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Tesamorelin Lipodystrophy Results Timeline: Comparison by Patient Subgroup

HIV lipodystrophy (protease inhibitor regimen) 180–220 cm² 18–22% (32–48 cm² loss) −4.2 to −5.1 cm Protease inhibitors suppress endogenous GH; tesamorelin restores pulsatility more effectively in this group HIV lipodystrophy (integrase inhibitor regimen) 160–1

This comparison does not assign a generated winner or score.

  • HIV lipodystrophy (protease inhibitor regimen)
  • 180–220 cm²
  • 18–22% (32–48 cm² loss)
  • −4.2 to −5.1 cm
  • Protease inhibitors suppress endogenous GH; tesamorelin restores pulsatility more effectively in this group
  • HIV lipodystrophy (integrase inhibitor regimen)
  • 160–190 cm²
  • 14–18% (22–34 cm² loss)
  • −3.5 to −4.0 cm
  • Lower baseline GH suppression; tesamorelin effect is less pronounced but still clinically meaningful
  • Non-HIV central obesity (off-label use)
  • 140–170 cm²
  • 10–14% (14–24 cm² loss)
  • −2.8 to −3.5 cm
  • Lack of FDA approval; limited long-term safety data outside HIV cohorts; less dramatic response than lipodystrophy patients
  • Women vs men (HIV lipodystrophy)
  • Women: 155–185 cm² / Men: 190–230 cm²
  • Women: 16–19% / Men: 17–21%
  • Women: −3.6 to −4.0 cm / Men: −4.0 to −4.8 cm
  • Women show slightly lower absolute VAT loss but similar percentage reductions; hormonal differences affect GH receptor density
  • Professional Assessment
  • Baseline VAT determines absolute loss magnitude; percentage reductions remain consistent across subgroups. Protease inhibitor patients show most dramatic improvement due to severe baseline GH suppression. Off-label use lacks robust Phase 3 data.
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