of approximately 15–20 minutes; multiple daily injections are standard to maintain elevated GH pulses

For a complete overview of its mechanism and research, see our full GHRP-6 profile. New to peptides? Start with the Beginner's Guide to Peptides.

How GHRP-6 Dosage Is Determined

GHRP-6 dosing — expressed in micrograms (mcg) per injection — is better established than many research peptides because GHRP-6 has been used in published human clinical studies. The commonly used 100–300 mcg range is derived from a combination of clinical trial data, dose-response research, and decades of community experience.

Clinical Studies

GHRP-6 has been studied in human subjects at doses ranging from 1 mcg/kg to 2 mcg/kg intravenously and subcutaneously. Studies by Arvat, Ghigo, and others demonstrated robust, dose-dependent GH release. At 1 mcg/kg (approximately 75–100 mcg for a 75 kg individual), significant GH elevation was consistently observed. Higher doses (2 mcg/kg) produced greater GH peaks but with increased cortisol and prolactin co-release, establishing the dose-dependent side effect profile.

Dose-Response & Saturation

Research indicates that GHRP-6's GH-releasing effect follows a saturation curve. Doses beyond approximately 200–300 mcg per injection (roughly 2–3 mcg/kg) produce diminishing additional GH release while continuing to increase cortisol, prolactin, and appetite side effects. This is why the community standard does not typically exceed 300 mcg per injection — going higher adds side effects without proportionally more GH.

Community & Practitioner Experience

Over two decades of community use have established the 100–300 mcg subcutaneous protocol as the practical standard. Beginners typically start at 100 mcg to assess appetite tolerance and gradually increase. The 200 mcg dose represents the most common balance between efficacy and manageable side effects. The 300 mcg dose is used by experienced users seeking maximum GH output and who can manage the appetite response.

Strength of evidence: Moderate. GHRP-6 has more human clinical data than most research peptides, with published dose-response studies establishing GH release kinetics and side effect profiles. However, long-term safety studies and formal phase III trials have not been conducted. Dosing protocols are derived from clinical data supplemented by extensive community consensus.

Standard GHRP-6 Dosage Ranges

GHRP-6 is administered subcutaneously, typically 2–3 times per day on an empty stomach. The tables below summarize the most commonly used protocols across the research and community literature.

Dosage by Experience Level

LevelDose per InjectionFrequencyNotes
Beginner100 mcg2x daily (morning + bedtime)Assess appetite response and tolerance; lowest effective GH-releasing dose
Intermediate200 mcg2–3x dailyMost common protocol; good balance of GH release and manageable appetite
Advanced300 mcg3x dailyMaximum practical dose; near saturation of GH response; strong appetite and cortisol/prolactin effects

Weight-Based Dosing

Body WeightLow (1 mcg/kg)Standard (2 mcg/kg)High (3 mcg/kg)
60 kg (132 lb)60 mcg120 mcg180 mcg
75 kg (165 lb)75 mcg150 mcg225 mcg
90 kg (198 lb)90 mcg180 mcg270 mcg
110 kg (242 lb)110 mcg220 mcg330 mcg
Dosage Selection: Start at 100 mcg twice daily to assess your appetite response. GHRP-6's hunger effect is the primary factor limiting dose titration. If the appetite is manageable, increase to 200 mcg. The 300 mcg dose is near the GH saturation point — going higher adds side effects without meaningful additional GH release.

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Calculate Your GHRP-6 Dose

GHRP-6 is supplied as a lyophilized (freeze-dried) powder, typically in 5 mg or 10 mg vials. You reconstitute it with bacteriostatic water, then draw your dose using an insulin syringe. The concentration depends on how much water you add to the vial.

