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Tesamorelin

Also known as Egrifta · Egrifta WR

FDA-approved GHRH analogue for HIV-associated lipodystrophy. Prescription only.

Tier Alow riskadvancedRx OnlyWADA S2
Tier A
Evidence
Continuous / ongoing
Protocol
low
Risk
subcut.
Route

Prescription Only

This is an FDA-approved prescription product. It should only be obtained through licensed healthcare providers and pharmacies. Do not attempt to source through RUO or gray-market channels.

WADA S2

This substance falls under WADA S2 (Peptide Hormones, Growth Factors, Related Substances and Mimetics). If you are subject to anti-doping rules, this category of substances is prohibited at all times.

Evidence visual

Tesamorelin evidence and risk matrix

advanced researcher fit

Evidence

Tier A

Risk

low

Regulatory

rx approved

WADA

S2

FDA

none

Route

subcutaneous

Higher-confidence evidence profile, but regulatory and sourcing checks still matter.

Overview

Tesamorelin is an FDA-approved GHRH analogue (brand name Egrifta/Egrifta WR) indicated for reduction of excess abdominal fat in HIV-infected patients with lipodystrophy. Clinical endpoints commonly assessed at 26 weeks. Label warnings include increased risk of neoplasms, elevated IGF-1, fluid retention, glucose intolerance/diabetes, and hypersensitivity reactions. Contraindicated in active malignancy and pregnancy.

Decision path

Where Tesamorelin fits in the research path.

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2 related goals
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  2. 02

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  3. 03

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  4. 04

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Peptide research path

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Research Details

Mechanism of Action

GHRH analogue that increases GH and IGF-1 levels.

Administration Routes

subcutaneous

Study Dose Range

FDA label: daily subcutaneous dosing (specific dose per formulation). Pivotal trials at 26 weeks.

Expected Effects

Visceral fat reduction in HIV lipodystrophy (evidence-backed). General weight loss claims are limited.

Dosing Timeline

Clinical endpoints assessed at 26 weeks in pivotal studies.

Contraindications

Active malignancy, pregnancy, pituitary gland disorders (per label).

Adverse Effects

Increased neoplasm risk, elevated IGF-1, fluid retention, glucose intolerance/diabetes, hypersensitivity.

Interaction Notes

CYP450-metabolized drugs; glucocorticoid replacement requirements may be affected.

Cost at a glance

Typical cycle cost

$600.00

Estimated monthly

$600.00

Protocol style

Continuous / ongoing

Continuous

Estimate confidence

High confidence

Assumes roughly 30 mg60 mg per cycle, using 2 tracked affiliated listings.

Prescription-like use is better treated as ongoing therapy, so one pricing cycle equals one month.

Known Interactions

Caution

IGF-1 LR3

Tesamorelin increases IGF-1 (label); combining with IGF-axis agonists increases proliferative/hypoglycemia monitoring complexity.

Caution

MK-677

Combining ibutamoren with tesamorelin increases GH-axis burden and glucose-management uncertainty.

Frequently Compared

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CJC-1295

Tier B

Sermorelin

Tier B

Ipamorelin

Tier B-C

GHRP-2

Tier B

Information provided for educational and research reference only. Not medical advice. Not for diagnosing, treating, curing, or preventing disease. Products referenced are labeled Research Use Only (RUO) by vendors; not for human or veterinary use.

Sources and review notes

  1. Certain Bulk Drug Substances for Use in Compounding that May Present Significant Safety Risks - U.S. Food and Drug Administration - accessed 2026-05-15

    Used for FDA compounding-risk context and peptide safety flags.

  2. The Prohibited List - World Anti-Doping Agency - accessed 2026-05-15

    Used for athlete-facing WADA risk and peptide-class restrictions.

  3. Peptide therapeutics: current status and future directions - PubMed / Nature Reviews Drug Discovery - accessed 2026-05-15

    Used for broad peptide-therapeutics background and evidence framing.

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