TESA

Tesamorelin

Growth Hormone FDA-approved

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.

Regulatory status (as of Sept 2026)

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 · Read our July 27, 2026 dispatch on the FDA PCAC peptide vote
Educational summary. Every effect described below is drawn from the cited published research and describes what was observed in research subjects — not a promise of results, a dose recommendation, or an endorsement for human use. Many peptides are not FDA-approved. Consult a licensed healthcare provider before making any health decision. Full disclaimer.

2 studies referenced · Last reviewed Oct 1, 2026 · Reviewed by The Peptide Dispatch Editorial Team · How we research & label content

TL;DR — Tesamorelin at a Glance

Tesamorelin is an FDA-approved prescription drug. FDA-approved GHRH analog for reducing excess abdominal visceral fat in HIV-infected patients with lipodystrophy.

Half-lifeNot established in published research
How it's given in studiesSubcutaneous injection
Research stageFDA-approved
Dosing
Published research: 2 mg subcutaneously daily
details2 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-reportedCommunity-reported: 2 mg daily, subcutaneous injection

Published-research dosing is what was given in the cited studies (species and units as reported). Community-reported dosing is what users describe, not from clinical studies. Neither is a recommendation. 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

How It Works

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

How to read this: Each item below is an effect observed in research subjects in the cited studies — think of Dexter, our stand-in research subject. These are findings from the literature, not results you should expect, and not medical advice.

  • 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

What Users Report (Community, Not Clinical)

Commonly reported protocol

Community-reportedUsers have reported 2 mg daily (subcutaneous injection). This is not a recommendation.

Community reports are anecdotal, vary widely in product quality and purity, and are not medical advice. Talk to a licensed provider.

Side Effects and Safety Notes

  • 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

References

  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

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How Tesamorelin Compares

PeptideHalf-LifeRouteResearch Status
TesamorelinNo published PK data foundSubcutaneous injectionFDA-approved
CJC-1295 (no DAC)No published PK data foundSubcutaneous injectionPreclinical (animal)
CJC-1295 (with DAC)6-8 daysSubcutaneous injectionPhase 1 / early human
GHRP-2No published PK data foundSubcutaneous injectionPhase 1 / early human
GHRP-6No published PK data foundSubcutaneous injectionPhase 1 / early human

Values reflect figures reported in published research. Compare any peptides side-by-side →

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Frequently Asked Questions

What is Tesamorelin?
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.
How does Tesamorelin work?
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.
What is the research status of Tesamorelin?
Tesamorelin is at the following stage in the published literature: FDA-approved. All information is for research and educational purposes only.
What is the half-life of Tesamorelin?
Reported half-life: No published PK data found.
How is Tesamorelin administered in research?
Reported administration route in the literature: Subcutaneous injection. This is not a recommendation for human use.

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Category

This peptide belongs to the Growth Hormone category. View All Growth Hormone Peptides

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Sources & Methodology

Dosing, half-life figures, and mechanism descriptions on this page are compiled from peer-reviewed published research, with the species and study type stated where reported. Figures labeled “Dosing used in published research” describe what was given in those studies and do not constitute dosing recommendations for any human use. Each cited paper is listed with DOI and PubMed links in the References section above. Found an error? Contact us.

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