The emerging landscape of performance-enhancing peptides modulating GH-IGF1 axis: bridging the gap between clinical evidence and patient self-administration.
Review of unregulated GH-axis peptides including hGH 176-191 (AOD9604) notes no approval for physique/performance uses, uncertain product composition, and reported adverse effects across the class such as dysglycaemia and injection-site reactions.
- Authors' conclusion
- Peptides are stratified into evidence tiers from regulatory-grade trial data to no human studies; performance benefits are uncertain, and the authors propose a clinical assessment algorithm without legitimising off-label use.
- Limitations
- Narrative review; some peptides lack human studies.
