Best Interventions for Muscle Growth, Ranked by Evidence

Every intervention Outliyr has scored for muscle growth, ranked by its BioHarmony score for this use case rather than its overall rating. The number beside each name is how well that one thing works for muscle growth; the tier beside it is what it is worth once safety, cost and effort are counted across everything else.

36 of 96 evaluated interventions score 3.0+ out of 10 for muscle growth · 19 comparisons

Ranked for Muscle Growth

Category
  1. Essential Amino Acids

    8.5–9.0 /10 for muscle growth 7.5–8.0/10 overall Strong recommend Amino Acid

    Jackman 2017 reports Corrected PMID from audit; supports acute BCAA anabolic direction, not stand-alone long-term EAA outcome claims. Kirwan 2022 points in the same direction, but route, dose, baseline status, and outcome…

  2. Creatine Monohydrate

    8.0–8.5 /10 for muscle growth 8.5–9.0/10 overall Strong recommend Vitamin & Mineral & Nutrient

    Chilibeck 2017 reports Older adults; +1.37 kg lean mass; leg press SMD 0.24. Delpino 2022 points in the same direction, but route, dose, baseline status, and outcome tracking decide whether Creatine Monohydrate…

  3. Grass-Fed Whey Protein

    7.5–8.0 /10 for muscle growth 8.0–8.5/10 overall Strong recommend Vitamin & Mineral & Nutrient

    Whey protein directly supplies leucine-rich amino acids needed for muscle protein synthesis. The strongest support comes from Shimomura Y. et al. 2006, but the practical rating stays bounded by study size, replication,…

  4. Blood-Flow Restriction Training

    7.5–8.0 /10 for muscle growth 8.0–8.5/10 overall Strong recommend Resistance & Strength

    Meta-analyses including Lixandrao 2018 confirm low-load BFR can produce hypertrophy similar to heavy-load training while using much lighter loads. The score stays bounded because Blood-Flow Restriction Training evidence for muscle growth can…

  5. TRT (Testosterone Replacement Therapy)

    7.5–8.0 /10 for muscle growth 5.5–6.0/10 overall Neutral Hormone Therapy

    Bhasin 1996 reports Classic androgen dose-response trial; supports anabolic mechanism but used supraphysiologic dosing in normal men, not standard TRT. The score stays conditional because TRT (Testosterone Replacement Therapy) still needs better…

  6. Full-Body EMS

    6.0–6.5 /10 for muscle growth 7.0–7.5/10 overall Strong recommend Resistance & Strength

    WB-EMS recruits high-threshold motor units through involuntary contraction. Kemmler 2021 and Rodrigues-Santana 2023 support muscle-mass gains, but effect size depends heavily on population, protocol, and whether the comparator is active training or…

  7. Glycine

    5.5–6.0 /10 for muscle growth 7.5–8.0/10 overall Strong recommend Vitamin & Mineral & Nutrient

    Soh 2024 anchors the most relevant signal. Glycine fits muscle growth because glycine participates in sleep signaling, glutathione, collagen, methylation, and nervous-system balance, depending on the endpoint. The score stays bounded because…

  8. Whole-Body Vibration

    5.5–6.0 /10 for muscle growth 7.0–7.5/10 overall Strong recommend Vibration & Mechanical Stimulation

    Whole-Body Vibration alone produces only small increases in muscle size, and most gains stem from neural adaptations rather than true hypertrophy. When paired with blood-flow restriction, low-load resistance, or rehabilitation protocols, Whole-Body…

  9. Tongkat Ali

    5.5–6.0 /10 for muscle growth 6.5–7.0/10 overall Worth trying Adaptogenic Herb

    Leisegang 2022 anchors the strongest signal. The existing rationale points to this narrower claim: the cited study is the main lean-mass citation, with support from aging-male and senior trials. Evidence does not…

  10. CJC-1295

    5.5–6.0 /10 for muscle growth 5.5–6.0/10 overall Neutral Growth Hormone Secretagogue

    Teichman 2006 reports CJC-1295 human pharmacology; supports sustained GH/IGF-1 increase and short-duration tolerability, not body-composition or longevity outcomes. Ionescu 2006 points in the same direction, but route, dose, baseline status, and outcome…

