Tesamorelin dose range

The amounts people commonly use, from the low end to the high end, with syringe units, schedule and half-life. The 6 published studies are one click away.

Human trials Growth hormone axis Also called TH9507

Common use ranges

Mostly from the official drug label or its main trials, plus clinic protocols. Sources agree on 1 to 2 mg once a day. The newer label dose is 1.4 mg from a 2 mg vial.

Half-life
about 26 minutes in healthy people and 38 minutes in HIV patients (original label). Newer forms list 8 to 11 minutes.
How it is taken
subcutaneous injection
How long people use it
Trials ran 26 weeks with an extension to 52. Clinics often run 3 month blocks, then reassess. Some run 6 month courses with breaks.
Mixing used for the units
10 mg vial + 2 mL water. 1 unit on a U-100 insulin syringe = 50 mcg.
Total amount per day, by tier
Starting1 mg / dayTypical (Egrifta SV label)1.4 mg / dayTypical2 mg / day
TierEach doseSyringe units10 mg vial + 2 mL waterHow oftenScheduleVial lastsat this tier
Starting [1]1 mg20 units 0.20 mLonce a dayOnce a day for 2 to 4 weeks, then move up if it goes well10 days
Typical (Egrifta SV label) [2]1.4 mg28 units 0.28 mLonce a dayOnce a day in the belly7 days
Typical [3]2 mg40 units 0.40 mLonce a dayOnce a day, often at bedtime5 days

Good to know

  • Bedtime is the most common time. Clinics say 2 to 3 hours after the last meal.
  • Some clinics use 5 days on, 2 days off. One source calls the evidence for that thin.
  • Most prescribers cap at 2 mg a day. Higher was not studied.
  • Missed a day? Skip it, do not double up.
  • Label says consider stopping if IGF-1 stays high or there is no clear response.

Sources for these amounts

  1. Starting: FormBlends, tesamorelin dosage protocols
  2. Typical (Egrifta SV label): RxList, Egrifta SV
  3. Typical: RxList, Egrifta (original label) · FormBlends, tesamorelin dosage protocols

How long people use it: RxList, Egrifta SV · FormBlends, tesamorelin dosage protocols · Perfect B, tesamorelin week by week

Half-life: Egrifta FDA label 2012, section 12.3 · Egrifta WR FDA label 2025, section 12.3

This page shows what labels, clinics and users report, and what studies gave. It is not medical advice and not a recommendation for anyone. Many of these compounds are not approved for human use. Check your own medicines and lab work with a licensed clinician before using anything.

See the science: 6 published studies

Amounts given to people in studies

Lowest1 mg daily
Most used2 mg daily
Highest2 mg daily

How it was given: Under the skin (SC)

Every phase 3 trial used 2 mg daily.

Amounts given to animals in studies

LowestNot stated in abstract
Most usedNot stated in abstract
Highest600 mcg/kg daily (rats, dogs, pigs)

Every study used for this page

Proof grade: Human trials. Tested in randomized human trials. Amounts are quoted as each study reported them. Where the abstract does not state an amount, the row says so.

StudyWho was studiedAmount given, as reportedRouteHow oftenHow longWhat the authors reported
PMID 160520832005Human, HIV with excess abdominal fat, phase 2 (n=61)Placebo, 1 mg, or 2 mg TH9507 (tesamorelin)SCOnce daily12 weeksIGF-I +48% (1 mg), +65% (2 mg). Trunk fat 0.8, -4.6, -9.2% (placebo, 1, 2 mg). Visceral fat -5.4, -3.6, -15.7% (not significant vs placebo)
PMID 180573382007Human, HIV with abdominal fat, phase 3 (n=412)2 mg tesamorelin vs placeboSCOnce daily26 weeksVisceral fat -15.2% vs +5.0%; IGF-I +81.0%
PMID 201011892010Human, HIV, phase 3 with extension (n=404)2 mg daily vs placebo (2:1); extension: continue 2 mg or switch to placeboSCOnce daily12 months (26-wk efficacy phase)VAT -10.9% vs -0.6% at 6 mo; about -18% at 12 mo; effect lost on switch to placebo
PMID 205547132010Human, HIV, pooled analysis of two phase 3 (n=806)2 mg vs placebo (543 vs 263)SCOnce daily26 wk, extended to 52 wkVAT -24 vs +2 cm2 at wk 26; maintained to wk 52
PMID 250383572014Human, HIV, single-center RCT (n=50)2 mg (n=28) vs placebo (n=22)SCOnce daily6 monthsVAT -34 vs +8 cm2; liver fat down (median -2.0% vs +0.9%)
PMID 172146112007Animal: pigs, rats, dogs (n not in abstract; body weights not stated)Not stated in the abstractIV or SCDaily repeatUp to 4 months (subchronic tox in rats, dogs)GH and IGF-I rose markedly. Dogs showed adverse effects tied to long high GH/IGF-1 exposure

How to read the study numbers

  • One study, one group. Each figure is what one team chose for its own participants or animals.
  • Route matters. An amount given into a vein (IV) is not the same as the same amount under the skin, in the nose or by mouth.
  • Animals are not small people. An animal amount is shown as the study gave it. It is not a human amount.
  • Short studies. Many studies ran days or weeks. They do not show what happens over longer use.

Common questions

What amounts of Tesamorelin were used in human studies?

In the studies listed here, people were given from 1 mg daily up to 2 mg daily. The amount used most often was 2 mg daily. These are what study teams chose for their participants under supervision.

Where do these Tesamorelin numbers come from?

From 6 published studies, each linked to its PubMed or ClinicalTrials.gov record. Every figure was checked against the study abstract or its open full text. Proof grade: Human trials.

How long does Tesamorelin stay in the body?

Its half-life is about 26 minutes in healthy people and 38 minutes in HIV patients (original label). Newer forms list 8 to 11 minutes. in people. Half-life is how long it takes for half of a dose to leave the blood. The effect can last longer than that.

Is this a recommendation for how much Tesamorelin to use?

No. This page shows the amounts reported by drug labels, clinics and users, next to what researchers gave in studies. It is not medical advice and not a recommendation for anyone. Talk to a licensed clinician before using any of it.

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