Adult GH deficiency, label start (non-weight-based)
Timing and details
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Also known as: Somatropin · HGH · Human growth hormone · rhGH · Recombinant human growth hormone · Growth hormone · HGH 191aa
Updated 35 sources
How it is thought to work. Somatropin binds growth hormone receptors throughout the body. The liver answers with IGF-1, which drives most of the growth and protein-building effects, while GH itself breaks down fat and works against insulin, which is why blood sugar can rise. Injected GH replaces your own pulses: rising IGF-1 switches down the pituitary's own output.
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Doses shown are what sources report, labelled by origin. Not medical advice.
Full Somatropin (HGH) dosage guideEvery titration step in syringe units, missed doses and how to mix.| Water | Strength | 2 IUdose, units | 4 IUdose, units | 0.15 mgdose, units |
|---|---|---|---|---|
| 5 mg vial | ||||
| 1 mLRegulatory | 5 mg/mL | 13.30.133 mL | 26.70.267 mL | 30.03 mL |
| 5 mLRegulatory | 1 mg/mL | 66.70.667 mL | 133.31.333 mL2 draws | 150.15 mL |
| 5.8 mg vial | ||||
| 1.14 mLRegulatory | 5.088 mg/mL | 13.10.131 mL | 26.20.262 mL | 2.90.029 mL |
| 10 mg vial | ||||
| 1 mLRegulatory | 10 mg/mL | 6.70.067 mL | 13.30.133 mL | 1.50.015 mL |
Doses shown are what sources report, labelled by origin. Not medical advice.
Calculate with this peptideYour vial, your water, your dose: Somatropin (HGH) in syringe units, with the math shown.From clinical trials and regulatory documents.
17.5% vs 5.1% on placebo in the first 6 months of adult GHD trials
How people manage it
17.3% vs 4.2% on placebo, first 6 months, adult GHD
How people manage it
14.7% vs 5.9% on placebo, first 6 months, adult GHD
10.8% vs 2.6% on placebo, first 6 months, adult GHD
9.6% vs 1.9% on placebo, first 6 months, adult GHD
9.9% vs 7.7% on placebo, first 6 months, adult GHD
From community reports and dosing guides. Not measured rates.
A frequent thread topic at 1 to 4 IU a day
How people manage it
Repeated reports; some users sleep fine on bedtime doses
How people manage it
Reported at higher doses (6 to 10 IU)
Reported even at 1 to 1.5 IU a day
How people manage it
Active cancerCondition
Contraindicated on the label; monitor anyone with a past tumor for regrowth.
Acute critical illnessCondition
Two ICU trials in non-GH-deficient adults found higher death rates (42% vs 19%) on somatropin.
Severe diabetic eye diseaseCondition
Active proliferative or severe non-proliferative diabetic retinopathy is a contraindication.
Prader-Willi syndrome with severe obesity or breathing problemsCondition
Sudden deaths have been reported in these children.
Closed growth plates (for growth)Condition
Somatropin cannot add height once epiphyses have fused.
Insulin and other diabetes drugsSubstance
GH raises blood sugar, so doses of insulin or diabetes pills may need adjusting.
Oral estrogenSubstance
Women on oral estrogen may need larger somatropin doses.
GlucocorticoidsSubstance
Somatropin can unmask low cortisol; replacement doses may need to rise, and high steroid doses blunt growth in children.
Fridge at 2 to 8 C until the expiry date, in the carton away from light. Do not freeze.
Genotropin MiniQuick may be kept at or below 25 C for up to 3 months before mixing.
Genotropin cartridge after mixing: fridge at 2 to 8 C for up to 28 days, protected from light.
Humatrope cartridge after mixing: fridge for up to 28 days, no more than 30 minutes a day at room temperature.
Omnitrope vial after mixing: fridge, use within 21 days. Omnitrope cartridge in use: fridge for up to 28 days.
Zomacton 5 mg vial mixed with its benzyl alcohol saline: fridge for up to 14 days. Zomacton 10 mg vial mixed with its metacresol water: up to 28 days.
Generic vial mixed with bacteriostatic water: fridge at 2 to 8 C for 14 to 21 days, per one guide. Never freeze.
Norditropin FlexPro pen before first use: fridge at 2 to 8 C until expiry, not next to the cooling element, never frozen. In use: 4 weeks in the fridge, or 3 weeks at up to 25 C.
Mixed with: The co-packaged diluent for branded vials; bacteriostatic water for generic vials
Mixing. Swirl gently, never shake: shaking can denature the protein. Pens and cartridges come premixed or mix inside the device. Pick one water volume for generic vials and write it on the vial; changing it silently doubles or halves the dose drawn.
Common during a cut on Reddit: weekly retatrutide for appetite with 2 to 4 IU of HGH a day to hold muscle and push fat loss. Users ask whether to watch blood sugar on the pair.
