Tesamorelin
Also known as: Egrifta, Egrifta WR, Egrifta SV, TH9507, Tesamorelin F8
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Key Facts: Tesamorelin
- Category
- Growth Hormone
- FDA Status
- FDA Approved
- Clinical Status
- FDA Approved - HIV lipodystrophy (March 2025: F8 formulation approved)
- Administration
- Subcutaneous injection
- Typical Dose
- 2 mg daily (F8: 1.28 mg daily)
- Frequency
- Once daily
- Duration
- Indefinite for approved indication
Mechanism of Action
Tesamorelin tells the pituitary gland to release the body's own growth hormone by acting on GHRH receptors, rather than injecting growth hormone directly. Because it works upstream, it produces a more natural, pulsing pattern of growth-hormone release. The molecule is GHRH 1-44 with a trans-3-hexenoic acid group added to the N-terminus, and that modification slows enzymatic degradation so the signal lasts longer than native GHRH. The downstream rise in growth hormone and IGF-1 is what drives the reduction in visceral fat seen in trials. This is a genuinely upstream, receptor-based mechanism, well characterized in human studies.
Research Summary
The approval rests on real randomized, placebo-controlled human trials. The pivotal study by Falutz and colleagues (New England Journal of Medicine, 2007) showed that six months of tesamorelin selectively reduced visceral abdominal fat in HIV patients while improving lipid profiles, without meaningful harm to blood sugar control. Later randomized work (including a JAMA-published trial led by Stanley) confirmed reductions in visceral fat and liver fat. A small placebo-controlled study in non-HIV adults with abdominal obesity also found a meaningful visceral fat reduction over 26 weeks, hinting at broader potential, though that is far less established than the HIV indication. Side effects can include joint pain, swelling, and increases in IGF-1, and growth-hormone-axis drugs warrant caution in people with cancer history or uncontrolled diabetes. In short: well proven for HIV-associated visceral fat, promising but not approved for general use.
Dosing Information
Typical Dosingⓘ
Community experience
2 mg daily (F8: 1.28 mg daily)
1.28-2 mg daily
Once daily
FDA-approved dose is 2 mg (original) or 1.28 mg (F8/Egrifta WR formulation). Inject subcutaneously in abdomen. F8 requires weekly reconstitution vs daily.
Research Dosingⓘ
Scientific studies
FDA-approved dosing
Doses from Studies
2 mg once daily
Duration
Indefinite for approved indication
Administration
Subcutaneous injection
Timing & Administration
Best Time to Take
Before bed (fasted)
Once daily before bed
Food Recommendation
Take on empty stomach
Why This Timing?
FDA-approved GHRH analog works best on empty stomach, timed with natural GH release during sleep.
Possible Side Effects
Not everyone experiences these effects. Individual responses vary based on dosage, duration, and personal factors.
- ●Injection site reactions (common)
- ●Joint pain
- ●Peripheral edema
- ●Pain in extremities
- ●Muscle pain
- ●Increased diabetes risk
- ●May elevate blood glucose
- ●Allergic reactions including anaphylaxis (rare)
- ●FDA approved for HIV lipodystrophy
References
- https://www.nejm.org/doi/full/10.1056/NEJMoa072375
- https://jamanetwork.com/journals/jama/fullarticle/1889139
- https://pmc.ncbi.nlm.nih.gov/articles/PMC4363137/
- https://www.sciencedirect.com/topics/medicine-and-dentistry/tesamorelin
Research This Peptide Further
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Tesamorelin from $100/kit
5 verified vendors, ≥99% purity, COAs included.
Frequently Asked Questions
What does Tesamorelin do?
Tesamorelin is a stabilized analog of growth-hormone-releasing hormone (GHRH 1-44) with a chemical modification that protects it from rapid breakdown. It is FDA-approved (brand name Egrifta) to reduce excess visceral abdominal fat in people with HIV-associated lipodystrophy, which makes it one of the few growth-hormone-axis peptides with a real approval behind it. Its evidence base is solid for that specific population and thinner for the general anti-aging and fat-loss uses it gets promoted for online.
How does Tesamorelin work?
