| Sermorelin The "gentler," formerly-FDA-approved GH-axis peptide. It's the best-evidenced option you can still legally get through a compounding pharmacy. | Grade B | Safety: Safety: greenCompoundable (503A) | $96 to $225/month (telehealth); $200 to $400/month (clinic) | Sermorelin is legally compoundable (503A) thanks to its prior FDA approval as Geref. Human evidence is Grade B: real historical trial data. It is the best-evidenced GH-axis peptide with a legal supervised route today. | See evidenceSee the evidence for Sermorelin→ |
| MK-677 (Ibutamoren) 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. | Grade C | Safety: Safety: amberResearch-only | UNKNOWN | The most-studied and only orally-active option in this group, with genuine 2-year human RCT data behind it, which is why it grades C and not D. But the same trial that proves it works also shows the catch: modest lean-mass gain, no functional benefit, and worse insulin sensitivity. Not FDA-approved, research-only, and a poor idea for anyone with blood-sugar concerns. | See evidenceSee the evidence for MK-677 (Ibutamoren)→ |
| Epitalon A longevity and anti-aging peptide built on small, low-quality Russian studies. The claims far outrun the evidence. | Grade D | Safety: Safety: amberUnder FDA review | UNKNOWN | Epitalon is not FDA-approved and remains under FDA review. On July 24, 2026 the PCAC panel voted 7 to 5 (1 abstention) to recommend adding it to the 503A list for insomnia, but that is advisory and the FDA has not acted. Human evidence is Grade D: the longevity and anti-aging claims rest on small, low-quality Russian studies. | See evidenceSee the evidence for Epitalon→ |
| DSIP (Delta Sleep-Inducing Peptide) 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. | Grade D | Safety: Safety: amberResearch-only | $30 to $70 per 5 mg vial from research suppliers | DSIP is the only one of the seven peptides the FDA panel reviewed in July 2026 that it declined to recommend, voting 6 to 7 (1 abstention) against adding it to the 503A list on July 24. That is advisory, not a ban, and the FDA has not acted. It is also one of the oldest sleep peptides and one of the least resolved. There are genuine small human studies suggesting it helped insomnia, which is more than most research peptides can claim, but the evidence is thin, decades old, and never replicated at modern standards, and the basic biology is still contested. Interesting history, weak proof. If you try it you are running a personal experiment on 1980s data. | See evidenceSee the evidence for DSIP (Delta Sleep-Inducing Peptide)→ |