F*CK Getting Old

Peptide Database

Tesamorelin

2 mg · Daily

Evidence

4.0/5
Human Studies
25
Animal Studies
15
Clinical Status
FDA Approved
Confidence
Moderate
Long-Term Safety
Well-established for the approved indication through Phase 3 trials and post-approval use; off-label general use in men without HIV-lipodystrophy is far less studied

What this score is: a measure of how much research exists and how far along it is (animal-only vs. human trials, research-stage vs. FDA approved) — not how safe, effective, or worth trying a compound is. A low score usually means “early stage” or “understudied,” not “bad.” A high score doesn’t mean “better” for your goals than a lower-scored one.

This is not my personal rating of the compound, not a recommendation, and not medical advice. It’s a general research synthesis for informational purposes only, not a live literature count. See the linked research and talk to a licensed clinician before making decisions based on it.

Mechanism

Tesamorelin is a stabilized GHRH analogue that stimulates pituitary GH release. It is FDA-approved (as Egrifta) specifically for reducing excess visceral fat in HIV-associated lipodystrophy, and is one of the few GH secretagogues with real Phase 3 trial data — though not for general anti-aging or fat-loss use in men without that condition.

Common Protocols

  • 2 mg subcutaneous daily per approved labeling for its indicated use
  • Off-label use for general visceral fat reduction is common but outside what the trials studied

Side Effects

  • Injection site reactions (common)
  • Joint pain, swelling in extremities from fluid retention
  • Can raise blood glucose — monitor if pre-diabetic or diabetic

Interactions

  • May reduce effectiveness of drugs metabolized by CYP3A4 — flag any other prescription medications to a clinician

Practical Details

Cost
$$$
Typical Vial Size
10 mg
Storage
Refrigerate after reconstitution

Research Links

GHRH analogue; FDA-approved for HIV-associated lipodystrophy