Ibutamoren (MK-677)
Orally active non-peptide ghrelin receptor (GHSR1a) agonist that mimics ghrelin to stimulate pulsatile growth hormone and IGF-1 secretion. Despite low oral bioavailability (~4%), potent receptor affinity yields clinically meaningful GH/IGF-1 elevation at 10-25 mg/day. Grey-market use for sleep quality, body composition, and recovery among biohackers; never achieved FDA approval despite trials in elderly sarcopenia and hip fracture recovery. Side effects: fluid retention, insulin resistance, increased appetite, lethargy.
Projected serum levels — 15 mg, once daily
Maintenance schedule: 15 mg once daily (oral).
Modeled steady state after ~1 days: peak ≈ 0.54 mg, trough ≈ 0.023 mg body load. Population-based estimate over 15 days for a 15 mg dose at a 70 kg reference body mass — the interactive app scales curves to your doses, timing, and body mass.
Key facts
- Category
- Peptide
- Route modeled
- Oral
- Model confidence
- inferred
- Half-life
- 5 h
- Common dose
- 15 mg
- Suggested maximum
- 25 mg/day
- Reference dose range
- 7.5–25 mg (single dose)
- Suggested cadence
- once daily
- Validated against
- 25 mg oral — Cmax 0.015 mg/L at 1 h
Documented interactions
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contraindicated
Carbamazepine (Tegretol) + Ibutamoren (MK-677)
Carbamazepine (Tegretol) inducer of CYP3A4 predicted to change Ibutamoren (MK-677) AUC by ~0.20x
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contraindicated
Clarithromycin (Biaxin) + Ibutamoren (MK-677)
Clarithromycin (Biaxin) mechanism_based of CYP3A4 predicted to change Ibutamoren (MK-677) AUC by ~10.00x
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contraindicated
Dasatinib (Sprycel) + Ibutamoren (MK-677)
Dasatinib (Sprycel) time_dependent_inhibitor of CYP3A4 predicted to change Ibutamoren (MK-677) AUC by ~5.00x
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contraindicated
Diltiazem + Ibutamoren (MK-677)
Diltiazem mechanism_based of CYP3A4 predicted to change Ibutamoren (MK-677) AUC by ~10.00x
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contraindicated
Efavirenz (Sustiva) + Ibutamoren (MK-677)
Efavirenz (Sustiva) inducer of CYP3A4 predicted to change Ibutamoren (MK-677) AUC by ~0.12x
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contraindicated
Grapefruit (whole fruit) + Ibutamoren (MK-677)
Grapefruit (whole fruit) mechanism_based of CYP3A4 predicted to change Ibutamoren (MK-677) AUC by ~10.00x
Serum checks 80 modeled interaction pairings for ibutamoren (mk-677) across your whole stack — absorption conflicts, enzyme inhibition, and nutrient depletion included.
Research behind this entry
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Design and biological activities of L-163,191 (MK-0677): a potent, orally active growth hormone secretagogue
Seminal Merck discovery paper describing MK-0677 as a potent, orally active, non-peptidyl growth hormone secretagogue with sustained GH/IGF-1 elevation in animals and humans.
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MK-677, an orally active growth hormone secretagogue, reverses diet-induced catabolism
Clinical study showing 25 mg/day MK-677 for 7 days reversed nitrogen-wasting and increased IGF-1 levels ~60% during caloric restriction, with sustained GH pulse amplitude response.
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Oral administration of growth hormone (GH) releasing peptide-mimetic MK-677 stimulates the GH/IGF-I axis in selected GH-deficient adults
Established that chronic MK-677 dosing in older adults restored GH and IGF-1 levels to those of young adults with favorable body composition changes over 2 months.
3 published studies referenced in the app, each with a plain-language summary.