| Grade AFDA-approved / proven in humans·9 peptides |
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| Tesamorelin Synthetic GHRH | Grade A | FDA-approved | An FDA-approved peptide drug, not a research chemical. Proven to cut visceral fat, but approved for a narrow HIV indication. | See the evidenceSee the evidence for Tesamorelin→ |
| PT-141 Synthetic melanocortin receptor agonist | Grade A | FDA-approved | An FDA-approved peptide drug, not a research chemical. Proven to raise sexual desire in premenopausal women, but the benefit is modest and the off-label hype outruns it. | See the evidenceSee the evidence for PT-141→ |
| Semaglutide GLP-1 receptor agonist | Grade A | FDA-approved | The once-weekly GLP-1 that turned obesity into a treatable condition, with roughly 15 percent average body-weight loss in its landmark trial and a proven cardiovascular benefit on top. | See the evidenceSee the evidence for Semaglutide→ |
| Tirzepatide GIP and GLP-1 dual receptor agonist | Grade A | FDA-approved | The dual-hormone agonist that beat semaglutide head to head and delivered up to roughly 21 percent body-weight loss in its pivotal obesity trial, the most weight loss of any approved medication to date. | See the evidenceSee the evidence for Tirzepatide→ |
| Liraglutide GLP-1 receptor agonist | Grade A | FDA-approved | The original daily GLP-1 for weight and diabetes: less powerful than the weekly agents that followed, but FDA-approved, decades-proven, and with a documented cardiovascular benefit. | See the evidenceSee the evidence for Liraglutide→ |
| Dulaglutide GLP-1 receptor agonist | Grade A | FDA-approved | A once-weekly GLP-1 approved for type 2 diabetes with a proven cardiovascular benefit, but never FDA-approved for obesity, so weight loss is a real but secondary effect. | See the evidenceSee the evidence for Dulaglutide→ |
| Melanotan-1 (Afamelanotide / Scenesse) Melanocortin receptor agonist | Grade A | FDA-approved | The one melanotan that is actually an FDA-approved drug. As Scenesse, afamelanotide is a prescription implant for a rare light-sensitivity disorder, not the gray-market tanning peptide people buy online. | See the evidenceSee the evidence for Melanotan-1 (Afamelanotide / Scenesse)→ |
| Gonadorelin (GnRH) Gonadotropin-releasing hormone | Grade A | Compoundable (503A) | Synthetic GnRH, the master hormone that tells the pituitary to make LH and FSH. It was an FDA-approved human drug and is now widely used in compounded men's-health protocols to keep the testicular axis running during TRT. | See the evidenceSee the evidence for Gonadorelin (GnRH)→ |
| Oxytocin Posterior pituitary nonapeptide hormone | Grade A | FDA-approved | A real FDA-approved hormone drug (as Pitocin) used in obstetrics for labor and postpartum bleeding. The social, bonding, and libido claims that make it popular are mostly extrapolated from small studies, not approved uses. | See the evidenceSee the evidence for Oxytocin→ |
| Grade BReal human trials, limited or historical·6 peptides |
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| Sermorelin Synthetic GHRH | Grade B | Compoundable (503A) | The "gentler," formerly-FDA-approved GH-axis peptide. It's the best-evidenced option you can still legally get through a compounding pharmacy. | See the evidenceSee the evidence for Sermorelin→ |
| Retatrutide Investigational GIP/GLP-1/glucagon triple-receptor agonist peptide | Grade B | Research-only | The next-generation weight-loss peptide with the strongest efficacy signal. But it is investigational and not yet available by any legal route. | See the evidenceSee the evidence for Retatrutide→ |
| GHK-Cu Copper-binding tripeptide complex | Grade B | Cosmetic/topical | The copper peptide behind decades of skincare. Real human topical/cosmetic evidence for skin, but injected versions are a different, unproven story. | See the evidenceSee the evidence for GHK-Cu→ |
