Tesamorelin (10mg)
Table of Contents
Quickstart Highlights
Tesamorelin (a GHRH analog) is administered as a once-daily subcutaneous injection. Two clinically referenced daily regimens appear in the literature and labeling history.
- Standard (Current label-based): 1.4 mg once daily
- Alternative (Legacy trials): 2 mg once daily
- Reconstitution for practical measuring : For this 10 mg vial, both tables use 3 mL (≈3.33 mg/mL). That keeps each injection ≤1.0 mL and comfortably above ~10 units.
- After reconstitution (formulation-dependent):
-
- Multi‑dose BAC system (WR‑like): may be kept at room temperature (20–25 °C) for up to 7 days; do not refrigerate.
- Single‑dose (SV‑like): use immediately after mixing; do not store or refrigerate; discard unused solution.
- Unmixed vials : store at controlled room temperature; protect from light (follow product‑specific guidance).
Dosing & Reconstitution Guide
Educational guide for reconstitution and dosing protocol
Standard / Gradual Approach — Label‑Based (3 mL = ≈3.33 mg/mL)
| WEEK | DAILY DOSAGE | UNITS (mL) PER INJECTION |
|---|---|---|
| Weeks 1–12 | 1.4 mg (1400 mcg) once daily (7×/week) | 42 units (0.42 mL) |
| Weeks 13–16 (Optional) | 1.4 mg once daily (7×/week) | 42 units (0.42 mL) |
Reconstitute a 10 mg vial with 3.0 mL to yield ≈3.33 mg/mL. Each 1.4 mg dose equals ~0.42 mL (42 units) on a 100‑unit insulin syringe.
- Using aseptic technique, draw 3.0 mL diluent (Sterile or Bacteriostatic Water, per lab SOP).
- Direct the stream down the vial wall; gently swirl to dissolve (avoid vigorous shaking/foaming).
- After mixing:
-
- If using a multi-dose BAC system (WR-like): keep at room temperature (20–25 °C) and use for up to 7 days; do not refrigerate; discard after day 7.
- If using a single-dose system (SV-like): administer immediately; do not store or refrigerate; discard any unused solution.
Advanced / Aggressive Approach — Legacy Trials (3 mL = ≈3.33 mg/mL)
| WEEK RANGE | DAILY DOSAGE (MG) | UNITS (PER INJECTION) |
|---|---|---|
| Weeks 1–12 | 2 mg (2000 mcg) once daily (7×/week) | 60 units (0.60 mL) |
| Weeks 13–16 (Optional) | 2 mg once daily (7×/week) | 60 units (0.60 mL) |
With 3.0 mL reconstitution (≈3.33 mg/mL), each 2 mg dose equals ~0.60 mL (60 units) — well within a standard 1 mL insulin syringe and comfortably above the ~10‑unit minimum guideline.
- Reconstitute with 3.0 mL as above for easy measurement.
- Gently swirl until clear; avoid foaming.
- After mixing:
-
- WR‑like multi‑dose: room temperature use for up to 7 days; do not refrigerate; discard after day 7.
- SV‑like single‑dose:inject immediately; do not store or refrigerate; discard remainder.
Protocol Overview
Evidence supports once‑daily subcutaneous dosing of tesamorelin for ≥8–12 weeks.
- Goal : Reduce visceral adipose tissue and improve metabolic parameters
- Schedule : Daily injections (choose either 1.4 mg or 2 mg)
- Dose Range : 1.4 mg (current label) or 2 mg (legacy trials)
- Reconstitution : Both tables use 3 mL (≈3.33 mg/mL) to keep injections ≤1 mL and ≥10 units
- Storage after mixing :WR‑like multi‑dose — up to 7 days at room temp; SV‑like single‑dose — use immediately; in both, do not refrigerate reconstituted solution.
Dosing Protocol
Choose one daily regimen and remain consistent.
- Regimen A (Standard): 1.4 mg once daily (7×/week)
- Regimen B (Alternative): 2 mg once daily (7×/week)
- Cycle Length: Commonly 8–12 weeks; may extend to 16+ weeks based on goals/tolerance
- Timing : Consistency matters; morning or evening per SOP
Storage Instructions
Follow formulation‑specific instructions; do not refrigerate reconstituted tesamorelin.
- Unmixed (lyophilized) vials : Store at controlled room temperature (≈20–25 °C / 68–77 °F), protected from light in original packaging.
- After reconstitution :
-
- WR-like multi-dose (BAC): store at room temperature (20–25 °C) and use for up to 7 days; do not refrigerate; discard remaining solution after day 7.
- SV-like single-dose: use immediately; do not store or refrigerate; discard any unused solution.
- Avoid multiple freeze-thaw cycles
Suppilies Needed
Estimate vials based on your chosen regimen and cycle length (daily injections, 7×/week).
