Every peptide, ranked by documented risk
The same 89 compounds ordered the other way up: by how much harm is documented, how little oversight there is of what ends up in the vial, and how much is simply unknown because nobody has run the study. It is the table the evidence leaderboard needs beside it.
- Compounds ranked
- 89
- Research-use-only material
- 25
- Highest risk score
- 97/100
- Widest risk-evidence gap
- +82
A low position here does not mean safe. This scores what has been documented. A compound nobody has studied has little documented harm and still scores points for exactly that reason — but an absence of reports is not a safety record, and the score cannot capture what has never been looked for. Read the safety page for the risks that cross every compound in the library.
One column does most of the work: whether anybody is checking what is in the vial. Independent testing of grey-market peptides has repeatedly found products underdosed, overdosed, degraded, contaminated or simply a different compound than the label claims — a hazard that exists whatever the molecule itself does, and one that no amount of mechanism can offset.
| # | Compound | Status | Evidenceout of 100 | Riskout of 100 | Gaprisk − evidence | Why it sits here |
|---|---|---|---|---|---|---|
| 1 | BPC-157 Healing & Tissue Repair · Body Protection Compound 157 | Research Use Only | 15 | 97 | +82 | Research Use Only. No benefit claim on strong human evidence. 7 serious or common risks. |
| 1 | MOTS-c Longevity & Mitochondrial · Mitochondrial ORF of the 12S rRNA type-c | Research Use Only | 15 | 97 | +82 | Research Use Only. No benefit claim on strong human evidence. 5 serious or common risks. |
| 3 | Cartalax Healing & Tissue Repair · AED | Research Use Only | 15 | 95 | +80 | Research Use Only. No benefit claim on strong human evidence. 4 serious or common risks. |
| 3 | IGF-1 LR3 Growth Hormone Axis · Long R3 IGF-1 | Research Use Only | 15 | 95 | +80 | Research Use Only. No benefit claim on strong human evidence. 4 serious or common risks. |
| 3 | PE-22-28 Cognitive & Neurological · PE 22-28 | Research Use Only | 15 | 95 | +80 | Research Use Only. No benefit claim on strong human evidence. 3 serious or common risks. |
| 3 | PTD-DBM Healing & Tissue Repair · Protein transduction domain-Dishevelled binding motif | Research Use Only | 15 | 95 | +80 | Research Use Only. No benefit claim on strong human evidence. 3 serious or common risks. |
| 7 | CJC-1295 Growth Hormone Axis · Modified GRF (1-29) | Research Use Only | 30 | 91 | +61 | Research Use Only. No benefit claim on strong human evidence. 5 serious or common risks. |
| 7 | Ipamorelin Growth Hormone Axis · NNC 26-0161 | Research Use Only | 30 | 91 | +61 | Research Use Only. No benefit claim on strong human evidence. 3 serious or common risks. |
| 7 | Livagen Longevity & Mitochondrial · KEDA | Research Use Only | 30 | 91 | +61 | Research Use Only. No benefit claim on strong human evidence. 4 serious or common risks. |
| 7 | TB-500 / Thymosin Beta-4 Healing & Tissue Repair · TB4 | Research Use Only | 30 | 91 | +61 | Research Use Only. No benefit claim on strong human evidence. 7 serious or common risks. |
| 11 | 5-Amino-1MQ Metabolic & Weight · 5-amino-1-methylquinolinium | Not a Peptide | 15 | 89 | +74 | Not a Peptide. No benefit claim on strong human evidence. 4 serious or common risks. |
