Hexarelin
Growth Hormone Secretagoguesaka Examorelin · EX-1 · HEX
Overview
Hexarelin is a potent synthetic growth-hormone secretagogue. Relative to ipamorelin it is less selective: it reliably stimulates GH but also stimulates prolactin, ACTH, and cortisol, giving it a stronger pharmacodynamic footprint and a rougher endocrine side-effect profile.
Mechanism
Hexarelin acts via GHSR1a (the ghrelin receptor) at pituitary and hypothalamic sites to drive GH release through PLC-linked calcium signaling. A separate line of work showed that CD36 mediates cardiovascular actions of hexarelin, including coronary perfusion pressure effects, indicating that not all of hexarelin's biology is reducible to classic GHSR endocrinology.