| Cagrilintide Long-acting amylin receptor agonist | Grade B | Research-only | An investigational once-weekly amylin analog that produced about 11 percent weight loss on its own in phase 2 and is the partner half of the CagriSema combination, not an approved standalone drug. | See the evidenceSee the evidence for Cagrilintide→ |
| Thymosin Alpha-1 Immunomodulatory peptide | Grade B | Research-only | A 28-amino-acid thymic peptide that tunes the immune system. Approved as a drug (Zadaxin) in ~35 countries for hepatitis and immune support, but never FDA-approved, so in the US it is research-only. | See the evidenceSee the evidence for Thymosin Alpha-1→ |
| Thymosin Beta-4 Actin-sequestering regenerative peptide | Grade B | Research-only | A 43-amino-acid tissue-repair peptide. It has real human eye-drop trials (RGN-259) but is not FDA-approved, and the injectable bodybuilding version (TB-500) has essentially no human data. | See the evidenceSee the evidence for Thymosin Beta-4→ |
| Grade CEarly / foreign human data only·14 peptides |
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| Semax Synthetic heptapeptide | Grade C | Under FDA review | A Russian-approved cognitive and neuroprotective peptide with real but non-Western clinical data. | See the evidenceSee the evidence for Semax→ |
| CJC-1295 / Ipamorelin GHRH analog | Grade C | Research-only | The classic GH-boosting stack. One human PK study shows it raises GH/IGF-1, but no trial shows it builds muscle or burns fat. | See the evidenceSee the evidence for CJC-1295 / Ipamorelin→ |
| CJC-1295 Synthetic long-acting GHRH | Grade C | Research-only | A GHRH analog, usually the long-acting "with DAC" version, that one human study shows raises GH/IGF-1. No trial shows it builds muscle or burns fat. | See the evidenceSee the evidence for CJC-1295→ |
| Selank Synthetic anxiolytic/nootropic heptapeptide | Grade C | Research-only | A Russian-developed anti-anxiety and nootropic peptide with real but non-Western human trials. In Russian studies it matched a benzodiazepine for anxiety without the sedation or dependence. | See the evidenceSee the evidence for Selank→ |
| Ipamorelin Growth hormone secretagogue | Grade C | Research-only | The cleanest of the GH-releasing peptides on paper: it bumps GH without the cortisol and prolactin spike the older GHRPs cause. But the honest headline is that the one real human trial was for gut motility, not muscle, and it flat-out failed. Zero human data proving it builds muscle or burns fat. | See the evidenceSee the evidence for Ipamorelin→ |
| MK-677 (Ibutamoren) Orally-active growth hormone secretagogue | Grade C | Research-only | The odd one out: MK-677 is not a peptide, it is an orally-active small-molecule ghrelin mimetic, which is why people take it as a daily capsule instead of an injection. It has the best human evidence in this group by far, including a 2-year randomized trial, but that trial is also the cautionary tale: it raised lean mass a little while measurably worsening insulin sensitivity and blood sugar. | See the evidenceSee the evidence for MK-677 (Ibutamoren)→ |
| LL-37 (Cathelicidin) Host-defense | Grade C | Research-only | The body's own 37-amino-acid antimicrobial peptide. It has genuine human wound-healing trials, but the largest one (phase 2b) failed its main endpoint, so the evidence is a mixed, small-scale C. | See the evidenceSee the evidence for LL-37 (Cathelicidin)→ |
| ARA-290 (Cibinetide) Innate repair receptor agonist | Grade C | Research-only | An 11-amino-acid fragment derived from erythropoietin that triggers tissue repair without boosting red blood cells. It has small positive human nerve-regeneration trials, which makes it an honest C. | See the evidenceSee the evidence for ARA-290 (Cibinetide)→ |