| 11 | Dihexa Cognitive & Neurological · N-hexanoic-Tyr-Ile-(6) aminohexanoic amide | Research Use Only | 15 | 89 | +74 | Research Use Only. No benefit claim on strong human evidence. 5 serious or common risks. |
| 11 | Follistatin-344 Bone, Muscle & Other · FST-344 | Research Use Only | 15 | 89 | +74 | Research Use Only. No benefit claim on strong human evidence. 4 serious or common risks. |
| 11 | GDF-11 Longevity & Mitochondrial · Growth Differentiation Factor 11 | Research Use Only | 15 | 89 | +74 | Research Use Only. No benefit claim on strong human evidence. 6 serious or common risks. |
| 11 | Melanotan II Sexual Health & Melanocortin · MT-II | Research Use Only | 15 | 89 | +74 | Research Use Only. No benefit claim on strong human evidence. 6 serious or common risks. |
| 16 | NAD+ (Nicotinamide Adenine Dinucleotide) Longevity & Mitochondrial · NAD | Not a Peptide | 32 | 83 | +51 | Not a Peptide. 1 benefit claim on strong human evidence. 4 serious or common risks. |
| 17 | Adipotide Bone, Muscle & Other · FTPP | Research Use Only | 15 | 82 | +67 | Research Use Only. No benefit claim on strong human evidence. 4 serious or common risks. |
| 17 | FOXO4-DRI Longevity & Mitochondrial · FOXO4-p53 interfering peptide | Research Use Only | 15 | 82 | +67 | Research Use Only. No benefit claim on strong human evidence. 4 serious or common risks. |
| 17 | Pentadeca Arginate (PDA) Healing & Tissue Repair · PDA | Research Use Only | 15 | 82 | +67 | Research Use Only. No benefit claim on strong human evidence. 4 serious or common risks. |
| 20 | Epitalon Longevity & Mitochondrial · Epithalon | Research Use Only | 30 | 81 | +51 | Research Use Only. No benefit claim on strong human evidence. 4 serious or common risks. |
| 20 | LL-37 Antimicrobial & Antibiotic · Cathelicidin | Research Use Only | 30 | 81 | +51 | Research Use Only. No benefit claim on strong human evidence. 4 serious or common risks. |
| 22 | AHK-Cu Skin & Cosmetic · Copper tripeptide-3 | Cosmetic Ingredient | 17 | 78 | +61 | Cosmetic Ingredient. No benefit claim on strong human evidence. 4 serious or common risks. |
| 23 | MK-677 (Ibutamoren) Growth Hormone Axis · Ibutamoren | Not a Peptide | 49 | 77 | +28 | Not a Peptide. 2 benefit claims on strong human evidence. 4 serious or common risks. |
| 24 | Hexarelin Growth Hormone Axis · Examorelin | Research Use Only | 30 | 76 | +46 | Research Use Only. No benefit claim on strong human evidence. 3 serious or common risks. |
| 25 | Angiotensin (1-7) Cardiac & Vascular · Ang-(1-7) | In Clinical Trials | 51 | 75 | +24 | In Clinical Trials. 1 benefit claim on strong human evidence. 3 serious or common risks. |
| 25 | Humanin Longevity & Mitochondrial · HN | Research Use Only | 15 | 75 | +60 | Research Use Only. No benefit claim on strong human evidence. 3 serious or common risks. |
| 27 | DSIP Bone, Muscle & Other · Delta Sleep-Inducing Peptide | Research Use Only | 15 | 73 | +58 | Research Use Only. No benefit claim on strong human evidence. 2 serious or common risks. |
| 28 | GHRP-6 Growth Hormone Axis · Growth Hormone Releasing Hexapeptide | Research Use Only | 30 | 69 | +39 | Research Use Only. No benefit claim on strong human evidence. 2 serious or common risks. |
| 29 | KPV Immune & Anti-inflammatory · Lysine-Proline-Valine | Research Use Only | 15 | 68 | +53 | Research Use Only. No benefit claim on strong human evidence. 2 serious or common risks. |
