Regulation · Sport

Which peptides are banned in sport?

Short answerUnder the 2026 Prohibited List, nearly every peptide discussed online is banned at all times, in and out of competition: growth-hormone releasing factors and secretagogues (sermorelin, CJC-1295, ipamorelin, tesamorelin, GHRPs), growth-hormone fragments (AOD-9604), thymosin-β4 (TB-500), MOTS-c, kisspeptin, and — under S0 — anything not approved for human use anywhere, which covers BPC-157, epitalon, retatrutide and cagrilintide. Semaglutide and tirzepatide are not on the list, and will not be on the 2027 List published on 21 September 2026.

Regulator: World Anti-Doping Agency (WADA) · Checked 7 October 2026

How the list works

The World Anti-Doping Code's Prohibited List is updated every January and applies to every athlete under a code-compliant federation, from Olympic sport to many amateur leagues. A substance is prohibited if it is named, if it belongs to a named class, or — under section S0 — if it has no approval for human therapeutic use from any governmental health authority. That last clause is why legality and doping status diverge: a peptide can be legal to prescribe in one country and still banned for athletes, and an unapproved peptide is banned even where possession is lawful.

For the compounds on LYO the 2026 list breaks down as follows. S2.2.4, growth hormone releasing factors: sermorelin, CJC-1295 and tesamorelin (GHRH analogues) and ipamorelin, GHRP-2 and GHRP-6 (secretagogues). S2.2.3, growth hormone fragments: AOD-9604. S2.3, growth factors and modulators: thymosin-β4 and its derivatives, named as TB-500. S2.2.1: kisspeptin and its analogues (prohibited in males). S4.4.1, metabolic modulators: MOTS-c. S0, non-approved substances: BPC-157 is named as an example; epitalon, retatrutide and cagrilintide fall under the same clause because no regulator has approved them.

Not prohibited: semaglutide, tirzepatide and liraglutide are approved medicines that appear in no section of the list. Bremelanotide (Vyleesi) is approved and unlisted. Semax and selank are approved in Russia, so S0 does not apply, and neither is named. GHK-Cu is not named; used as a cosmetic it raises no doping question, while injected as an unapproved drug it would sit under S0.

The 2027 List, published on 21 September 2026 and in force from 1 January 2027, moves none of the compounds on LYO: each stays in the section named above. Two things are new. Section S0 now names 'peptides' among its examples of non-approved substances, and WADA's explanatory note warns that a peptide not named on the List 'may still be prohibited and may be harmful to health'. And WADA stated that the status of GLP-1 receptor agonists, 'including semaglutide and tirzepatide, will remain unchanged for 2027': both stay permitted and stay on the Monitoring Program while WADA runs two studies of their effects on athletes.

What it means in practice

Possession and use of a prohibited substance are both anti-doping rule violations; a positive test is not required. Sport Integrity Australia, which mirrors the list nationally, lists BPC-157, CJC-1295, ipamorelin, MOTS-c and TB-500 as common examples and notes that a therapeutic-use exemption is unlikely to be granted for an unregistered medicine. Tested athletes on a prescribed GLP-1 need no exemption, since those drugs are not prohibited, but should check the list each January.

Compound by compound

Prohibited at all times

Named under S0 (non-approved substances) on the Prohibited List since 2022.

Not prohibited

Not on the 2026 Prohibited List, and WADA confirmed on 21 September 2026 that GLP-1 receptor agonists stay off the 2027 List. Semaglutide remains on WADA's Monitoring Program.

Prohibited at all times

Unapproved anywhere, so it falls under S0 (non-approved substances).

Not prohibited

Not on the 2026 Prohibited List, and WADA confirmed on 21 September 2026 that GLP-1 receptor agonists stay off the 2027 List. Tirzepatide remains on WADA's Monitoring Program.

Prohibited at all times

GHRH analogue: S2.2.4, growth hormone releasing factors.

Prohibited at all times

Growth hormone secretagogue: S2.2.4.

