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Reported results

MK-677: reported results by outcome

StatusNot approved

PeptideHound Staff · Last editorially reviewed · 15 sources

MK-677 (ibutamoren) produces results that show up quickly in blood tests and slowly, if at all, in the body. In trials, growth hormone rose after the first capsule and IGF-1 within two weeks, while lean mass took weeks to months and fat did not fall in the trials that measured it.

The measured gains are real but small. Obese men gained fat-free mass over eight weeks with no change in total or visceral fat, and a hip fracture trial raised IGF-1 by 51.4 ng/ml without improving most measures of physical performance.

Responses also fade. In several trials the growth hormone burst after the first dose was larger than after repeated doses, and in rats the response had gone entirely by six weeks. The one before-and-after account in the literature is a case report of a man taking MK-677 with a second compound, whose fat mass rose more than his lean mass.

It is not an approved medicine, and the authors of its trials judged its trade-offs unfavourable in frail patients and a concern in older women. Results with retail capsules depend on what is inside them, which laboratory surveys found often did not match the label.

Evidence: Randomised trials 1996 to 2011 measuring hormones, scans, nitrogen balance, bone density and function · 8 to 292 participants · 1 before-and-after case report with a second compound · results are group averages, not individual outcomes

What results have been measured for MK-677?

human RCT

Six kinds of result appear in the trials, and they sit at very different distances from what a person would notice. Closest to the capsule are hormones: in older adults, 25 mg a day raised mean 24-hour growth hormone by 97%, by enhancing the pulses the body already produced.1 Next come scans of body composition, then energy use, where obese men's basal metabolic rate rose at two weeks but not at eight.2

Nitrogen balance, a urine measure of whether the body is gaining or losing protein, improved in calorie-restricted volunteers given MK-677.3 Bone markers moved in older women, where osteocalcin rose 22% and a urine marker of bone breakdown 41%.4 Furthest from the capsule, and most sparsely measured, is physical function. The further a result sits from the blood test, the weaker the record becomes, and that pattern runs through every answer below.

How long does MK-677 take to kick in?

human RCT

The honest answer depends on which result is meant, because the published trials describe at least four separate timetables, each attached to a different kind of measurement. Growth hormone answers on day one: in calorie-restricted volunteers, a single dose produced a peak growth hormone response of 55.9 micrograms per litre, against about 9 on placebo.3 IGF-1, the hormone that carries much of growth hormone's effect, takes days to weeks, and in older adults it climbed from 141 at baseline to 219 at two weeks and 265 at four.1

Body composition is slower, and in obese men a fat-free mass gain was detectable on scans by the end of eight weeks.2 Bone is slowest of all, with density judged at 12 and 18 months in the 2001 trial.4 So a laboratory blood test can register MK-677 activity within a single day, while any physical change visible to the individual taking it requires weeks at minimum. A rapid hormonal response is not the same as a rapid change in body composition, and the investigators consistently reported the two as separate outcomes.

Did anyone lose fat on MK-677?

human RCT

Not in the controlled trials that measured it, which is the opposite of what a considerable amount of promotional material implies. In 24 obese men given 25 mg or placebo for eight weeks, total and visceral fat were not significantly changed on MK-677.2 Visceral fat is the fat surrounding the internal organs of the abdomen, and its reduction was one of the outcomes the investigators were hoping to demonstrate. The authors closed by asking whether a higher dose or a longer course could promote a reduction in body fat, which means their own course did not.2

The two-year trial named abdominal visceral fat as a primary end point alongside fat-free mass, yet its summary reports a result only for fat-free mass.5 In the one before-and-after case, total fat mass rose 15.4% over five weeks, though that man was also taking LGD-4033.6 An increase in fat-free mass alongside unchanged fat represents a change in proportion rather than a leaner physique, and it does not tell a reader that total body weight will decrease.

What do before-and-after accounts of MK-677 show?

human case report

The published literature contains exactly one documented example, and it is more informative as a caution about interpreting such accounts than as evidence of what MK-677 accomplishes. A 2022 case report followed a 25-year-old man who took LGD-4033 at 10 mg and MK-677 at 15 mg daily for five weeks, measuring him before, during and after the cycle.6 On cycle his body mass rose 6.0%, total lean mass 3.1% and total fat mass 15.4%, while bone mineral density fell 2.1%.6

His leg press and bench press were 39.2% and 32.0% higher than in non-users, but that is a comparison with other people, not with himself before the cycle.6 A photograph taken before and after a cycle records body weight and silhouette. It cannot distinguish lean tissue from accumulated fat, it cannot separate the contribution of MK-677 from a second compound, and it says nothing about the bone mineral density that declined in this particular individual.

