---
title: "MK-677 Dosage Guide [2026] | BodyHackGuide"
url: https://www.bodyhackguide.co/guides/dosage/mk-677
description: "Complete MK-677 (Ibutamoren) dosage guide with protocols, calculator, safety info, and where to buy. Updated for 2026."
lang: en
---

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Growth Hormone / IGF-1 Axis Phase II

# MK-677 (Ibutamoren) Dosage Guide: Protocols, Calculator & Safety

Everything you need to know about MK-677 (Ibutamoren) dosing: protocols, safety, and where to buy.

Dose Range

10,000–25,000 mcg (10–25 mg) oral daily

Frequency

Once daily, typically at bedtime

Cycle Length

8–16 weeks; some use long-term (6+ months) with monitoring

Half-Life

~24 hours (oral)

## Administration Routes

oral

Dosage Calculator

Calculate exact dosing for MK-677 (Ibutamoren).
https://www.bodyhackguide.co/tools/dosage

## Dosing Protocols

Beginner

**Goal: establish tolerance at a conservative dose before committing to the full 25 mg/day protocol.**

**Low-dose MK-677 — weeks 1-4**

- **Dose:** 10 mg orally, once daily
- **Timing:** Pre-bed, on an empty stomach (≥2 hours after last meal)
- **Why pre-bed:** The 24-hour half-life means timing is less critical than for injectable GHS, but pre-bed dosing (a) maximizes sleep-architecture benefit, (b) reduces perceived appetite effect during waking hours, and (c) aligns with the nocturnal GH burst
- **Why 10 mg vs 25 mg:** At 10 mg, IGF-1 typically rises ~40-50% with substantially less water retention, appetite stimulation, and glucose effect than the 25 mg dose. For many users 10 mg provides 70-80% of the benefit with 30% of the side-effect burden

**Form factors**

- **Capsules** — most common; 10 mg capsule or split 25 mg capsule
- **Oral liquid** — faster absorption, easier dose adjustment; typical concentration 25 mg/mL
- **Sublingual / dissolvable tablet** — marginal bioavailability advantage; negligible vs swallowed capsule

**What to expect in weeks 1-4**

- Week 1: vivid dreams, evening hunger, mild water retention (~1 kg scale weight)
- Week 2-3: improved recovery and sleep quality; hunger stabilizes
- Week 4: IGF-1 rising toward steady state; subjective benefits consolidating

**Required monitoring for beginners**

- **Baseline:** IGF-1, fasting glucose, HbA1c, CBC, CMP, lipid panel, PSA (men >40), thyroid
- **Week 4:** IGF-1, fasting glucose
- **Scale weight daily** — to track fluid retention trend

**When NOT to proceed to intermediate**

- Fasting glucose rise >10 mg/dL from baseline → hold dose escalation
- Scale weight up >2 kg with persistent edema → hold or reduce
- Any carpal tunnel symptoms → hold or reduce
- No subjective benefit at week 4 on 10 mg → consider the underlying question of whether MK-677 is the right tool vs injectable GHS

**At week 4, reassess.** If tolerance is good and effect is modest, progress to 20-25 mg/day. If 10 mg is producing the desired effects, many users stay there indefinitely — there is no mandatory escalation.

Standard

**Goal: the standard 25 mg/day MK-677 protocol, as used in the Nass 2008 trial and the reference biohacking protocol.**

**Standard MK-677 — weeks 1-12 (or continuous within cycle)**

- **Dose:** 25 mg orally, once daily
- **Timing:** Pre-bed, empty stomach preferred (≥2 hours post-meal)
- **Cycle length:** 8-16 weeks on / 4-6 weeks off is the conservative approach; the Nass trial ran 2 years continuous with good tolerance in most patients

**Why 25 mg specifically**

- Established dose from Murphy 1998 PK and Chapman 1996 dose-response — above 25 mg the IGF-1 dose-response plateaus while side effects continue to scale
- Validated in the longest human trial (Nass 2008, 2 years)
- Balance point between effect size and side-effect burden

**Timing nuances**

- **Pre-bed empty stomach:** standard; maximizes sleep benefit
- **Morning fasted:** alternative for users whose evening hunger is too disruptive; does not reduce efficacy significantly because of the 24h half-life
- **With food:** reduces absorption mildly (~15%); most users can take MK-677 with food if empty stomach is not practical

