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Stack · v0.1 beta

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Monograph
FDA APPROVEDP-080
Hormones

IGF-1 (native / Mecasermin)

70-aa Insulin-like Growth Factor-1. Native form (mecasermin / Increlex) is FDA-approved for severe primary IGF-1 deficiency. Distinct from the IGF-1 LR3 analog: native IGF-1 binds IGFBPs in plasma (shorter half-life, more tightly regulated tissue exposure); LR3 evades binding-protein sequestration (longer half-life, broader off-target exposure).

EstablishedHormones
Typical dosePediatric on-label: 0.04-0.12 mg/kg BID · adult off-label varies
Frequencytwice daily, subcutaneous (on-label)
Half-life5h
Citations indexed156
100%50%0%05h10h15h20h1.0dt½ 5hPK · plasma

How it clearsHalf cleared in ~5h. Most (~96%) gone by ~1d.

DeliveryInjectable
Half-life~5h
EvidenceEstablished
Citations156
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Mechanism

Mecasermin (Increlex, Tercica) was FDA-approved 2005 for primary severe IGF-1 deficiency in pediatric short stature. Clinical evidence in the on-label indication is solid — measurable growth response, well-characterized side-effect profile (hypoglycemia, intracranial hypertension, lymphoid hypertrophy). Off-label use in adult body-comp + anti-aging cohorts is research-grey + carries the same hypoglycemia + theoretical cancer-cell mobility concerns as LR3. Most r/Peptides recomp protocols use LR3 not native because LR3 is cheaper grey-market and has longer half-life; native IGF-1 is the better-characterized form for clinical work.

Specifics
Body composition (lean mass)Low energy / fatigue
Caveats

Hypoglycemia risk is documented + non-trivial. Lymphoid-tissue hypertrophy (tonsils, adenoids, lymph nodes) reported in pediatric trials. Active or recent malignancy is an absolute contraindication. Adult body-comp use is off-label + requires endocrinologist supervision + IGF-1 / glucose bloodwork. Don't confuse with IGF-1 LR3 — they're different molecules with different pharmacology.

Evidence levelEstablished
Regulatory statusFDA approved as Increlex (mecasermin) for pediatric IGF-1 deficiency · adult use is off-label
DNA / pharmacogenomicsModerate — IGF1R + IGFBP3 polymorphisms affect dose-response — relevant for the 'I take IGF-1 but lab levels don't move' cohort.
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Claims & evidence

Per-claim grading. Each claim is graded independently — same peptide, different claims can carry different grades.

  • BModerate evidence

    IGF-1 (native / Mecasermin) — primary mechanism: 70-aa insulin-like growth factor-1. native form (mecasermin / increlex) is fda-approved for severe primary igf-1 deficiency. distinct from the igf-1 lr3 analog: native igf-1 binds igfbps in plasma (shorter half-life, more tightly regulated tissue exposure); lr3 evades binding-protein sequestration (longer half-life, broader off-target exposure).

    2 supporting referencesVerified 13d ago
References

External links to PubMed searches, ClinicalTrials.gov, and FDA materials. We do not host papers — we point at canonical sources.

  • RegulatoryEN
    REGULATORYNIH-fundedVerified 13d ago
    FDA Increlex (mecasermin) label
  • PubMedEN
    RCTIndustry-fundedVerified 13d ago
    PubMed — Mecasermin pediatric growth RCT
FDA APPROVEDP-080

FDA approved as Increlex (mecasermin) for pediatric IGF-1 deficiency · adult use is off-label

Can I get it? →
Reconstitution calculatorIGF-1

Pre-filled with this compound's published dose range: Pediatric on-label: 0.04-0.12 mg/kg BID · adult off-label varies · twice daily, subcutaneous (on-label)

Concentration2.50 mg/mL
Draw volume0.032 mL
Insulin syringe3.2 u
Doses per vial62
U-100 syringe — fill to indicatorU-100 · 1 mL
0u25u50u75u100u
Watch

Draw volume is below 5 units — hard to measure accurately on most syringes. Consider adding more BAC water to dilute, or moving to a smaller syringe.

Calculator is a discussion tool. Verify reconstitution + dosing with a qualified provider. Stack is not a prescription source. Use sterile technique and inspect every vial.

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Field reports are added as users share their real-world protocols.

IGF-1Pediatric on-label: 0.04-0.12 mg/kg BID · adult off-label varies · twice daily, subcutaneous (on-label)

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stack is an exploration engine. Output is a discussion guide for a conversation with a licensed provider — never a prescription, dose recommendation, or sourcing instruction. Peptides discussed include compounds with limited human evidence and varying legal status by jurisdiction. Verify everything with a qualified clinician before any decision.

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