Mechanism: GH Axis

    CJC-1295 vs Tesamorelin: GHRH Analogue Comparison

    Both are GHRH analogues that drive endogenous GH and IGF-1 release. Tesamorelin is the only one with FDA-approved indication for visceral fat reduction. CJC-1295 is unapproved but widely studied in research settings.

    Side-by-side comparison

    AttributeCJC-1295Tesamorelin
    MechanismGHRH analogue, optional DACGHRH analogue
    Half-life~8 days (DAC), ~30 min (no DAC)~26 minutes
    Typical research dose1 to 2 mg weekly (DAC)2 mg daily
    Visceral fat dataLimited15 to 18 percent reduction at 26 weeks (Falutz 2007)
    Regulatory statusUnapprovedFDA approved for HIV lipodystrophy
    Cost per monthLowerHigher

    Key differences

    • ·Tesamorelin has phase 3 data showing 15 to 18 percent visceral fat reduction
    • ·CJC-1295 with DAC has a multi-day half-life, simplifying dosing
    • ·Tesamorelin is dosed daily at 2 mg, CJC-1295 DAC once or twice weekly
    • ·Tesamorelin carries higher cost per mg, CJC-1295 is cheaper at scale

    Research summary

    Falutz et al. (2007, NEJM) showed tesamorelin reduced visceral adipose tissue by 15 percent over 26 weeks. CJC-1295 lacks comparable phase 3 visceral fat trials but is supported by pharmacokinetic studies showing sustained GH and IGF-1 elevation (Teichman 2006).

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