Informational only. Not medical advice.INFORMATIONAL PLATFORM ONLY — NOT MEDICAL ADVICE, DIAGNOSIS, OR TREATMENT
Informational only. Not medical advice.INFORMATIONAL PLATFORM ONLY — NOT MEDICAL ADVICE, DIAGNOSIS, OR TREATMENT
Head-to-head comparison of IGF-1 (Insulin-like Growth Factor 1) and Tesamorelin — mechanism, dosing, side effects, legal status, and pricing.
Insulin-like Growth Factor 1, a 70-amino-acid peptide hormone that mediates many of growth hormone's anabolic effects. Recombinant IGF-1 (mecasermin) is FDA-approved for severe primary IGF-1 deficiency; non-prescription 'research' use for muscle growth is off-label and unproven.
Tesamorelin (Egrifta / Egrifta SV) is a stabilized analog of human GHRH(1-44) with a trans-3-hexenoic acid moiety at the N-terminus that protects against protease degradation. FDA-approved in November 2010 for the reduction of excess abdominal fat in HIV-infected patients with lipodystrophy, it is the only FDA-approved GHRH analog for this indication. Off-label use for general body composition and visceral fat reduction in non-HIV populations is common but outside the approved label.
IGF-1 (Insulin-like Growth Factor 1)
Tesamorelin
Category
Legal Status
Mechanism
Dose Range
Route
Frequency
Dosing Notes
COA-verified vendors · trust score ≥70 required · single-vial price — bulk/bundle deals may be lower
IGF-1 (Insulin-like Growth Factor 1)
No pricing data yet.
Check IGF-1 (Insulin-like Growth Factor 1) prices →Tesamorelin
COA corpus from Disclosed Labs — independently tested batches only.
IGF-1 (Insulin-like Growth Factor 1)
1
COAs
—
Avg purity
1
Labs
Tesamorelin
175
COAs
99.5%
Avg purity
14
Labs
Tesamorelin is among peptides under FDA review for the Category 1 (503A) list; if added, it would require a prescription to be compounded by registered 503A/503B pharmacies — not yet authorized. IGF-1 (Insulin-like Growth Factor 1) remains research-only. In April 2026 the FDA removed 12 peptides from Category 2, which does not place them on the Category 1 list or authorize compounding. The FDA's Pharmacy Compounding Advisory Committee is advisory and meets July 23–24, 2026 to review nominations and make recommendations to the FDA.
Strong endocrinology literature for deficiency states; performance/anti-aging use in healthy adults is not supported by controlled human trials and carries growth-signaling risk.
FDA approval (NDA 022505) was based on two Phase 3 trials reported by Falutz et al. (NEJM, 2007; PMID 18057338) and the pooled 52-week safety extension, showing ~15-18% reduction in visceral adipose tissue with improved triglycerides in HIV patients with abdominal fat accumulation. Stanley et al. (JAMA, 2014; PMID 25038357) demonstrated concurrent reductions in visceral and liver fat (NAFLD). Baker et al. (Arch Neurol, 2012; PMID 22869065) reported favorable effects on executive function in older adults with and without mild cognitive impairment at 1 mg/day for 20 weeks — note this cognition signal was in MCI / healthy older adults, not specifically APOE4-positive individuals. Current label dose is 1.4 mg SubQ daily (Egrifta SV); legacy Egrifta used 2 mg/day. Off-label use for general body composition in non-HIV populations is common but outside the FDA label.
Key references
IGF-1 (Insulin-like Growth Factor 1) and Tesamorelin are both in the Performance category and may have overlapping mechanisms. Researchers should review both profiles carefully, understand the mechanisms of action, and monitor the relevant biomarkers when combining compounds in the same class. As always, consult a licensed healthcare provider before making any decisions about combining research compounds.
This platform provides informational tools only, not medical advice. This comparison is for educational purposes only. Consult a licensed provider.
Half-life
Side Effects
Contraindications
Lab Testing
Disclosed Labs