**Stacking at this tier**

MK-677 can be stacked with but does not typically combine with injectable GHS peptides (redundant at the receptor — see stacking notes). Common co-interventions:

- **Testosterone (https://www.bodyhackguide.co/compound/enclomiphene) or TRT** — complementary hormone axes
- **Semaglutide (https://www.bodyhackguide.co/compound/semaglutide) / Tirzepatide (https://www.bodyhackguide.co/compound/tirzepatide)** — MK-677 can counteract the GLP-1-induced appetite suppression if lean mass preservation is the goal (the appetite dimension runs in opposite directions — be deliberate about which you want to win)
- **BPC-157 (https://www.bodyhackguide.co/compound/bpc-157) + TB-500 (https://www.bodyhackguide.co/compound/tb-500)** — connective tissue repair synergy with GH/IGF-1 elevation
- **Metformin 500-1000 mg/day** — off-label; counters the MK-677-induced insulin resistance; commonly stacked in bodybuilding protocols

**Bloodwork**

- **Baseline:** IGF-1, fasting glucose, HbA1c, insulin, CBC, CMP, lipid panel, PSA (men >40), thyroid, estradiol
- **Week 4:** IGF-1, fasting glucose, insulin
- **Week 8:** Full panel
- **End of cycle:** Full panel + reassess
- **Scale weight and waist measurement weekly**

**When to dose-reduce or stop**

- IGF-1 >300 ng/mL (supraphysiologic) → reduce to 15 mg or cycle off
- HbA1c rising >0.3 points → counter with metformin or cycle off
- Persistent edema, carpal tunnel, or new cardiac symptoms → stop and reassess
- Any chest pain, dyspnea, or CHF-like symptoms (rare but documented) → stop immediately and seek medical evaluation

Advanced

**Goal: optimize MK-677 effects within the physiologic envelope while managing its characteristic side-effect profile. For experienced users with full lab monitoring.**

**Pulsed 25 mg protocol with insulin-sensitizer co-therapy - 12-24 weeks**

For users pursuing extended MK-677 use with managed side effects:

- **MK-677:** 25 mg orally pre-bed
- **Metformin:** 500-1000 mg/day (off-label insulin-sensitizer)
- **Optional addition:** Enclomiphene (https://www.bodyhackguide.co/compound/enclomiphene) 12.5-25 mg/day if TRT-like effects without exogenous testosterone are desired

**Rationale:** Metformin directly addresses MK-677's primary durable side effect (glucose intolerance) while preserving the GH/IGF-1 benefits. This is not Merck-tested; it is extrapolation from known metformin pharmacology and routine bodybuilding practice.

**High-dose protocol - NOT RECOMMENDED**

Some bodybuilding protocols use 50 mg or higher MK-677. The data is clear:

- Chapman 1996 showed dose-response plateaus above 25 mg for IGF-1
- Side effects continue to scale linearly: more water retention, more hunger, more glucose effect
- No evidence of clinically meaningful incremental benefit
- Do not exceed 25 mg/day

**Split-dose protocol - alternative for hunger management**

For users whose evening hunger is intolerable:

- 12.5 mg AM (morning fasted) + 12.5 mg pre-bed
- 24h half-life means this is pharmacokinetically similar to once-daily dosing
- Splits the appetite signal across the day rather than concentrating it in the evening

**Cycling strategies**

- **Standard:** 12 weeks on / 4-6 weeks off
- **Long cycle:** 24 weeks on / 8 weeks off (the Nass-trial-reference approach)
- **Continuous:** validated in Nass 2008 for 2 years; not generally recommended for healthy biohackers pursuing longevity protocols due to long-term safety uncertainty

**Body recomposition with GLP-1 therapy**

MK-677 + semaglutide / tirzepatide is the recomposition stack for users who want:

- GLP-1-driven fat loss
- GH/IGF-1 lean mass preservation
- Appetite management - GLP-1 suppresses appetite more than MK-677 stimulates it at clinical doses, so the net is still hypocaloric but less aggressively than GLP-1 alone

**Contraindications specific to advanced dosing**

- Any history of CHF or NYHA II-IV - absolute (Adunsky 2011 hip-fracture CHF signal)
- Uncontrolled T2DM - use with extreme caution and endocrinology supervision
- Active malignancy - absolute
- Diabetic retinopathy - relative contraindication
- History of acromegaly or pituitary adenoma - absolute

## Weight-Based Dosing

Not weight-based. Standard doses of 10–25 mg.

