PepEvolution
HomeRankingsTesamorelin
Growth HormonePreliminary grade

Tesamorelin

Egrifta

The only FDA-approved GHRH analogue — proven for HIV-associated visceral fat, compounded off-label, conservative safety profile.

Verdict — B · Viable

A real FDA approval and clean phase-3 evidence base, but a narrow indication, daily injection burden, and meaningful glucose/IGF-1 concerns hold it at B. Stronger than most GH secretagogues; obtain it compounded from a licensed pharmacy.

Overview

Tesamorelin is a synthetic GHRH analogue FDA-approved (Egrifta, 2010) for HIV-associated lipodystrophy, with phase-3 RCT evidence from Falutz et al. demonstrating significant visceral fat reduction. It is also used off-label by compounding pharmacies for general GH-axis support and body composition. Safety concerns include glucose intolerance (raises IGF-1), fluid retention, and injection site reactions; the indication is narrow and the off-label use case is less supported.

PepScore Breakdown — the four axes

Evidence

35% weight
84/100

How strong is the published human science?

Human data depth34/40
Regulatory & registry status26/30
Reproducibility & consistency16/20
Mechanism characterized in humans8/10

Sourcing & COA

30% weightOur moat
59/100

Can a buyer obtain an independently-verified, high-purity version? — our proprietary layer.

Independent 3rd-party testing20/35
Verified purity %18/30
COA transparency & batch traceability12/20
Multi-vendor verified availability9/15

Safety & Risk

25% weight
71/100

What is the real-world harm potential?

Documented AEs / toxicity28/40
Contraindication breadth18/25
Regulatory warnings14/20
Therapeutic index / margin11/15

Practicality

10% weight
69/100

How easy is it to actually run a verified version?

Verified-source availability24/35
Cost / value per cycle16/25
Reconstitution & administration19/25
Storage & stability10/15

Sources & Citations

Every claim cites a primary source. Citations are machine-audited against NCBI — see methodology.

Want a clinical path?

Talk to a licensed provider about Tesamorelin and whether it's appropriate for your situation.

Talk to a Provider ↗

Telehealth. Not medical advice — for educational purposes.

PepScore72/100 · B
Last gradedJune 28, 2026
Next re-grade triggerA broader obesity or body-composition indication would lift Evidence and Practicality; a thorough compounding-pharmacy COA sweep would move Sourcing.

Get the PepEvolution Dispatch

Monthly COA findings, vendor changes, and new grades. Research/educational only — no spam.

Free. Unsubscribe anytime. Research/educational content only.

Educational only — not medical advice. PepScore is an educational research grade, not a prescription or dosing recommendation. Some vendor links are affiliate links — this never affects grades. Consult a licensed healthcare provider before using any compound.