Worked Example:

  • Vial size: 5 mg (5,000 mcg) of GHRP-6
  • Bacteriostatic water added: 2 mL
  • Concentration: 5,000 mcg ÷ 2 mL = 2,500 mcg per mL
  • Target dose: 200 mcg
  • Volume to draw: 200 ÷ 2,500 = 0.08 mL = 8 units on an insulin syringe

Quick Reference — 5 mg Vial

Bac Water AddedConcentration200 mcg DoseDoses per Vial
1 mL5,000 mcg/mL4 units (0.04 mL)25 doses
2 mL2,500 mcg/mL8 units (0.08 mL)25 doses
2.5 mL2,000 mcg/mL10 units (0.1 mL)25 doses
5 mL1,000 mcg/mL20 units (0.2 mL)25 doses

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How to Reconstitute GHRP-6

GHRP-6 comes as a lyophilized (freeze-dried) powder that must be reconstituted with bacteriostatic water before injection. This process is straightforward but requires clean technique to maintain sterility and peptide integrity.

Supplies Needed:

  • GHRP-6 lyophilized vial (5 mg or 10 mg)
  • Bacteriostatic water (BAC water) — contains 0.9% benzyl alcohol as preservative
  • Insulin syringes (29–31 gauge, 0.5 mL or 1 mL) for injection
  • Alcohol swabs (70% isopropyl alcohol)
  • Clean, flat workspace
  • Optional: larger syringe (1–3 mL) for drawing bacteriostatic water if using a separate drawing needle

Steps

1

Wash Hands & Prepare Workspace

Wash hands thoroughly with soap and water. Lay out supplies on a clean surface: GHRP-6 vial, bacteriostatic water, insulin syringe, and alcohol swabs.

2

Remove the Vial Caps

Flip off the plastic caps from both the GHRP-6 vial and the bacteriostatic water vial. Swab both rubber stoppers with alcohol pads and let them air-dry for 10–15 seconds.

3

Draw Bacteriostatic Water

Using a fresh insulin syringe, draw your desired volume of bacteriostatic water. For a 5 mg vial, 2 mL is standard (yields 250 mcg per 0.1 mL / 10 units).

4

Add Water to the Peptide Calculator Vial

Insert the needle into the GHRP-6 vial through the rubber stopper. Angle the needle so the water runs down the inside glass wall — never squirt directly onto the powder cake. Release the plunger slowly.

5

Dissolve Gently

Remove the syringe. Let the vial sit for 1–2 minutes, then gently swirl or roll between your palms until the powder is fully dissolved. The solution should be clear and colorless. Never shake.

6

Label & Refrigerate

Write the reconstitution date and concentration on the vial. Store refrigerated at 2–8°C. Use within 28–30 days.

Storage

  • Unreconstituted (powder): Store refrigerated (2–8°C) for maximum shelf life; room temperature is acceptable for short periods (weeks) but reduces potency over time
  • Reconstituted (in bacteriostatic water): Must be refrigerated at 2–8°C; use within 28–30 days
  • Do not freeze: Freezing reconstituted GHRP-6 can damage the peptide structure through ice crystal formation
  • Protect from light and heat — keep the vial in its box or wrapped in foil, away from direct sunlight and temperatures above 25°C

For a detailed visual walkthrough, see our Reconstitution Guide.

GHRP-6 Dosage by Goal

GHRP-6's core mechanism — GH release via GHS-R1a activation — remains consistent, but the optimal dose and frequency depend on your primary goal. The intense appetite stimulation is a major factor in protocol selection.

GH Optimization & Anti-Aging

The most straightforward application — using GHRP-6 to elevate GH and IGF-1 for improved sleep quality, skin health, recovery, and general vitality. Lower doses minimize appetite and cortisol/prolactin side effects while still producing meaningful GH pulses.

  • Dose: 100–200 mcg per injection (SubQ)
  • Frequency: 2x daily (morning fasted + bedtime)
  • Duration: 8–12 weeks on, 4 weeks off
  • Appetite note: Manageable at 100–150 mcg; more pronounced at 200 mcg

Muscle Growth & Bulking

GHRP-6 is often favored for bulking phases because the intense appetite stimulation helps users eat in a caloric surplus. Elevated GH and IGF-1 support lean mass accretion, nitrogen retention, and recovery from training. This is GHRP-6's strongest use case.

