Hexarelin vs TB-500 (Thymosin Beta-4)

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

HexarelinTB-500 (Thymosin Beta-4)
CategoryPeptidesPeptides
Standard DoseResearch indicates 100-200 mcg administered 1-2 times daily via subcutaneous injection.Research indicates 2-2.5 mg administered twice weekly via subcutaneous injection.
TimingOn empty stomach, bedtime preferred. Avoid prolonged continuous use due to rapid desensitization.No strict timing requirements. Can be administered at any time of day. Systemic action means injection location is not critical.
Cycle Duration4-8 week cycles maximum, then 4+ week break. Hexarelin desensitizes faster than other GHRPs.Loading phase: 4-6 weeks. Total cycle: 8-16 weeks.
Evidence Levelmoderate_humananimal_plus_anecdotal
A

Hexarelin

Peptides

Mechanism

Hexarelin (Examorelin) is a synthetic hexapeptide GHS-R1a agonist and the most potent synthetic GH secretagogue by peak GH release. It stimulates GH release through both pituitary ghrelin receptors and hypothalamic pathways, with mechanisms involving regulation of GHRH and somatostatin. Hexarelin also demonstrates significant cardiac benefits through activation of cardiac GHS-R1a receptors, protecting against ischemia-reperfusion injury and reducing cardiac fibrosis via the CD36 scavenger receptor pathway.

Standard Dosing

Research indicates 100-200 mcg administered 1-2 times daily via subcutaneous injection.

Timing

On empty stomach, bedtime preferred. Avoid prolonged continuous use due to rapid desensitization.

Cycle Duration

4-8 week cycles maximum, then 4+ week break. Hexarelin desensitizes faster than other GHRPs.

Side Effects

  • Significant cortisol elevation
  • Prolactin increase
  • Water retention
  • Joint pain
  • Rapid desensitization (unique to Hexarelin)

Contraindications

  • Active cancer
  • Cardiac arrhythmias (due to direct cardiac receptor activity)
  • Cushing's syndrome
  • Pregnancy and breastfeeding

Best Stacking Partners

CJC-1295 (no DAC)Sermorelin

Mechanism

TB-500 is a synthetic fragment of Thymosin Beta-4, a 43-amino acid protein that sequesters G-actin monomers, preventing premature polymerization and facilitating cellular migration and morphological changes essential for wound healing. It upregulates actin to promote cell migration, proliferation, and differentiation of stem/progenitor cells at injury sites. TB-500 also enhances angiogenesis, reduces inflammation, and promotes tissue remodeling through increased re-epithelialization and vascular density.

Standard Dosing

Research indicates 2-2.5 mg administered twice weekly via subcutaneous injection.

Timing

No strict timing requirements. Can be administered at any time of day. Systemic action means injection location is not critical.

Cycle Duration

Loading phase: 4-6 weeks. Total cycle: 8-16 weeks.

Side Effects

  • Temporary lethargy
  • Head rush upon injection
  • Injection site irritation
  • Mild headache

Contraindications

  • Active cancer (angiogenesis concern)
  • Pregnancy and breastfeeding
  • Recent myocardial infarction

Best Stacking Partners

BPC-157GHK-CuGH Secretagogues

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