Do MK-677 results fade with continued use?

human RCT

The hormonal response diminishes, at least partially, in human volunteers, and in laboratory rats it disappeared completely. In obese men, the rises in growth hormone and prolactin after the first dose were significantly greater than after multiple doses.2 In calorie-restricted volunteers the peak growth hormone response fell from 55.9 after the first dose to 22.6 micrograms per litre after a week.3

In rats given 4 mg/kg by mouth, the growth hormone response to MK-677 had been abolished by six weeks, and the animals grew no more than controls.7 A 1998 review of the class states that the effect is partially desensitized, yet prolonged intermittent oral dosing still raises IGF-1 in people.8 So the initial burst of growth hormone diminishes while IGF-1 concentrations can remain elevated. That cuts both ways for a reader: the early surge overstates what subsequent weeks deliver, and the subsequent weeks are not entirely without effect.

Did the results depend on who took it?

human RCT

Strongly, and the class review spells out the pattern. The 1998 review reports that the growth hormone response to these compounds rises from birth to puberty, holds steady in adulthood and decreases with ageing.8 The same review describes the response in human patients as clear but reduced in growth hormone deficiency, obesity and hypothyroidism.8

Within one group of 18 children with growth hormone deficiency, the rise in IGF-1 after eight days ranged from a fall of 4 to a gain of 116 micrograms per litre.9 A 2022 trial of the same molecule under the name LUM-201 found its responses greatest in children who had already responded well to conventional stimulation tests.10 An average hides a wide spread, and the people who respond least are the older and heavier ones who were most often studied. A trial mean is not a forecast for any one person.

Why do reported results with MK-677 vary so much?

human RCT

Beyond who takes it, three things change the result before the body has a say. The amount varied fivefold even within one trial, where older adults took 2, 10 or 25 mg and growth hormone rose in a dose-dependent manner.1 The contents vary outside trials, and a 2017 JAMA analysis found that in only 18 of the 44 products it bought did the amount of active compound match the label.11

Combination varies too, because the people in the case reports were taking MK-677 with selective androgen receptor modulators rather than alone. A result reported online therefore carries an unknown dose, an unknown capsule and often an unknown second compound. That is why such accounts disagree with each other and with the trials, and the label analyses behind this are set out on the MK-677 sourcing page.

Did MK-677 improve falls, stairs or daily function?

human RCT

The hip fracture trial measured precisely these practical outcomes, and most of them did not change meaningfully compared with placebo. After 24 weeks, mean stair climbing power rose 12.5 W more on MK-0677 than on placebo, a difference the trial could not distinguish from chance.12 Fewer patients on MK-0677 had any fall, though the p-value of 0.096 falls short of the usual threshold for a result.12

Gait speed was the one measure that cleared the bar, with a 0.7-score difference in the means.12 A 2018 review lists better sleep among things these compounds might do, alongside growth in children and appetite, but frames them as possibilities.13 One statistically significant measurement among several represents a modest result, and a possible effect on sleep is not a measured one. Neither establishes that a person taking MK-677 outside a trial will experience greater physical capability or better sleep quality.

Are there results for memory or the brain?

animal model

Only in mice bred to develop Alzheimer's-like disease. A 2018 study gave MK-0677 by intraperitoneal injection, meaning into the belly cavity, to three-month-old 5XFAD mice, a strain engineered to build up amyloid plaques.14 Treated mice showed reduced amyloid deposition, less inflammation of brain support cells and less loss of neurons and synapses in the deep cortical layers.14

The study measured brain tissue under a microscope. It did not report memory testing among its outcomes, it did not administer the compound orally, and it did not involve a human participant. The authors conclude only that MK-0677 might have potential in the early phase of the disease.14 A plaque count in a transgenic mouse is not a memory result in a human, and a reader looking for cognitive effects has nothing measured in people to go on here.

Is MK-677 worth it?

human RCT

That is a reader's judgement, but the people who ran the trials published their own, and they are worth reading in their words. The hip fracture investigators concluded that the increase in plasma IGF-1 was not paralleled by improvement in most functional performance measures.12 The bone trial authors judged the lack of gains outside the femoral neck a concern when weighed against the potential side effects of enhanced growth hormone secretion.4

The two-year trial authors called for long-term functional and, ultimately, pharmacoeconomic studies, which means studies of whether the cost buys anything.5 A 2026 scoping review concluded that the claimed benefits of these compounds for recovery and performance remain unsubstantiated by current human trials.15 None of those verdicts is about a healthy young adult, because none of the trials enrolled one for long. They describe what the measured results cost in the people who were measured.