  • Dose: 200–300 mcg per injection (SubQ)
  • Frequency: 2–3x daily (morning, post-workout, bedtime)
  • Duration: 8–12 weeks on, 4 weeks off
  • Appetite note: Embrace the hunger — have a protein-rich meal planned 20–30 minutes after each injection

Appetite Stimulation & Weight Recovery

For users who struggle to eat enough — whether from medical conditions, chronic illness, or post-surgical recovery — GHRP-6's appetite effect is the primary benefit. The GH elevation provides additional recovery support.

  • Dose: 100–200 mcg per injection (SubQ)
  • Frequency: 2–3x daily, timed 20–30 minutes before planned meals
  • Duration: As needed; 4–12 weeks is typical
  • Appetite note: Time injections to align with meal schedule for maximum food intake
Tip: For appetite stimulation, inject 20–30 minutes before your planned meal. The hunger peak typically aligns with a 20–30 minute window, making it easier to consume a large, calorie-dense meal when the appetite drive is strongest.

Fat Loss

Using GHRP-6 for fat loss is possible but challenging due to the intense appetite stimulation. GH promotes lipolysis (fat breakdown) and spares lean mass during caloric restriction. However, the hunger side effect can undermine a caloric deficit. Disciplined users can manage this, but Ipamorelin is generally a better choice for fat loss protocols.

  • Dose: 100–150 mcg per injection (keep dose lower to minimize hunger)
  • Frequency: 2x daily (morning fasted + bedtime)
  • Duration: 8–12 weeks on, 4 weeks off
  • Appetite note: Requires strict dietary discipline; consider switching to Ipamorelin if appetite control is too difficult

Recovery & Injury Support

Elevated GH and IGF-1 from GHRP-6 support tissue repair, collagen synthesis, and overall recovery from training or injury. GHRP-6's independent cytoprotective effects may provide additional benefit for cardiac and gastric tissue repair. For targeted musculoskeletal injury recovery, stacking with BPC-157 is common.

  • Dose: 150–200 mcg per injection (SubQ)
  • Frequency: 2–3x daily
  • Duration: 8–12 weeks on, 4 weeks off
  • Stack tip: Add BPC-157 at 250 mcg 1–2x daily near the injury site for synergistic recovery
Key consideration: GHRP-6's appetite stimulation is a feature or a drawback depending on your goal. For bulking and weight recovery, it is an advantage. For fat loss, it is a challenge that requires planning. Choose your GHRP based on your goal — GHRP-6 for gaining, Ipamorelin for cutting.

GHRP-6 Injection Guide

Subcutaneous (SubQ) Injection — Step by Step

1

Wash Hands

Wash hands thoroughly with soap and water. Prepare a clean workspace with your syringe, alcohol swab, and reconstituted GHRP-6 vial.

2

Swab the Vial Stopper

Wipe the rubber stopper of the GHRP-6 vial with an alcohol swab. Let it air-dry for 10–15 seconds.

3

Draw Your Dose

Pull back the plunger to draw air equal to your dose volume. Insert the needle into the vial, push in the air, invert the vial, and slowly draw out your calculated dose. Tap out any air bubbles.

4

Choose the Injection Site

The lower abdomen (2–3 inches from the navel) is the most common SubQ site for GHRP-6. Rotate sides to prevent tissue irritation. The upper thigh and the back of the upper arm are alternatives.

5

Clean the Injection Site

Swab the chosen injection site with a fresh alcohol pad. Allow to air-dry completely before injecting.

6

Inject

Pinch a fold of skin between your thumb and forefinger. Insert the needle at a 45-degree angle into the pinched skin fold. Push the plunger slowly and steadily. Withdraw the needle and apply light pressure with the alcohol swab if needed.

7

Dispose Safely

Place the used syringe immediately into a sharps container. Never recap or reuse needles.