  11. Ostarine (MK-2866 / enobosarm)

    5.5–6.0 /10 for muscle growth 4.5–5.0/10 overall Neutral SARM

    This is ostarine's best-evidenced use case and the reason it exists. Multiple placebo-controlled trials show consistent lean-mass gains: roughly +1.4 kg over 12 weeks at 3 mg in healthy older adults (Dalton…

  12. Ca-AKG (Calcium Alpha-Ketoglutarate)

    5.0–5.5 /10 for muscle growth 6.5–7.0/10 overall Worth trying Vitamin & Mineral & Nutrient

    Shahmirzadi 2020 supports direction more than certainty. The existing rationale points to this narrower claim: No hypertrophy RCT data. Nitrogen-balance and burn-care literature is adjacent, not proof of muscle growth in healthy…

  13. Ashwagandha

    5.0–5.5 /10 for muscle growth 6.5–7.0/10 overall Worth trying Adaptogenic Herb

    The evidence points to a plausible use case without proving a universal response. Ferreira et al. 2025 is the best anchor here because it reports overview of 11 systematic reviews, 151 original…

  14. Urolithin A

    5.0–5.5 /10 for muscle growth 6.5–7.0/10 overall Worth trying Exogenous Metabolite

    Human data support a modest muscle-performance signal more than hypertrophy. ATLAS and older-adult trials suggest strength/endurance effects, but not clear muscle-mass gain. That makes Urolithin A more defensible when muscle growth is…

  15. BPC-157

    4.5–5.0 /10 for muscle growth 7.5–8.0/10 overall Strong recommend Growth & Repair Peptide

    Accelerates muscle fiber repair; indirect support for training recovery. BPC-157 is not a proven hypertrophy agent, and WADA status should keep tested athletes away from performance-framed use.

  16. Shilajit

    4.5–5.0 /10 for muscle growth 7.0–7.5/10 overall Strong recommend Adaptogenic Herb

    Testosterone, collagen-marker, and strength-retention findings support a modest muscle-growth adjacency, but hypertrophy outcomes have not been directly tested.

  17. Tesamorelin

    4.5–5.0 /10 for muscle growth 6.0–6.5/10 overall Worth trying Growth Hormone Secretagogue

    GH/IGF-1 signaling can support lean tissue, and Adrian 2019 found increased trunk muscle area and density in HIV tesamorelin responders. Strength transfer and direct hypertrophy outcomes remain modest.

  18. Astaxanthin

    4.0–4.5 /10 for muscle growth 7.5–8.0/10 overall Strong recommend Vitamin & Mineral & Nutrient

    Reduced muscle damage could support training frequency, but no direct hypertrophy evidence supports a higher score.

  19. MK-677 (Ibutamoren)

    3.5–4.0 /10 for muscle growth 4.5–5.0/10 overall Neutral Research Compound

    Muscle growth is supported by the lean-mass data but undercut by what that mass did, which is why it lands mid-range. The Nass 2008 trial confirmed about 1.1 kg of fat-free mass…

  20. Norwegian 4×4

    3.5–4.0 /10 for muscle growth 8.0–8.5/10 overall Strong recommend Cardiovascular

    Minimal hypertrophy signal. Cycling or uphill running can preserve some lower-body capacity, but the stimulus is cardiovascular rather than mechanical-tension dominant.

  21. Rapamycin

    3.5–4.0 /10 for muscle growth 6.5–7.0/10 overall Worth trying Longevity & mTOR Drug

    mTOR inhibition works against muscle protein synthesis signaling; users commonly avoid dose day near hard resistance training.

  22. Sprinting (Sprint Interval Training)

    3.5–4.0 /10 for muscle growth 6.0–6.5/10 overall Worth trying Cardiovascular

    Sprints recruit and preserve fast-twitch muscle but are not a primary hypertrophy stimulus. Keep resistance training if muscle growth is the goal.

  23. SS-31 (Elamipretide)

    3.5–4.0 /10 for muscle growth 6.0–6.5/10 overall Worth trying Mitochondrial & Longevity Peptide

    Improved mitochondrial function supports muscle bioenergetics, but no direct hypertrophy trial exists; the FDA approval is muscle strength in Barth syndrome, not muscle growth.

