Tesamorelin
Tesamorelin is a synthetic form of growth hormone-releasing hormone (GHRH) designed to stimulate the body's own production of growth hormone (GH) and a related hormone called IGF-1. It's modified to last longer in the body, allowing for once-daily injections to effectively boost natural GH pulses.
Tesamorelin was approved in 2010 specifically to reduce excess abdominal fat associated with HIV-related lipodystrophy. It works by reducing visceral fat (fat around organs) while generally preserving subcutaneous fat, and it can also improve cholesterol and triglyceride levels.
Beyond its role in lipodystrophy, Tesamorelin has shown benefits in conditions like nonalcoholic fatty liver disease (NAFLD) in people with HIV by reducing liver fat and inflammation markers, without negatively impacting insulin sensitivity.
As with any treatment affecting growth hormone, careful monitoring of IGF-1 levels is recommended.