Tesamorelin
Also known as: Egrifta · TH9507
An FDA-approved GHRH analog specifically indicated for reducing visceral adipose tissue, with potent effects on body composition.
Overview
Tesamorelin is a synthetic analog of growth hormone releasing hormone (GHRH) that has been modified with a trans-3-hexenoic acid group to improve its stability and potency. It is the only GHRH analog currently FDA-approved (as Egrifta) for the reduction of excess abdominal fat in HIV-infected patients with lipodystrophy. Tesamorelin stimulates the pituitary gland to produce growth hormone, which in turn promotes lipolysis (fat breakdown), particularly of visceral adipose tissue — the metabolically dangerous fat that surrounds internal organs. Clinical trials demonstrated that Tesamorelin reduced trunk fat by approximately 18% over 26 weeks, with significant improvements in triglyceride levels and patient-reported body image.
Beyond its approved indication, Tesamorelin is increasingly used off-label in anti-aging and body composition optimization protocols. It has also shown neuroprotective properties, with research suggesting it may improve cognitive function in older adults at risk for Alzheimer's disease.
Mechanism of Action
Binds to GHRH receptors on pituitary somatotrophs with enhanced stability due to the trans-3-hexenoic acid modification. Stimulates endogenous GH production, which activates hepatic IGF-1 production and promotes lipolysis in visceral adipose tissue.
Key Benefits
Potential Side Effects
Common Stacks
This peptide is commonly combined with the following compounds for synergistic effects:
Known Interactions
The following interactions have been documented for Tesamorelin. Always consult a healthcare professional before combining compounds.
Synergistic (1)
Tesamorelin (GHRH analog) + Ipamorelin (GHRP) is a clean GH-boosting stack. Tesamorelin is FDA-approved for lipodystrophy and pairs well with Ipamorelin's selective GH release.
Scientific References
Quick Reference
Typical Dose
2 mg
Frequency
Once daily
Route
Subcutaneous injection
Half-Life
~26 minutes (but effects last longer due to GH cascade)
Cycle Length
26 weeks (per FDA protocol); can be extended
FDA Status
FDA approved (Egrifta) for HIV-associated lipodystrophy
Need to calculate dosing?
Use our reconstitution calculator to determine exact syringe measurements.
Open CalculatorThis information is for educational purposes only. Consult a qualified healthcare professional before using any peptide. Dosing information reflects commonly reported protocols and may not be appropriate for everyone.
Related Peptides in Growth Hormone Secretagogues
CJC-1295
A long-acting growth hormone releasing hormone (GHRH) analog that stimulates sustained, pulsatile GH release from the pituitary gland.
Read moreIpamorelin
A highly selective growth hormone secretagogue that stimulates GH release without significantly affecting cortisol, prolactin, or appetite.
Read moreSermorelin
A bioidentical GHRH analog representing the first 29 amino acids of natural GHRH, providing the most physiologically natural approach to GH stimulation.
Read more