Selective Androgen Receptor Modulators (SARMs) and PPAR agonists have become widely discussed in online fitness circles, scientific forums, and even doping investigations. While they often get grouped together because they both appear in performance-enhancement conversations, the two categories could not be more different.
SARMs target androgen receptors.
PPAR agonists target metabolic regulatory pathways.
And the intentions behind their development — along with the reasons some athletes misuse them — diverge even further.
This article offers a clear, educational comparison between SARMs and PPAR agonists, why they were created, how they function biologically, and why both classes continue to appear in anti-doping cases around the world.
What SARMs Actually Are
SARMs are synthetic compounds developed to selectively activate androgen receptors in specific tissues — primarily muscle and bone. Researchers originally hoped SARMs could offer the benefits of anabolic steroids but with far fewer side effects. Instead of activating androgen receptors throughout the entire body, SARMs were designed to act only in targeted areas.
Early research suggested potential benefits in:
- muscle-wasting diseases
- osteoporosis
- age-related muscle decline
- recovery from trauma or chronic illness
Common experimental SARMs include compounds like Ostarine (MK-2866), Ligandrol (LGD-4033), Testolone (RAD-140), and S-23. None are approved for human medical use, and research on many of them is incomplete or discontinued.
What PPAR Agonists Are
PPAR agonists are a completely different group of experimental compounds designed to affect peroxisome proliferator-activated receptors — proteins that help regulate metabolism, lipid handling, and energy expenditure.
There are multiple PPAR subtypes (α, δ, γ), each with unique functions. The one most discussed in performance circles is PPARδ, targeted by compounds like Cardarine (GW501516).
Researchers developed PPARδ agonists for potential treatment of:
- metabolic syndrome
- obesity
- insulin resistance
- dyslipidemia
- cardiovascular risk factors
Instead of influencing muscle growth, PPAR agonists work on metabolic pathways that determine how the body uses fats and energy.
Mechanism of Action: Two Completely Different Biological Targets
Understanding the fundamental difference requires looking at what each compound type actually “turns on” inside the body.
SARMs → Androgen Receptors
SARMs bind to androgen receptors in specific tissues. Their effects can include:
- increased muscle protein synthesis
- improved bone mineral density
- possible improvements in strength
- changes in hormone signaling
Their mode of action is similar to anabolic steroids — just more selective.
PPAR Agonists → Metabolic Regulators
PPARδ agonists like Cardarine activate genes related to:
- fat metabolism
- endurance adaptation
- energy expenditure
- lipid regulation
These compounds influence how the body burns fuel rather than how much muscle it builds.
In simple terms:
- SARMs aim to build or preserve muscle.
- PPAR agonists aim to improve metabolic function and endurance pathways.
The goals are different, and so are the risks.
Why Both Classes Ended Up in the Same Online Conversations
Even with totally different biological targets, SARMs and PPAR agonists often get lumped together. This happened for several reasons:
1. Both were abandoned by pharmaceutical companies
Multiple SARMs never completed development due to hormonal impacts or safety concerns.
PPARδ agonists like Cardarine were halted due to tumor formation in animal studies.
2. Both became available through unregulated gray-market vendors
As research stopped, underground distribution increased, especially in “research chemical” form.
3. Both attracted attention from athletes and bodybuilders
Although for different reasons:
- SARMs = muscle / strength expectations
- PPAR agonists = endurance / fat-metabolism expectations
4. Both triggered doping violations
WADA banned SARMs under S1: Anabolic Agents
PPAR agonists like Cardarine are banned under S4: Hormone and Metabolic Modulators
Different categories, same outcome: athletes suspended.
Comparing Their Intended Benefits (Based on Early Research)
While neither SARMs nor PPARδ agonists are approved for human use, early research explored the following areas:
SARMs — Potential Applications
- improving lean muscle mass
- combating sarcopenia
- supporting bone health
- improving functional capacity in illness
PPARδ Agonists — Potential Applications
- increasing fat oxidation
- improving cholesterol profiles
- reducing inflammation
- enhancing endurance-related metabolic pathways
- addressing metabolic syndrome
Again, different problems, different biological systems.
Why Research Was Stopped on Both Classes (For Different Reasons)
Though neither class reached FDA approval, the reasons differ:
Why SARM research slowed
- suppression of natural testosterone
- hormonal imbalances
- concerns about long-term endocrine disruption
- incomplete clinical data
Why PPARδ research stopped
- tumor formation in multiple animal studies
- safety concerns for long-term use
- difficulties controlling metabolic pathways precisely
While SARMs raised hormonal red flags, PPARδ agonists raised carcinogenic concerns.
Why Athletes Have Used SARMs and PPARδ Agonists
Even without approved medical applications, some athletes have used these compounds for performance-related reasons:
SARMs:
- desire for increased strength
- muscle preservation during dieting
- perceived “safer” alternative to steroids
- misunderstanding of the research
PPAR Agonists:
- increased endurance (based on animal data)
- improved fat oxidation
- lack of hormonal suppression
- belief they would be harder to detect
Anti-doping laboratories now routinely screen for both groups.
Safety Concerns and Unknowns
Because both categories lack long-term human data, significant uncertainty remains.
SARMs — Documented Issues
- testosterone suppression
- cholesterol changes
- liver enzyme elevation
- unknown long-term outcomes
- contamination in gray-market products
PPARδ Agonists — Documented Issues
- tumor formation in animal studies
- possible liver strain
- incomplete human data
- metabolic disruptions
- high rates of product mislabeling
In both cases, the gray-market supply introduces risks not present in controlled research environments.
How SARMs and PPAR Agonists Intersect in Research Discussions
Even though they work through different mechanisms, SARMs and PPARδ agonists occasionally appear together in scientific literature. Researchers sometimes examine:
- how muscle-building and metabolic pathways interact
- how compounds influence endurance versus hypertrophy
- the role of gene expression in exercise adaptation
- combined metabolic and anabolic responses in animal models
Some compounds, including Cardarine and certain SARMs, have been explored in research environments to better understand how different molecular pathways contribute to performance and metabolism.
These studies aim to map biological mechanisms — not to endorse human use.
The Bottom Line: Two Very Different Classes With Very Different Risks
SARMs and PPARδ agonists are often discussed side by side, but they are not interchangeable.
SARMs target androgen receptors and were intended to help with muscle and bone disorders.
PPAR agonists target metabolic regulators and were intended to help with diseases linked to metabolism and cardiovascular health.
Both categories:
- remain unapproved
- lack long-term human research
- appear frequently in doping violations
- carry significant risks and unknowns
- are often surrounded by misinformation online
Understanding the distinction helps make sense of why these compounds continue to appear in conversations about research, regulation, and athlete suspensions — even though neither class has achieved legitimate medical approval.