## Commonly Stacked With

**Tier 1 — Complementary hormone axes (recommended):**

- **Testosterone (https://www.bodyhackguide.co/compound/enclomiphene) / TRT / enclomiphene** — HPG and GH axes are independent; combined optimization is standard practice
- **Semaglutide (https://www.bodyhackguide.co/compound/semaglutide) / Tirzepatide (https://www.bodyhackguide.co/compound/tirzepatide)** — recomposition stack; MK-677 preserves lean mass during GLP-1-driven caloric deficit; be deliberate about appetite direction (GLP-1 suppresses, MK-677 stimulates)
- **Metformin 500-1000 mg/day** — off-label insulin-sensitizer counters MK-677-induced glucose intolerance; common bodybuilding adjunct
- **BPC-157 (https://www.bodyhackguide.co/compound/bpc-157) + TB-500 (https://www.bodyhackguide.co/compound/tb-500)** — connective tissue repair synergy; GH/IGF-1 elevation amplifies local healing mechanisms

**Tier 2 — Metabolic / longevity stacks:**

- **NAD+ (https://www.bodyhackguide.co/compound/nad) / NMN** — mitochondrial support for increased protein synthesis and fat oxidation
- **Epithalon (https://www.bodyhackguide.co/compound/epithalon)** — longevity-framed; pairs with MK-677's sustained GH/IGF-1 elevation
- **GHK-Cu (https://www.bodyhackguide.co/compound/ghk-cu)** — skin and connective tissue regeneration synergy

**Tier 3 — Selective additions:**

- **L-carnitine / ALCAR** — mild support for the fat oxidation MK-677 enables via GH/IGF-1
- **Creatine 5 g/day** — standard anabolic; additive to MK-677's lean mass effect
- **MOTS-c (https://www.bodyhackguide.co/compound/mots-c)** — mitochondrial peptide; theoretical synergy with GH-mediated metabolic effects

**DO NOT stack:**

- **Ipamorelin (https://www.bodyhackguide.co/compound/ipamorelin)** — redundant at the GHS-R1a receptor; no additive benefit; side-effect burden stacks. If you want 24h IGF-1 elevation, use MK-677 alone. If you want discrete pulses, use ipamorelin alone
- **GHRP-2, GHRP-6, hexarelin** — same redundancy issue
- **Tesamorelin (https://www.bodyhackguide.co/compound/tesamorelin)** — different receptor (GHRHR vs GHS-R1a) and _could_ be combined, but the sustained 24h MK-677 signal already amplifies the nocturnal GHRH pulse without needing exogenous GHRH; the combination adds side-effect burden without proportional benefit in most protocols. Advanced users occasionally stack these but it's unusual
- **CJC-1295 with DAC (https://www.bodyhackguide.co/compound/cjc-1295-dac)** — the continuous GH elevation of both drugs stacks and produces the worst-case profile of sustained supra-physiologic GH/IGF-1; not recommended
- **Exogenous recombinant GH (Somatropin)** — defeats the purpose; use one or the other
- **High-dose corticosteroids (chronic systemic)** — suppress the GH axis and blunt MK-677 efficacy

**Practical notes**

- MK-677 is oral; stacking considerations are primarily about additive side effects (fluid retention, hunger, glucose), not injection-site or pharmacokinetic compatibility
- For users on TRT who want the maximum anabolic profile without the injections: MK-677 + testosterone + metformin is the common configuration
- For users on GLP-1 therapy, MK-677 at 10 mg (not 25 mg) is the more moderate configuration — reduces the appetite conflict between the two drugs

