SARM • Ligand Pharma / Viking Therapeutics • Phase 1 RCT

LGD-4033 (Ligandrol): Strength-Class SARM

Last updated: March 2026

1.21kg of lean mass in just 21 days at 1mg/day — the Phase 1 data that put Ligandrol on the map. Stronger than Ostarine, more suppressive, and still nowhere near FDA approval. Here's the research.

0
Common Research Dose
(Daily)
0
Lean Mass in 21 Days
(1mg, Phase 1 Trial)
0
Elimination Half-Life
(Long-Acting)
🚨Regulatory Status Warning

LGD-4033 (Ligandrol) is NOT FDA approved for any human use. It is a research chemical, not a dietary supplement. Viking Therapeutics continues clinical development under the name VK5211 for hip fracture recovery, but no SARM has received FDA approval.

All SARMs are banned by WADA. LGD-4033 is frequently detected in anti-doping tests — multiple athletes across UFC, CrossFit, and Olympic sports have tested positive. This page presents research data for educational purposes only.

NOT FDA APPROVED WADA BANNED RESEARCH CHEMICAL

How LGD-4033 Works

LGD-4033 is a non-steroidal SARM with high affinity and selectivity for the androgen receptor. It demonstrates stronger binding affinity than Ostarine, which translates to more potent anabolic effects at lower doses — but also more pronounced hormonal suppression.

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High-Affinity AR Binding

LGD-4033 binds the androgen receptor with a Ki of approximately 1 nM — among the highest affinities of any SARM. This tight binding translates to potent activation of anabolic pathways in muscle and bone at very low doses (effects visible at 0.3mg/day in trials). The selectivity ratio favors muscle over prostate, but less so than Ostarine.

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Dose-Dependent Anabolism

The Basaria Phase 1 trial showed a clear dose-response: 0.1mg (+0.2kg LBM), 0.3mg (+0.6kg LBM), 1.0mg (+1.21kg LBM) over just 21 days. This linear response at low doses suggests even higher gains at research doses (5-10mg), though no controlled data exists at these levels. Mechanism involves enhanced nitrogen retention and mTOR pathway activation.

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Bone & Recovery Applications

Viking Therapeutics is developing VK5211 (LGD-4033) specifically for recovery from hip fracture surgery. The rationale: SARMs can preserve and build lean mass during the immobilization period after surgery, potentially reducing recovery time and fall risk. Phase 2 hip fracture trials showed positive results on lean body mass endpoints.

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HPG Axis Suppression

LGD-4033 causes significant dose-dependent suppression of the hypothalamic-pituitary-gonadal axis. At 1mg/day for 21 days, total testosterone dropped ~50%, free testosterone dropped ~40%, and LH and FSH were significantly reduced. This is more suppressive than Ostarine at equivalent timeframes. Recovery occurred within 56 days of cessation in the trial.

What the Research Shows

LGD-4033 has Phase 1 safety data and Phase 2 data in hip fracture patients (VK5211). The Phase 1 trial by Basaria et al. is the most cited SARM trial in the literature.

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Key trial: Basaria et al. (2013) — 76 healthy men, randomized, double-blind, placebo-controlled. Doses: 0.1, 0.3, and 1.0 mg/day for 21 days. This is the gold-standard Phase 1 SARM trial and the basis for most LGD-4033 research dose extrapolations.

Lean Body Mass Gain at 1.0mg/day (21 days)
Basaria et al. — Statistically significant vs placebo; dose-dependent linear response
+1.21kg
Lean Body Mass Gain at 0.3mg/day (21 days)
Lower dose still showed measurable anabolic effect in just 3 weeks
+0.6kg
Total Testosterone Suppression (1.0mg, 21 days)
Significant HPG axis suppression — more pronounced than Ostarine at comparable timeframes
~50%
Hormone Recovery Timeline (Post-Cessation)
Testosterone returned to baseline within 56 days after stopping — no PCT used in trial
~56 days
VK5211 Phase 2 — Hip Fracture Recovery (LBM)
Viking Therapeutics Phase 2: significant lean mass preservation in hip fracture patients
Positive
Liver Enzyme Elevation Risk
Mild at 1mg clinical dose; case reports of DILI at 5-10mg+ research doses
Dose-dependent

Side Effects & Risks

LGD-4033 is stronger than Ostarine — which means the side effect profile is also more pronounced, especially at research doses above the clinical 1mg.

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Hormonal & Liver Risks
  • Significant testosterone suppression (~50% at 1mg/day)
  • LH, FSH, and SHBG all suppressed dose-dependently
  • Case reports of drug-induced liver injury (DILI) at higher doses
  • ALT/AST elevation — hepatotoxicity concerns at 5-10mg+
  • PCT commonly recommended after research-dose cycles
  • Recovery to baseline took ~56 days at clinical doses
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Cardiovascular & Other
  • HDL cholesterol reduction observed — lipid profile impact
  • Total cholesterol changes — cardiovascular risk factor
  • Water retention reported anecdotally at higher doses
  • Headaches, fatigue during suppression window
  • Potential prostate effects less studied than Ostarine
  • Long-acting (36hr t½) — slow washout if problems occur

Study Citations

Study 1 — Phase 1 Dose-Escalation Trial (Landmark)
The safety, pharmacokinetics, and effects of LGD-4033, a novel nonsteroidal oral, selective androgen receptor modulator, in healthy young men
Basaria S et al.J Gerontol A Biol Sci Med Sci, 2013Phase 1 RCT
Study 2 — VK5211 Phase 2 Hip Fracture Recovery
Viking Therapeutics VK5211 Phase 2 clinical trial for hip fracture recovery — lean body mass and functional outcomes
Viking TherapeuticsClinicalTrials.gov, 2018Phase 2 RCT
NCT02578095
Study 3 — SARM Safety & Hepatotoxicity Review
Drug-induced liver injury associated with the use of selective androgen receptor modulators — case series and review
Flores JE et al.Hepatol Commun, 2020Case Series

Key Takeaways

✅ What We Know
  • Phase 1 RCT confirmed dose-dependent lean mass gains in healthy men
  • 1.21kg LBM in 21 days at just 1mg/day — potent at low doses
  • Viking Therapeutics advancing VK5211 for hip fracture recovery
  • 36-hour half-life allows once-daily dosing
  • Stronger than Ostarine mg-for-mg, but more suppressive
  • Hormone recovery occurred within ~56 days in Phase 1
⚠️ What We Don't Know
  • No controlled data at research doses (5-10mg) — only Phase 1 at ≤1mg
  • Hepatotoxicity risk at higher doses — case reports are concerning
  • Long-term cardiovascular impact from chronic lipid changes
  • Whether PCT accelerates recovery vs natural recovery
  • Research chemical purity and consistency issues
  • Cancer risk with chronic androgen receptor activation

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⚠️ Important Disclaimer

This page is for educational and informational purposes only. It is not medical advice. LGD-4033 (Ligandrol/VK5211) is NOT FDA approved for human use. It is a research chemical and is not a dietary supplement. The FDA has issued warning letters to companies marketing SARMs. All SARMs are banned by WADA in competitive sport. Always consult a qualified healthcare provider. MeetPeptide does not sell SARMs or endorse their use outside of legitimate research contexts.