5-Amino-1MQ vs Tesamorelin

Side-by-side comparison of mechanisms, dosing, interactions, and stacking potential.

5-Amino-1MQTesamorelin
CategoryPeptidesPeptides
Standard DoseResearch indicates 50-150 mg daily via oral administration, typically divided into 1-2 doses.Research indicates 2 mg administered once daily via subcutaneous injection (FDA-approved dose for HIV lipodystrophy).
TimingMorning dosing preferred. Can be taken with or without food.Morning administration on empty stomach. Consistent daily timing recommended.
Cycle Duration8-12 week cycles.26+ weeks in clinical trials. Long-term use is common; effects are not sustained after discontinuation.
Evidence Levelanimal_plus_anecdotalStrong (FDA-approved indication), Moderate (longevity)
A

5-Amino-1MQ

Peptides

Mechanism

5-Amino-1MQ is a small molecule inhibitor of nicotinamide N-methyltransferase (NNMT), an enzyme that catalyzes the transfer of a methyl group from S-adenosylmethionine (SAM) to nicotinamide, generating 1-methylnicotinamide (1-MNA). By inhibiting NNMT, 5-Amino-1MQ increases intracellular NAD+ levels, reduces 1-MNA production, suppresses lipogenesis in adipocytes, and modulates the methionine-homocysteine cycle. In vivo, it significantly reduces body weight, white adipose mass, and adipocyte size through enhanced energy expenditure and altered lipid metabolism.

Standard Dosing

Research indicates 50-150 mg daily via oral administration, typically divided into 1-2 doses.

Timing

Morning dosing preferred. Can be taken with or without food.

Cycle Duration

8-12 week cycles.

Side Effects

  • Mild GI discomfort
  • Headache
  • Diarrhea (uncommon)
  • Nausea at higher doses

Contraindications

  • Pregnancy and breastfeeding
  • Severe hepatic impairment
  • Active cancer (NAD+ modulation concern)

Best Stacking Partners

MOTS-cAOD-9604TesofensineSemaglutide
B

Tesamorelin

Peptides

Mechanism

Tesamorelin is an FDA-approved synthetic 44-amino acid GHRH analog with a trans-3-hexenoic acid modification at the N-terminal tyrosine that confers resistance to DPP-IV degradation. It binds GHRH receptors on anterior pituitary somatotrophs, stimulating endogenous GH production and secretion while maintaining pulsatile release patterns. Tesamorelin selectively reduces visceral adipose tissue (15-20% reduction in trials) while preserving subcutaneous fat, and markedly increases plasma GH and IGF-1 levels with once-daily dosing.

Standard Dosing

Research indicates 2 mg administered once daily via subcutaneous injection (FDA-approved dose for HIV lipodystrophy).

Timing

Morning administration on empty stomach. Consistent daily timing recommended.

Cycle Duration

26+ weeks in clinical trials. Long-term use is common; effects are not sustained after discontinuation.

Side Effects

  • Injection site reactions (erythema, pruritus)
  • Arthralgia
  • Peripheral edema
  • Myalgia
  • Paresthesia
  • Elevated blood glucose

Contraindications

  • Active cancer or pituitary tumors
  • Pregnancy (Category X)
  • Hypersensitivity to GHRH analogs
  • Disruption of hypothalamic-pituitary axis from surgery/radiation
  • Active cancer
  • Pregnancy
  • Pituitary surgery or disease

Best Stacking Partners

IpamorelinAOD-9604

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