Hexarelin vs SS-31 (Elamipretide)

A detailed comparison to help you understand the differences and choose the right peptide for your research goals.

Hexarelin

Hexarelin is a potent synthetic hexapeptide growth hormone secretagogue. It provides the strongest GH release among GHRPs but is associated with rapid desensitization of receptors.

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SS-31 (Elamipretide)

SS-31, also known as Elamipretide or Bendavia, is a mitochondria-targeted tetrapeptide. It has been studied extensively for mitochondrial diseases, heart failure, and age-related decline in mitochondrial function.

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Side-by-Side Comparison

AspectHexarelinSS-31 (Elamipretide)
MechanismActs as a ghrelin mimetic with high potency at the GHS receptor. Provides powerful GH release but receptor desensitization occurs faster than with other GHRPs, requiring cycling.Concentrates in the inner mitochondrial membrane where it binds to cardiolipin, stabilizing electron transport chain function, reducing reactive oxygen species, and improving ATP production efficiency.
Typical DosageTypical dosing: 100-200mcg administered 2-3 times daily for 4-6 weeks, followed by an equal off period to allow receptor resensitization.Clinical trials have used IV infusions of 0.25mg/kg for acute conditions. Subcutaneous dosing protocols for research use typically range from 1-5mg daily.
AdministrationSubcutaneous injection. Cycling is essential to maintain effectiveness. Often used in short bursts rather than continuous protocols.Can be administered IV or subcutaneously. Most clinical research has used IV administration for cardiac conditions.
Side EffectsWater retention, cortisol and prolactin increase, hunger (moderate), tingling, and potential blood pressure effects.Generally well-tolerated. Clinical trials reported injection site reactions and occasional headache.
Best For

What They Have in Common

Both Hexarelin and SS-31 (Elamipretide) are commonly used for:

Key Differences

Unique to Hexarelin:

Unique to SS-31 (Elamipretide):

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