| VIP (Vasoactive Intestinal Peptide / Aviptadil) Neuropeptide | Grade C | Research-only | A natural 28-amino-acid neuropeptide with broad signaling roles. Its big FDA push (aviptadil for COVID) failed a phase 3 trial and the FDA declined authorization, so the evidence is a mixed C. | See the evidenceSee the evidence for VIP (Vasoactive Intestinal Peptide / Aviptadil)→ |
| Cerebrolysin Neuropeptide preparation | Grade C | Research-only | A peptide mixture derived from pig brain that is actually approved and used for stroke and dementia in several countries, just not the US. It has a real stack of human trials, but the quality is mixed and the biggest stroke analyses came back neutral. | See the evidenceSee the evidence for Cerebrolysin→ |
| Kisspeptin (Kisspeptin-54 / Kisspeptin-10) Hypothalamic neuropeptide | Grade C | Research-only | An investigational reproductive hormone that sits one step above GnRH. Real, well-designed human trials show it can boost sexual-brain activity and arousal, but it is research-only and delivered by IV infusion, not a peptide you buy and inject at home. | See the evidenceSee the evidence for Kisspeptin (Kisspeptin-54 / Kisspeptin-10)→ |
| SS-31 (Elamipretide) Mitochondria-targeted tetrapeptide | Grade C | Research-only | The most seriously studied peptide on this list, run through real Phase 3 trials. Its flagship mitochondrial-myopathy trial missed its primary endpoints, but its dry-AMD program is still advancing, so the honest verdict is mixed, not settled. | See the evidenceSee the evidence for SS-31 (Elamipretide)→ |
| Argireline (Acetyl Hexapeptide-8) Topical cosmetic peptide | Grade C | Cosmetic/topical | The peptide marketed as topical Botox. It does have small placebo-controlled human studies behind it, but the honest read is a modest softening of fine lines, nowhere near what an injection does. | See the evidenceSee the evidence for Argireline (Acetyl Hexapeptide-8)→ |
| Matrixyl (Palmitoyl Pentapeptide-4) Topical cosmetic peptide | Grade C | Cosmetic/topical | The best-supported cosmetic peptide here. Real split-face human trials show a modest, retinol-adjacent reduction in fine lines, and it is gentle. Just do not expect a dramatic change. | See the evidenceSee the evidence for Matrixyl (Palmitoyl Pentapeptide-4)→ |
| Grade DAnimal studies only, unproven in humans·16 peptides |
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| BPC-157 Synthetic pentadecapeptide | Grade D | Under FDA review | The most-hyped, least-human-proven "healing" peptide. Extensive rodent data, zero published human trials. | See the evidenceSee the evidence for BPC-157→ |
| TB-500 Synthetic actin-binding peptide fragment | Grade D | Under FDA review | The other half of the "wolverine stack." Soft-tissue recovery claims, but only animal data for the fragment actually sold. | See the evidenceSee the evidence for TB-500→ |
| KPV Synthetic tripeptide | Grade D | Under FDA review | An anti-inflammatory tripeptide studied for gut and skin inflammation. Promising in cells and animals, untested in humans. | See the evidenceSee the evidence for KPV→ |
| MOTS-c Mitochondrial-derived peptide | Grade D | Under FDA review | An "exercise-mimetic" metabolic peptide. Real mechanistic interest, but human evidence is association-only. | See the evidenceSee the evidence for MOTS-c→ |
| Epitalon Synthetic tetrapeptide | Grade D | Under FDA review | A longevity and anti-aging peptide built on small, low-quality Russian studies. The claims far outrun the evidence. | See the evidenceSee the evidence for Epitalon→ |
| Melanotan-2 (MT-2) Synthetic non-selective melanocortin receptor agonist | Grade D | Research-only | An unapproved "tanning" peptide with documented serious harms. Melanoma and mole changes, priapism, nausea, and rhabdomyolysis have all been reported. This is a safety page, not a recommendation. | See the evidenceSee the evidence for Melanotan-2 (MT-2)→ |
