Growth Hormone Secretagogues / Oral
Anamorelin
Also known as RC-1291, Anavex
An oral ghrelin receptor agonist approved in Japan for cancer cachexia. Stimulates appetite and increases lean body mass in wasting conditions.
What is Anamorelin used for? Research has focused on increases appetite and food intake; improves lean body mass in cachexia; enhances body weight in wasting conditions.
Compare with other peptides studied formuscle growth,fat loss
Beginner basics
Plain-English guide to Anamorelin
- What it does
- Anamorelin tells your body to increase appetite and helps preserve muscle mass during periods of severe weight loss or wasting. Researchers study it because it can help people eat more and maintain strength when their body is breaking down.
- Typical dose
- Researchers typically use 50 to 100 mg taken by mouth once per day, starting at the lower dose and adjusting based on how well it works and how the body responds.
- When to inject
- Take it by mouth before your first meal of the day for best results.
- Storage
- Keep the tablets or powder at room temperature in a dry place away from light. Once mixed or opened, use within the timeframe specified on the package.
- Beginner tip
- Start at 50 mg and give your body at least a week or two to adjust before considering a higher dose-this helps you notice whether it's actually working for you.
Research status
- Evidence grade B
- Smaller human trials, observational studies, or approved in 30 or more countries.
- Research only
- No regulatory approval in any major jurisdiction. Research use only.
Moderate Clinical Data
For research purposes only. Not approved for human use. Not medical advice.
Research areas
- Increases appetite and food intake
- Improves lean body mass in cachexia
- Enhances body weight in wasting conditions
- Stimulates growth hormone secretion
- Improves physical function in cancer patients
- Reduces muscle wasting progression
Side effects
| Effect | How often | Severity |
|---|---|---|
| Increased appetite and food intakeIntended therapeutic effect in cachexia; may cause weight gain if caloric intake exceeds expenditure in non-cachectic individuals. | Common | Mild |
| NauseaOften transient and may diminish with continued use. Taking with food may reduce incidence. | Common | Mild |
| HeadacheReported in clinical trials; typically mild and self-resolving. | Uncommon | Mild |
| Dizziness or lightheadednessMay occur early in treatment; advise caution with position changes. | Uncommon | Mild |
| Elevated cortisol levelsGhrelin agonism may transiently increase cortisol; monitor in patients with adrenal or metabolic concerns. | Uncommon | Moderate |
| Fluid retentionGH-mediated effects; typically mild and reversible upon discontinuation. | Uncommon | Mild |
| Hyperglycemia or impaired glucose toleranceGH is diabetogenic; monitor blood glucose in patients with diabetes or prediabetes. | Uncommon | Moderate |
| Abdominal discomfort or crampingRelated to increased appetite and food intake; usually resolves with dose adjustment. | Uncommon | Mild |
| FatigueReported infrequently in clinical trials. | Rare | Mild |
| Cardiac arrhythmias or palpitationsGhrelin agonists may affect cardiac function; contraindicated in patients with uncontrolled arrhythmias or acute cardiac disease. Requires medical evaluation if occurs. | Rare | Serious |
Dosing reference
Dose scale from the research
- Starting
- 50 mg
- Upper end
- 100 mg
| Parameter | Value |
|---|---|
| Dose range | 50-100 mg |
Frequency, timing and route are for members | |
Checked October 2026
Research disclaimer. Figures are drawn from published research literature and community logs. They are not clinical recommendations. Consult a qualified professional. Research use only.
Reconstitution guide
- Do not use saline or bacteriostatic saline, use only bacteriostatic water for reconstitution
- Do not shake the vial vigorously; gentle swirling prevents peptide degradation
- Discard immediately if the solution appears cloudy, discolored, or contains visible particles
- Use within 30 days of reconstitution when stored at 2-8°C
- Do not freeze the reconstituted solution; freezing may denature the peptide
- Use the PeptideVolt reconstitution calculator for your exact concentration
Storage and stability
Unopened: Store at room temperature (15-25°C / 59-77°F) in original packaging, protected from light and moisture.
Molecular and pharmacological data
| Molecular weight | 389.52 |
|---|---|
| Half-life | 3-5 hours (oral) |
| Sequence | Members only |
Anamorelin is a selective ghrelin receptor (growth hormone secretagogue receptor 1a) agonist that mimics the action of endogenous ghrelin. It stimulates growth hormone release from the anterior pituitary and increases appetite signaling in the hypothalamus, leading to increased food intake and preservation of lean body mass in catabolic states such as cancer cachexia.
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Research citations
5 sources
Temel JS, et al. (2016). Anamorelin for loss of appetite in patients with advanced non-small-cell lung cancer: results of a randomized, double-blind, phase 2b trial. Journal of Clinical Oncology. 34(23):2731-2738. PMID: 27269937
Garcia JM, et al. (2015). Anamorelin for patients with cancer cachexia: an integrated analysis of two phase 2, randomised, placebo-controlled, double-blind trials. The Lancet Oncology. 16(1):108-116. PMID: 25467046
Argilés JM, et al. (2018). Ghrelin and cancer cachexia: mechanisms and therapeutic implications. Current Opinion in Clinical Nutrition and Metabolic Care. 21(3):222-227. PMID: 29570070
Kir S, et al. (2016). Ghrelin mediates the beneficial metabolic effects of bariatric surgery in mice. Journal of Clinical Investigation. 126(6):2223-2236. PMID: 27111235
Nagaya N, et al. (2008). Treatment of cachexia with ghrelin in patients with COPD. Chest. 134(4):753-760. PMID: 18842915
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Research use only. All content on this page is provided for informational and educational purposes related to scientific research. Anamorelin is not approved for human use by the FDA or any equivalent regulatory body. This is not medical advice. Do not use any substance discussed here for therapeutic, diagnostic, or preventative purposes. Consult a qualified healthcare professional before making any health-related decisions. The Peptide Volt does not endorse the use of any research chemicals. 18+ only.