| 30 | GHK-Cu Skin & Cosmetic · Copper tripeptide-1 | Cosmetic Ingredient | 47 | 66 | +19 | Cosmetic Ingredient. No benefit claim on strong human evidence. 3 serious or common risks. |
| 31 | Thymalin Immune & Anti-inflammatory · Thymus extract peptide complex | Limited Approval | 37 | 65 | +28 | Limited Approval. No benefit claim on strong human evidence. 4 serious or common risks. |
| 32 | Retatrutide Metabolic & Weight · LY3437943 | In Clinical Trials | 49 | 64 | +15 | In Clinical Trials. No benefit claim on strong human evidence. 3 serious or common risks. |
| 33 | Desmopressin Cardiac & Vascular · DDAVP | FDA Approved | 97 | 63 | -34 | FDA Approved. 5 benefit claims on strong human evidence. 3 serious or common risks. |
| 33 | Semaglutide Metabolic & Weight · Ozempic | FDA Approved | 98 | 63 | -35 | FDA Approved. 4 benefit claims on strong human evidence. 3 serious or common risks. |
| 33 | Somatropin (recombinant hGH) Growth Hormone Axis · rhGH | FDA Approved | 93 | 63 | -30 | FDA Approved. 3 benefit claims on strong human evidence. 6 serious or common risks. |
| 33 | Tirzepatide Metabolic & Weight · Mounjaro | FDA Approved | 93 | 63 | -30 | FDA Approved. 3 benefit claims on strong human evidence. 3 serious or common risks. |
| 33 | Vancomycin Antimicrobial & Antibiotic · Vancocin | FDA Approved | 95 | 63 | -32 | FDA Approved. 4 benefit claims on strong human evidence. 3 serious or common risks. |
| 38 | Colistin (Polymyxin E) Antimicrobial & Antibiotic · Colistimethate sodium | FDA Approved | 74 | 61 | -13 | FDA Approved. 1 benefit claim on strong human evidence. 4 serious or common risks. |
| 38 | Selank Cognitive & Neurological · TP-7 | Limited Approval | 37 | 61 | +24 | Limited Approval. No benefit claim on strong human evidence. 3 serious or common risks. |
| 38 | Semax Cognitive & Neurological · ACTH (4-10) Pro-Gly-Pro | Limited Approval | 37 | 61 | +24 | Limited Approval. No benefit claim on strong human evidence. 3 serious or common risks. |
| 41 | AOD-9604 Metabolic & Weight · hGH fragment 176-191 | Research Use Only | 30 | 59 | +29 | Research Use Only. No benefit claim on strong human evidence. 2 serious or common risks. |
| 41 | Ciclosporin (Cyclosporine A) Ophthalmic · Restasis | FDA Approved | 100 | 59 | -41 | FDA Approved. 5 benefit claims on strong human evidence. 3 serious or common risks. |
| 41 | Leuprolide Hormonal & Reproductive · Lupron | FDA Approved | 95 | 59 | -36 | FDA Approved. 4 benefit claims on strong human evidence. 4 serious or common risks. |
| 41 | Oxytocin Hormonal & Reproductive · Pitocin | FDA Approved | 96 | 59 | -37 | FDA Approved. 3 benefit claims on strong human evidence. 3 serious or common risks. |
| 45 | Kisspeptin-10 Hormonal & Reproductive · KP-10 | In Clinical Trials | 49 | 58 | +9 | In Clinical Trials. No benefit claim on strong human evidence. 3 serious or common risks. |
| 46 | Cerebrolysin Cognitive & Neurological · FPF-1070 | Limited Approval | 52 | 57 | +5 | Limited Approval. No benefit claim on strong human evidence. 3 serious or common risks. |
| 46 | Daptomycin Antimicrobial & Antibiotic · Cubicin | FDA Approved | 93 | 57 | -36 | FDA Approved. 3 benefit claims on strong human evidence. 3 serious or common risks. |
| 46 | Glutathione Bone, Muscle & Other · GSH | Limited Approval | 56 | 57 | +1 | Limited Approval. 2 benefit claims on strong human evidence. 3 serious or common risks. |
