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Human Growth Hormone (HGH) vs Sermorelin vs SS-31 (Elamipretide)

A three-way comparison to help you find the right peptide for your research goals.

Human Growth Hormone (HGH)

Human Growth Hormone (somatropin) is a 191-amino acid protein identical to naturally produced GH. FDA-approved for growth hormone deficiency, Turner syndrome, and other conditions. Widely used off-label for anti-aging and performance.

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Sermorelin

Sermorelin is a synthetic analog of GHRH consisting of the first 29 amino acids of the natural hormone. It was previously FDA-approved for GH deficiency diagnosis and treatment in children.

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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

AspectHuman Growth Hormone (HGH)SermorelinSS-31 (Elamipretide)
MechanismBinds to GH receptors throughout the body, stimulating IGF-1 production in the liver. Promotes protein synthesis, fat metabolism, and cellular regeneration across multiple tissues.Binds to GHRH receptors in the pituitary gland to stimulate natural GH production and release. Maintains the body's natural feedback mechanisms for GH regulation.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 DosageMedical: 0.1-0.3mg/kg/week divided into daily doses. Anti-aging: 1-2 IU daily. Performance: 2-6 IU daily, sometimes higher.Typical dosing: 200-500mcg administered once daily, usually before bed. Some protocols use twice daily dosing.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, preferably at night to mimic natural pulsatile release. Rotate injection sites. Store refrigerated.Subcutaneous injection, preferably at bedtime to work with natural GH release patterns. Can be combined with GHRPs for synergistic effects.Can be administered IV or subcutaneously. Most clinical research has used IV administration for cardiac conditions.
Side EffectsJoint pain, water retention, carpal tunnel syndrome, potential insulin resistance, and acromegaly features with long-term high doses.Generally well-tolerated. May cause injection site reactions, headache, flushing, or dizziness. Less side effects than direct GH administration.Generally well-tolerated. Clinical trials reported injection site reactions and occasional headache.
Best For

What They Have in Common

Human Growth Hormone (HGH), Sermorelin, SS-31 (Elamipretide) are all commonly used for:

Key Differences

Unique to Human Growth Hormone (HGH):

Unique to Sermorelin:

Unique to SS-31 (Elamipretide):

Detailed Analysis

Commonalities

Both Human Growth Hormone (HGH) and Sermorelin are commonly used for Muscle Growth, Fat Loss, Recovery & Healing, Sleep Quality.

Which Should You Choose?

Human Growth Hormone (HGH) has stronger evidence for Muscle Growth, Fat Loss, Recovery & Healing.

Commonalities

Both Human Growth Hormone (HGH) and SS-31 (Elamipretide) are commonly used for Recovery & Healing, Anti-Aging & Longevity.

Which Should You Choose?

Human Growth Hormone (HGH) has stronger evidence for Recovery & Healing. SS-31 (Elamipretide) has stronger evidence for Anti-Aging & Longevity.

Commonalities

Both SS-31 (Elamipretide) and Sermorelin are commonly used for Recovery & Healing.

Which Should You Choose?

Both peptides have similar evidence levels for their shared goals. Your choice may depend on specific use case, availability, or personal response.

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