Tesamorelin

FDA APPROVED

Fda Approved

Weight

Growth

Tesamorelin

GHRH Analog | Visceral Fat Reduction

Learn more

Weight

Tesamorelin

Growth

Amino acid sequence

36

Amino acids

4255da

Molecular weight

Peptide

Type

Tesamorelin is an FDA-approved synthetic GHRH analog designed for HIV-associated lipodystrophy treatment. It provides selective visceral fat targeting with 15-20% visceral fat reduction in clinical trials while preserving subcutaneous fat.

Top researched benefits

Overview of Tesamorelin

Subcutaneous injection provides optimal bioavailability for GHRH receptor binding and pulsatile GH release stimulation, selectively targeting visceral adipose tissue while sparing subcutaneous fat.

weight loss

  • FDA-approved indication showing 15-20% visceral fat reduction in clinical trials.
  • Unique mechanism that reduces dangerous visceral fat while sparing subcutaneous fat.
  • Maintained weight loss with continuous treatment over 52+ weeks in clinical studies.

metabolic

  • 12.3% reduction in triglyceride levels.
  • 7.2% improvement in cholesterol markers.
  • 37% liver fat reduction over 12 months.

body composition

  • Preserves lean muscle mass during fat loss.
  • 26% increase in IGF-1 levels.

Typical Dose

1-2mg daily (FDA-approved: 2mg for HIV lipodystrophy)

Frequency

Once daily (evening preferred for GH rhythm)

Cycle Duration

Continuous therapy for maintained benefits

Storage

Powder: 20-25°C. Egrifta SV: use immediately. Egrifta WR: room temp up to 7 days

Chemical Makeup

Key benefits

FDA-approved formulation

Selective visceral fat targeting (15-20% reduction)

Proven clinical efficacy

Standardized dosing

37% liver fat reduction in NAFLD

Preserved subcutaneous fat

Community interest

This peptide is still gaining traction in the community.

GHRH Analog | Visceral Fat Reduction

This overview is informational and based on aggregated descriptions from studies and user reports.

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Tesamorelin Molecular Information

View the scientifc details of Tesamorelin.

36

Amino Acids

Tesamorelin

Tyr

Tyr

Position 1

Pro

Pro

Position 2

Ser

Ser

Position 3

Lys

Lys

Position 4

Pro

Pro

Position 5

Asp

Asp

Position 6

Asn

Asn

Position 7

Pro

Pro

Position 8

Gly

Gly

Position 9

Glu

Glu

Position 10

Asp

Asp

Position 11

Ala

Ala

Position 12

Pro

Pro

Position 13

Ala

Ala

Position 14

Glu

Glu

Position 15

Asp

Asp

Position 16

Leu

Leu

Position 17

Ala

Ala

Position 18

Arg

Arg

Position 19

Tyr

Tyr

Position 20

Tyr

Tyr

Position 21

Ser

Ser

Position 22

Ala

Ala

Position 23

Leu

Leu

Position 24

Arg

Arg

Position 25

His

His

Position 26

Tyr

Tyr

Position 27

Ile

Ile

Position 28

Asn

Asn

Position 29

Leu

Leu

Position 30

Ile

Ile

Position 31

Thr

Thr

Position 32

Arg

Arg

Position 33

Glu

Glu

Position 34

Arg

Arg

Position 35

Tyr

Tyr

Position 36

Amino acid sequence
TyrosinePosition 1
ProlinePosition 2
SerinePosition 3
LysinePosition 4
ProlinePosition 5
Aspartic acidPosition 6
AsparaginePosition 7
ProlinePosition 8
GlycinePosition 9
Glutamic acidPosition 10
Aspartic acidPosition 11
AlaninePosition 12
ProlinePosition 13
AlaninePosition 14
Glutamic acidPosition 15
Aspartic acidPosition 16
LeucinePosition 17
AlaninePosition 18
ArgininePosition 19
TyrosinePosition 20
TyrosinePosition 21
SerinePosition 22
AlaninePosition 23
LeucinePosition 24
ArgininePosition 25
HistidinePosition 26
TyrosinePosition 27
IsoleucinePosition 28
AsparaginePosition 29
LeucinePosition 30
IsoleucinePosition 31
ThreoninePosition 32
ArgininePosition 33
Glutamic acidPosition 34
ArgininePosition 35
TyrosinePosition 36

Molecular Weight

4255Da

Chain Length

36Amino Acids

Type

Peptide

Tesamorelin Protocols

Subcutaneous injection to abdomen (avoid navel ±2 inches). Evening injection preferred for GH circadian rhythm alignment.

GoalDosageFrequencyRoute
HIV Lipodystrophy (FDA-approved)1.41 week rangeSubQ
Visceral Fat Reduction21 week rangeSubQ
Anti-aging/Body Composition15 week rangeSubQ
NAFLD Treatment212 week rangeSubQ
Cognitive Enhancement120 week rangeSubQ

Reconstitution Instructions

Materials needed:

Tesamorelin lyophilized powderSterile water (Egrifta SV) or Bacteriostatic water (Egrifta WR)Insulin syringesAlcohol prep pads

Steps to reconstitute

  1. Allow vial to reach room temperature
  2. Egrifta SV: Add 0.5mL sterile water to 2mg vial - use immediately
  3. Egrifta WR: Add 1.3mL bacteriostatic water to 11.6mg vial - stable 7 days
  4. Gently swirl (don't shake vigorously)
  5. Withdraw appropriate dose (~0.35mL for 1.4mg)
  6. Inject SubQ, rotating sites
  7. Store reconstituted WR at room temperature up to 7 days

Tesamorelin Cycle

The Tesamorelin Cycle section explains how long a typical cycle lasts and what to expect during each phase. Over time, your body can become less responsive with continuous use.

