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Growth Hormone Secretagogues
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Tesamorelin

Also known as: Tesamorelin, Egrifta

A stabilized GHRH analog FDA-approved to reduce excess visceral abdominal fat in HIV-associated lipodystrophy. Studied for its strong effect on visceral adipose tissue.

Last updated

Mechanism of Action

Tesamorelin is a synthetic analog of human GHRH stabilized against enzymatic degradation, binding pituitary GHRH receptors to increase endogenous GH and IGF-1. The resulting GH elevation enhances lipolysis, with a particularly pronounced effect on visceral adipose tissue. It preserves pulsatile GH release while achieving clinically meaningful reductions in deep abdominal fat.

Half-life
Approximately 26-38 minutes
Administration Routes
subcutaneous
Research Status
Clinical

Reported Benefits

  • FDA-approved reduction of visceral abdominal fat in HIV lipodystrophy
  • Increases GH and IGF-1 while preserving pulsatility
  • Improves lipid profile in clinical trials
  • May improve cognition in some studies
  • Selective effect on visceral fat over subcutaneous fat

Potential Side Effects

  • Injection-site reactions (redness, itching, pain)
  • Arthralgia (joint pain) and peripheral edema
  • Tingling or numbness in extremities
  • Possible reduction in glucose tolerance

Common Dosing

The approved clinical regimen is 2 mg once daily by subcutaneous injection. Stated as the labeled clinical dose, not personal advice.

The dosing information above is aggregated from research literature and anecdotal community reports for educational purposes only. It is not a recommendation, prescription, or medical advice. Peptides are sold as research chemicals only and are not intended for human use.

Contraindications

  • Active malignancy
  • Disruption of the hypothalamic-pituitary axis (e.g., pituitary tumor, surgery)
  • Pregnancy
  • Hypersensitivity to tesamorelin or mannitol
  • Tesamorelin

    2011

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  • Metabolic effects of a growth hormone-releasing factor in patients with HIV

    2007

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  • Effects of tesamorelin (TH9507), a growth hormone-releasing factor analog, in human immunodeficiency virus-infected patients with excess abdominal fat: a pooled analysis of two multicenter, double-blind placebo-controlled phase 3 trials with safety extension data

    2010

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  • Effect of tesamorelin on visceral fat and liver fat in HIV-infected patients with abdominal fat accumulation: a randomized clinical trial

    2014

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  • Effects of tesamorelin on non-alcoholic fatty liver disease in HIV: a randomised, double-blind, multicentre trial

    2019

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It is FDA-approved (as Egrifta) to reduce excess visceral abdominal fat in adults with HIV-associated lipodystrophy. Other uses are off-label or investigational.

Clinical trials show it preferentially reduces deep abdominal (visceral) fat, which is more metabolically harmful than subcutaneous fat, via GH-driven lipolysis.

PeptideChat is for educational and research purposes only. Nothing on this site constitutes medical advice. Peptides are sold as research chemicals only and are not intended for human use. These statements have not been evaluated by the FDA and are not intended to diagnose, treat, cure, or prevent any disease. PeptideChat is an independent educational resource — not a pharmacy, compounding, or 503A/503B outsourcing facility — and does not sell products or provide medical advice.