  24. 5-Amino-1MQ

    3.5–4.0 /10 for muscle growth 4.5–5.0/10 overall Neutral Research Compound

    Aged mice nearly doubled muscle-fiber size after injury (Neelakantan 2019), yet this is an aging-rescue pathway with no evidence it transfers to young, healthy users.

  25. SLU-PP-332

    3.5–4.0 /10 for muscle growth 4.5–5.0/10 overall Neutral Research Compound

    The mechanism favors oxidative remodeling rather than hypertrophy. Billon et al. 2023 reported oxidative fiber changes, but no muscle-growth, lean-mass, or resistance-training endpoint exists in humans.

  26. Electrolytes

    3.0–3.5 /10 for muscle growth 8.5–9.0/10 overall Top-tier Vitamin & Mineral & Nutrient

    Cell hydration supports normal training and protein-synthesis context, but electrolyte blends are permissive rather than anabolic.

  27. GHK-Cu

    3.0–3.5 /10 for muscle growth 7.0–7.5/10 overall Strong recommend Cosmetic & Dermatologic Peptide

    Muscle-growth stays low because GHK-Cu is not a direct anabolic. Collagen and connective-tissue support may help recovery context, but hypertrophy evidence is absent. Pickart 2018 supports tissue-remodeling biology, not muscle gain.

  28. Metformin

    3.0–3.5 /10 for muscle growth 6.5–7.0/10 overall Worth trying Metabolic & Glycemic Drug

    Walton 2019 is a direct negative for hypertrophy-focused users. Metformin is a poor fit for older adults prioritizing resistance-training adaptation unless a clinician has a stronger metabolic reason.

  29. Colostrum

    3.0–3.5 /10 for muscle growth 6.5–7.0/10 overall Worth trying Vitamin & Mineral & Nutrient

    Bovine colostrum contains growth factors, but oral growth factors do not reliably create systemic anabolic signaling. Muscle-growth evidence is weaker than creatine, protein sufficiency, and progressive overload.

  30. Omega-3

    3.0–3.5 /10 for muscle growth 6.5–7.0/10 overall Worth trying Vitamin & Mineral & Nutrient

    Hypertrophy benefit is not reliable. Early muscle-protein-synthesis enthusiasm has not translated into consistent strength or lean-mass gains across newer controlled work.

  31. Quercetin

    3.0–3.5 /10 for muscle growth 6.5–7.0/10 overall Worth trying Botanical Extract (non-adaptogenic)

    Omi 2019 EMIQ plus protein in 40 male athletes showed body composition gains that may include lean mass context. Direct hypertrophy RCTs in resistance-trained adults are not available for quercetin alone. mTOR…

  32. MOTS-c

    3.0–3.5 /10 for muscle growth 6.5–7.0/10 overall Worth trying Mitochondrial & Longevity Peptide

    MOTS-c is not primarily anabolic. AMPK activation can compete with mTOR-driven hypertrophy signaling, so muscle-growth claims should stay modest despite Reynolds 2021 muscle-homeostasis data.

  33. NMN (Nicotinamide Mononucleotide)

    3.0–3.5 /10 for muscle growth 6.0–6.5/10 overall Worth trying Exogenous Metabolite

    No direct hypertrophy evidence supports NMN. Muscle-function data are older-adult and endurance-adjacent, not muscle-growth evidence.

  34. Semaglutide

    3.0–3.5 /10 for muscle growth 6.0–6.5/10 overall Worth trying Metabolic & Incretin Peptide

    Muscle gain is harder during appetite suppression and weight loss; the protocol must include progressive training and high protein.

  35. GHRP-6

    3.0–3.5 /10 for muscle growth 5.0–5.5/10 overall Neutral Growth Hormone Secretagogue

    No human muscle-growth trial exists for GHRP-6. The growth-hormone pulse it produces is real but far smaller than exogenous growth hormone, per Jaffe 1993, and nothing has been measured for hypertrophy in…

  36. MK-777 (Acetamoren)

    3.0–3.5 /10 for muscle growth 4.5–5.0/10 overall Neutral Research Compound

    Inferred from MK-677, which increased fat-free mass without reliable strength gains. No MK-777 data exists, capping this below a tested compound.

