Tesamorelin Dosing & Reconstitution Guide
Dosing Protocol
Route: Subcutaneous Frequency: Once daily Dose Range: 2 mg/day SC (FDA-approved dose) Cycle Length: Ongoing; FDA-approved for chronic use in HIV-associated lipodystrophy Timing: Before bed on empty stomach
Reconstitution
Vial Size: 5mg Water Volume: 2.5mL Concentration: 2mg/mL
Timeline & Pharmacokinetics
Onset: 15–30 minutes Peak Plasma: ~15 minutes (median Tmax) Half-Life: ~26–38 minutes Steady State: 2–4 weeks of daily dosing Time to Results: 8–12 weeks for visceral fat reduction; 26 weeks in clinical trials Washout: 1–2 weeks
Storage
Lyophilized: −20 °C (−4 °F) Reconstituted: 2–8 °C (35.6–46.4 °F) Shelf Life: 28 days
Injection Sites
Abdomen
Safety & Contraindications
Safety: Common: injection site reactions (17%), arthralgia (13%), myalgia (6%), peripheral edema (6%) Headache, nausea, and flu-like symptoms reported May increase blood glucose -- monitoring recommended in diabetics
Contraindications: Pregnancy (Category X -- absolute contraindication); Active cancer or history of any tumor (benign or malignant); Pituitary gland disorder, tumor, or history of pituitary surgery
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