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Sermorelin

A growth hormone-releasing hormone analog that stimulates natural GH production at the pituitary level.

Dr. Jonathan Snipes, MDMedically reviewed by Dr. Jonathan Snipes, MD. Last reviewed May 6, 2026.
Sermorelin dispensed by a licensed U.S. 503A compounding pharmacy

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Natural GH BoostAnti-AgingSleep QualityBody Composition

What It Is

Sermorelin is a truncated form of GHRH (growth hormone-releasing hormone). It's one of the most studied and widely prescribed GH peptides.

How It Works

It binds to GHRH receptors on the pituitary gland, stimulating your body to produce and release more of its own growth hormone in a natural pulsatile pattern.

Who It's For

Adults over 30 experiencing age-related GH decline. Those looking for gentle, natural GH support without the intensity of synthetic HGH.

Who Should Avoid It

Not for those with active cancer, pituitary tumors. Use with caution in diabetic retinopathy.

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Protocol & Pricing

Pharmacy Price

$80

3mg/mL, 5mL vial (15mg total)

You pay pharmacy price. No markup.

Starting Dose

20 units (0.6mg)

Form

Injectable vial, 5mL


Your pharmacy label will read

SERMORELIN

3 MG/ML (5 ML)

The label shows strength per mL, not the total in the vial.

What that means

  • 3mg/mL means 3mg in every mL.
  • The vial holds 5mL, so 3mg/mL × 5mL = 15mg in the vial.
  • Each 20-unit injection (0.2mL) gives you 0.6mg, about 25 injections per vial.

Dosing Protocol

20 units subcutaneous injection daily, Monday to Friday. Take in evening to amplify natural nocturnal GH surge. 20 units = 0.2mL × 3mg/mL = 0.6mg per injection.

Beyond Use Date

90 Days from compounding (USP <797>)

A licensed U.S. 503A compounding pharmacy assigns this date and prints it on your vial label. Always follow the label.

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A licensed provider reviews every order.


Stacking Guide

Stacks Well With

BPC-157GHK-Cu

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GHRH analog (GRF 1-29)

Read the Sermorelin protocol guide

The only GHRH analog still Category 1 compoundable. Daily injection, 6 to 12 month protocol, 30 to 40 percent non-responder rate, and IGF-1 the biomarker that decides the answer.

Read guide

Related Peptides


Independently tested

Sermorelin certificate of analysis

All 4 Sermorelin samples tested for sterility and endotoxin passed both. Latest sample received by the lab Oct 2, 2026.

Every Sermorelin batch dispensed by a licensed U.S. 503A compounding pharmacy is independently tested by Eagle Analytical Services (FDA-registered, A2LA ISO 17025 accredited). Sterility testing checks that nothing grows in the sample; the USP <85> endotoxin test checks for bacterial toxins that can cause fever. Below is the lab's own report for each of the 4 most recent lots.

Lot LG342011074, received Oct 2, 2026

Sterility
PassCelsis Sterility Test. Started Oct 2, 2026, completed Oct 12, 2026. Method suitability ETX-250708-0358
Bacterial endotoxin
PassUSP <85>. Measured <2 EU/mL, limit 1750 EU/mL. Started Oct 6, 2026, completed Oct 6, 2026
Sample, as printed
SERMORELIN 3 MG/ML (5 ML) Injection
Lot #
LG342011074
Storage
Refrigerated
Received by lab
Oct 2, 2026
Laboratory
Eagle Analytical Services Inc., Houston, TX
Submission #
ETX-261002-0303
Signed
Alison Eng, Quality Control Manager
Scan of Eagle Analytical report ETX-261002-0303 for lot LG342011074. Opens the original PDF.
Eagle Analytical report ETX-261002-0303. Open the original PDF (opens in a new tab)

Eagle Analytical Services is an independent FDA-registered laboratory, A2LA accredited to ISO 17025, based in Houston, Texas. They have no commercial relationship with Rx Peps Direct. Rx Peps Direct prescribes; the pharmacy compounds and dispenses; Eagle tests every batch. Three separate companies. Results apply only to the tested sample as received. Browse our full quality program on the quality page.

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A licensed provider reviews every order.


How to get Sermorelin prescribed online

Sermorelin is available by prescription after an online medical review and dispensed for human use by a licensed 503A pharmacy. That is what separates it from research-use-only vials sold without a prescription. There is no membership, just a medical review fee per order, and automatic refills are optional.

  1. 1

    Complete a $39 medical review. Answer a short intake about your health history and your goals for Sermorelin. The $39 fee is the only charge Rx Peps Direct collects, paid once, not a recurring subscription.