## Side Effects & Safety

MK-677 has the **most pronounced side-effect profile of any GHS compound** - specifically because its 24-hour half-life produces sustained rather than pulsatile receptor engagement. Users should expect all of the side effects listed below at some frequency. **Common (>20% of users, nearly universal at 25 mg/day)** - **Appetite increase** - the signature MK-677 effect; direct ghrelin-receptor agonism on hypothalamic feeding neurons. Can increase caloric intake by 20-30% if not actively controlled. Primarily evening and nocturnal (because that's when the pre-bed dose peaks) - **Water retention / mild peripheral edema** - fluid-shift from GH and IGF-1 elevation plus sustained ghrelin-receptor tone. Typically 1-3 kg of scale weight in the first 2 weeks; settles by week 4 in most users; peripheral edema should resolve by week 6-8 - **Lethargy / "heavy" feeling** - particularly in the first 2-3 weeks; fluid-related; most users report this resolves but some stay lethargic through the cycle - **Vivid dreams / altered sleep** - usually positive (deeper SWS) but can be disruptive in the first week - **Transient mild numbness / tingling in hands** - water-retention-related peripheral nerve compression; early sign to reduce dose **Uncommon (5-20%)** - **Insulin resistance / elevated fasting glucose** - real and dose-dependent; HbA1c rises ~0.1-0.3% in Phase II data; meaningful for pre-diabetics and diabetics - **Mild carpal tunnel symptoms** - fluid-related; resolves on cessation; should prompt dose reduction - **Joint stiffness** - IGF-1-mediated connective tissue effect; typically weeks 4-8; often resolves with continued dosing - **Mild elevation in liver enzymes (ALT/AST)** - usually within normal limits; monitor but rarely clinically significant **Rare but important** - **Congestive heart failure signal** - the CHF safety signal for MK-677 comes from the Adunsky 2011 hip-fracture Phase IIb trial (25 mg/day, N=123), which was terminated early after a small number of frail elderly patients developed CHF; it is attributed to fluid retention in vulnerable populations. The 2-year Nass trial in healthy older adults reported no CHF. This is the primary safety signal driving the "not in CHF, not in severe cardiac disease" contraindication - **Pituitary desensitization concerns** - theoretical; not conclusively demonstrated in the 2-year trial but some users report reduced subjective response after 3-4 months of continuous dosing - **Elevated prolactin** - rare at clinical doses but reported at higher doses; unique among "selective" GHS agents but dose-related **Insulin resistance - the honest framing** MK-677's effect on glucose metabolism is the most clinically important difference vs injectable GHS peptides. Mechanism: - Direct GH-mediated hepatic glucose output increase - Sustained ghrelin-receptor activation has independent glucose-intolerant effects - Water retention complicates interpretation of labs In Phase II data, HbA1c rose ~0.1-0.3% on MK-677 25 mg/day over 6-24 months. This is **clinically small but not trivial**: - For healthy users: usually not clinically meaningful - For pre-diabetics (fasting glucose 100-125 or HbA1c 5.7-6.4%): can push into overt T2DM territory - For established T2DM: requires insulin/metformin adjustment and close monitoring **What MK-677 does NOT do (or does less than)** - Does NOT significantly elevate cortisol (unlike GHRP-6 / hexarelin) - Does NOT significantly elevate ACTH - Does NOT cause injection-site reactions (it's oral) - Does NOT cause the pulse-amplitude sleep disturbance some users get from injectable GHS **Long-term uncertainty** The Nass 2-year trial is the longest data we have. Beyond 2 years, safety is extrapolated: - Chronic hyperinsulinism effects - IGF-1-related cancer risk - Pituitary somatotroph reserve - Cardiovascular outcomes in the broader population (the Nass cohort was older adults, not the 25-45 year old biohacker demographic) **Users should monitor:** fasting glucose, HbA1c, IGF-1 (baseline and 4-6 weeks into dosing), PSA (men >40), and regular blood pressure. Cycling (8-16 weeks on / 4-8 weeks off) is the conservative approach although the mechanistic need for cycling is debated - unlike CJC-1295-DAC, MK-677 does not produce full somatotroph desensitization at clinical doses.