Fasting Protocol

Fasting is critical for GHRP-6 to work properly. Elevated blood glucose and insulin suppress GH release from the pituitary.

  • Before injection: Wait at least 2 hours after your last meal (2–3 hours is ideal). Avoid carbohydrates and fats in the pre-injection window.
  • After injection: Wait 20–30 minutes before eating to allow the GH pulse to peak. This is the hardest part — the hunger will be intense.
  • Bedtime dose: Easiest to time correctly. Stop eating 2–3 hours before sleep, inject at bedtime, and go to sleep. No food temptation.
  • Morning dose: Inject immediately upon waking (naturally fasted from sleep), wait 20–30 minutes, then eat breakfast.
Key rule: Always inject fasted. The single biggest mistake users make with GHRP-6 is injecting in a fed state, which blunts the GH pulse significantly. Plan your meals around your injection times, not the other way around.

GHRP-6 Cycle Duration & Timing

GHRP-6 is typically run in defined cycles to prevent potential receptor desensitization and to allow periodic assessment of progress. Continuous use beyond 12 weeks without a break may lead to diminished GH output as GHS-R1a receptors downregulate.

ProtocolDurationFrequencyNotes
Standard cycle8–12 weeks on, 4 weeks off2–3x dailyMost common protocol; the off-period allows receptor sensitivity to recover
Shorter cycle6–8 weeks on, 4 weeks off2–3x dailySuitable for beginners or those sensitive to appetite effects
5-on / 2-off (weekly)Weekdays on, weekends off2–3x daily on active daysSome users rotate weekly to manage appetite; less common but anecdotally reported
Appetite-focused (short)4–8 weeks2–3x daily before mealsFor weight recovery; stop when appetite normalizes or target weight is reached

Optimal Injection Timing

  • Dose 1 — Morning (fasted): Inject immediately upon waking. Wait 20–30 minutes, then eat breakfast. Takes advantage of the overnight fast.
  • Dose 2 — Afternoon/Post-workout: Inject at least 2 hours after your last meal. If training, inject post-workout (assuming you are 2+ hours fasted). Wait 20–30 minutes, then eat.
  • Dose 3 — Bedtime: The most important dose. Inject 2–3 hours after dinner, right before bed. Synergizes with the natural nocturnal GH surge during deep sleep. No post-injection eating needed — go to sleep.
Priority ranking: If you can only dose twice daily, choose morning + bedtime. If only once daily, choose bedtime. The nocturnal GH pulse is the largest natural GH release of the day, and GHRP-6 amplifies it significantly.

GHRP-6 Stacking Protocols

GHRP-6 is most effective when stacked with a GHRH analog, which acts on a different receptor to synergistically amplify GH release. The key principle: pair a GHRP (ghrelin receptor) with a GHRH (growth hormone releasing hormone receptor) — never two GHRPs together.

GHRP-6 + CJC-1295 no DAC — Gold Standard GH Stack

The most widely recommended GHRP-6 stack. CJC-1295 no DAC (Mod GRF 1-29) stimulates the GHRH receptor while GHRP-6 stimulates the ghrelin receptor. The two peptides act on different receptors, producing synergistic GH release that is significantly greater than either peptide alone. They can be mixed in the same syringe.

CompoundDoseFrequencyPurpose
GHRP-6100–200 mcg SubQ2–3x daily (fasted)GH release via ghrelin receptor; appetite stimulation
CJC-1295 no DAC100–200 mcg SubQ2–3x daily (same injections)GH release via GHRH receptor; amplifies GHRP-6's pulse
Protocol note: Mix both peptides in the same syringe and inject together — no need for separate injections. Time all injections in a fasted state. The bedtime dose is the most important for maximizing the combined GH pulse during sleep.

GHRP-6 + Sermorelin (Alternative GHRH Analog)

Sermorelin is a GHRH analog that works similarly to CJC-1295 no DAC but has a shorter half-life. It is sometimes preferred by clinics and practitioners. The synergistic principle is the same — GHRH receptor + ghrelin receptor = amplified GH release.