Paired with BPC-157 and TB-500 for tendon and joint recovery, per user reports.
Same recovery pairing as BPC-157; users credit the peptides for tendons and HGH for overall recovery.
Among the compounds most often co-logged with HGH in one app's user data, alongside retatrutide, GHK-Cu and BPC-157.
Strong for approved uses: decades of randomized trials in GH-deficient children and adults. For off-label use, systematic reviews found healthy older adults lost about 2 kg of fat and gained about 2 kg of lean mass with more edema, joint pain and carpal tunnel, and athletes gained lean mass without more strength. Neither review supports anti-aging or performance use.
Approved by the FDA, but for a narrower use than people take it for here.
FDA approved (initial US approval 1987) as several brands, for children's growth disorders, adult GH deficiency and HIV wasting. Anti-aging, fat loss and bodybuilding are not approved uses, and 21 U.S.C. 333(e) makes distributing hGH for them a federal crime.
WADA bans growth hormone, its analogues and fragments at all times (S2.2.3). Long-acting relatives lonapegsomatropin (Skytrofa), somapacitan (Sogroya) and somatrogon (Ngenla) are separate molecules. Somatropin is a licensed biologic, not a 503A bulk compounding substance.
WADA: Prohibited
Human growth hormone. As a drug it is somatropin, the 191-amino-acid hormone made by recombinant DNA with the same sequence as the pituitary's own, sold as Genotropin, Norditropin, Omnitrope, Humatrope and other brands.
Neither in the usual sense. It is a protein hormone of 191 amino acids, far larger than research peptides, and it works through the GH receptor and IGF-1, not the androgen receptor.
For adults with diagnosed GH deficiency, labels start at about 0.2 mg a day (0.15 to 0.3 mg) and adjust every 1 to 2 months by IGF-1. Off-label, community ranges are 1 to 2 IU a day for wellness, 2 to 4 IU for fat loss and 4 to 8 IU for bodybuilding. In mg those community ranges run from 0.33 to 2.67 mg a day (3 IU per mg), well above the label starting dose.
3 IU. That is the labelling convention for somatropin, which is why a Humatrope 6 mg cartridge is also labelled 18 IU.
With a 10 IU vial and 1 mL of bacteriostatic water, 2 IU is 20 units on a U-100 insulin syringe. With 2 mL of water it is 40 units. Use the calculator for your own vial.
Under the skin of the thigh, buttocks or abdomen, per the Genotropin label, rotating sites every day to prevent fat loss under the skin. Humatrope also lists the back of the upper arm.
About 2.5 to 4 hours after a subcutaneous shot, depending on the brand, and about 0.4 hours given IV. The SC figure is longer because it absorbs slowly from the injection site.
Yes. Brand labels say 2 to 8 C before and after mixing, protected from light, and never frozen. A few products allow limited room-temperature time, such as Norditropin FlexPro for 3 weeks in use at up to 25 C.
It depends on the product: 28 days for Genotropin and Humatrope cartridges, 21 days for an Omnitrope vial, 14 or 28 days for Zomacton vials depending on the diluent. One guide gives 14 to 21 days for generic vials in bacteriostatic water.
In adult trials the most common were swelling of hands and feet, joint pain, limb pain, tingling and stiffness, usually early and eased by a lower dose. Labels also warn about high blood sugar, carpal tunnel, raised skull pressure, thyroid and cortisol changes and pancreatitis.
No trial has compared them for body composition. Many Reddit users moved to morning shots because evening doses woke them at night; others dose at bedtime with no problem. Above 3 to 4 IU, people commonly split the dose.
Only modestly, at a cost. A review of trials in healthy older adults found about 2 kg less fat and 2 kg more lean mass with no weight change, plus more edema, joint pain, carpal tunnel and breast growth. The authors concluded GH cannot be recommended for anti-aging.
Trials in young, fit adults found more lean mass but no gain in strength or exercise capacity, and more swelling and fatigue.
It is prescribed for diagnosed conditions on the label: GH deficiency in adults or children, children's growth disorders, and HIV wasting. US law bars distributing it for other uses, even with a doctor's order.
It is a prescription drug. Under 21 U.S.C. 333(e), knowingly distributing it, or holding it to distribute, for a use FDA has not authorized carries up to 5 years in prison, or 10 if a minor is involved.
Yes. WADA prohibits growth hormone, its analogues and fragments at all times.
Peptides make your pituitary release its own GH in pulses, capped by the body's feedback. Injected HGH supplies the hormone directly, gives a larger effect and suppresses your own production.
Answers come from this site's pages only, with a link to each source.
35 sources, each checked by date. Record updated Oct 24, 2026. Numbers are restated in our own words and labelled by where they came from.