doi: 10.1016/j.tim.2025.03.014 110 EngleK.KumarG
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Mechanisms of Action Tesamorelin binds to GHRH receptors on pituitary somatotroph cells, stimulating pulsatile GH release and subsequent IGF-1 production, which preferentially reduces visceral adipose tissue (VAT).[1][12] It mimics endogenous GHRH, leading to lipolysis without significant effects on subcutaneous fat or glucose metabolism in target populations.[3][13] Key sub-mechanisms include: GHRH Receptor Activation : Triggers cAMP signaling to enhance GH secretion.[1][14] Physiological Feedback Regulation : Maintains axis balance, avoiding desensitization.[12][15] Pulsatile Hormone Release : Induces episodic GH patterns for sustained efficacy.[3][16] Pituitary Gene Transcription : Upregulates GH expression.[1][17] Hypothalamic-Pituitary Axis Interaction : Supports endocrine homeostasis, reducing VAT via IGF-1-mediated lipolysis.[12][18] These mechanisms highlight Tesamorelin's potential for compounding in therapies targeting visceral fat
They are primarily found in foods such as fruits, vegetables, tea, and chocolate (Table 2)
