Sermorelin vs Tesamorelin: Research Comparison

Built from the Sermorelin, Tesamorelin research profiles · Profiles last updated October 1, 2026 · Reviewed by The Peptide Dispatch Editorial Team

TL;DR

This page compares Sermorelin and Tesamorelin using only their research-profile data. Sermorelin (research stage: Discontinued; half-life: 10-20 minutes). It is a short copy of the hormone that tells the pituitary gland to release growth hormone. Tesamorelin (research stage: FDA-approved; half-life: Not established in published research). It is a lab-made version of the hormone that tells the pituitary gland to release growth hormone. Educational summary, not medical advice.

Where each point comes from: Clinicalhuman trials and FDA labels   Lab / animalrodent, cell and ex vivo studies   Community-reporteduser experience and commonly used protocols, not from clinical studies

Educational summary. Everything below is taken from each compound's research profile and describes what was reported in the cited studies — not a promise of results, a dose recommendation, or an endorsement for human use. Not medical advice. Full disclaimer.

Side-by-side comparison

SermorelinTesamorelin
CategoryGrowth HormoneGrowth Hormone
Research statusDiscontinuedFDA-approved
Regulatory note (as of Sept 2026)Previously FDA-approved (Geref), since discontinued in the US; compounded sermorelin is not an FDA-approved product.
Regulatory tracker →
Approved prescription product (Egrifta) for HIV-associated lipodystrophy only. Use for general fat loss or anti-aging is off-label. Not addressed by the April 2026 503A Category 2 removals or the July 2026 PCAC votes.
Regulatory tracker →
Half-life10-20 minutesNo published PK data found
Administration routeSubcutaneous injectionSubcutaneous injection
Dosing used in published research (not a recommendation)Diagnostic: 1 µg/kg IV single dose; pediatric GHD treatment: 30 µg/kg SC once daily at bedtime.2 mg subcutaneously daily; pooled analysis of two multicenter double-blind placebo-controlled phase 3 trials, 806 ART-treated HIV patients with excess abdominal fat (543 tesamorelin, 263 placebo), 26-week core plus 26-week extension
Community-reported protocol (not from clinical studies)Community-reported100–300 mcg, subcutaneous injectionCommunity-reported2 mg daily, subcutaneous injection
How it works (as summarized from the cited research)In plain terms: It is a short copy of the hormone that tells the pituitary gland to release growth hormone. GHRH fragment (GRF 1-29) that stimulates growth hormone secretion from the anterior pituitary (review, Prakash 1999).In plain terms: It is a lab-made version of the hormone that tells the pituitary gland to release growth hormone. Synthetic GHRH analog with trans-3-hexenoic acid modification, stimulates natural GH release.
Effects reported in research (study subjects as stated)
  • Physiology studies describe natural pulsatile GH release
  • ClinicalFormerly FDA-approved for pediatric GHD; no longer marketed in the US.
  • ClinicalVisceral fat reduction in ART-treated HIV patients: -24 cm2 VAT vs +2 cm2 on placebo at 26 weeks (~15% treatment effect); not studied for the general population
  • ClinicalFDA approved
  • ClinicalEffect is specific to visceral fat; the same trials found no significant change in abdominal subcutaneous fat
  • ClinicalNo clinically meaningful change in glucose parameters at 26 and 52 weeks in the phase 3 trials
Potential side effects
  • Transient facial flushing
  • Injection-site pain
  • Headache
  • Injection-site reactions, arthralgia, peripheral oedema and paraesthesia are the reported events
  • ClinicalIGF-1 rose by a mean of about 108 ng/mL versus a small decline on placebo - IGF-1 monitoring is part of clinical use
  • ClinicalThe phase 3 programme found no clinically meaningful differences in glucose parameters at 26 or 52 weeks
  • Benefits regress after discontinuation
Profile descriptionThe first 29 amino acids of natural GHRH; physiology studies describe physiological (pulsatile) GH release patterns. Formerly FDA-approved for pediatric GHD; no longer marketed in the US.FDA-approved GHRH analog for reducing excess abdominal visceral fat in HIV-infected patients with lipodystrophy. In phase 3 trials in ART-treated HIV patients, visceral fat changed by -24 cm2 versus +2 cm2 on placebo at 26 weeks, with no clinically meaningful change in glucose parameters at 26 and 52 weeks.
References cited on the profile22

