Anamorelin vs Macimorelin

Head-to-head comparison of Anamorelin (Anamorelin hydrochloride (ONO-7643)) and Macimorelin (Macimorelin acetate (AEZS-130)) — benefits, dosing, side effects, research data, and where to buy.

Research Score

PropertyAnamorelinMacimorelin
CategoryGrowth HormoneGrowth Hormone
Full NameAnamorelin hydrochloride (ONO-7643)Macimorelin acetate (AEZS-130)
Molecular WeightN/AN/A
Half-Lifeabout 9 hoursabout 4-6 hours
Amino AcidsN/AN/A
Typical Dose50 mg/day0.5 mg/kg single oral dose
RouteOralOral
Purity≥98%≥98%
Studies Count95120
Research StatusClinicalClinical

Anamorelin Benefits

  • stimulates appetite
  • raises IGF-1
  • may support weight gain
  • oral dosing

Macimorelin Benefits

  • diagnostic GH stimulation
  • single oral dose
  • rapid measurable GH response
  • high clinical utility

Anamorelin Dosing

50 mg orally once daily|often studied with food or per protocol|track weight, appetite, and glucose markers

Macimorelin Dosing

0.5 mg/kg orally as a single dose|fasted testing conditions|serial GH sampling after administration

Anamorelin Side Effects

  • hyperglycemia
  • peripheral edema
  • constipation or nausea

Macimorelin Side Effects

  • dysgeusia or taste disturbance
  • nausea
  • headache

Research Overview

Anamorelin

Trials in cachexia populations showed increased appetite and modest gains in body weight and IGF-1. Regulatory progress has varied by region, but it remains a well-studied ghrelin agonist in the GH space.

Macimorelin

Macimorelin has been validated in clinical testing as an oral alternative to injectable GH stimulation tests. Its short-term use makes it a useful translational tool for evaluating pituitary GH reserve.

Ready to buy?

Find both peptides from our verified, lab-tested vendors with purity certificates and third-party testing.

Common Stacking Partners

Anamorelin stacks with:

Nutritional supportResistance training

Macimorelin stacks with:

Pituitary testingEndocrine workup
ghrelin-agonistcachexiagh-secretagoguediagnosticghrelin-mimeticgh-stimulation-test