Spiroindoline-based GHS-R1a agonist. Oral bioavailability ~60–70%. Binds ghrelin receptor with long residence time — produces sustained rather than pulsatile GH release. Increases GH pulse amplitude and frequency. Elevates IGF-1 within 2 weeks; sustained with continued use.
Studies have administered: 10–25mg/day oral in research; 25mg used in most published trials
Thorner et al. (1997): first human dose-ranging study confirming sustained IGF-1 elevation. Elderly: improved bone density and body composition. Sleep architecture improvements (SWS increase) documented. Skin thickness improvements in aging subjects. Merck-sponsored trials completed.
Increased appetite (significant — ghrelin mechanism); water retention; potential blood glucose elevation; lethargy/sedation; joint discomfort from IGF-1 elevation; potential tumor promotion concern in active cancer
These compounds have been examined together in research literature. Combination use is not endorsed or recommended — this information is provided for research context only.
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