For informational and research purposes only. Not medical advice. Content is aggregated from public sources. Always consult a qualified healthcare provider.
Performance & Growth Hormone · Comparison

Follistatin 344 vs Ghrelin

A neutral, side-by-side comparison of two performance & growth hormone peptides — their mechanisms, dosing ranges, administration routes, side effects, and research evidence. For research and educational purposes only.

Follistatin 344Ghrelin
CategoryPerformance & Growth HormonePerformance & Growth Hormone
Also known asFST-344, Follistatin isoform 344, FSTGHRL, growth hormone-releasing peptide endogenous, ghrelinergic peptide, acyl ghrelin
EvidenceResearch-stageInvestigational (in trials)
Dosing range50mcg–200mcg mcg, Once daily or every other day for 10–30 day cycles0.5mcg/kg–2mcg/kg mcg/kg, IV or SC bolus; endogenous levels peak pre-meal
AdministrationSubcutaneous injection, Intramuscular injection (into target muscle — local effect hypothesis)Intravenous (research), Subcutaneous injection
Key side effectsPotential FSH suppression (reproductive effects in females — may affect menstrual cycle), Accelerated hair follicle cycling (Wnt pathway involvement — theoretical hair loss concern at high doses), Joint discomfort with rapid muscle tissue growth, Limited long-term human safety dataAppetite stimulation, Transient hyperglycemia, Water retention, GH pulse stimulation
Cited sources3 references2 references

Key differences

  • Evidence level differs: Follistatin 344 is research-stage, while Ghrelin is investigational (in trials).
  • Administration: Follistatin 344 — Subcutaneous injection, Intramuscular injection (into target muscle — local effect hypothesis); Ghrelin — Intravenous (research), Subcutaneous injection.
  • Dosing units differ: Follistatin 344 is dosed in mcg, Ghrelin in mcg/kg — they operate at different scales.
  • Frequency: Follistatin 344 is typically Once daily or every other day for 10–30 day cycles; Ghrelin is IV or SC bolus; endogenous levels peak pre-meal.
  • Research depth: this profile cites 3 sources for Follistatin 344 vs 2 for Ghrelin.

How each works

Follistatin 344

Follistatin's muscle effects were dramatically illustrated when mice and cattle with follistatin overexpression or myostatin knockouts developed 2–3x normal muscle mass. Human follistatin gene therapy trials (AAV-mediated) are ongoing for Becker Muscular Dystrophy, showing sustained myostatin inhibition and improved muscle function over years from a single injection. Follistatin also inhibits activin A and B (involved in muscle wasting during illness), FSH secretion (reproductive effects), and inflammatory cytokines. The 344 isoform has an extended heparin-binding domain that increases tissue retention compared to the shorter FST-288 isoform.

Ghrelin

Ghrelin was discovered in 1999 as the endogenous ligand for the GHS-R1a receptor. Its acylated form activates GH release from the pituitary, stimulates appetite via NPY/AgRP hypothalamic neurons, and modulates energy homeostasis and fat storage. The des-acyl form (majority of circulating ghrelin) lacks GHS-R1a activity but has independent cardiovascular and cellular effects.

Read the full Follistatin 344 profileRead the full Ghrelin profile

This comparison aggregates public research and structured profile data for informational purposes only. It is not medical advice and does not recommend either compound for human use. Consult a qualified healthcare provider before considering any peptide.