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Muscle & performanceAnti-aging & longevity

MK-677

Ibutamoren · MK-0677 · Ibutamoren mesylate

Early human trialsProhibited in sportReviewed 12 Aug 2026

MK-677 does not belong in this category on chemistry. It is a small molecule — not a peptide — and it is taken orally rather than injected. It is grouped with peptides because it is discussed, sold and used alongside them, and pretending otherwise would be less useful than saying so.

It acts on the same ghrelin receptor as ipamorelin, but because it is orally bioavailable with a long half-life, it produces sustained elevation of growth hormone and IGF-1, not a pulse. It was developed as a pharmaceutical candidate and taken into clinical trials, so more human data exists for it than for most compounds here, including a trial that was stopped.

That trial is the most important thing on this page. A study in older adults with hip fracture was discontinued after an excess of congestive heart failure in the treatment group. Whether that reflects a causal effect is debated, and it is exactly the kind of finding that only emerges when a compound is actually studied. That is why the absence of trials elsewhere on this site is not reassuring.

How it works

MK-677 mimics ghrelin at its receptor, prompting growth hormone release from the pituitary and increasing appetite. Both effects follow from the same mechanism.

Its long half-life means once-daily oral dosing produces continuously raised GH and IGF-1, not the pulses that secretagogue peptides produce. This is the substantive difference from ipamorelin, and it cuts against the 'preserves natural pulsatility' argument used for the injectable class.

Sustained IGF-1 elevation is also what makes the cardiac and glucose findings mechanistically plausible rather than merely coincidental.

Regulatory status — United States

Not approved for human use in any jurisdiction. Development was not completed. It is widely sold as a 'research chemical' or mislabelled as a dietary supplement, which it is not. It is an unapproved drug.

Last reviewed 12 Aug 2026. Regulatory positions in this category change frequently; we date this line so you can see how current it is.

What it is studied for

Each entry states the evidence behind it. We do not rank indications by effectiveness — for most compounds here, that would be a claim nobody can support.

Growth hormone and IGF-1 elevation

Clinical trial

Well demonstrated in trials.

EvidenceRandomised trials in older adults showing sustained increases in GH and IGF-1 over months.

Lean mass

Clinical trial

Increases in lean body mass have been measured.

EvidenceA randomised trial in healthy older adults found increased lean mass over 12 months, without a corresponding improvement in strength or function.

Appetite stimulation

Clinical trial

Follows directly from ghrelin receptor agonism.

EvidenceConsistently reported in trials and in community use.

Identity and clearance

Molecule

Class
Non-peptide small molecule, ghrelin receptor agonist
Molecular weight
528.66 Da

Not a peptide. Included here because it is used and discussed alongside them, not because it belongs to the same chemical class.

Pharmacokinetics

Clinical trial
Peak2 h
Half-life24 h
Substantially cleared5 d
100%50%25%0%half-life 24hdose30h2.5d3.8d5d
Modelled from the half-life above, assuming first-order elimination. Illustrative rather than measured — it shows the shape of clearance, not a prediction for any individual.

A roughly 24-hour half-life is what allows once-daily oral dosing, and what produces sustained rather than pulsatile GH elevation.

Dose protocols reported in sources

Displayed for reference only. Every row says where it came from, and a trial protocol and a community convention are not the same kind of information. None of this is fed into the calculator, and none of it is a recommendation.

Dose protocols reported in sources, with the source of each.
GoalDoseFrequencyRouteUnitsSourceStart this protocol
Trial dose in older adults25 mgOnce daily, oralOralTaken by mouth. Nothing about this compound is reconstituted or injected.Clinical trialStart this
Commonly described dose10 mg – 25 mgOnce daily, usually at nightOralCommunity practiceStart this

Start this copies a row into a protocol of your own, which you can then edit. Where a source gave a dose range or an ambiguous frequency, those fields arrive empty — we will not pick a number on your behalf.

CheckRows marked community practice describe what people commonly do, drawn from public discussion. They are not derived from any trial and are not evidence that a dose is safe or effective.

Safety

Reported effects

  • Marked increase in appetiteClinical trial

    Very common

    The most consistently reported effect, and often pronounced. It follows directly from ghrelin receptor agonism.

  • Water retention and swellingClinical trial

    Common in trials

  • Raised blood glucose and reduced insulin sensitivityClinical trial

    Documented in trials

    A consistent finding, and mechanistically expected, since growth hormone opposes insulin.

  • Lethargy and daytime drowsinessCommunity practice

    Commonly reported

  • Congestive heart failure in one trial populationClinical trial

    Serious, and the reason a trial was stopped

    A study in older adults with hip fracture was discontinued after an excess of congestive heart failure in the treatment group. Causality is debated. It is the single most important safety signal associated with this compound.

