What the studies show
Increased appetite, fluid retention and oedema, muscle pain, and rises in fasting glucose and insulin resistance are reported consistently, as with any sustained growth-hormone elevation. The trials were one to two years; there is no data beyond that.
Human trials exist and mostly agree, but there are too few of them, they are too small, or one big one is still reading out. Expect the grade to move.
- 1Nass R, Pezzoli SS, Oliveri MC, et al. Effects of an oral ghrelin mimetic on body composition and clinical outcomes in healthy older adults: a randomized trial.Ann Intern Med, 2008;149(9):601–61165 adults aged 60–81; two years, primary analysis at one year.
- 2Sevigny JJ, Ryan JM, Van Dyck CH, et al. Growth hormone secretagogue MK-677: no clinical effect on AD progression in a randomized trial.Neurology, 2008563 patients; 12 months; negative on all four clinical measures.
In context
MK-677 is a small molecule, not a peptide, that mimics the hunger hormone ghrelin and raises growth hormone and IGF-1 when taken by mouth. Unusually for a grey-market compound, it has been through proper trials. In 65 healthy older adults over a year it raised fat-free mass by about 1.1 kg against a 0.5 kg loss on placebo, with no change in total or visceral fat. In 563 people with Alzheimer's disease it raised IGF-1 by 73% and did nothing for the disease. It has never been approved anywhere and is prohibited in sport.
MK-677 (ibutamoren) is not approved. Legal status differs by country — see the regulation section or the jurisdiction pages.
Questions
Is MK-677 (ibutamoren) proven to cause adverse effects?
What studies are behind the grade?
Is MK-677 (ibutamoren) approved for this?
Other outcomes for MK-677 (ibutamoren)
- AGrowth hormone / IGF-1 elevationMultiple RCTs
- BLean mass (older adults)1 RCT (n=65, 12 months)
- BFat loss1 RCT (n=65) — no effect
- AAlzheimer's disease progression1 RCT (n=563, 12 months) — negative
Written and maintained by LYO Research — how pages are written and checked. Reviewed 10 September 2026. Grades count human evidence only; see how LYO grades. Not medical advice. Correct this page →