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Tesamorelin Dosage Protocols: Clinical vs Research Applications

HIV-Associated Lipodystrophy (FDA-Approved) 2mg daily Once daily, evening Sterile water for injection IGF-1 every 8 weeks, visceral adipose tissue via CT or MRI every 12-16 weeks Ongoing (discontinue if no VAT reduction after 26 weeks) Gold standard protocol w

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  • HIV-Associated Lipodystrophy (FDA-Approved)
  • 2mg daily
  • Once daily, evening
  • Sterile water for injection
  • IGF-1 every 8 weeks, visceral adipose tissue via CT or MRI every 12-16 weeks
  • Ongoing (discontinue if no VAT reduction after 26 weeks)
  • Gold standard protocol with established safety profile across 5+ years of post-approval data. Discontinuation rates due to adverse events remain below 12%.
  • General Body Composition Research
  • 1-2mg daily
  • IGF-1 every 4-8 weeks, DEXA or bioimpedance for body composition monthly
  • 12-26 weeks typical
  • Dose titration from 1mg to 2mg over 4 weeks reduces injection site reactions by 35% vs starting at 2mg. Most researchers plateau IGF-1 response by week 8-12.
  • Anti-Ageing/Wellness Protocols (Off-Label)
  • 1mg daily
  • IGF-1 every 12 weeks, glucose/HbA1c monitoring (GH can impair insulin sensitivity)
  • Variable, often cycled 3-6 months on, 1-2 months off
  • Higher discontinuation rate (20-25%) due to cost and injection burden vs clinical benefit. No large-scale trials support anti-ageing efficacy claims. Evidence is extrapolated from lipodystrophy studies.
  • Athletic Performance Research (Prohibited by WADA)
  • Not applicable
  • Tesamorelin appears on the WADA Prohibited List under S2 (Peptide Hormones, Growth Factors). Use in competitive athletics constitutes doping and carries 2-4 year competition bans.
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