Not named

Not listed. As a cosmetic it raises no doping question; injected as an unapproved drug it would fall under S0.

Prohibited at all times

Not named, but unapproved anywhere, so it falls under S0 (non-approved substances).

Prohibited at all times

S2.3: 'thymosin-β4 and its derivatives, e.g. TB-500'.

Prohibited at all times

Unapproved anywhere, so it falls under S0 (non-approved substances).

Not on the list

Approved in Russia, so S0 does not apply, and it is not named.

Not on the list

Approved in Russia, so S0 does not apply, and it is not named.

Not on the list

An approved drug that is not named in any section.

Prohibited at all times

GHRH analogue: S2.2.4.

Prohibited at all times

GHRH analogue: S2.2.4.

Prohibited at all times

S2.2.3: growth hormone fragments, AOD-9604 named.

Prohibited at all times

S4.4.1 metabolic modulators: MOTS-c named. Sport Integrity Australia lists it among common prohibited peptides.

Not prohibited

Not on the 2026 Prohibited List.

Prohibited at all times

Unapproved anywhere, so it falls under S0 (non-approved substances).

Not on the list

Approved by China's NMPA, so S0 does not apply; not named in any section. Athletes should check the annual list.

Prohibited at all times (males)

S2.2.1: 'kisspeptin and its agonist analogues', prohibited in males as an LH/testosterone releaser.

Not on the list

Approved in several countries, so S0 does not apply; not named in any section.

Prohibited at all times

Unapproved anywhere, so it falls under S0 (non-approved substances).

Not listed

Not named on the 2026 Prohibited List; athletes should still check, since new peptides are added regularly.

Not prohibited

Not on the 2026 Prohibited List.

Not prohibited

Not specifically named on the 2026 WADA Prohibited List, though as a non-approved substance it may fall under S0; athletes should verify.

Prohibited at all times

WADA class S2.2: growth-hormone secretagogues and GH-releasing peptides are banned in and out of competition.

Prohibited at all times

WADA class S2.2: GH-releasing peptides are banned in and out of competition.

Prohibited at all times

WADA class S2.2: growth-hormone secretagogues and GH-releasing peptides are banned in and out of competition.

Not prohibited

NAD+ and its precursors are not on the 2026 Prohibited List.

Prohibited at all times

As a non-approved substance, KPV falls under WADA class S0 (non-approved substances) and is prohibited in and out of competition.

Prohibited at all times

As a non-approved substance, humanin falls under WADA class S0 (non-approved substances) and is prohibited in and out of competition.

Prohibited at all times

As a non-approved substance, dihexa falls under WADA class S0 (non-approved substances) and is prohibited in and out of competition.

Prohibited at all times

As a non-approved substance, 5-amino-1MQ falls under WADA class S0 (non-approved substances) and is prohibited in and out of competition.

Not prohibited

GLP-1 receptor agonists are not on the 2026 Prohibited List.

Not prohibited

Not named on the 2026 Prohibited List.

Prohibited at all times

Growth hormone is prohibited in and out of competition under the peptide-hormone class, and is specifically tested for.

Prohibited in males at all times

Prohibited for male athletes as a testosterone-stimulating agent.

Not prohibited

Not on the 2026 Prohibited List. Intravenous infusions above the permitted volume are separately restricted regardless of what is infused.

Prohibited at all times

IGF-1 and its analogues are prohibited in and out of competition as growth factors.

Prohibited at all times

As a non-approved substance it falls under the non-approved-substances class and is prohibited in and out of competition.

Prohibited at all times

Named on the Prohibited List among growth-hormone secretagogues, in and out of competition.

Not prohibited

GLP-1 receptor agonists are not on the Prohibited List.

Not prohibited

GLP-1 receptor agonists are not on the Prohibited List.

Prohibited at all times (males)

Gonadorelin is named on the Prohibited List among gonadotrophin-releasing factors, prohibited in males in and out of competition.

Not prohibited

Not on the Prohibited List.

