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(2007) published in the New England Journal of Medicine and subsequent work by Stanley et al

When tesamorelin is the more appropriate choice Tesamorelin is typically the preferred agent when: Visceral adipose tissue is the primary treatment target, particularly with associated metabolic comorbidities A clinician is working within a framework that prioritises FDA-approved agents The patient has HIV-associated lipodystrophy, the only approved indication A robust evidence base is required for clinical decision-making For general somatopause-related concerns gradual changes in body composition, sleep quality, and recovery the CJC-1295/ipamorelin combination remains more commonly used, primarily because of its flexible dosing profile and the preserved pulsatile GH release pattern

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Growth hormone secretagogues demonstrate a bell-shaped dose-response curve, meaning that beyond a certain threshold, increasing the dose yields no additional benefit and may reduce receptor sensitivity. Smith et al., Peptides Taking too much Ipamorelin can lead to diminished returns , or worse, GH resistance , where your body adapts and no longer responds