The growth-hormone axis, step by step
Where growth-hormone secretagogues actually act, and why 'the same dose as men' is an assumption, not a measurement.
Many popular peptides don't supply growth hormone, they nudge the body to release its own. To understand what they do and don't do, it helps to see the chain of command they plug into.
Reading the chain
The hypothalamus sends two opposing signals: GHRH, which tells the pituitary to release growth hormone, and somatostatin, which tells it to hold back. The pituitary releases growth hormone (GH) in pulses. GH travels to the liver, which produces IGF-1, and both GH and IGF-1 act on muscle, bone, fat, and connective tissue. Rising IGF-1 and GH then feed back to quiet the hypothalamus and pituitary, a thermostat that keeps the system from running away.
Where the peptides act
- GHRH analogs, CJC-1295 and tesamorelin imitate GHRH and act through the GHRH receptor.
- Ghrelin mimetics (GHRPs), ipamorelin acts through a separate receptor (the ghrelin/GH-secretagogue receptor).
Because they act upstream and rely on the body's own pulsatile release and feedback, these compounds behave differently from injecting growth hormone directly, a distinction often flattened in marketing.
The female-evidence gap
Growth-hormone physiology is not sex-neutral: estrogen influences the GH/IGF-1 axis, and GH pulse patterns differ between women and men. Yet the dose figures circulating for these secretagogues are overwhelmingly derived from male subjects. On this site, the female-specific fields for these compounds are marked accordingly, most often as extrapolated or unstudied, because that is what the literature supports.
Compounds referenced
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A note when each guide goes live. Clear science, written for women.
Sources
- Endocrinology references on the hypothalamic–pituitary–GH/IGF-1 axis and its negative feedback.
- Literature on sex differences in GH pulsatility and estrogen's modulation of the GH/IGF-1 axis.
- Pharmacology of GHRH analogs (CJC-1295, tesamorelin) and ghrelin-receptor secretagogues (ipamorelin).
Educational information for laboratory and research use only. Not medical advice, a recommendation, or a claim of safety or efficacy; no personal dosing. “Unstudied” means no qualifying study was found, not that a compound is safe or unsafe. Some outbound links are affiliate links.