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Muscle

Tesamorelin dosing guide

The visceral fat specialist — the only GHRH FDA approved for that purpose.. Everything below is the arithmetic of this vial — what to mix, what to draw, how often, and for how long.

Also sold as: tesa, egrifta

The protocol at a glance

Vial size
10 mg
Bacteriostatic water
2 mL
Concentration
5.00 mg/mL
Dose
1 mg
Draw on a 1 mL syringe
20 units
Timing
AM/PM
Frequency
5 days on, 2 days off
Cycle length
8 weeks on, 8 weeks off
Doses per vial
about 10
Draw to here
00.0100.1200.2300.3400.4500.5600.6700.7800.8900.91001.0DRAW TO 20u100-UNIT · 1 mL SYRINGETesamorelin
Change the vial or water volume in the calculator →

Mixing it, step by step

Step by step

Reconstitution steps

Every step below uses the numbers you entered above.

  1. 1
    Wipe both stoppers

    Swab the rubber tops of the 10 mg Tesamorelin vial and the bacteriostatic water vial with fresh alcohol pads. Let them air dry for a few seconds.

  2. 2
    Draw 2 mL of BAC water

    Pull 2 mL of bacteriostatic water into a reconstitution syringe (usually a 3 mL syringe with a 21g needle).

  3. 3
    Add water slowly, down the side

    Inject the water against the inside wall of the vial, don't blast it directly onto the powder. This protects the peptide from shear damage.

  4. 4
    Swirl, don't shake

    Gently swirl until the powder is fully dissolved and the liquid is clear. Never shake, foaming denatures the peptide.

  5. 5
    Draw 20 units on a 1 mL syringe

    On your 100-unit (1 mL) insulin syringe, pull the plunger back until the rubber tip lines up with 20, that's your 1.00 mg dose. Tap out any air bubbles, then inject as directed.

  6. 6
    Store refrigerated

    Cap the vial and store at 2–8 °C (36–46 °F). Most reconstituted peptides remain stable for 3–4 weeks refrigerated.

What to expect, week by week

Week 1

Deeper sleep, vivid dreams, possible morning hand tingling — normal GH-axis signals.

Weeks 2–4

Recovery between sessions improves. Modest fullness in muscles from mild water retention.

Weeks 4–8

Body comp changes become visible. Fat drops slightly, muscle looks fuller. Bloodwork check recommended.

Weeks 8+

Cycle off for at least equal time to restore natural pulsatility. Track IGF-1 if running longer.

Side effects to watch

  • Injection site reactions
  • Joint discomfort
  • Mild glucose elevation

Why people run it

  • Visceral fat reduction
  • Improved lipid profile
  • Liver fat reduction
  • Cognitive support in older adults

What to stack it with

Ready to run Tesamorelin?

Read the full compound page, or check current pricing.

Educational reference only. Doses shown reflect commonly reported research protocols and are not medical advice.

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