GHRP-2 vs Tesamorelin

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

GHRP-2Tesamorelin
CategoryPeptidesPeptides
Standard DoseResearch indicates 100-300 mcg administered 1-3 times daily via subcutaneous injection.Research indicates 2 mg administered once daily via subcutaneous injection (FDA-approved dose for HIV lipodystrophy).
TimingOn empty stomach, bedtime administration preferred. Wait 2+ hours after last meal.Morning administration on empty stomach. Consistent daily timing recommended.
Cycle Duration8-16 week cycles.26+ weeks in clinical trials. Long-term use is common; effects are not sustained after discontinuation.
Evidence Levelmoderate_humanStrong (FDA-approved indication), Moderate (longevity)
A

GHRP-2

Peptides

Mechanism

GHRP-2 (Growth Hormone Releasing Peptide-2) is a synthetic hexapeptide GHS-R1a agonist that is the most potent of the GHRP family for GH release. It stimulates pituitary GH secretion through the ghrelin receptor while also modulating hypothalamic GHRH and somatostatin pathways. GHRP-2 increases GH, cortisol, prolactin, and ACTH release, but with less appetite stimulation than GHRP-6. It also has demonstrated anxiolytic properties and sleep-promoting effects.

Standard Dosing

Research indicates 100-300 mcg administered 1-3 times daily via subcutaneous injection.

Timing

On empty stomach, bedtime administration preferred. Wait 2+ hours after last meal.

Cycle Duration

8-16 week cycles.

Side Effects

  • Water retention
  • Moderate hunger increase (less than GHRP-6)
  • Cortisol elevation
  • Prolactin elevation
  • Tingling
  • Vivid dreams

Contraindications

  • Active cancer
  • Cushing's syndrome
  • Hyperprolactinemia
  • Pregnancy and breastfeeding

Best Stacking Partners

CJC-1295 (no DAC)SermorelinBPC-157
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

Not sure which is right for you?

Take our free assessment to get personalized recommendations based on your health goals, current stack, and biomarkers.

Get Your Free Protocol →or take the assessment →