What each one costs

Monthly out-of-pocket cost at the most accessible legitimate channel, at the dose the score was given for. 10 of 36 are not priced yet; those cells are left blank rather than guessed.

InterventionMonthly costAt doseHow you get it
Essential Amino Acids Not priced yet
Creatine Monohydrate Not priced yet
Grass-Fed Whey Protein $40–$8020-40 g proteinOver the counter
Blood-Flow Restriction Training Not priced yet
TRT (Testosterone Replacement Therapy) $50–$300Clinician-selected formulation at the lowest dose likely to restore physiologic testosteronePrescription
Full-Body EMS Not priced yet
Glycine $2–$33 g oral glycineOver the counter
Whole-Body Vibration $50–$10030 Hz, roughly 0.3g, 10-20 min standingOver the counter
Tongkat Ali $20–$40200 mg/day Physta standardized extractOver the counter
CJC-1295 $80–$2001-2 mg subcutaneousGrey market
Ostarine (MK-2866 / enobosarm) Not priced yet
Ca-AKG (Calcium Alpha-Ketoglutarate) $15–$301 g/day generic Ca-AKG oralOver the counter
Ashwagandha $15–$30300 mg KSM-66 with breakfast and 300 mg with dinnerOver the counter
Urolithin A $50–$100500 mg/dayOver the counter
BPC-157 $40–$80250 to 500 mcg SC 1 to 2x/day near injury siteGrey market
Shilajit $25–$50500 mg purified shilajitOver the counter
Tesamorelin $250–$5002 mg subcutaneous daily in the eveningPrescription
Astaxanthin Not priced yet
MK-677 (Ibutamoren) $30–$6010 to 12.5 mgGrey market
Norwegian 4×4 Not priced yetOver the counter
Rapamycin $15–$503 mgPrescription
Sprinting (Sprint Interval Training) Not priced yet
SS-31 (Elamipretide) $200–$5005-10 mg/day subcutaneousGrey market
5-Amino-1MQ $95–$19050 to 100 mg oral, once dailyGrey market
SLU-PP-332 $30–$803-5 mg/day oralResearch use only
Electrolytes Not priced yet
GHK-Cu $30–$1000.5-3% topical serum or creamOver the counter
Metformin $4–$30500 mg with dinner for 1 week, then 500 mg twice daily for 1 week, then increase by 500 mg/week toward 1000 mg twice daily as toleratedPrescription
Colostrum $60–$8020 g/day powder, split AM/PM if toleratedOver the counter
Omega-3 $20–$401-2 g/day combined EPA+DHAOver the counter
Quercetin $20–$50200 mg/dayOver the counter
MOTS-c $100–$2005-10 mg SCResearch use only
NMN (Nicotinamide Mononucleotide) $40–$100500 mg/day oralOver the counter
Semaglutide $199–$3490.25 mg weeks 1 to 4, 0.5 mg weeks 5 to 8, 1.0 mg weeks 9 to 12, 1.7 mg weeks 13 to 16, 2.4 mg week 17 onwardPrescription
GHRP-6 $20–$40100 mcgGrey market
MK-777 (Acetamoren) Not priced yet

Comparisons that judge muscle growth

Head-to-head reports and category rankings that name a winner on this use case.

7 more comparisons touch on muscle growth →

Questions about muscle growth

What scores highest for muscle growth?

Essential Amino Acids, at 8.5–9.0 out of 10 for muscle growth. Jackman 2017 reports Corrected PMID from audit; supports acute BCAA anabolic direction, not stand-alone long-term EAA outcome claims.

What is the cheapest thing that works for muscle growth?

Of the top-scoring options, Glycine is the least expensive at about $2 a month, scoring 5.5–6.0 out of 10 for muscle growth.

How many interventions has Outliyr scored for muscle growth?

36 of the 96 interventions evaluated for muscle growth score 3.0 out of 10 or better, which is the cut-off for appearing on this page.