Tesamorelin tells the pituitary gland to release the body's own growth hormone by acting on GHRH receptors, rather than injecting growth hormone directly. Because it works upstream, it produces a more natural, pulsing pattern of growth-hormone release. The molecule is GHRH 1-44 with a trans-3-hexenoic acid group added to the N-terminus, and that modification slows enzymatic degradation so the signal lasts longer than native GHRH. The downstream rise in growth hormone and IGF-1 is what drives the reduction in visceral fat seen in trials. This is a genuinely upstream, receptor-based mechanism, well characterized in human studies.
Is Tesamorelin FDA approved?
Yes, Tesamorelin is FDA approved. FDA Approved - HIV lipodystrophy (March 2025: F8 formulation approved)
What are the side effects of Tesamorelin?
Reported side effects include: Injection site reactions (common), Joint pain, Peripheral edema, Pain in extremities, Muscle pain. Individual responses vary based on dosage, duration, and personal health factors.
What is the typical dose of Tesamorelin?
Community-reported common dose: 2 mg daily (F8: 1.28 mg daily) (Once daily). Range: 1.28-2 mg daily. Administration: Subcutaneous injection. Community-reported doses. Not medical advice. Consult healthcare provider.
Related Peptides
Peptides commonly compared with Tesamorelin or used in similar applications.
Ipamorelin
Clinical TrialsIpamorelin is a synthetic pentapeptide growth hormone secretagogue developed by Novo Nordisk and derived from GHRP-1. It is researched mainly for stimulating the body's own growth hormone (GH) release, and was studied in humans primarily for postoperative ileus and gut motility rather than anti-aging. It is not an approved drug anywhere: it reached Phase II trials, was discontinued for insufficient efficacy, and is now sold only as a research chemical.
Growth HormoneMK-677
Clinical TrialsMK-677 (ibutamoren) is not actually a peptide, it is a small, orally active non-peptide molecule that mimics ghrelin, your hunger and growth-hormone hormone. Taken as a daily pill, it reliably pushes up growth hormone and IGF-1 levels, which is why it is popular for muscle and recovery. It has been through real human trials but was never approved as a drug, and the trials that mattered most for older adults and Alzheimer's came up short.
Growth HormoneCJC-1295 (No DAC)
Clinical TrialsCJC-1295 is a synthetic analog of growth hormone-releasing hormone (GHRH), specifically a modified GHRH(1-29), engineered for a long duration of action. The form most people mean by CJC-1295 includes a Drug Affinity Complex (DAC) that binds blood albumin to extend its half-life to roughly 6 to 8 days, raising GH and IGF-I for days from a single injection. It was developed by ConjuChem, reached Phase II trials and was abandoned; it is not an approved drug and is sold only as a research chemical. A version without DAC (Modified GRF 1-29) acts for only about 30 minutes.
Growth HormoneGHRP-6
Clinical TrialsGHRP-6 is a synthetic six-amino-acid peptide (His-D-Trp-Ala-Trp-D-Phe-Lys-NH2) that tricks the body into releasing its own growth hormone. It was one of the first growth hormone secretagogues ever made, and the hunt to find out why it worked led scientists straight to the discovery of ghrelin. It has no approval as a drug anywhere and is used only as a research compound.
Growth HormoneGHRP-2
Clinical TrialsGHRP-2 (generic name pralmorelin) is a synthetic hexapeptide growth hormone secretagogue and a second-generation cousin of GHRP-6. It prompts the pituitary to release growth hormone and is the one peptide in this family with an actual regulatory approval: it is licensed in Japan as a diagnostic agent for growth hormone deficiency. Outside that narrow diagnostic use it has no approval and is sold elsewhere only as a research compound.
Growth HormoneSermorelin
PreclinicalSermorelin is a 29-amino-acid fragment of human growth hormone-releasing hormone (GHRH), and it is the shortest piece of GHRH that still works fully. It asks the pituitary to make and release its own growth hormone rather than injecting GH itself. It was once an FDA-approved drug for diagnosing and treating growth hormone deficiency in children, but the manufacturer pulled it from the market in 2008, so today it is available mainly through compounding pharmacies for off-label use.
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