Research Overview
Sermorelin — the native fragment
Ipamorelin — the second pathway
Ipamorelin binds the growth hormone secretagogue receptor, the receptor for ghrelin. Its selectivity profile is the reason it is preferred over GHRP-6 and GHRP-2 in modern designs: comparable secretagogue potency with far less disturbance of ACTH, cortisol and prolactin, so hormone endpoints are less confounded.
Why they are paired
- Two distinct receptors on the same somatotroph, so the effects are complementary rather than redundant.
- GHS-receptor agonism lowers somatostatin tone, raising the ceiling on the GHRH response.
- Both are short-acting, preserving pulsatility — important in a feedback-regulated axis.