Supported

What the evidence supports

  • Sermorelin signals the pituitary gland to release growth hormone, which in turn raises IGF-1.
  • It has a long history of clinical use.
  • How much any one person's levels change, and how they feel, varies.
Less clear

What we don't know yet

  • There are few large, long-term trials of Sermorelin in healthy adults.
  • Much of what's reported comes from smaller studies and clinician experience, not big randomized trials.
  • Longevity or “anti-aging” uses have not been established, and they are not an approved use.
Our position

What we tell people

  • Sermorelin works through your own growth hormone system rather than replacing it.
  • We don't promise outcomes. Responses vary from person to person, and some people notice little or no change.
  • Your provider will check in on how you're doing and tell you if it is or isn't a good fit.

A provider will not prescribe if you have

  • Active cancer of any kind. Growth hormone signaling can promote tumor growth.
  • Pregnancy or breastfeeding. Safety hasn't been established.
  • A known allergy to Sermorelin or its ingredients.
  • An active, untreated brain or pituitary lesion.
  • Being under 18.

A provider will look carefully if you have

  • A past history of cancer. Case by case. Your provider may want sign-off from your oncologist.
  • Diabetes, especially if it isn't well controlled. Growth hormone can make your body less sensitive to insulin.
  • Untreated or unstable thyroid problems. Thyroid levels usually need to be stable first.
  • Pituitary disorders or past pituitary surgery.
  • Severe kidney or liver disease.
  • A history of carpal tunnel syndrome. Higher growth hormone levels can make it worse.

Not sure whether something applies to you? Start the consultation anyway. A licensed provider reviews every answer and will tell you plainly if Sermorelin isn't a fit.

Urgent

Stop and get help right away

Trouble breathing or swallowing, or swelling of the face or throat
Possible allergic reaction. Call 911.
Sudden severe headache with vision changes
Needs immediate evaluation.
Chest pain or a racing heartbeat
Needs immediate evaluation.
New lumps, or moles that change quickly
Rare, but get it checked promptly.
Common

Expected, no action needed unless it lasts

Redness, swelling, or soreness where you inject
Very common in the first few weeks
Rotate injection sites. It usually settles.
Flushing
Common, within minutes of a dose
Passes within about 30 minutes.
Mild headache
Common in the first week or two
Stay hydrated. Mention it if it lasts.
Vivid dreams or sleepiness
Common in the first month
Growth hormone release peaks during sleep.
Mild nausea
Less common, first week
Usually resolves on its own.
Mild puffiness in hands or face
Less common, weeks 2 to 4
Often dose-related. Mention it at check-in.
Mention it

Tell your provider at your next check-in

Joint stiffness that doesn't go away
IGF-1 may be running high. A dose change may help.
Tingling or numbness in your hands
Possible early carpal tunnel from higher growth hormone.
Swelling or bloating that lasts
Fluid retention beyond the usual. Worth evaluating.
Blood sugar changes
Growth hormone can affect insulin sensitivity.
No noticeable change after a few months
Worth a conversation with your provider about whether to continue.
Weeks 1 to 4

Getting used to it

Injection-site reactions, flushing, and vivid dreams are most likely now.

Months 1 to 3

First check-in

Your provider may check in or order labs to see how your body is responding.

Months 3 to 6

Review

A good point to review with your provider whether to continue.

Ongoing

Keep checking

Long-term use should be reviewed regularly, including whether you still need it.

Monitoring

Your provider decides whether you need labs and when. For Sermorelin, the markers they most often look at are IGF-1 (is it working, and is it too high?), fasting glucose, and thyroid function. If your provider orders labs, they'll tell you what's needed before you commit.

$199
per month (includes provider review, medication and shipping). Cash-pay, no insurance claims.
$0
charged if a provider doesn't prescribe. The hold is released.
48 hrs
Cancel at least 48 hours before your next billing date. Any charge after a successful cancellation is refunded.