Contraindications

**Absolute contraindications** - **History of congestive heart failure (CHF)** or any NYHA class II-IV cardiac dysfunction - the Adunsky 2011 hip-fracture Phase IIb trial (25 mg/day, N=123) was terminated early after a CHF safety signal in frail elderly patients; MK-677's water retention and sustained GH elevation can precipitate decompensation in vulnerable hearts - **Active malignancy** - GH/IGF-1 axis may accelerate tumor growth. No direct MK-677 cancer data but inferred from general GH/IGF-1 literature ([Renehan et al., 2004]) - **Active diabetic retinopathy** (proliferative or severe non-proliferative) - GH elevation can worsen retinopathy - **History of acromegaly or pituitary adenoma** - superimposing sustained exogenous GH amplification on an already-hyperactive axis risks accelerating tumor growth and acromegalic progression - **Pregnancy or breastfeeding** - no safety data; do not use - **Age <18** - pediatric GHD is managed with sermorelin or recombinant GH under endocrinology supervision, not MK-677 **Relative contraindications (consult physician before use)** - **Type 2 diabetes or pre-diabetes** - MK-677 produces measurable glucose intolerance; use requires close monitoring and usually metformin co-therapy - **Uncontrolled hypertension** - fluid retention can exacerbate blood pressure - **History of carpal tunnel syndrome** - fluid retention and connective tissue expansion can worsen symptoms - **Hypothyroidism** - optimize thyroid first - **Chronic kidney disease (CKD stage III+)** - fluid retention can contribute to edema; dose reduction and close monitoring - **History of pituitary or hypothalamic surgery or radiation** - altered somatotroph response; unpredictable **Drug interactions** - **Insulin and oral hypoglycemics** - MK-677 impairs glucose tolerance; antidiabetic medication may need adjustment - **Corticosteroids** (chronic systemic) - suppress GH axis and blunt MK-677 response - **CYP3A4 inhibitors/inducers** - MK-677 is CYP3A4 metabolized; major inhibitors (ketoconazole, ritonavir) can elevate plasma levels; inducers (rifampin, carbamazepine) can reduce efficacy - **Exogenous GH (Somatropin)** - do not combine - **Other GHS peptides or CJC-1295-DAC** - do not combine (redundant, additive side effects) **Specific drug combinations that require caution** - **SSRI + MK-677** - no direct interaction but both can cause fluid retention; monitor - **NSAID chronic + MK-677** - both retain fluid; monitor edema - **Statins + MK-677** - no specific interaction; standard monitoring **Monitoring requirements** - **Baseline:** IGF-1, fasting glucose, HbA1c, insulin, complete metabolic panel, thyroid panel, CBC, lipid panel, PSA (men >40), echocardiogram if any cardiac history - **Week 4-6:** IGF-1, fasting glucose, insulin - **Week 8-12:** Full panel + blood pressure + weight trend - **Every 12 weeks on long-term therapy:** Full panel - **Annually:** Full panel + consider imaging if symptomatic **Discontinuation criteria** Stop MK-677 and consult a clinician if you develop: - Any chest pain, dyspnea, peripheral edema with weight gain >3 kg, orthopnea - possible CHF; urgent - New or worsening carpal tunnel symptoms - IGF-1 > 350 ng/mL (supraphysiologic in most adults) - Fasting glucose consistently >115 mg/dL or HbA1c rising >0.4 points despite metformin - Any new palpable mass, changing mole, unexplained weight loss (cancer workup) - Severe headache, visual changes (rule out pituitary pathology) - Unexplained fatigue, edema, or rapid weight gain (assess fluid balance, thyroid, glucose)

Check interactions with the Interaction Checker → (https://www.bodyhackguide.co/tools/interaction-checker)

## Additional Notes

**Standard therapeutic dose: 25 mg orally, once daily, pre-bed.**

This is the dose used in every major MK-677 trial (Nass 2008, Chapman 1996, Murphy 1998, Copinschi 1997, Adunsky 2011). Doses above 25 mg do not produce proportional IGF-1 elevation — the dose-response plateaus — while side-effect burden (water retention, hunger, glucose intolerance) continues to scale.

**Low-dose option: 10 mg orally, once daily**

For users wanting most of the IGF-1 and sleep benefits with substantially reduced side effects:

- 10 mg produces ~40-50% IGF-1 elevation vs ~80-100% at 25 mg
- Water retention is typically <1 kg vs 2-3 kg at 25 mg
- Appetite stimulation is substantially milder
- Glucose effect is minimal

For many biohackers, 10 mg/day is the sweet spot — particularly for longevity-oriented rather than body-composition-oriented protocols.

**Dosing route and form**

- **Oral capsules:** most common, most convenient
- **Oral liquid:** 25 mg/mL is standard; measure with oral syringe; faster absorption
- **Sublingual:** marginal bioavailability advantage; negligible for practical purposes

**Fasted state improves absorption** — approximately 15% higher Cmax in fasted vs fed state. Pre-bed (2+ hours post-meal) is the standard timing for (a) absorption, (b) sleep architecture benefit, (c) alignment with nocturnal GH burst.

