| Position on the GH/IGF axis | At the bottom — acts directly on the IGF-1 receptor | At the top — acts on the pituitary so that growth hormone is released | In the middle — growth hormone itself, which drives the liver to make IGF-1 |
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| Immediate molecular target | Type 1 IGF receptor (IGF-1R) | GHRH receptor (CJC-1295) and the GH-secretagogue / ghrelin receptor (ipamorelin) | Growth hormone receptor (GHR) |
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| Molecule type | Engineered IGF-1 analogue, 83 amino acids | A 30-amino-acid GHRH analogue plus a pentapeptide | Recombinant human protein of 191 amino acids |
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| Role of the binding proteins | Almost entirely bypassed — this is the molecule's reason for existing | Not directly involved; the effect runs through endogenous GH release | The IGF-1 that results is bound by IGFBPs in the normal way |
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| Main documented laboratory use | Cell culture medium supplement; a tool for separating IGF-dependent from IGF-independent effects | Studies of GH secretion physiology | An approved medicine in specific indications; a widely used reference standard in endocrine research |
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| Maturity of human data | No approval for human use — no clinical trials exist (Mongongu et al., 2021) | Limited published data | Decades of clinical use in approved indications |
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| Status in sport | Prohibited substance — validated detection methods exist | Prohibited class of substances | Prohibited substance |
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