Ghrelin vs Macimorelin

Head-to-head comparison of Ghrelin (Ghrelin (acylated human ghrelin; endogenous growth hormone secretagogue)) and Macimorelin (Macimorelin acetate (AEZS-130)) — benefits, dosing, side effects, research data, and where to buy.

Research Score

PropertyGhrelinMacimorelin
CategoryGrowth HormoneGrowth Hormone
Full NameGhrelin (acylated human ghrelin; endogenous growth hormone secretagogue)Macimorelin acetate (AEZS-130)
Molecular Weight3367 DaN/A
Half-Life20-30 minutesabout 4-6 hours
Amino Acids28N/A
Typical Dose1-3 mcg/kg0.5 mg/kg single oral dose
RouteSubcutaneous/IntravenousOral
Purity≥98%≥98%
Studies Count2000120
Research StatusClinical researchClinical

Ghrelin Benefits

  • increases GH pulses
  • supports appetite and energy intake
  • may support lean mass preservation
  • promotes recovery signaling

Macimorelin Benefits

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

Ghrelin Dosing

1-3 mcg/kg SC or IV|repeat dosing in short research windows|titrate to GH response in monitored studies

Macimorelin Dosing

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

Ghrelin Side Effects

  • hunger/nausea
  • transient flushing
  • changes in glucose/insulin

Macimorelin Side Effects

  • dysgeusia or taste disturbance
  • nausea
  • headache

Research Overview

Ghrelin

Ghrelin is the canonical ligand for the growth hormone secretagogue receptor and is used extensively as a reference compound in GH-axis research. Human and animal studies consistently show rapid, dose-dependent GH release after acyl-ghrelin administration.

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.

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Common Stacking Partners

Macimorelin stacks with:

Pituitary testingEndocrine workup
ghrelinghsr1asecretagoguediagnosticghrelin-mimeticgh-stimulation-test