**NOT dose-dependent on body weight** — the MK-677 dose is fixed at 10 or 25 mg regardless of body mass. No weight-adjusted dosing.

**Dose conversions (25 mg/mL oral liquid)**

- 10 mg = 0.4 mL
- 15 mg = 0.6 mL
- 25 mg = 1.0 mL
- Use an oral (not insulin) syringe; peptide injection syringes are graduated for injection volumes, not oral dosing

**Timing alternatives**

- **Pre-bed** (standard): maximizes sleep benefit; peak ghrelin signal overlaps with lights-out
- **Morning fasted:** for users whose evening hunger is too disruptive; minimal efficacy penalty due to 24h half-life
- **Split 12.5 mg AM + 12.5 mg PM:** advanced option to spread appetite stimulation across the day

**Interactions with nutrition**

- Food reduces absorption ~15%; empty stomach preferred but not essential
- Alcohol does not meaningfully interact; avoid within 4 hours of dosing for sleep quality
- Caffeine is neutral
- High-fat meal before dosing slightly reduces Cmax but increases time-to-peak

**Dose adjustments in specific populations**

- **Renal impairment (eGFR <60):** dose reduction typically not required; monitor
- **Hepatic impairment:** use with caution; MK-677 is hepatically metabolized
- **Age >65:** standard dose used in the Nass trial; no specific adjustment
- **Active T2DM:** 10 mg starting dose with close glucose monitoring; escalate only if glucose control maintained with metformin or equivalent

See the MK-677 Dosage Guide (https://www.bodyhackguide.co/guides/dosage/mk-677) for detailed protocol specifics.

Where to Buy MK-677 (Ibutamoren)

Compare 2 listings across 2 vendors, from $74.99
https://www.bodyhackguide.co/compound/mk-677

## Frequently Asked Questions

What is the recommended MK-677 (Ibutamoren) dosage?

The typical dose range for MK-677 (Ibutamoren) is 10,000–25,000 mcg (10–25 mg) oral daily. It is usually administered Once daily, typically at bedtime. Always start with the lowest effective dose.

How often should I take MK-677 (Ibutamoren)?

Once daily, typically at bedtime

Does MK-677 (Ibutamoren) need to be cycled?

Yes, typical cycle length is 8–16 weeks; some use long-term (6+ months) with monitoring.

What are MK-677 (Ibutamoren) side effects?

Where can I buy MK-677 (Ibutamoren)?

Compare 2 listings from 2 vendors on our price comparison page, starting from $74.99.

MK-677 (Ibutamoren) Full Profile

Research data, mechanisms, and pricing
https://www.bodyhackguide.co/compound/mk-677

Interaction Checker

Check drug & compound interactions
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### CJC-1295 with DAC