Not prohibited

Not on the Prohibited List.

Prohibited at all times

Myostatin inhibitors are prohibited under the S4 class (agents preventing activin receptor IIB activation), in and out of competition.

Not on the list

Not named on the Prohibited List.

Not on the list

Not named on the Prohibited List.

Not prohibited

Parathyroid hormone analogues are not on the Prohibited List.

Prohibited at all times (males)

Leuprorelin is named on the Prohibited List among gonadotrophin-releasing factors, prohibited in males.

Not prohibited

Not on the Prohibited List.

Not prohibited

Somatostatin analogues are not on the Prohibited List.

Prohibited at all times

Mechano growth factors are named on the Prohibited List under growth factors (S2), in and out of competition.

Prohibited at all times

As a non-approved substance it falls under the non-approved-substances class, prohibited in and out of competition.

Not named

Not on the Prohibited List.

Not prohibited

Not on the Prohibited List.

Prohibited at all times

A non-approved substance under the non-approved-substances class; it is designed not to stimulate red cells, but that does not exempt it.

Prohibited at all times

Cagrilintide is unapproved, so the combination falls under S0 (non-approved substances) even though semaglutide is not banned.

Prohibited at all times

Unapproved anywhere, so S0 (non-approved substances).

Prohibited at all times

Unapproved anywhere, so S0 (non-approved substances).

Prohibited at all times

Not approved by any of the regulators WADA recognises, so S0 (non-approved substances).

Not prohibited

Parathyroid hormone analogues are not on the Prohibited List.

Not prohibited

Not on the Prohibited List.

Prohibited at all times

Listed under S5 (diuretics and masking agents) since 2011, because it dilutes urine and can mask other substances.

Prohibited at all times

Unapproved by any regulator WADA recognises, so S0 (non-approved substances).

Prohibited at all times

Unapproved, so S0 (non-approved substances).

Prohibited at all times

Unapproved, so S0 (non-approved substances).

Prohibited at all times

Unapproved anywhere, so S0 (non-approved substances).

Not prohibited

GLP-1 receptor agonists are not on the Prohibited List.

Prohibited at all times

Insulins are listed under S4 (hormone and metabolic modulators), in and out of competition; a therapeutic use exemption is required for athletes with diabetes.

Not prohibited

Not on the Prohibited List.

Not prohibited

Not on the Prohibited List; beta-alanine is likewise permitted.

Prohibited at all times

Unapproved, so S0 (non-approved substances).

Prohibited at all times

Unapproved by any regulator WADA recognises, so S0 (non-approved substances).

What changed, and when

  1. 1 Jan 2022BPC-157 named as an example under S0 (non-approved substances).
  2. 1 Jan 20262026 Prohibited List in force; MOTS-c listed under S4.4.1, TB-500 under S2.3, AOD-9604 under S2.2.3.
  3. 21 Sep 2026WADA publishes the 2027 Prohibited List, in force 1 January 2027: 'peptides' named as examples under S0; semaglutide and tirzepatide stay off the List and on the Monitoring Program; no change of section for any compound on LYO.

Questions

Is BPC-157 banned by WADA?
Yes, at all times, under S0 (non-approved substances), where it is named as an example.
Are semaglutide and tirzepatide banned in sport?
No. Neither appears on the 2026 Prohibited List, and WADA confirmed in September 2026 that neither will be on the 2027 List; both are on its Monitoring Program. Retatrutide and cagrilintide are different: they are unapproved and therefore prohibited under S0.
Is TB-500 the same as thymosin beta-4 for doping purposes?
The list names "thymosin-β4 and its derivatives, e.g. TB-500" under S2.3, prohibited at all times.
Does a prescription make a banned peptide allowed?
Only with a therapeutic-use exemption granted in advance, which anti-doping bodies say is unlikely for unregistered medicines. A prescription alone is not a defence.

Sources

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LYO summarises the law for research and educational purposes. It is not legal advice; rules change and enforcement varies. Corrections through the contact page.