GH SecretagoguesNot approved (US)

GHRP-2

Pralmorelin · Pralmorelin KM

Strong activation of GHS-R1a, the ghrelin receptor, promotes GH release. Suppression of somatostatin and interaction with DAG kinase zeta can further amplify secretion.

Not medical advice. Educational reference only.

Typical dose
100–300 mcg per subcutaneous injection; 100–200 mcg by injection 2–3x daily also reported
Route
Injectable; subcutaneous for the 100–300 mcg protocols
Storage
Keep refrigerated at 2–8 °C and use within 28 days.

What is GHRP-2?

GHRP-2, or pralmorelin, is a synthetic six-amino-acid growth hormone secretagogue. It releases GH more strongly than GHRP-6 while stimulating appetite less. Clinical investigations use it in diagnosing GH deficiency and examining body composition. Japan has approved Pralmorelin KM as a diagnostic agent for GH deficiency; therapeutic use has no US approval.

Mechanism of action

Strong activation of GHS-R1a, the ghrelin receptor, promotes GH release. Suppression of somatostatin and interaction with DAG kinase zeta can further amplify secretion.

Targets: GHS-R1a (ghrelin receptor)

Research indications

  • Growth Hormone Support

    Most effective

    Pituitary signaling stimulates the body’s own release of growth hormone.

  • Body Composition

    Effective

    Potential changes include more lean tissue and less body fat.

  • Recovery & Repair

    Effective

    Research examines support for tissue healing and recovery after injury or exercise.

  • Sleep Quality

    Moderate

    Some protocols suggest deeper slow-wave sleep and more restorative rest.

Research protocols

These are commonly discussed research protocols — not medical advice. Consult a healthcare provider before use.

GoalAmountFrequencyRoute
Starting Dose100 mcgOnce dailySubcutaneous injection
Standard Dose200 mcgTwice dailySubcutaneous injection
Maximum Dose300 mcg3x dailySubcutaneous injection

Interactions

  • Insulin / IGF-1

    Monitor
  • Corticosteroids

    Caution
  • Thyroid Hormones

    Monitor
  • BPC-157

    Compatible
  • TB-500

    Compatible
  • Ipamorelin + CJC-1295

    Compatible

    The combination is used for complementary GH stimulation; compatibility is not established by a cited interaction study.

  • Somatostatin Analogs

    Avoid

How to reconstitute and inject

Diluent: Use bacteriostatic water only. Avoid saline because it can cause precipitation.

  1. Take the GHRP-2 vial out of refrigeration and wait 15–20 minutes for it to reach room temperature.
  2. Disinfect the rubber stopper with an alcohol swab, then let it dry fully in the air.
  3. Use a sterile syringe to measure the calculated amount of bacteriostatic water. Use BAC water only; avoid saline because precipitation can occur.
  4. Direct the water slowly onto the inner vial wall rather than onto the powder.
  5. Rotate the vial gently to mix. Never shake it vigorously; this can degrade the peptide.
  6. Wait 2–3 minutes for complete dissolution, and check that the liquid is transparent and colorless.
  7. Measure your calculated dose into an insulin syringe for a subcutaneous injection.
  8. Choose the abdomen, thigh or upper arm for injection. Change the site each time to help prevent lipodystrophy.
  9. Refrigerate the mixed vial at 2–8 °C and use it within 28 days.

What to expect

Week 1–2
Sleep may begin improving, while mild fluid retention can occur early.
Week 2–4
Sleep may deepen and recovery may improve, with a slight increase in appetite.
Week 4–8
Changes in body composition, energy levels and recovery speed may become noticeable.
Week 8–12
Skin may improve as lower body fat and increased lean mass become more visible.
Week 12+
Body composition, strength and overall vitality may show sustained improvements.

Side effects and safety

  • Fluid retention and slight bloating, particularly at the start of a protocol
  • Greater appetite, especially with GHRP compounds
  • Warmth or flushing around the injection site
  • Numbness or tingling; higher doses can cause symptoms resembling carpal tunnel syndrome
  • Tiredness or lethargy when dose timing is unsuitable
  • Possible increases in cortisol and prolactin, particularly with GHRP-6
  • Higher blood glucose; monitor glucose if you have diabetes or prediabetes · Rare

GHRP-2: not approved in the US.

Regulatory status

  • US

    Not approved

    FDA — no approval; research use only. No 503A ban is recorded; affirmative compounding authorization remains unestablished.

    Rx required
    No
    Telehealth
    N/A

Frequently asked questions

What is GHRP-2?

GHRP-2, or pralmorelin, is a synthetic six-amino-acid growth hormone secretagogue. It releases GH more strongly than GHRP-6 while stimulating appetite less. Clinical investigations use it in diagnosing GH deficiency and examining body composition. Japan has approved Pralmorelin KM as a diagnostic agent for GH deficiency; therapeutic use has no US approval.

What additional dosing or pharmacokinetic information is available?

Additional research discussions use 100–200 mcg by injection 2–3x daily and give an approximate half-life of 30 minutes. These figures are research information and do not establish an approved human regimen.

What safety considerations matter?

Adverse effects depend on the amount used, the route and individual response. GH secretagogues can cause fluid retention, appetite changes, tingling and early fatigue. Cortisol and prolactin responses differ between compounds. Consult your healthcare provider before combining compounds, and report unexpected symptoms. The timelines and compatibility categories do not establish clinical effectiveness or prove that combinations are safe.

References

  1. GHRP-2: a GH secretagogue for clinical use (1997)

  2. Growth hormone-releasing peptides: clinical applications (2008)