Compare Peptides

Select any two compounds for a side-by-side comparison of mechanism, uses, risks, and FDA regulatory status.

Popular comparisons

Tesamorelin

Egrifta, TH9507

FDA Approved
Growth Hormone Secretagogue

Ipamorelin

Category 1
Growth Hormone Secretagogue
Overview

A synthetic analog of growth hormone-releasing hormone (GHRH) that is FDA-approved for HIV-associated lipodystrophy. One of the few peptides with a clear FDA-approved indication, making it a useful reference point for the broader GHRH analog class.

A selective growth hormone secretagogue that stimulates GH release with minimal effects on cortisol and prolactin. Considered one of the 'cleanest' GH-releasing peptides due to its selectivity.

Mechanism of Action

Binds to GHRH receptors on the pituitary gland, stimulating pulsatile GH release. Reduces visceral adipose tissue (VAT) through GH-mediated lipolysis. Maintains the natural pulsatile pattern of GH secretion, preserving feedback mechanisms.

Binds to ghrelin receptors (GHS-R) in the pituitary gland, triggering pulsatile growth hormone release. Unlike other GH secretagogues, it does not significantly increase cortisol, ACTH, or prolactin levels.

Common Uses
  • HIV-associated lipodystrophy (FDA-approved)
  • Visceral fat reduction
  • Metabolic health improvement
  • Growth hormone optimization (off-label)
  • Cognitive function (emerging research in older adults)
  • Growth hormone optimization
  • Improved sleep quality
  • Fat loss
  • Muscle recovery and growth
  • Anti-aging protocols
Known Risks
  • Injection site reactions (common)
  • Fluid retention and edema
  • Arthralgia (joint pain)
  • Potential glucose metabolism effects
  • Contraindicated in active malignancy
  • Headaches
  • Water retention
  • Tingling sensations
  • Limited long-term human data
  • May affect blood sugar
Regulatory Status
FDA Approved

FDA-approved as Egrifta (tesamorelin for injection) in 2010 for reduction of excess abdominal fat in HIV-infected patients with lipodystrophy. Also available through compounding pharmacies for off-label use with a physician prescription.

Category 1

Reclassified to Category 1 in February 2026 as part of the HHS announcement restoring compounding access. Not affected by the April 15, 2026 Category 2 removal action. Available through licensed 503A compounding pharmacies with a physician prescription.

This comparison is for educational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional before starting any peptide therapy.