Who produced the published MK-677 results?

human RCT

Clinical trial teams in the 1990s and 2000s, a paediatric development programme since, and laboratories interested in catching misuse. The two-year trial was a general clinical research center study performed at a university hospital, and the bone and hip fracture trials were multicenter studies.512 The newest human results come from a paediatric programme, in which the molecule, now called LUM-201, was compared with standard stimulation tests in 68 children.10

The before-and-after case came from an exercise physiology team, which noted the sparsity of data in recreationally using demographics.6 No result among these sources was produced by testing capsules people buy online in people who train. The published results describe a trial preparation in older, heavier or younger people, and that difference is what a reader is weighing when they set those results against their own.

What we don’t know

The gaps in the evidence matter as much as the findings.

  1. 01What an individual can expect. Every figure here is a group average or a single case, and the children's trial reported IGF-1 changes ranging from a fall to a large rise.
  2. 02Whether MK-677 reduces body fat. The trials covered here found no fall in total or visceral fat, and their authors asked whether a higher dose or a longer course might.
  3. 03How long results last after stopping. Only one case report among these sources measured anything after a cycle ended.
  4. 04Whether the fading response can be avoided. Desensitization appears in people and rats, and no trial among these sources tested a schedule designed to prevent it.
  5. 05Whether lean mass gains translate into strength a person can feel. The two-year trial said it lacked the power to judge function, and the hip fracture trial found no gain in most measures.

Sources

  1. 1Stimulation of the growth hormone (GH)-insulin-like growth factor I axis by daily oral administration of a GH secretogogue (MK-677) in healthy elderly subjects J Clin Endocrinol Metab 1996. doi:10.1210/jcem.81.12.8954023human RCT
  2. 2Two-month treatment of obese subjects with the oral growth hormone (GH) secretagogue MK-677 increases GH secretion, fat-free mass, and energy expenditure J Clin Endocrinol Metab 1998. doi:10.1210/jcem.83.2.4539human RCT
  3. 3MK-677, an orally active growth hormone secretagogue, reverses diet-induced catabolism J Clin Endocrinol Metab 1998. doi:10.1210/jcem.83.2.4551human RCT
  4. 4Effect of alendronate and MK-677 (a growth hormone secretagogue), individually and in combination, on markers of bone turnover and bone mineral density in postmenopausal osteoporotic women J Clin Endocrinol Metab 2001. doi:10.1210/jcem.86.3.7294human RCT
  5. 5Effects of an oral ghrelin mimetic on body composition and clinical outcomes in healthy older adults: a randomized trial Ann Intern Med 2008. doi:10.7326/0003-4819-149-9-200811040-00003human RCT
  6. 6LGD-4033 and MK-677 use impacts body composition, circulating biomarkers, and skeletal muscle androgenic hormone and receptor content: A case report Exp Physiol 2022. doi:10.1113/EP090741human case report
  7. 7Effect of the Orally Active Growth Hormone Secretagogue MK-677 on Somatic Growth in Rats Yonsei Med J 2018. doi:10.3349/ymj.2018.59.10.1174animal model
  8. 8Orally active growth hormone secretagogues: state of the art and clinical perspectives Ann Med 1998. doi:10.3109/07853899808999399review
  9. 9Effects of oral administration of ibutamoren mesylate, a nonpeptide growth hormone secretagogue, on the growth hormone-insulin-like growth factor I axis in growth hormone-deficient children Clin Pharmacol Ther 2001. doi:10.1067/mcp.2001.116514human RCT
  10. 10A GH Secretagogue Receptor Agonist (LUM-201) Elicits Greater GH Responses than Standard GH Secretagogues in Subjects of a Pediatric GH Deficiency Trial Horm Res Paediatr 2022. doi:10.1159/000524244human pilot / early trial
  11. 11Chemical Composition and Labeling of Substances Marketed as Selective Androgen Receptor Modulators and Sold via the Internet JAMA 2017. doi:10.1001/jama.2017.17069primary research
  12. 12MK-0677 (ibutamoren mesylate) for the treatment of patients recovering from hip fracture: a multicenter, randomized, placebo-controlled phase IIb study Arch Gerontol Geriatr 2011. doi:10.1016/j.archger.2010.10.004human RCT
  13. 13The Safety and Efficacy of Growth Hormone Secretagogues Sex Med Rev 2018. doi:10.1016/j.sxmr.2017.02.004review
  14. 14MK-0677, a Ghrelin Agonist, Alleviates Amyloid Beta-Related Pathology in 5XFAD Mice, an Animal Model of Alzheimer's Disease Int J Mol Sci 2018. doi:10.3390/ijms19061800animal model
  15. 15Peptide Supplements and Their Therapeutic Applications in Sports Medicine Am J Sports Med 2026. doi:10.1177/03635465261464420human pilot / early trial