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Clinical comparison · Growth hormone

Tesamorelin vs Sermorelin

Both are GHRH analogs, but tesamorelin has the strongest evidence for visceral fat reduction and an FDA-approved indication.

Attribute
Tesamorelin
Sermorelin
Mechanism

GHRH analog with sustained action, FDA-approved for HIV-associated lipodystrophy.

Truncated GHRH (1-29) analog. Restores endogenous pulsatile GH secretion.

Standard dosing

2 mg SC daily for 6–12 months.

200–500 mcg SC nightly, often cycled 5-on/2-off.

Indications
  • Visceral adiposity
  • HIV lipodystrophy
  • Body composition
  • Adult GH decline
  • Sleep quality
  • Body composition
Strengths
  • Strongest evidence for visceral fat reduction
  • FDA-approved indication
  • Longest clinical track record among GHRHs
  • Entry-level cost
Cautions
  • Daily dosing
  • Higher cost
  • Injection-site reactions
  • Shorter half-life than CJC-1295
  • May affect glucose tolerance

Choose Tesamorelin when

Patient's goal is visceral adiposity reduction or metabolic syndrome improvement.

Wholesale Tesamorelin

Choose Sermorelin when

Patient wants a general anti-aging GHRH at entry-level cost.

Wholesale Sermorelin

FAQs

Why is tesamorelin more expensive?
It carries an FDA-approved indication and requires daily dosing at a higher mg per injection than sermorelin.
Can tesamorelin be paired with ipamorelin?
Short-term stacking is used clinically; long-term monotherapy is more common due to cost.