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### CJC-1295 with DAC

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          "text": "The typical dose range for MK-677 (Ibutamoren) is 10,000–25,000 mcg (10–25 mg) oral daily. It is usually administered Once daily, typically at bedtime. Always start with the lowest effective dose."
        }
      },
      {
        "@type": "Question",
        "name": "How often should I take MK-677 (Ibutamoren)?",
        "acceptedAnswer": {
          "@type": "Answer",
          "text": "Once daily, typically at bedtime"
        }
      },
      {
        "@type": "Question",
        "name": "Does MK-677 (Ibutamoren) need to be cycled?",
        "acceptedAnswer": {
          "@type": "Answer",
          "text": "Yes, typical cycle length is 8–16 weeks; some use long-term (6+ months) with monitoring."
        }
      },
      {
        "@type": "Question",
        "name": "What are MK-677 (Ibutamoren) side effects?",
        "acceptedAnswer": {
          "@type": "Answer",
          "text": "MK-677 has the **most pronounced side-effect profile of any GHS compound**  -  specifically because its 24-hour half-life produces sustained rather than pulsatile receptor engagement. Users should expect all of the side effects listed below at some frequency.\n\n**Common (>20% of users, nearly universal at 25 mg/day)**\n\n- **Appetite increase**  -  the signature MK-677 effect; direct ghrelin-receptor agonism on hypothalamic feeding neurons. Can increase caloric intake by 20-30% if not actively controlled. Primarily evening and nocturnal (because that's when the pre-bed dose peaks)\n- **Water retention / mild peripheral edema**  -  fluid-shift from GH and IGF-1 elevation plus sustained ghrelin-receptor tone. Typically 1-3 kg of scale weight in the first 2 weeks; settles by week 4 in most users; peripheral edema should resolve by week 6-8\n- **Lethargy / \"heavy\" feeling**  -  particularly in the first 2-3 weeks; fluid-related; most users report this resolves but some stay lethargic through the cycle\n- **Vivid dreams / altered sleep**  -  usually positive (deeper SWS) but can be disruptive in the first week\n- **Transient mild numbness / tingling in hands**  -  water-retention-related peripheral nerve compression; early sign to reduce dose\n\n**Uncommon (5-20%)**\n\n- **Insulin resistance / elevated fasting glucose**  -  real and dose-dependent; HbA1c rises ~0.1-0.3% in Phase II data; meaningful for pre-diabetics and diabetics\n- **Mild carpal tunnel symptoms**  -  fluid-related; resolves on cessation; should prompt dose reduction\n- **Joint stiffness**  -  IGF-1-mediated connective tissue effect; typically weeks 4-8; often resolves with continued dosing\n- **Mild elevation in liver enzymes (ALT/AST)**  -  usually within normal limits; monitor but rarely clinically significant\n\n**Rare but important**\n\n- **Congestive heart failure signal**  -  the CHF safety signal for MK-677 comes from the Adunsky 2011 hip-fracture Phase IIb trial (25 mg/day, N=123), which was terminated early after a small number of frail elderly patients developed CHF; it is attributed to fluid retention in vulnerable populations. The 2-year Nass trial in healthy older adults reported no CHF. This is the primary safety signal driving the \"not in CHF, not in severe cardiac disease\" contraindication\n- **Pituitary desensitization concerns**  -  theoretical; not conclusively demonstrated in the 2-year trial but some users report reduced subjective response after 3-4 months of continuous dosing\n- **Elevated prolactin**  -  rare at clinical doses but reported at higher doses; unique among \"selective\" GHS agents but dose-related\n\n**Insulin resistance  -  the honest framing**\n\nMK-677's effect on glucose metabolism is the most clinically important difference vs injectable GHS peptides. Mechanism:\n- Direct GH-mediated hepatic glucose output increase\n- Sustained ghrelin-receptor activation has independent glucose-intolerant effects\n- Water retention complicates interpretation of labs\n\nIn Phase II data, HbA1c rose ~0.1-0.3% on MK-677 25 mg/day over 6-24 months. This is **clinically small but not trivial**:\n- For healthy users: usually not clinically meaningful\n- For pre-diabetics (fasting glucose 100-125 or HbA1c 5.7-6.4%): can push into overt T2DM territory\n- For established T2DM: requires insulin/metformin adjustment and close monitoring\n\n**What MK-677 does NOT do (or does less than)**\n\n- Does NOT significantly elevate cortisol (unlike GHRP-6 / hexarelin)\n- Does NOT significantly elevate ACTH\n- Does NOT cause injection-site reactions (it's oral)\n- Does NOT cause the pulse-amplitude sleep disturbance some users get from injectable GHS\n\n**Long-term uncertainty**\n\nThe Nass 2-year trial is the longest data we have. Beyond 2 years, safety is extrapolated:\n- Chronic hyperinsulinism effects\n- IGF-1-related cancer risk\n- Pituitary somatotroph reserve\n- Cardiovascular outcomes in the broader population (the Nass cohort was older adults, not the 25-45 year old biohacker demographic)\n\n**Users should monitor:** fasting glucose, HbA1c, IGF-1 (baseline and 4-6 weeks into dosing), PSA (men >40), and regular blood pressure. Cycling (8-16 weeks on / 4-8 weeks off) is the conservative approach although the mechanistic need for cycling is debated  -  unlike CJC-1295-DAC, MK-677 does not produce full somatotroph desensitization at clinical doses."
        }
      },
      {
        "@type": "Question",
        "name": "Where can I buy MK-677 (Ibutamoren)?",
        "acceptedAnswer": {
          "@type": "Answer",
          "text": "Compare 2 listings from 2 vendors on our price comparison page, starting from $74.99."
        }
      }
    ]
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        "item": "https://www.bodyhackguide.co/guides/dosage/mk-677"
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