| IGF-1 LR3 Synthetic long-acting analogue of insulin-like growth factor 1 | Grade D | Research-only | A long-acting IGF-1 analogue marketed for muscle growth on the strength of its mechanism alone. There is no published human efficacy trial for it, and it's banned in sport. | See the evidenceSee the evidence for IGF-1 LR3→ |
| GHRP-6 Growth hormone secretagogue | Grade D | Research-only | The original GH-releasing peptide from the 1980s. It works as a GH pulse trigger and it makes you ravenously hungry, but it is non-selective, so it drags cortisol and prolactin up with it. Human data is all old pharmacology studies, none of it shows it builds muscle. | See the evidenceSee the evidence for GHRP-6→ |
| GHRP-2 Growth hormone secretagogue | Grade D | Research-only | The most potent GH-pulse trigger of the classic GHRPs per dose, and it is actually an approved diagnostic agent for GH deficiency in Japan. But like its cousins it also spikes appetite and modestly raises cortisol and prolactin, and there is no human trial showing it builds muscle. | See the evidenceSee the evidence for GHRP-2→ |
| Hexarelin Growth hormone secretagogue | Grade D | Research-only | The GHRP with the most interesting side story: beyond releasing GH it has a direct, GH-independent positive effect on heart contractility in humans via a cardiac receptor. That cardiac finding is real and human. What is missing is any trial showing it does the muscle-building it is sold for, plus it loses its GH punch fast with repeat dosing. | See the evidenceSee the evidence for Hexarelin→ |
| DSIP (Delta Sleep-Inducing Peptide) Neuropeptide | Grade D | Research-only | A nine-amino-acid peptide discovered in the 1970s and named for the deep-sleep brain waves it was thought to trigger. Small old human studies suggested it helped insomnia, but the underlying science stayed so thin that reviewers literally call it an unresolved riddle. | See the evidenceSee the evidence for DSIP (Delta Sleep-Inducing Peptide)→ |
| Dihexa Angiotensin IV-derived synthetic hexapeptide | Grade D | Research-only | A lab-built angiotensin IV analog designed to supercharge brain synapse formation, and in rats it looked staggeringly potent. But it has never been proven in a human, and the drug company version built on the same target failed its big Alzheimer's trial in 2024. | See the evidenceSee the evidence for Dihexa→ |
| Humanin Mitochondrial-derived peptide | Grade D | Research-only | A tiny peptide encoded inside your mitochondrial DNA that acts as a cellular bodyguard, protecting neurons from Alzheimer-related damage in the lab. The cytoprotection story is strong in animals and cells, but no human neuroprotection trial has ever been completed. | See the evidenceSee the evidence for Humanin→ |
| Follistatin (FST-344 / FS344) Myostatin/activin-binding glycoprotein | Grade D | Research-only | A natural myostatin blocker that in theory should unlock muscle growth. The reality: the injectable peptide is essentially preclinical, and the only human evidence is from AAV gene therapy, a completely different technology, in a handful of muscular-dystrophy patients. | See the evidenceSee the evidence for Follistatin (FST-344 / FS344)→ |
| MGF (Mechano Growth Factor) IGF-1 splice variant / growth factor peptide | Grade D | Research-only | A short splice variant of IGF-1 that muscle makes locally after mechanical stress. The theory is great, the human data barely exists, and the one well-run cell study said it did nothing. | See the evidenceSee the evidence for MGF (Mechano Growth Factor)→ |
| PEG-MGF (Pegylated Mechano Growth Factor) PEGylated IGF-1 splice variant peptide | Grade D | Research-only | MGF with a polyethylene glycol tail bolted on to make it last longer in the blood. Longer half-life, same problem: the evidence is animal-only and no human trial has shown it does anything. | See the evidenceSee the evidence for PEG-MGF (Pegylated Mechano Growth Factor)→ |