Elamipretide vs Anamorelin

Head-to-head comparison of Elamipretide (Elamipretide (MTP-131, SS-31)) and Anamorelin (Anamorelin hydrochloride (ONO-7643)) — benefits, dosing, side effects, research data, and where to buy.

Research Score

PropertyElamipretideAnamorelin
CategoryMuscle & PerformanceGrowth Hormone
Full NameElamipretide (MTP-131, SS-31)Anamorelin hydrochloride (ONO-7643)
Molecular Weight639.8 DaN/A
Half-Life1-4 hoursabout 9 hours
Amino Acids4N/A
Typical Dose0.01-0.25 mg/kg/day50 mg/day
RouteSubcutaneous/IntravenousOral
Purity≥98%≥98%
Studies Count12095
Research StatusClinicalClinical

Elamipretide Benefits

  • mitochondrial protection
  • reduced oxidative stress
  • improved fatigue resistance
  • may support exercise tolerance

Anamorelin Benefits

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

Elamipretide Dosing

0.01-0.25 mg/kg/day SC (clinical research)|daily dosing in trials|alternative IV protocols in some studies

Anamorelin Dosing

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

Elamipretide Side Effects

  • nausea
  • injection-site reactions
  • diarrhea
  • headache

Anamorelin Side Effects

  • hyperglycemia
  • peripheral edema
  • constipation or nausea

Research Overview

Elamipretide

Clinical and translational studies show elamipretide can improve mitochondrial function and some functional endpoints in mitochondrial disorders. Skeletal muscle research suggests benefits are driven by energy metabolism rather than direct muscle-building effects.

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.

Ready to buy?

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

Common Stacking Partners

Elamipretide stacks with:

creatinecoenzyme-q10protein

Anamorelin stacks with:

Nutritional supportResistance training
mitochondriafatigueenergy-metabolismperformanceghrelin-agonistcachexiagh-secretagogue