- Peptide Vials (10 mg each) :
-
- 1.4 mg daily: 8 wks (56 days) = 78.4 mg ≈ 8 vials;12 wks (84 days) = 117.6 mg ≈ 12 vials; 16 wks (112 days) = 156.8 mg ≈ 16 vials.
- 2 mg daily: 8 wks = 112 mg ≈ 12 vials; 12 wks = 168 mg ≈ 17 vials; 16 wks = 224 mg ≈ 23 vials.
- Insulin Syringes :1 per injection (e.g., 56 for 8 weeks; 84 for 12 weeks; 112 for 16 weeks)
- Bacteriostatic Water : 10 mL vials (for reconstitution). Note: Storage after mixing depends on system: WR‑like up to 7 days at room temp; SV‑like immediate use only.
- Alcohol Swabs: For vial stoppers and skin prep
Important Notes
Key considerations when working with tesamorelin.
- Use new, sterile insulin syringes; rotate injection sites (abdomen; avoid navel, scars, bruised areas).
- Common reactions include injection‑site redness/itching, arthralgia, edema, or paresthesias; monitor and seek professional advice for concerning symptoms.
- Monitor glucose in those at risk; review contraindications (e.g., active malignancy) against official labeling.
- If a calculated dose ever falls <~10 units (not typical here), consider 50‑ or 30‑unit syringes for precision.
How This Works
Tesamorelin is a synthetic analog of growth hormone–releasing hormone (GHRH) that binds pituitary GHRH receptors, increasing pulsatile GH secretion and raising IGF‑1. Clinical studies demonstrated reductions in visceral adipose tissue and favorable effects on certain metabolic markers in indicated populations.
- Pathway : GHRH receptor activation → ↑ GH → ↑ IGF‑1 → enhanced lipolysis and altered fat distribution
- Key Outcomes :Reduced visceral fat; generally neutral glycemic control in long‑term analyses; improvements in patient‑reported abdominal appearance in HIV‑associated lipodystrophy cohorts.
Potential Benefits & Side Effects
Observed in clinical research; individual responses vary.
- Potential Benefits : Reduction in visceral adipose tissue; improvements in triglycerides and other lipid measures in some studies; increases in IGF‑1.
- Common Side Effects: Injection‑site reactions, arthralgia/myalgia, edema, paresthesias; usually reversible upon dose adjustment or discontinuation.
- Precautions : Not for active malignancy; consider pituitary axis conditions and glycemic status; review full safety information in official labeling.
Lifestyle Factors
Support favorable outcomes with fundamentals:
- Prioritize a nutrient‑dense diet with adequate protein; moderate added sugars and alcohol.
- Incorporate resistance and aerobic training; ensure recovery and sleep hygiene.
Injection Technique
General subcutaneous administration considerations.
- Clean vial stopper and skin with alcohol pads; use a fresh needle and syringe.
- Pinch subcutaneous tissue; inject at 45–90° depending on needle length and body fat.
- Inject slowly; apply gentle pressure after withdrawing the needle; do not rub.
- Dispose of sharps properly; never reuse needles.
Recommended Source
We recommend Go Alpha Labs for high‑purity Tesamorelin (10 mg).
Why Go Alpha Labs?
- Independent lab verification (≥99% purity) and COAs available
- Consistent quality control aligned with rigorous standards
- Responsive support and fast delivery for research needs (USA‑only)
Important Note:
This guide is for educational and research use only. It does not provide medical advice or directions for patient care. Always follow applicable regulations and consult qualified professionals.
References:
| Source | Link |
|---|---|
| EGRIFTA WR™ Prescribing Information (2025) – multi-dose with BAC; one reconstituted vial provides daily doses for 7 consecutive days; room-temperature storage (no refrigeration) | View Source |
| EGRIFTA SV® Prescribing Information – daily 1.4 mg; reconstitute and use immediately; do not refrigerate reconstituted solution | View Source |
| EGRIFTA SV® HCP — Reconstitution – “Once reconstituted, administer immediately” | View Source |
| EGRIFTA SV® HCP — Storage – non-reconstituted vials stored at room temperature; keep out of light | View Source |
| Drugs.com — Tesamorelin / EGRIFTA WR – patient storage note: discard unused after 7 days; room-temperature storage | View Source |
| EMPR (2025) – new WR formulation approved; WR and SV not substitutable; room-temperature storage after reconstitution | View Source |
| Falutz et al., N Engl J Med (2007) – randomized trial showing VAT reduction with daily tesamorelin (2 mg) | View Source |
| Stanley et al., JAMA (2014) – effects on visceral and hepatic fat metrics over 6 months | View Source |
| JCEM (2010) – pooled/extension analyses of efficacy and safety | View Source |
| Fourman et al., Metab & Inflammation (2017) – VAT reduction associations; open-access review | View Source |
| FDA Original Label (2010) – immediate use after mixing; do not refrigerate reconstituted solution | View Source |
| Sigma-Aldrich – general peptide handling & storage guidance for research use | View Source |