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Conclusion
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muscle recovery but is less effective for fat loss when used alone.
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Each of these peptides has a distinct mechanism of action, therapeutic niche and side-profile that can be understood by looking at their pharmacology, approved uses and practical experience.
Tesamorelin vs Sermone: Which Peptide Fuels Fat Loss and Recovery?
Both tesamorelin and sermone are synthetic analogues of growth hormone releasing hormone (GHRH).
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in their potency, half-life and downstream effects.
Because of its higher affinity for the receptor and longer duration of action, tesamorelin is more effective at stimulating endogenous growth hormone release than sermone.
This translates into a greater reduction of visceral adipose tissue when used chronically.
In patients with HIV-associated lipodystrophy, daily subcutaneous
injections of 2 mg tesamorelin for up to 48 weeks have produced a mean decrease in abdominal fat volume of about 20 percent and an improvement in insulin sensitivity that
is not seen with sermone at the same dose.
Sermone, on the other hand, has a shorter half-life
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surgery when combined with anabolic steroids or protein supplementation.
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Tesamorelin (brand name Egrifta) was approved by the Food and Drug Administration in 2010
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Sermone (brand name Serostim) has been on the market for many
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Sermone is given at doses ranging from 1 mg to 3 mg per day subcutaneously, usually divided into
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How Tesamorelin Works
Tesamorelin mimics the natural peptide GHRH by binding to its receptor on pituitary somatotrophs.
This activation triggers a cascade of intracellular events that culminate in the synthesis and
release of growth hormone into the bloodstream. Once released, growth hormone travels to peripheral tissues
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that promote lipolysis, protein synthesis and cell proliferation.
In visceral fat cells, growth hormone increases the activity of
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Because tesamorelin’s effect is mediated through the body’s own endocrine system, it avoids many
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such as fluid retention or arthralgia. However, because it still increases endogenous growth hormone levels, it can cause transient increases in blood sugar and may need to be monitored in patients with
diabetes.
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mg once daily after an initial assessment of tolerance.
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discontinuation may be considered.
Conclusion
While all three peptides stimulate growth hormone release, tesamorelin stands out as the most potent agent for targeted reduction of abdominal adiposity and for improving metabolic parameters in HIV-associated lipodystrophy.
Sermone remains a useful tool for treating growth hormone deficiency and supporting
muscle recovery but is less effective for fat loss when used alone.
Ipamorelin, not discussed in detail here, offers a different profile with a more selective action on the
ghrelin receptor that can promote appetite and lean mass while
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