MK-677
Ibutamoren Mesylate (MK-677)
Table of Contents
What is MK-677?
MK-677, sold under the research name Ibutamoren, is an orally-active compound that triggers your body to produce more growth hormone. Unlike most GH-boosting peptides that require injection, MK-677 comes in capsule or liquid form and is taken once daily by mouth—a major convenience factor that's contributed to its popularity.
Developed by Merck in the 1990s, MK-677 underwent extensive clinical testing for conditions including growth hormone deficiency, muscle wasting, and osteoporosis. It showed promising results across multiple trials but was never brought to market as an approved medication. Instead, it exists in a gray area—available from research chemical suppliers and widely used for anti-aging, bodybuilding, and general health optimization.
How It's Different
MK-677 isn't technically a peptide—it's a small molecule compound. But it's included in peptide discussions because it achieves similar goals: elevating GH and IGF-1 to support muscle, recovery, sleep, and anti-aging. The oral route and long 24-hour half-life set it apart from injectable alternatives.
What also sets MK-677 apart is its mechanism: it mimics ghrelin, your hunger hormone. This produces robust GH release but also guarantees increased appetite—a feature some users appreciate and others find challenging.
What People Use It For
The main applications are: improved sleep quality (often the most dramatic effect), enhanced recovery from exercise, body composition optimization (modest but real), injury healing support, and general anti-aging. Athletes and bodybuilders use it for recovery benefits; older adults use it to counter age-related GH decline; and many people use it simply because the sleep improvement is remarkable.
Research Benefits
Sustained elevation of GH and IGF-1 levels
No injections required—oral administration
Significant improvement in sleep depth and quality
Enhanced recovery from training and injury
Potential increase in lean muscle mass
May improve bone mineral density
Better skin quality and hair health
Once-daily dosing convenience
How MK-677 Works
MK-677 works by mimicking ghrelin, a hormone produced mainly in your stomach that serves multiple functions—most notably stimulating appetite and triggering growth hormone release.
The Ghrelin Connection
Ghrelin receptors (GHS-R) exist throughout your body, including in the pituitary gland where GH is produced. When ghrelin binds to these receptors, it signals the pituitary to release growth hormone. MK-677 binds to the same receptors, producing the same effect—but it does so more persistently due to its longer half-life.
This explains MK-677's two most consistent effects: increased GH/IGF-1 (from pituitary stimulation) and increased hunger (from ghrelin receptor activation in the brain's appetite centers). You can't really separate these—they're two sides of the same coin.
Sustained Elevation vs. Pulses
Natural GH release is pulsatile—you get spikes (especially during deep sleep) followed by low levels. Injectable peptides like Ipamorelin produce short spikes that mimic this pattern. MK-677 is different: its 24-hour half-life means once-daily dosing maintains continuously elevated GH and IGF-1 levels.
Whether pulsatile or sustained elevation is 'better' is debated. Some argue the body responds better to natural pulse patterns. Others point out that MK-677's sustained approach has shown benefits in clinical trials. Practically speaking, MK-677's convenience often outweighs theoretical concerns about release patterns.
IGF-1 Elevation
While GH itself is important, many benefits come through IGF-1 (Insulin-like Growth Factor-1), which your liver produces in response to GH. IGF-1 is the primary mediator of GH's anabolic effects—muscle protein synthesis, bone growth, tissue repair. MK-677 reliably elevates IGF-1 levels, often by 40-80% above baseline in studies. This elevation persists as long as you take the compound.
Sleep Enhancement
The sleep improvements from MK-677 involve multiple mechanisms. GH naturally peaks during slow-wave (deep) sleep, and MK-677 amplifies these nocturnal pulses. Additionally, ghrelin itself has sleep-promoting effects—it influences sleep architecture and promotes deeper, more restorative sleep stages. Users consistently report more vivid dreams, easier sleep onset, and better sleep quality overall.
Research Applications
Growth hormone deficiency
Active research area with published studies
Age-related muscle wasting (sarcopenia)
Active research area with published studies
Bone density and osteoporosis
Active research area with published studies
Sleep quality improvement
Active research area with published studies
Metabolic health
Active research area with published studies
Wound healing
Active research area with published studies
Cognitive function in elderly
Active research area with published studies
Body composition optimization
Active research area with published studies
Research Findings
MK-677 has an unusually strong clinical research base for a compound that never achieved drug approval. Multiple human trials, including studies lasting up to two years, provide solid data on its effects.
The Two-Year Elderly Study
Perhaps the most important trial followed 65 healthy older adults (60-81 years) taking MK-677 for two years. Published in the Journal of Clinical Endocrinology & Metabolism in 2008, results showed: sustained elevation of GH and IGF-1 to youthful levels throughout the two years, significant increases in fat-free mass (lean body mass), no evidence of pituitary desensitization (effects didn't wear off), and fasting glucose increased slightly but remained in normal ranges for most subjects. This study demonstrated MK-677's long-term efficacy and reasonable safety profile, though the glucose finding underscores the need for metabolic monitoring.