CompoundDoseFrequencyPurpose
GHRP-6100–200 mcg SubQ2–3x daily (fasted)GH release via ghrelin receptor
Sermorelin200–300 mcg SubQOnce daily (bedtime)GH release via GHRH receptor

GHRP-6 + BPC-157 (Recovery Focus)

Pairing GHRP-6 with BPC-157 combines systemic GH elevation with targeted tissue repair. The elevated GH and IGF-1 from GHRP-6 support broad recovery, while BPC-157 provides localized healing at the injury site through growth factor upregulation and angiogenesis.

CompoundDoseFrequencyPurpose
GHRP-6100–200 mcg SubQ2–3x daily (fasted)Systemic GH elevation, IGF-1 support
BPC-157250 mcg SubQ1–2x daily (near injury site)Localized tissue repair, angiogenesis

GHRP-6 / Ipamorelin Rotation

Some users rotate between GHRP-6 and Ipamorelin during different phases. GHRP-6 is used during bulking or mass-gaining phases (when appetite is desired), and Ipamorelin is used during cutting or maintenance phases (when a cleaner side effect profile is preferred). This avoids prolonged exposure to GHRP-6's cortisol and prolactin effects.

Explore more combinations with our Peptide Stack Builder or browse the Top 10 Peptide Stacks guide.

Safety, Side Effects & Contraindications

Common Side Effects

Expected and dose-dependent:

  • Intense appetite stimulation — the #1 side effect and the most pronounced of any GHRP. Begins 20–30 minutes post-injection and lasts 1–2 hours. Dose-dependent.
  • Water retention — mild to moderate, particularly in the first 1–2 weeks. Typically resolves as the body adjusts or diminishes after cycle completion.
  • Injection site redness, soreness, or minor swelling — standard SubQ injection response; resolves with rotation.
  • Tiredness or drowsiness after injection — more common with the bedtime dose; actually beneficial for sleep quality.
  • Tingling or numbness in extremities — occasionally reported, usually transient.

Moderate (dose-dependent):

  • Cortisol elevation — moderate and transient. More pronounced than Ipamorelin but less than Hexarelin. Generally not clinically significant at standard doses but worth monitoring with bloodwork.
  • Prolactin elevation — moderate and transient. At standard doses, unlikely to cause symptoms. At higher doses or with prolonged use, monitor for nipple sensitivity or gynecomastia symptoms.
  • Blood glucose fluctuations — GH's counter-regulatory effect can raise fasting blood sugar. Monitor if diabetic or pre-diabetic.
GHRP selectivity spectrum: Ipamorelin (most selective, fewest side effects) → GHRP-2 (moderate) → GHRP-6 (moderate, strongest appetite) → Hexarelin (least selective, most cortisol/prolactin). Choose your GHRP based on which trade-offs you are willing to accept.

Contraindications

  • Active cancer or history of cancer — GH and IGF-1 elevation may theoretically promote tumor growth. Avoid use with active malignancies.
  • Pregnancy and breastfeeding — no safety data exists for GHRP-6 during pregnancy or nursing. Avoid use entirely.
  • Uncontrolled diabetes — GHRP-6 can raise blood glucose through GH's counter-regulatory effects. Users with uncontrolled blood sugar should not use GHRP-6 without close medical supervision.
  • Pituitary tumors or disorders — GHRP-6 stimulates the pituitary directly. Avoid use with known pituitary adenomas or other pituitary pathology.
  • Active infections at the injection site — do not inject through infected, inflamed, or broken skin.

