Growth hormone secretagogues (GHS) are peptides that stimulate the pituitary gland to produce and release endogenous growth hormone (GH), rather than supplying GH directly. The two principal secretagogue classes studied in research are:
- GHRH analogues, mimic growth hormone-releasing hormone (GHRH), binding to GHRH receptors on pituitary somatotrophs to stimulate GH synthesis and release. Examples: CJC-1295, Tesamorelin, Sermorelin.
- GHRPs (Growth Hormone-Releasing Peptides), bind ghrelin receptors (GHS-R1a), synergistically amplifying GH pulses when combined with GHRH analogues. Examples: Ipamorelin, GHRP-2, GHRP-6.
Exogenous recombinant human growth hormone (rhGH), by contrast, bypasses the pituitary entirely, delivering pre-formed GH directly into circulation, suppressing the feedback loop that normally regulates endogenous GH production.