Body Composition Studies
Multiple trials examined MK-677's effects on body composition. A 2001 study in the Annals of Internal Medicine found that 25mg daily for 12 months increased fat-free mass by about 3kg (6.6 pounds) in healthy elderly men. Fat mass didn't significantly change in this study. These are modest but meaningful changes achieved with just a daily pill.
Sleep Quality Research
A 1997 study published in Neuroendocrinology documented MK-677's sleep effects. In both young and older adults, MK-677 increased REM sleep duration by approximately 50% and improved overall sleep quality. Subjects reported more refreshing sleep and better daytime alertness.
Bone Health Findings
Research in the Journal of Bone and Mineral Research showed MK-677 increased markers of bone formation—osteocalcin and bone-specific alkaline phosphatase. While these are indicators rather than direct bone density measurements, they suggest potential benefits for skeletal health, particularly relevant for age-related bone loss.
What Stopped Development
Despite positive results, MK-677 wasn't pursued for FDA approval. The reasons aren't entirely public but likely include: the glucose/insulin sensitivity concerns, limited patent protection timeframe, competition from other approaches to GH therapy, and regulatory challenges for compounds affecting broad hormone systems. These business and regulatory factors, rather than safety problems, probably explain why MK-677 remains unapproved despite reasonable clinical data.
Dosage & Administration
MK-677 dosing is relatively straightforward due to its oral route and long half-life. The following reflects both clinical trial protocols and common practices.
Dosing Ranges
Low dose: 10mg daily — Produces meaningful GH/IGF-1 elevation with reduced side effects. Good starting point for those concerned about hunger or water retention.
Standard dose: 15-20mg daily — Balances efficacy with tolerability. Where many users settle long-term.
Clinical trial dose: 25mg daily — Maximum dose used in research. Produces highest GH/IGF-1 elevation but also maximum side effects. Often unnecessary as lower doses are effective.
Research suggests diminishing returns above 25mg, with side effects scaling more than benefits. There's no advantage to mega-dosing.
Timing
Most users take MK-677 before bed for several reasons: the hunger increase occurs during sleep (so you don't have to manage it), it complements natural nighttime GH release, some users experience mild tiredness that's irrelevant at bedtime, and the sleep benefits are maximized. Taking it in the morning is also valid but means managing hunger throughout the day. Either approach works; consistency matters more than specific timing.
Form and Administration
MK-677 is available as capsules or liquid solutions. Capsules offer convenience and accurate dosing. Liquids allow more flexible dose adjustment but require measuring. Both are effective—choose based on your preference for convenience versus flexibility.
Duration of Use
There's no mandatory cycling for MK-677. Options include:
- Continuous use: Daily for months or years. The 2-year clinical trial supports this approach's safety.
- Cycling: Common patterns are 8-12 weeks on / 4 weeks off, or 5 days on / 2 days off. May help manage side effects or costs.
- As needed: Some use it specifically during recovery from injury or intense training phases.
No PCT (post-cycle therapy) is needed. MK-677 doesn't suppress natural hormone production—IGF-1 simply returns to baseline levels over 2-4 weeks after stopping.
Safety & Side Effects
MK-677 has a reasonably characterized safety profile thanks to multiple clinical trials. Side effects are predictable and usually manageable, but some concerns warrant attention.
Expected Side Effects
Increased appetite: Nearly universal due to ghrelin receptor activation. Often significant in the first few weeks, may moderate over time but rarely disappears completely. For some this is a benefit (if trying to gain weight); for others it's the main drawback.
Water retention: Common, especially initially. Manifests as facial puffiness (particularly around eyes in the morning), swollen hands/feet, and a 'soft' look. Usually moderates after 2-4 weeks but doesn't fully resolve for many users.
Fatigue/lethargy: Some users feel tired, especially in the first week. Often related to improved sleep depth (you may feel more tired as sleep quality improves, paradoxically). Taking MK-677 at bedtime makes this a non-issue.
Vivid dreams: Common and related to increased REM sleep. Most users find this neutral or positive.
Numbness/tingling: Occasionally reported in hands/fingers, similar to carpal tunnel. Related to fluid retention and GH effects. Usually resolves with dose reduction if bothersome.
Metabolic Concerns
Blood glucose: Clinical trials consistently showed MK-677 increases fasting glucose and can reduce insulin sensitivity. In healthy individuals, levels typically remain in normal ranges. However, anyone with pre-diabetes, diabetes, or metabolic syndrome should either avoid MK-677 or use it with very careful monitoring. This is the most significant safety concern for long-term use.
Theoretical Long-Term Concerns
Chronic IGF-1 elevation: Persistently elevated IGF-1 has been associated with certain cancer risks in some population studies. Whether MK-677's elevations are problematic over years of use is unknown—the 2-year trial didn't show concerning signals, but longer data doesn't exist.
Who Should Avoid MK-677
- Anyone with diabetes, pre-diabetes, or insulin resistance
- Those with active cancer or cancer history
- People with congestive heart failure (fluid retention)
- Those with uncontrolled blood pressure
- Pregnant or breastfeeding women
Monitoring Recommendations
Baseline blood work before starting: fasting glucose, HbA1c, IGF-1, and basic metabolic panel. Repeat every 3-6 months during use. This allows you to track any negative trends early.