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Tesamorelin: reference dosing schedule

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Human schedule

Tesamorelin is a GHRH analog given by subcutaneous injection (typically into the abdomen). The figures below are a generalized reference drawn from clinical data and protocols, not an individual prescription.

This is a concise reference to regimens described for adults; it is not an individual prescription.

Tesamorelin dosing in the clinical trial was fixed at 2 mg subcutaneously once daily, unlike many research peptides where the schedule is set individually for each protocol.

Period / conditionDoseEscalation
Start1 mg subcutaneously once dailyStarting dose
Main regimen2 mg subcutaneously once dailyIncrease if needed
Upper limit2 mg per dayMaximum in this schedule

Background on the molecule, its mechanism and primary sources is covered in the monograph.

Practical dosing and effect details

In a trial by Falutz and colleagues (New England Journal of Medicine, 2007), 412 participants with HIV and abdominal fat accumulation received either 2 mg of tesamorelin subcutaneously once daily or placebo for 26 weeks.

Visceral adipose tissue on CT decreased by 15.2% in the tesamorelin group and increased by 5.0% in the placebo group (p<0.001). Insulin-like growth factor 1 (IGF-1), a biomarker of GHRH-receptor activation, rose 81.0% in the tesamorelin group versus a 5.0% decrease with placebo, tying that specific dose to a measurable biological effect.

The effect held only while dosing continued: researchers assessed outcomes at week 26 of continuous daily administration, not after a short course, so consistency rather than a single dose drove the result. The trial was conducted in adults with HIV-associated lipodystrophy; this is not evidence of an effect in other populations or for other uses. The schedule on this page reproduces the trial dose as reference information, not a medical recommendation.

This reference is research-use material. The information is not medical advice and is not intended for diagnosis, treatment or prevention of disease.