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Triptorelin

Aliases: Decapeptyl · Trelstar · Gonapeptyl

Last verified: 2026-09-23

Approved drugStrong evidencePeptidesMedium interest

The short version

A depot GnRH agonist — same indications as leuprolide; also known for (imprudent) micro-dose "PCT restart" use in fitness circles.

Identity & type

Molecular type
analog
Origin
A depot GnRH agonist — same indications as leuprolide; also known for (imprudent) micro-dose "PCT restart" use in fitness circles.

Mechanism of action

GnRHR agonism → desensitization; micro-doses give an acute LH/FSH spike.

Dosing & routes

Official / clinical context

Approved drug — indications, dosing and warnings are defined by the official label. Depot 3.75–22.5 mg; "PCT" micro-dose ~100 mcg once (off-label, risky).

Regulator-approved labeling and published study designs — never a recommendation.

Community-reported practice

Depot 3.75–22.5 mg; "PCT" micro-dose ~100 mcg once (off-label, risky). Similar to leuprolide; stable hormonal suppression in patients with 1–6-month depot formulations.

Unverified self-reports. Not medical advice. Not endorsement.

Expected effects (community)

Similar to leuprolide; stable hormonal suppression in patients with 1–6-month depot formulations.

Protocol — official vs community

Official / label

Trelstar / Decapeptyl and generics, depot IM: 3.75 mg monthly, 11.25 mg q3-month or 22.5 mg q6-month for advanced prostate cancer; other markets approve precocious puberty and assisted-reproduction scheduling.

  1. 01Formulation interval (1/3/6-month depots) selected per indication and duration of therapy

Duration: Months to years per indication, mirroring leuprolide.

Same pharmacology as leuprolide — superactive GnRH agonism with an initial flare before pituitary desensitization. The three depot strengths give the same suppression with different visit cadence.

Community (anecdotal)

A recurring fitness-community practice: a single ~100 mcg subcutaneous 'micro-dose' framed as a one-shot PCT/HPTA restart after anabolic-steroid cycles.

Cycle:
Single dose, sometimes repeated — which is precisely the problem.
Break:

This is the one compound where the compounds.json entry itself flags the practice as imprudent: a GnRH agonist's acute effect is stimulation of LH/FSH, and repeated dosing flips into long-term pituitary desensitization. The 'one micro-dose restart' sits awkwardly between those two regimes and has no clinical evidence behind it.

Human evidence

Approved standard; off-label use undocumented.

Preclinical evidence

The preclinical phase was completed and submitted to regulators as part of registration; pharmacology and toxicology details are part of the official label.

Known risks

  • Depot: suppression; micro-dose: risk of lasting desensitization if repeated.characterized

Teal: characterized in clinical/labeling contexts. Amber: theoretical or reported outside controlled settings.

Unknowns & evidence gaps

  • Real-world data outside controlled trials

Frequently asked questions

References