Tesamorelin

Tesamorelin (tesamorelin acetate) is a synthetic 44-amino-acid analog of human growth hormone-releasing hormone (GHRH) and the only FDA-approved medication for reducing excess abdominal fat in HIV-infected adults with lipodystrophy, marketed as Egrifta. It stimulates endogenous GH and IGF-1 production. Egrifta WR, a new weekly-reconstitution formulation, was FDA-approved in March 2025. Phase 3 trials demonstrated significant visceral fat reduction with a generally well-tolerated safety profile over 26 weeks of therapy.

Growth Hormone SecretagogueGHRH Receptor ActivationLipolytic Fragment ActivityBody Composition
Vendors
19 vendors
Sizes
2 mg – 20 mg
Intake
Injections

Typical dose

1.4-2 mg Once daily

Once daily

Route

Subcutaneous

Administer once daily, typically in the morning or before bed.

Cycle

Continuous Typical duration

Typical duration

Storage

Powder: 2-8°C | Reconstituted: 20-25°C Refrigerated

Follow vendor guidance

Marketplace

Vendor listings

19 offers for Tesamorelin

VendorPriceRatingShippingCOAAction

Certa Peptides

RomaniaFast

$22.99

$11.49/mg

No reviews

1–4 days

Switzerland, United Kingdom +29

None

Reta One Labs

United StatesFast

$39.00

$3.90/mg

No reviews

2 days

United States

None

Biologix Labs

United StatesFast

$43.99

$54.99

$8.80/mg

20%
No reviews

2 Days

United States, Canada

None

HLX LABS

United StatesFast

$44.99

$74.99

$9.00/mg

40%
No reviews

2–5 days

United States

None

Renova Peptides

United StatesFast

$49.00

$4.90/mg

No reviews

3–5 days

United States

None

Trulab Peptides

United StatesFast

$49.00

$24.50/mg

No reviews

2–5 days

Worldwide

None

idunpeptides

United States

$49.99

$5.00/mg

No reviews

3–7 days

United States, United Kingdom +1

None

Ascension Peptides

United StatesFast

$50.03

$89.99

$10.01/mg

44.4%
No reviews

2–5 days

United States

None

What the research reports

Reported research benefits.

Outcomes described across the published literature and ongoing study, not promised results. Read each as research context, not a personal guarantee.

01

Visceral fat reduction

02

Body composition

03

GH stimulation

04

Metabolic health

Dosage and protocol

How it is typically studied.

Tesamorelin is an FDA-approved GHRH analog for HIV-associated lipodystrophy, dosed at 2mg daily via subcutaneous injection. Half-life: 26-38 minutes.

01 Route

Subcutaneous

02 Example range

2mg

03 Frequency

Once daily

04 Timing

Administer once daily, typically in the morning or before bed.

Educational reference only. Use clinician guidance for dosing decisions.

Evidence

What the studies actually show.

1

Visceral fat reduction with tesamorelin is associated with improved liver enzymes in HIV.

VAT responders to tesamorelin showed greater reductions in liver enzymes ALT and AST.

2

Predictors of Treatment Response to Tesamorelin, a Growth Hormone-Releasing Factor Analog, in HIV-Infected Patients with Excess Abdominal Fat.

Metabolic syndrome and elevated triglycerides predicted superior VAT reduction response to tesamorelin.

3

ffects 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.

Tesamorelin reduced VAT by 24% at 26 weeks with sustained benefits at 52 weeks and improved lipid profile.

4

Effects of tesamorelin on inflammatory markers in HIV patients with excess abdominal fat: relationship with visceral adipose reduction.

Tesamorelin decreased fibrinolytic markers and improved adiponectin in association with visceral fat reduction.

Interactions

How it pairs with other peptides.

Tesamorelin + TB-500

Often discussed together in recovery-focused research stacks.

Tesamorelin + GHK-Cu

Sometimes paired in tissue and skin research conversations.

FAQ

Frequently asked questions.

Tesamorelin is a GHRH analog specifically researched and approved for reducing visceral adipose tissue. It's available through compounding pharmacies and has a strong track record for body composition improvement.