| 46 | Human Chorionic Gonadotropin (hCG) Hormonal & Reproductive · Pregnyl | FDA Approved | 95 | 57 | -38 | FDA Approved. 4 benefit claims on strong human evidence. 3 serious or common risks. |
| 50 | Noopept Cognitive & Neurological · N-phenylacetyl-L-prolylglycine ethyl ester | Limited Approval | 37 | 56 | +19 | Limited Approval. No benefit claim on strong human evidence. 2 serious or common risks. |
| 51 | Survodutide Metabolic & Weight · BI 456906 | In Clinical Trials | 49 | 55 | +6 | In Clinical Trials. No benefit claim on strong human evidence. 2 serious or common risks. |
| 52 | Teduglutide Gut & Gastrointestinal · Gattex | FDA Approved | 93 | 52 | -41 | FDA Approved. 3 benefit claims on strong human evidence. 3 serious or common risks. |
| 53 | Plecanatide Gut & Gastrointestinal · Trulance | FDA Approved | 76 | 50 | -26 | FDA Approved. 2 benefit claims on strong human evidence. 3 serious or common risks. |
| 54 | Orforglipron Metabolic & Weight · LY3502970 | In Clinical Trials | 70 | 49 | -21 | In Clinical Trials. 3 benefit claims on strong human evidence. 2 serious or common risks. |
| 54 | PT-141 (Bremelanotide) Sexual Health & Melanocortin · Bremelanotide | FDA Approved | 93 | 49 | -44 | FDA Approved. 3 benefit claims on strong human evidence. 2 serious or common risks. |
| 54 | Teriparatide Bone, Muscle & Other · Forteo | FDA Approved | 98 | 49 | -49 | FDA Approved. 4 benefit claims on strong human evidence. 2 serious or common risks. |
| 57 | ARA-290 (Cibinetide) Healing & Tissue Repair · Cibinetide | In Clinical Trials | 51 | 48 | -3 | In Clinical Trials. 1 benefit claim on strong human evidence. 2 serious or common risks. |
| 57 | Biotinoyl Tripeptide-1 (Biotinyl-GHK) Skin & Cosmetic · Biotinyl-GHK | Cosmetic Ingredient | 32 | 48 | +16 | Cosmetic Ingredient. No benefit claim on strong human evidence. |
| 59 | Acetyl Tetrapeptide-3 Skin & Cosmetic · Ac-KGHK-NH2 | Cosmetic Ingredient | 32 | 47 | +15 | Cosmetic Ingredient. No benefit claim on strong human evidence. 1 serious or common risk. |
| 59 | Exenatide Metabolic & Weight · Byetta | FDA Approved | 95 | 47 | -48 | FDA Approved. 4 benefit claims on strong human evidence. 2 serious or common risks. |
| 59 | GHRP-2 Growth Hormone Axis · Pralmorelin | Limited Approval | 54 | 47 | -7 | Limited Approval. 1 benefit claim on strong human evidence. 2 serious or common risks. |
| 59 | Gonadorelin Hormonal & Reproductive · GnRH | Limited Approval | 56 | 47 | -9 | Limited Approval. 2 benefit claims on strong human evidence. 2 serious or common risks. |
| 59 | Linaclotide Gut & Gastrointestinal · Linzess | FDA Approved | 95 | 47 | -48 | FDA Approved. 4 benefit claims on strong human evidence. 3 serious or common risks. |
| 64 | Cagrilintide Metabolic & Weight · CagriSema (with semaglutide) | In Clinical Trials | 49 | 46 | -3 | In Clinical Trials. No benefit claim on strong human evidence. 2 serious or common risks. |
| 64 | Thymosin Alpha-1 Immune & Anti-inflammatory · Tα1 | Limited Approval | 71 | 46 | -25 | Limited Approval. 2 benefit claims on strong human evidence. 2 serious or common risks. |
| 66 | Nesiritide Cardiac & Vascular · Natrecor | FDA Approved | 91 | 45 | -46 | FDA Approved. 2 benefit claims on strong human evidence. 2 serious or common risks. |
| 67 | GPIGS (Pentapeptide-20) Skin & Cosmetic · Pentapeptide-20 | Cosmetic Ingredient | 47 | 44 | -3 | Cosmetic Ingredient. No benefit claim on strong human evidence. 1 serious or common risk. |
