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Can tesamorelin cause weight gain?

The label says tesamorelin has a weight-neutral effect, so weight gain is not an expected result, although it lists fluid retention as a warning.

GHRH analogUpdated

Short answer

The label says tesamorelin has a weight-neutral effect, so weight gain is not an expected result, although it lists fluid retention as a warning.[1]

Weight, fluid and lean mass

Fluid retention can occur, which the label says is linked to growth hormone induction and can show up as edema.[1]

A pooled analysis of four trials found lean body mass rose with tesamorelin while trunk fat fell.[2]

In rats and dogs dosed repeatedly, body weight gain was significantly higher in treated animals (animal data).[3]

More on Tesamorelin

Sources

  1. 1EGRIFTA SV prescribing information (FDA label)FDA label, DailyMed · current labeldailymed.nlm.nih.govAccessed 2 Oct 2026
  2. 2Efficacy and Safety of Tesamorelin in People Living With HIV (PLWH) With Lipodystrophy: A Systematic Review and Meta-Analysis.Journal of the International Association of Providers of AIDS Care · 2026PMID 42538058Accessed 2 Oct 2026
  3. 3Non-clinical pharmacology and safety evaluation of TH9507, a human growth hormone-releasing factor analogue.Basic & clinical pharmacology & toxicology · 2007PMID 17214611Accessed 11 Oct 2026

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