  2. 2

    A licensed provider reviews it. A US-licensed clinician reviews your intake and, if Sermorelin is appropriate for you, writes a patient-specific prescription. The starting dose is typically 20 units (0.6mg).

  3. 3

    The pharmacy compounds and ships it. A licensed 503A compounding pharmacy in Texas compounds Sermorelin and ships it pre-reconstituted by FedEx overnight in a reusable cooled case. Your fill is a 5mL injectable vial at 3mg/mL (15mg total), labeled "SERMORELIN 3 MG/ML (5 ML)", and you pay the pharmacy $80 per vial at wholesale, with no clinic markup, plus a $15 flat FedEx overnight shipping fee charged by the pharmacy.

Rx Peps Direct prescribes Sermorelin in the 28 states plus Washington, DC where its medical team is licensed. Start your $39 medical review or browse the full Muscle Growth & Body Composition range. Comparing services first? See how Rx Peps Direct stacks up against seven other providers in our best telehealth for compounded peptides comparison.

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A licensed provider reviews every order.


Common questions about Sermorelin

What is sermorelin and what does it do?
Sermorelin is a 29-amino acid peptide that mimics the active fragment of natural growth hormone-releasing hormone (GHRH). It binds to GHRH receptors on the pituitary gland and stimulates the body's own pulsatile growth hormone release. The molecule was originally FDA-approved as Geref for pediatric GH deficiency. It is used in adult age-management practices to support GH levels that decline naturally with age. The sermorelin starter a licensed U.S. 503A compounding pharmacy compounds for Rx Peps Direct prescriptions is the 15 mg vial at $80 with a $39 medical review.
Is sermorelin safe?
Sermorelin has a long clinical safety record dating to the original Geref FDA approval in the 1990s. It works by stimulating endogenous GH release rather than supplying synthetic GH, so it preserves the body's negative feedback loop and avoids the supraphysiologic GH levels seen with HGH injections. The most commonly reported side effects are mild injection-site reactions, occasional flushing, and rare transient drowsiness. Sermorelin is contraindicated in patients with active malignancy, pituitary tumors, or active diabetic retinopathy.
Does sermorelin work for adults with low growth hormone?
Yes. Sermorelin reliably increases endogenous GH and IGF-1 levels in adults when dosed appropriately at bedtime. Clinical use over the last 3 decades supports improvements in body composition (reduced visceral fat, modest lean mass increase), sleep quality, and skin elasticity over a 3 to 6 month protocol. Effects are gentler than synthetic HGH because the body's pulsatile release pattern is preserved. In clinical studies, IGF-1 is the marker used to measure response; day to day, sleep, recovery, and body composition are the signals you and your clinician track.
How much sermorelin should I take per day?
The Rx Peps Direct starting dose is 20 units (0.6 mg) on a U-100 insulin syringe drawn from a 15 mg / 5 mL vial (3 mg/mL), taken subcutaneously once daily before bed. Some providers titrate to 1 mg per night based on your response and tolerance. Take it on an empty stomach (no food for 2 hours before) to avoid blunting the GH pulse with insulin or carbohydrate intake. Your provider will adjust the dose based on your response, side effects, and check-ins.
Is sermorelin FDA approved?
Sermorelin was FDA-approved as Geref in 1997 for diagnostic and pediatric use. The branded product was discontinued for commercial reasons, but sermorelin remains an FDA-listed active ingredient eligible for compounding by a 503A pharmacy under a patient-specific prescription. Rx Peps Direct prescribes sermorelin and the pharmacy compounds it under Section 503A; the Certificate of Analysis for every batch is published on this product page.
Does sermorelin need to be refrigerated?
Yes. Sermorelin ships pre-reconstituted from a licensed U.S. 503A compounding pharmacy and must be refrigerated at 36 to 46 degrees Fahrenheit (2 to 8 degrees Celsius). The pharmacy ships in cold-chain packaging to preserve potency in transit. Each vial carries a Beyond Use Date (BUD) that the pharmacy assigns and prints on the label. Once opened, keep the vial in the fridge and use it until it is empty or it reaches the date printed on its label, whichever comes first. Do not freeze; freezing degrades the peptide and reduces potency. Discard any vial past the date on the label.
How do I get sermorelin prescribed?
Complete the Rx Peps Direct intake at RxPepsDirect.com. The intake captures medical history, current medications, and your goals. A licensed nurse practitioner or physician assistant in your state reviews your intake; if sermorelin is appropriate they write the prescription. A licensed U.S. 503A compounding pharmacy fills it and ships via FedEx overnight, pre-reconstituted and ready to inject. The flat fee is $39 per order regardless of how many peptides are included.

Ready to add Sermorelin?

A licensed provider reviews every order.