Tesamorelin
GHRH analog (NOT a GLP-1 — safety differs)
Typical dose
1–2 mg
once daily · SubQ
Half-life
~26–38 minutes
What is Tesamorelin?
FDA-approved GHRH analogue (Egrifta). Specifically approved for visceral fat reduction in HIV lipodystrophy.
How Tesamorelin works
Binds pituitary GHRH receptors to stimulate GH secretion, with clinical evidence demonstrating preferential reduction of visceral (intra-abdominal) adipose tissue.
Benefits & uses
- Visceral fat reduction
- GH stimulation
- Cognitive improvement
- Muscle retention
- Anti-aging
- Reduces visceral (abdominal) fat
- Raises IGF-1 / growth hormone
- May improve body composition
- Studied for HIV-associated lipodystrophy
Common uses: Visceral adipose reduction, body composition, GH deficiency, anti-aging.
Tesamorelin dosage
- Typical dose
- Typical: 1–2 mg once daily SubQ. 12+ weeks.
- Protocol notes
- 1-2mg per injection, daily.
Tesamorelin half-life
~26–38 minutes
Tesamorelin side effects
Injection site reactions, fluid retention, arthralgia. May elevate blood glucose.
- Injection site pain, redness, or swelling
- Fluid retention / peripheral edema
- Joint pain (arthralgia)
- Elevated blood glucose — monitor if pre-diabetic
- Injection-site reactions
- Joint pain/swelling
- Fluid retention
- Tingling/numbness (carpal-tunnel-like)
- Raised blood sugar
Warnings & monitoring
- Research use only outside FDA indication
- Avoid in active cancer
- Monitor IGF-1 levels
- Can raise blood sugar / reduce insulin sensitivity — caution with diabetes
- Not for active cancer (raises IGF-1)
- Not for pregnancy
- This is a GHRH analog, not a GLP-1 — different risk profile
Preparation & storage
- Preparation
- Mix a 10 mg vial with 2 mL bac water → 5 mg/mL. A 2 mg dose = 0.4 mL = 40 units.
- Reconstitution
- Reconstitute a 10 mg vial with 2 mL BAC water → 5 mg/mL. A 2 mg dose = 0.4 mL = 40 units on a U-100 syringe.
- Storage
- Refrigerate unreconstituted (2–8 °C). Reconstituted: refrigerate and use within 24 hours.
Tesamorelin interactions
with CJC-1295
Caution · mildTesamorelin and CJC-1295 are both GHRH analogs. Stacking offers no synergy; redundant receptor competition just doubles cost.
Timing: Choose one GHRH analog per protocol
with Ipamorelin
CompatibleTesamorelin (FDA-approved GHRH analogue) and Ipamorelin work through GHRH and ghrelin receptor pathways respectively, providing GH amplification at different times of day.
Timing: Tesamorelin in the morning for visceral fat; Ipamorelin before bed for recovery and sleep
with Ipamorelin
CompatibleTesamorelin's stabilized GHRH plus Ipamorelin's clean GHRP action is a low-side-effect alternative to CJC/Ipa.
Timing: Same injection or back-to-back; nightly fasted
Commonly stacked with
More Growth Hormone Secretagogue
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- CJC-1295 (with DAC)Long-acting growth hormone releasing hormone (GHRH) analog that stimulates…
- GHRP-2Potent GH-releasing hexapeptide. Strongly stimulates GH and mildly raises…
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