GHRP-2 vs SS-31 (Elamipretide)

Side-by-side comparison of mechanisms, dosing, interactions, and stacking potential.

GHRP-2SS-31 (Elamipretide)
CategoryPeptidesPeptides
Standard DoseResearch indicates 100-300 mcg administered 1-3 times daily via subcutaneous injection.Research indicates 0.05-0.25 mg/kg daily via subcutaneous injection. Clinical trials used 4-40 mg/day IV or SC.
TimingOn empty stomach, bedtime administration preferred. Wait 2+ hours after last meal.Morning dosing preferred. No food timing restrictions.
Cycle Duration8-16 week cycles.Clinical trials ranged from single dose to 48 weeks. Optimal cycle length not established.
Evidence Levelmoderate_humanEmerging (Phase 2/3 trials)
A

GHRP-2

Peptides

Mechanism

GHRP-2 (Growth Hormone Releasing Peptide-2) is a synthetic hexapeptide GHS-R1a agonist that is the most potent of the GHRP family for GH release. It stimulates pituitary GH secretion through the ghrelin receptor while also modulating hypothalamic GHRH and somatostatin pathways. GHRP-2 increases GH, cortisol, prolactin, and ACTH release, but with less appetite stimulation than GHRP-6. It also has demonstrated anxiolytic properties and sleep-promoting effects.

Standard Dosing

Research indicates 100-300 mcg administered 1-3 times daily via subcutaneous injection.

Timing

On empty stomach, bedtime administration preferred. Wait 2+ hours after last meal.

Cycle Duration

8-16 week cycles.

Side Effects

  • Water retention
  • Moderate hunger increase (less than GHRP-6)
  • Cortisol elevation
  • Prolactin elevation
  • Tingling
  • Vivid dreams

Contraindications

  • Active cancer
  • Cushing's syndrome
  • Hyperprolactinemia
  • Pregnancy and breastfeeding

Best Stacking Partners

CJC-1295 (no DAC)SermorelinBPC-157

Mechanism

SS-31 (D-Arg-Dmt-Lys-Phe-NH2, also known as elamipretide/Bendavia) is a cell-permeable tetrapeptide that localizes to the inner mitochondrial membrane and binds cardiolipin via electrostatic interactions. This stabilizes cardiolipin against oxidative damage, preserving cristae integrity, reducing ROS production, and maintaining mitochondrial ATP production. SS-31 interacts with proteins in two functional groups: oxidative phosphorylation complexes and 2-oxoglutarate metabolic enzymes — all known cardiolipin binders. It restores mitochondrial function without acting as a direct antioxidant.

Standard Dosing

Research indicates 0.05-0.25 mg/kg daily via subcutaneous injection. Clinical trials used 4-40 mg/day IV or SC.

Timing

Morning dosing preferred. No food timing restrictions.

Cycle Duration

Clinical trials ranged from single dose to 48 weeks. Optimal cycle length not established.

Side Effects

  • Injection site reactions
  • Headache
  • Diarrhea (in clinical trials)
  • Nausea

Contraindications

  • Pregnancy and breastfeeding
  • Severe renal impairment (peptide clearance concern)
  • Not commercially available
  • Clinical trial participants only

Best Stacking Partners

MOTS-cHumaninEpitalon

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