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Tesamorelin for Anti-Aging Doctors: Comparison

The table below compares tesamorelin to other growth hormone modulation strategies used in anti-aging medicine. Focusing on mechanism, VAT selectivity, regulatory status, and practical constraints. Tesamorelin GHRH analogue. Stimulates endogenous GH 15–18% at

This comparison does not assign a generated winner or score.

  • The table below compares tesamorelin to other growth hormone modulation strategies used in anti-aging medicine. Focusing on mechanism, VAT selectivity, regulatory status, and practical constraints.
  • Tesamorelin
  • GHRH analogue. Stimulates endogenous GH
  • 15–18% at 26 weeks
  • None. Preserves pulsatility
  • FDA-approved (lipodystrophy), off-label for anti-aging
  • 2 mg SC daily
  • Best choice for VAT-specific reduction without suppressing natural GH axis
  • CJC-1295 (DAC)
  • Long-acting GHRH analogue
  • Moderate. Less selective than tesamorelin
  • Minimal if dosed correctly
  • Not FDA-approved. Research use
  • 1–2 mg SC weekly
  • Longer half-life reduces injection frequency, but less clinical data on VAT specificity
  • Ipamorelin
  • GHRP. Stimulates GH via ghrelin receptor
  • Minimal VAT selectivity
  • None
  • 200–300 mcg SC 2–3x daily
  • More appetite stimulation, less VAT targeting. Used for anabolic effects, not fat loss
  • Exogenous GH
  • Direct GH replacement
  • Moderate. Not VAT-selective
  • Complete. Shuts down pituitary
  • FDA-approved (deficiency only)
  • 0.2–0.4 IU SC daily (anti-aging dose)
  • Suppresses endogenous production; higher side-effect risk; no selectivity for visceral vs subcutaneous fat
  • MK-677 (Ibutamoren)
  • Oral ghrelin mimetic
  • Minimal. Increases appetite
  • Not FDA-approved
  • 12.5–25 mg orally daily
  • Elevates GH and IGF-1 but stimulates appetite significantly. Net effect on VAT often neutral
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