When to stop

  • Shortness of breath, particularly lying down or at night, or waking breathless. Seek medical care. These are features of heart failure, and this compound carries a signal for it.
  • Swelling of the ankles or legs that does not settle overnight.
  • A rapid or irregular heartbeat, or chest discomfort.
  • Unusual thirst, frequent urination or blurred vision, which can indicate raised blood glucose.
  • Any new lump or growth. Sustained IGF-1 elevation makes this worth investigating rather than watching.

Interactions and situations that need care

  • Any heart failure or significant cardiac historyAvoid

    A trial in older adults with hip fracture was stopped early after an excess of congestive heart failure in the treatment group. Whatever the eventual explanation, this is a documented signal in a studied population and not a theoretical concern.

  • Diabetes or impaired glucose toleranceAvoid

    Reduced insulin sensitivity and raised blood glucose were consistent findings in trials, not occasional ones. This works directly against glycaemic control.

  • Active or previous cancerAvoid

    Sustained IGF-1 elevation over months promotes cell proliferation. Continuous elevation is a different exposure from the brief pulses the injectable secretagogues produce.

  • Pregnancy and breastfeedingAvoid

    No reproductive or developmental safety data.

  • Competing in a tested sportAvoid

    Prohibited at all times under WADA's S2 category, which names growth hormone secretagogues regardless of chemical class.

SportProhibited by the World Anti-Doping Agency under S2: Peptide Hormones, Growth Factors and Related Substances, at all times. Growth hormone secretagogues are explicitly named regardless of chemical class.

What to expect

  • Increased appetite is close to universal and often substantial. If you are eating at a deficit, this is working against you.
  • In a 12-month randomised trial in healthy older adults, lean mass increased. Strength and physical function did not improve alongside it.
  • Raised blood glucose and reduced insulin sensitivity were consistent findings rather than occasional ones.
  • The heart failure signal from the discontinued hip fracture trial is the thing to weigh most heavily, and it is the kind of finding that only appears when something is actually studied.

Storage and handling

Freeze-dried powder
Not applicable. This is not supplied as a lyophilised peptide. Powder or capsules should be kept cool, dry and out of light.
After mixing
Not applicable. Liquid preparations sold in solution should follow the seller's storage instructions, which is a weaker guarantee than it sounds.

Printable one-pagerHow to reconstitute a vial, step by step

With other peptides

  • That blend contains ipamorelin, which is also a ghrelin-receptor agonist. Running both doubles one mechanism while adding this compound's own effect on insulin sensitivity.

  • This raises growth hormone by driving the pituitary. Adding the hormone itself stacks the same signal, including the insulin resistance both cause.

  • Both cause fluid retention, and this also worsens insulin sensitivity. The combination compounds oedema and metabolic effects.

  • Ipamorelincaution

    Both act on the ghrelin receptor. Combining them stacks one mechanism rather than adding another, and compounds the hunger and water retention.

  • IGF-1 LR3caution

    MK-677 raises IGF-1 by driving growth hormone, and worsens insulin sensitivity on its own. Adding exogenous long-acting IGF-1 compounds both the proliferative signal and the glucose effects, from two directions at once.

Check this against a whole stack

In use

Stacks with MK-677 in them

Documented combinations, with full schedules.

Questions

Is MK-677 a peptide?
No. It is a small molecule taken orally. It appears alongside peptides because it is sold and discussed in the same places and acts on the same receptor as ipamorelin, but chemically it is a different kind of compound and nothing about it is reconstituted or injected.
Why was a trial stopped?
A study in older adults recovering from hip fracture was discontinued after an excess of congestive heart failure in the treatment group. Whether the compound caused it is debated, but it is a documented signal in a studied population and the most important safety consideration here.
Does it build muscle?
A 12-month randomised trial in healthy older adults found increased lean body mass. It did not find corresponding improvements in strength or physical function, and a good part of early lean mass gain on this compound is water.

References

  1. Oral ghrelin mimetic MK-677 and growth hormone secretion in healthy older adults

    Annals of Internal Medicine / clinical trial literature, 2008 · Randomised, double-blind, placebo-controlled trial

    Healthy older adults · n = 65 · 25 mg once daily, oral · 12 months

    Sustained increases in GH and IGF-1, and increased lean body mass, without improvement in strength or function. Raised fasting blood glucose and reduced insulin sensitivity were observed.

    10.7326/0003-4819-149-9-200811040-00003

  2. Commonly reported community protocols

    Bioalmanac editorial summary of public community sources, 2026 · Not a study

    Summarises the oral dose ranges most consistently described in public discussion. Carries no evidential weight about safety or effect.

Keep this page honest

If something here is wrong, out of date, or missing a source, tell us and we will fix it and say that we did.

Suggest a correction

This page is educational. It describes what published research reports, not what you should do. Peptides discussed here are largely not approved for human use, and nothing on Bioalmanac is medical advice. No clinician reviews these pages.

Page last updated 12 Aug 2026