| 68 | Davunetide Cognitive & Neurological · NAP | In Clinical Trials | 51 | 43 | -8 | In Clinical Trials. 1 benefit claim on strong human evidence. 2 serious or common risks. |
| 68 | Sermorelin Growth Hormone Axis · GHRH (1-29) | Limited Approval | 54 | 43 | -11 | Limited Approval. 1 benefit claim on strong human evidence. 1 serious or common risk. |
| 68 | Vasoactive Intestinal Peptide (VIP) Immune & Anti-inflammatory · Aviptadil | In Clinical Trials | 34 | 43 | +9 | In Clinical Trials. No benefit claim on strong human evidence. |
| 71 | Mazdutide Metabolic & Weight · IBI362 | Limited Approval | 71 | 42 | -29 | Limited Approval. 2 benefit claims on strong human evidence. 1 serious or common risk. |
| 71 | Tesamorelin Growth Hormone Axis · Egrifta | FDA Approved | 89 | 42 | -47 | FDA Approved. 1 benefit claim on strong human evidence. 1 serious or common risk. |
| 73 | Dulaglutide Metabolic & Weight · Trulicity | FDA Approved | 91 | 40 | -51 | FDA Approved. 2 benefit claims on strong human evidence. 2 serious or common risks. |
| 74 | Liraglutide Metabolic & Weight · Victoza | FDA Approved | 98 | 39 | -59 | FDA Approved. 4 benefit claims on strong human evidence. 2 serious or common risks. |
| 74 | Macimorelin Growth Hormone Axis · Macrilen | FDA Approved | 93 | 39 | -54 | FDA Approved. 3 benefit claims on strong human evidence. 2 serious or common risks. |
| 76 | Elamipretide (SS-31) Longevity & Mitochondrial · SS-31 | FDA Approved | 78 | 36 | -42 | FDA Approved. 3 benefit claims on strong human evidence. 2 serious or common risks. |
| 76 | Insulin Metabolic & Weight · Human insulin | FDA Approved | 95 | 36 | -59 | FDA Approved. 4 benefit claims on strong human evidence. 2 serious or common risks. |
| 78 | Lanreotide Hormonal & Reproductive · Somatuline Depot | FDA Approved | 96 | 34 | -62 | FDA Approved. 3 benefit claims on strong human evidence. 1 serious or common risk. |
| 79 | Larazotide Acetate Gut & Gastrointestinal · AT-1001 | In Clinical Trials | 51 | 31 | -20 | In Clinical Trials. 1 benefit claim on strong human evidence. 1 serious or common risk. |
| 79 | Octreotide Hormonal & Reproductive · Sandostatin | FDA Approved | 93 | 31 | -62 | FDA Approved. 3 benefit claims on strong human evidence. 1 serious or common risk. |
| 81 | Setmelanotide Metabolic & Weight · Imcivree | FDA Approved | 93 | 30 | -63 | FDA Approved. 3 benefit claims on strong human evidence. 1 serious or common risk. |
| 82 | Abaloparatide Bone, Muscle & Other · Tymlos | FDA Approved | 98 | 29 | -69 | FDA Approved. 4 benefit claims on strong human evidence. 1 serious or common risk. |
| 83 | Cenegermin Ophthalmic · Oxervate | FDA Approved | 91 | 26 | -65 | FDA Approved. 2 benefit claims on strong human evidence. |
| 83 | SNAP-8 (Acetyl Octapeptide-3) Skin & Cosmetic · Acetyl glutamyl heptapeptide-1 | Cosmetic Ingredient | 32 | 26 | -6 | Cosmetic Ingredient. No benefit claim on strong human evidence. |
| 85 | Glucagon Metabolic & Weight · GlucaGen | FDA Approved | 93 | 24 | -69 | FDA Approved. 3 benefit claims on strong human evidence. 1 serious or common risk. |
| 86 | Palmitoyl Tripeptide-1 Skin & Cosmetic · Pal-GHK | Cosmetic Ingredient | 49 | 22 | -27 | Cosmetic Ingredient. 1 benefit claim on strong human evidence. |
