Sermorelin vs Tesamorelin
A neutral, side-by-side comparison of two performance & growth hormone peptides — their mechanisms, dosing ranges, administration routes, side effects, and research evidence. For research and educational purposes only.
Sermorelin
Sermorelin is a synthetic analog of the first 29 amino acids of GHRH (Growth Hormone-Releasing Hormone). It was FDA-approved for pediatric GH deficiency diagnosis and is widely used off-label in anti-aging and performance medicine. It stimulates pulsatile GH release more physiologically than exogenous GH.
Full profileTesamorelin
Tesamorelin is an FDA-approved synthetic analog of growth hormone-releasing hormone (GHRH). Approved in 2010 as Egrifta, it is the only GHRH peptide with an approved clinical indication — reduction of excess visceral abdominal fat in people with HIV-associated lipodystrophy. It has the most robust human trial evidence of any growth hormone secretagogue, including dedicated studies on visceral fat and liver fat.
Full profile| Sermorelin | Tesamorelin | |
|---|---|---|
| Category | Performance & Growth Hormone | Performance & Growth Hormone |
| Also known as | GHRH 1-29, GRF 1-29 NH2, Geref | Egrifta, Egrifta SV, TH9507, GHRH analog |
| Evidence | FDA-approved | FDA-approved |
| Dosing range | 100mcg–500mcg mcg, once daily (before sleep) | 1.28mg–2mg mg, once daily (subcutaneous) |
| Administration | Subcutaneous injection | Subcutaneous injection (abdomen, with site rotation) |
| Key side effects | Injection site redness, Headache, Flushing, Dizziness | Injection site reactions (erythema, pruritus), Peripheral edema, Arthralgia (joint pain), Myalgia |
| Cited sources | 1 reference | 5 references |
Key differences
- Administration: Sermorelin — Subcutaneous injection; Tesamorelin — Subcutaneous injection (abdomen, with site rotation).
- Dosing units differ: Sermorelin is dosed in mcg, Tesamorelin in mg — they operate at different scales.
- Frequency: Sermorelin is typically once daily (before sleep); Tesamorelin is once daily (subcutaneous).
- Research depth: this profile cites 1 source for Sermorelin vs 5 for Tesamorelin.
How each works
Sermorelin
Sermorelin works by binding pituitary GHRH receptors to stimulate GH secretion within the body's natural feedback loop. Unlike synthetic GH, it does not suppress endogenous production. Clinical studies show improved body composition, sleep quality, and IGF-1 levels in GH-deficient adults. Its short half-life (~10 min) means it requires daily dosing.
Tesamorelin
Tesamorelin stimulates pulsatile growth hormone (GH) release from the pituitary, raising serum IGF-1 and preferentially reducing visceral adipose tissue (VAT). FDA-registration trials (Falutz et al., NEJM 2007; JAIDS 2010) showed ~15% VAT reduction versus placebo over 26 weeks. Later randomized trials (Stanley et al., JAMA 2014; Lancet HIV 2019) extended the evidence to liver fat, showing meaningful reductions in hepatic fat fraction and attenuated fibrosis progression in HIV-associated NAFLD.
This comparison aggregates public research and structured profile data for informational purposes only. It is not medical advice and does not recommend either compound for human use. Consult a qualified healthcare provider before considering any peptide.