Bloodwork Monitoring

If using GHRP-6 for more than 4 weeks, consider monitoring:

  • IGF-1: Confirms GH axis stimulation; should be elevated during use
  • Fasting blood glucose & HbA1c: Monitor for GH-related insulin resistance
  • Prolactin: Check if experiencing nipple sensitivity or other symptoms
  • Cortisol (morning): Baseline and mid-cycle to assess adrenal impact

When to Stop

  • Persistent water retention or edema that does not resolve
  • Signs of elevated prolactin (nipple sensitivity, gynecomastia symptoms)
  • Unmanageable appetite that is undermining your dietary goals
  • Blood glucose consistently elevated on fasting bloodwork
  • Any symptom that feels unusual or concerning — err on the side of caution
Regulatory Status: GHRP-6 is not FDA-approved for human use. It is classified as a research peptide / research chemical. It is not a controlled substance in most countries. It is prohibited by WADA (World Anti-Doping Agency) for competitive athletes. Regulations vary by jurisdiction — verify your local laws before purchasing.

Common GHRP-6 Dosing Mistakes

Avoid these common errors to get the most out of your GHRP-6 protocol:

Frequently Asked Questions

Key Takeaways

  • GHRP-6 is a synthetic hexapeptide and one of the earliest growth hormone secretagogues, binding the ghrelin receptor (GHS-R1a) to stimulate pulsatile GH release
  • Standard dose: 100–300 mcg SubQ, 2–3x daily on an empty stomach. Start at 100 mcg to assess appetite tolerance before increasing.
  • Strongest appetite stimulation of any GHRP — intense hunger begins 20–30 minutes post-injection. Ideal for bulking, challenging for fat loss.
  • Fasting is mandatory: Wait 2+ hours after eating before injection; wait 20–30 minutes after injection before eating
  • Bedtime dose is the most important — synergizes with the natural nocturnal GH surge during deep sleep
  • Gold standard stack: GHRP-6 + CJC-1295 no DAC for synergistic GH release via two different receptor pathways
  • Do NOT combine with GHRP-2 — both target the same receptor; always pair a GHRP with a GHRH analog instead
  • Cycle 8–12 weeks on, 4 weeks off to maintain receptor sensitivity and assess progress
  • Not FDA-approved — classified as a research peptide. Banned by WADA for competitive athletes. Monitor bloodwork (IGF-1, glucose, prolactin) during use.

This article is for educational and informational purposes only. See our Disclaimer.

References

  1. Bowers CY, et al. “On the in vitro and in vivo activity of a new synthetic hexapeptide that acts on the pituitary to specifically release growth hormone.” Endocrinology. 1984;114(5):1537-1545. PubMed
  2. Arvat E, et al. “Endocrine activities of ghrelin, a natural growth hormone secretagogue (GHS), in humans: comparison and interactions with hexarelin, a nonnatural peptidyl GHS, and GH-releasing hormone.” J Clin Endocrinol Metab. 2001;86(3):1169-1174. PubMed
  3. Raun K, et al. “Ipamorelin, the first selective growth hormone secretagogue.” Eur J Endocrinol. 1998;139(5):552-561. PubMed
  4. Berlanga-Acosta J, et al. “Growth hormone releasing peptide-6 (GHRP-6) prevents oxidant cytotoxicity and reduces myocardial necrosis in a model of acute myocardial infarction.” Clin Sci (Lond). 2012;122(2):93-105. PubMed
  5. Pong SS, et al. “Identification of a new G-protein-linked receptor for growth hormone secretagogues.” Mol Endocrinol. 1996;10(1):57-61. PubMed
  6. Ghigo E, et al. “Growth hormone-releasing activity of hexarelin, a new synthetic hexapeptide, after intravenous, subcutaneous, intranasal, and oral administration in man.” J Clin Endocrinol Metab. 1994;78(3):693-698. PubMed
  7. Bowers CY. “Growth hormone-releasing peptide (GHRP).” Cell Mol Life Sci. 1998;54(12):1316-1329. PubMed
  8. Berlanga-Acosta J, et al. “Synthetic growth hormone-releasing peptides (GHRPs): a historical appraisal of the evidences supporting their cytoprotective effects.” Clin Med Insights Cardiol. 2017;11:1179546817694558. PubMed

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