# Macimorelin (Macrilen) > Oral ghrelin agonist for diagnosing adult growth hormone deficiency. Source: https://peptides.cafe/peptide/macimorelin Category: GH Secretagogue · Diagnostics Tag: FDA-Approved · Diagnostics ## Mechanism Oral ghrelin receptor (GHSR-1a) agonist that stimulates pituitary GH release; peak GH response is measured to evaluate adult GH deficiency. ## Research areas - Diagnostic test for adult GH deficiency ## Common research protocols - Single oral dose: 0.5 mg/kg dissolved in water, fasted; serum GH measured at 30, 45, 60, 90 minutes. ## Study summaries - "Macimorelin vs ITT for AGHD" — JCEM (2018): Non-inferior diagnostic accuracy to insulin tolerance test with better tolerability. ## Considerations - FDA-approved. - Avoid with QT-prolonging drugs. - Hold strong CYP3A4 inducers prior to test. ## Disclaimer Educational content only. Not medical advice, diagnosis, or treatment. Most research peptides are not FDA-approved for human therapeutic use. Consult a licensed clinician before any use.