Taking breaks between cycles may help maintain effectiveness and support better overall results.

Week 1-2
IGF-1 levels begin to rise, possible mild water retention or joint discomfort
Week 4-6
Early metabolic changes; improved energy/sleep
Week 8-12
Visible visceral fat reduction begins, waist circumference may decrease
Week 12-26
Peak effects achieved with significant body composition improvements

Dosing tools

Tesamorelin Peptide Dosage Calculator

Calculate peptide doses with our visual syringe guide.

mg

Enter the total amount of peptide in the vial in milligrams (as stated on the label).

The dose you want to inject per administration, in mcg or mg.

1,000 mcg = 1 mg

1 mL

2 mL

3 mL

5 mL

Custom

Volume of bacteriostatic water you add to reconstitute the powder. Use BAC water for preservation.

Injection Results

Based on your vial and dilution inputs.

Tesamorelin

SINGLE COMPOUND

Volume per injection

0.05

mL

Concentration

10.00

mg/mL

Doses per vial

20

doses

Total injections per vial

20 injections

How it works

Based on a 10 mg Tesamorelin vial diluted with 1 mL of bacteriostatic water, each 500 mcg injection equals 0.05 mL.

1mL / 100 units

5 units

0.050 mL

Reference Guide

Dosing Cycle

Peptide
Tesamorelin
Dosing
1-2mg daily (FDA-approved: 2mg for HIV lipodystrophy)
Dosing Frequency
Once daily (evening preferred for GH rhythm)
Cycle Duration
Continuous therapy for maintained benefits
Storage
Powder: 20-25°C. Egrifta SV: use immediately. Egrifta WR: room temp up to 7 days

Note: Triple agonist; microdose for fewer side effects

Reconstitution Tips

  • Use bacteriostatic water (BAC)contains 0.9% benzyl alcohol for preservation
  • Inject water slowlyaim down the vial wall, not directly onto powder
  • Never shakegently swirl or roll the vial until dissolved
  • Store properlyrefrigerate at 2-8°C after reconstitution
  • Use within 28 daysmost reconstituted peptides remain stable for about 4 weeks
  • Keep sterilealways clean vial tops with alcohol before drawing

Peptide Interactions

Research suggestions of Tesamorelin interactions with other common peptides and substances.

Weight

ipa

Growth

Ipamorelin

MONITOR

Synergistic GH stimulation; monitor IGF-1 levels.

MONITOR

Weight

ser

Growth

Sermorelin

MONITOR

Similar mechanism; risk of excessive effects at higher doses.

MONITOR

Side effects

Monitor: Be careful when combining Tesamorelin with Ipamorelin, Sermorelin.

Contraindications

Active malignancy

Pituitary disorders

Pregnancy

Stop signs

Development of diabetes or severe glucose intolerance (HbA1c ≥6.5%)

Signs of malignancy

Severe hypersensitivity reactions

Excessive IGF-1 elevation (>2 SD above normal) with acromegaly symptoms

Bad signs

Discolored or cloudy solution (yellow/brown indicates degradation)Visible particles or precipitate
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Frequently asked questions

What is a peptide dosage calculator?

A peptide dosage calculator is a free tool that converts your vial size, bacteriostatic water volume, and target dose into an exact syringe draw volume. Instead of doing the reconstitution math by hand, you enter three inputs and instantly get the concentration of your solution and how many milliliters or syringeunits to draw. This calculator works for single peptide compounds and multi-peptide blends.

How do I calculate peptide dosage from a vial?

To calculate your peptide dose, divide the total peptide content of your vial in micrograms by the volume of bacteriostatic water you added in milliliters. This gives you your solution concentration in mcg/mL. Then divide your target dose by that concentration to get your draw volume. For example, a 5mg (5,000 mcg) vial reconstituted with 2mL of BAC water gives a concentration of 2,500 mcg/mL. A 250 mcg dose would require drawing 0.1mL. This calculator automates all of those steps instantly.

How much Bacteriostatic water should I add to a peptide vial?

Most people add 2mL to 3mL of bacteriostatic water per vial, but the right amount depends on the dose you want to draw and the syringe size you are using. Adding 1mL to a 5mg vial gives you a concentration of 5,000 mcg/mL, making each dose very small in volume. Adding 2mL gives you 2,500 mcg/mL, which is easier to measure on a standard insulin syringe. A general guideline is to choose a volume that puts your typical dose somewhere between 10 and 30 units on a U-100 syringe. Use the calculator above to test different water volumes and find what works for your dose.

How are peptides different from proteins?

Both are made of amino acids, but peptides are much smaller than proteins. Because of their tiny size, peptides can act like tiny messengers in the body, sending specific signals to your cells to tell them exactly what to do.​

TesamorelinResearch References

Tesamorelin is a fda approved compound

4Research references

Tesamorelin

Tesamorelin is a fda approved compound

LIPO-010 FDA Pivotal Trial

Significant visceral adipose tissue reduction (-24 ± 41 cm² vs +2 ± 35 cm² placebo, p < 0.001) in HIV patients over 26 weeks.

2010

CTR-1011 Extended Safety Study

69% achieved ≥8% VAT reduction vs 33% placebo at 26-52 weeks.

2011

NAFLD Treatment Trial

37% liver fat reduction over 12 months with fibrosis progression prevention.

2019

Cognitive Enhancement Study

Improved executive function and verbal memory in healthy elderly and mild cognitive impairment cohorts at 1mg daily.

2012