| 87 | Argireline (Acetyl Hexapeptide-8) Skin & Cosmetic · Acetyl hexapeptide-3 | Cosmetic Ingredient | 51 | 19 | -32 | Cosmetic Ingredient. 2 benefit claims on strong human evidence. |
| 87 | Matrixyl (Palmitoyl Pentapeptide-4) Skin & Cosmetic · Pal-KTTKS | Cosmetic Ingredient | 49 | 19 | -30 | Cosmetic Ingredient. 1 benefit claim on strong human evidence. |
| 89 | Afamelanotide Sexual Health & Melanocortin · Melanotan I | FDA Approved | 95 | 16 | -79 | FDA Approved. 4 benefit claims on strong human evidence. |
How this score is calculated
| Documented harms | high 12 · moderate 5 · low 2 Each risk on the monograph, weighted by how serious or common it is. Capped, so a compound cannot rank high on a long tail of minor complaints. |
|---|---|
| Supply and oversight | Research Use Only 22 · Not a Peptide 14 · In Clinical Trials 12 · Limited Approval 6 · Cosmetic Ingredient 3 Whether anyone is checking what is in the vial. Grey-market research-use-only material is the largest single hazard on this site and is scored that way, separately from whatever the molecule does. |
| What is not known | up to 12 Twelve points where no human has been studied, six where the human evidence is preliminary. An absence of reported harm in an untested compound is not a safety record. |
| Documented interactions | 2 points each, up to 8 Two points for each interaction the monograph lists, up to four. |
The score is capped at one hundred. It is built from what each monograph documents, so it moves when the record moves — a compound whose first real safety study reports moves on its own. It is not a probability, it is not a dose-response, and it cannot be compared between people.
Where risk runs furthest ahead of evidence
Subtracting one score from the other gives the most useful number on this site: how far the documented downside of a compound outruns anything demonstrated about its upside. These ten have the widest gap in the library.
-
+82
BPC-157
Risk 97 against evidence 15. Research Use Only, evidence rated 1 of 5, with 7 serious or common risks documented.
-
+82
MOTS-c
Risk 97 against evidence 15. Research Use Only, evidence rated 1 of 5, with 5 serious or common risks documented.
-
+80
Cartalax
Risk 95 against evidence 15. Research Use Only, evidence rated 1 of 5, with 4 serious or common risks documented.
-
+80
IGF-1 LR3
Risk 95 against evidence 15. Research Use Only, evidence rated 1 of 5, with 4 serious or common risks documented.
-
+80
PE-22-28
Risk 95 against evidence 15. Research Use Only, evidence rated 1 of 5, with 3 serious or common risks documented.
-
+80
PTD-DBM
Risk 95 against evidence 15. Research Use Only, evidence rated 1 of 5, with 3 serious or common risks documented.
-
+74
5-Amino-1MQ
Risk 89 against evidence 15. Not a Peptide, evidence rated 1 of 5, with 4 serious or common risks documented.
-
+74
Dihexa
Risk 89 against evidence 15. Research Use Only, evidence rated 1 of 5, with 5 serious or common risks documented.
-
+74
Follistatin-344
Risk 89 against evidence 15. Research Use Only, evidence rated 1 of 5, with 4 serious or common risks documented.
-
+74
GDF-11
Risk 89 against evidence 15. Research Use Only, evidence rated 1 of 5, with 6 serious or common risks documented.
A positive gap is not a verdict, it is a ratio of what is known. Several compounds here may turn out to work; the point is that today nobody can say so. The other side of the table is the evidence leaderboard.