Key differences in the published research

  • Research status: Sermorelin — Discontinued; Tesamorelin — FDA-approved.
  • FDA approval: only Tesamorelin carries an “FDA-approved” research status.
  • Category: the same on every profile (Growth Hormone).
  • Reported half-life: Sermorelin — 10-20 minutes; Tesamorelin — No published PK data found.
  • Administration route in the literature: the same on every profile (Subcutaneous injection).
  • Evidence cited: Sermorelin’s profile lists 2 references; Tesamorelin’s profile lists 2 references.

Regulatory status

  • Sermorelin: Previously FDA-approved (Geref), since discontinued in the US; compounded sermorelin is not an FDA-approved product. Details →
  • Tesamorelin: On the FDA peptide regulatory tracker: FDA-approved. Details →

For the sourced, dated status of every peptide in FDA's 2026 compounding actions, see the FDA peptide regulatory tracker.

Frequently Asked Questions

Which has more human data?
Going by the research status on each profile (Sermorelin: Discontinued; Tesamorelin: FDA-approved), the labels are not on a single scale of human testing, so this page does not rank them. Each profile's References section lists the studies, with the species and study type.
What are the half-lives?
Sermorelin: 10-20 minutes. Tesamorelin: No published PK data found. Figures are as reported in the cited studies, with the species where stated.
Are they FDA-approved?
Sermorelin: research status “Discontinued”. Previously FDA-approved (Geref), since discontinued in the US; compounded sermorelin is not an FDA-approved product. Tesamorelin: research status “FDA-approved”. Approved prescription product (Egrifta) for HIV-associated lipodystrophy only. Use for general fat loss or anti-aging is off-label. Not addressed by the April 2026 503A Category 2 removals or the July 2026 PCAC votes. See the FDA peptide regulatory tracker for sourced compounding status.
How are they administered in the research?
Sermorelin: Subcutaneous injection. Tesamorelin: Subcutaneous injection. This describes the published studies and is not a recommendation for human use.
How do their proposed mechanisms differ?
Sermorelin: In plain terms: It is a short copy of the hormone that tells the pituitary gland to release growth hormone. GHRH fragment (GRF 1-29) that stimulates growth hormone secretion from the anterior pituitary (review, Prakash 1999). Tesamorelin: In plain terms: It is a lab-made version of the hormone that tells the pituitary gland to release growth hormone. Synthetic GHRH analog with trans-3-hexenoic acid modification, stimulates natural GH release. These are mechanisms proposed in the cited research, at the research stage listed for each compound.

References

Sermorelin

  1. Sermorelin: a review of its use in the diagnosis and treatment of children with idiopathic growth hormone deficiency
    Prakash A, Goa KL. BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy. 1999. PMID: 18031173.
    Study type: Drug review.
    DOI: 10.2165/00063030-199912020-00007 · PubMed
  2. Growth hormone-releasing factor analogue (hGRF1-29NH2): immunoreactive-GRF plasma levels after intravenous and subcutaneous administration
    Rafferty B, Poole S, Clarke R, Schulster D. The Journal of endocrinology. 1985. PMID: 2866222.
    Study type: Rat PK (IV, SC).
    DOI: 10.1677/joe.0.107r005 · PubMed

Tesamorelin

  1. 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
    Falutz J, Mamputu JC, Potvin D, Moyle G, Soulban G, Loughrey H et al. The Journal of clinical endocrinology and metabolism. 2010. PMID: 20554713.
    Study type: Pooled analysis of two phase 3 RCTs, n=806.
    DOI: 10.1210/jc.2010-0490 · PubMed
  2. Predictors of Treatment Response to Tesamorelin, a Growth Hormone-Releasing Factor Analog, in HIV-Infected Patients with Excess Abdominal Fat
    Mangili A, Falutz J, Mamputu JC, Stepanians M, Hayward B. PloS one. 2015. PMID: 26457580.
    Study type: Secondary analysis of the two phase 3 RCTs, n=806.
    DOI: 10.1371/journal.pone.0140358 · PubMed

Read the full profiles

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Educational content — not medical advice. Effects described are drawn from cited research in study subjects.

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