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Tesamorelin

Tesamorelin Acetate

Published: December 7, 2025 Last updated: December 28, 2025 Reviewed by MVP Peptides Editorial Team

Tesamorelin is a synthetic form of growth hormone-releasing hormone (GHRH). It is FDA-approved for reducing excess abdominal fat in HIV patients with lipodystrophy. It has become of interest for its ability to reduce visceral adipose tissue.

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Purity

99%+

Molecular Weight

5135.89 g/mol

Administration

Subcutaneous injection

Storage

Store at 2-8°C or below 25°C for up to 3 months

Mechanism of Action

Tesamorelin binds to GHRH receptors in the pituitary gland, stimulating the production and pulsatile release of growth hormone. The increased GH levels then promote lipolysis, particularly in visceral fat stores.

Sequence:

Trans-3-hexenoic acid-Tyr-Ala-Asp-Ala-Ile-Phe-Thr-Asn-Ser-Tyr-Arg-Lys-Val-Leu-Gly-Gln-Leu-Ser-Ala-Arg-Lys-Leu-Leu-Gln-Asp-Ile-Met-Ser-Arg-Gln-Gln-Gly-Glu-Ser-Asn-Gln-Glu-Arg-Gly-Ala-Arg-Ala-Arg-Leu-NH2

Chemical Structure

Chemical structure of Tesamorelin

Research Areas

  • HIV-associated lipodystrophy
  • Visceral fat reduction
  • Metabolic syndrome
  • NAFLD/NASH
  • Body composition

Potential Benefits

  • Reduced visceral fat
  • Improved body composition
  • Preserved natural GH pulsatility
  • Potential liver benefits
  • Improved metabolic markers

Research Dosing Guidelines

For research purposes only. Not for human consumption.

Typical Dose

2 mg

Frequency

Once daily

Duration

12-26 weeks in clinical trials

Administration

Subcutaneous injection

Inject at same time each day. Can be administered in morning or evening.

Reconstitution Calculator

mg
mcg
2.0 ml
0.5 ml5 ml

U-100 Insulin Syringe

0102030405060708090100

0.2 units

Concentration

1000 mcg/ml

Inject Volume

0.0020 ml

Syringe Units

0.2 IU

Doses Per Vial

1000

For research and educational purposes only. Always follow proper reconstitution and sterile handling protocols.

GHRH Analog Comparison: Tesamorelin vs CJC-1295 vs Sermorelin

All three peptides stimulate growth hormone release through the GHRH receptor, but their pharmacokinetics and clinical validation differ substantially.

GHRH Analog Comparison

FactorTesamorelinCJC-1295 (DAC)Sermorelin
FDA approved?Yes (HIV lipodystrophy)NoPreviously (withdrawn commercially)
Half-life26 minutes~8 days (with DAC)~12 minutes
Dosing2 mg daily1-2 mg weekly200-500 mcg nightly
GH patternNatural pulsatileSustained elevationNatural pulsatile
Primary indicationVisceral fat reductionGeneral GH optimizationAnti-aging, sleep
Clinical evidenceStrongest (Phase III trials)Limited (Phase II)Moderate

Tesamorelin has the strongest clinical evidence base of any GHRH analog, with large-scale trials demonstrating efficacy for visceral fat reduction. However, its daily dosing requirement and higher cost make CJC-1295 and Sermorelin popular alternatives in research settings.

Potential Side Effects

  • Injection site reactions
  • Joint pain
  • Peripheral edema
  • Muscle pain
  • Paresthesia

Storage Requirements

Store at 2-8°C or below 25°C for up to 3 months.

Research References

  • [1]
    Tesamorelin and Visceral Adipose Tissue (2010)
    Strong Evidence Population: HIV-positive adults with abdominal lipohypertrophy (n=412)

    Tesamorelin reduced trunk fat by 15% and visceral adipose tissue significantly in HIV-positive patients with lipodystrophy.

    Limitations: Population-specific (HIV lipodystrophy); effects may differ in general obesity

  • [2]
    Reduction in Visceral Adiposity and Improved Metabolic Profile (2012)
    Strong Evidence Population: HIV-infected adults with lipodystrophy (n=806)

    26-week tesamorelin treatment significantly reduced VAT and improved triglyceride levels without adverse glucose effects.

    Limitations: Treatment effects reversed upon discontinuation; requires ongoing administration

Frequently Asked Questions

What is Tesamorelin?

Tesamorelin is a synthetic form of growth hormone-releasing hormone (GHRH) that is FDA-approved for reducing excess abdominal fat in HIV patients with lipodystrophy. It preserves the natural pulsatile pattern of growth hormone release, making it distinct from direct GH administration.

What are the potential research benefits of Tesamorelin?

Research suggests Tesamorelin may reduce visceral fat, improve body composition, and enhance metabolic markers. By stimulating pulsatile growth hormone release through GHRH receptors, it specifically targets visceral adipose tissue for lipolysis.

How is Tesamorelin typically dosed in research?

Tesamorelin is typically administered at 2 mg once daily via subcutaneous injection at a consistent time each day. Clinical trials have employed 12-26 week protocols, with both morning and evening administration showing efficacy.

What are the side effects of Tesamorelin?

Side effects of Tesamorelin may include injection site reactions, joint pain, peripheral edema, muscle pain, and paresthesia. These effects are generally manageable and consistent with increased growth hormone activity.

How should Tesamorelin be stored?

Tesamorelin should be stored at 2-8°C, or it may be kept below 25°C for up to three months. Following these storage guidelines ensures the peptide maintains its potency and stability.

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