What the studies show
Hepatic fat fraction fell by about a third over 12 months vs placebo; a specific population, one trial.
Human trials exist and mostly agree, but there are too few of them, they are too small, or one big one is still reading out. Expect the grade to move.
- 1Stanley TL, et al. Effects of tesamorelin on non-alcoholic fatty liver disease in HIV: a randomised, double-blind, placebo-controlled trial.Lancet HIV, 201961 participants, 12 months.
In context
Tesamorelin is a synthetic analogue of growth-hormone-releasing hormone, approved in the United States to reduce excess abdominal fat in people with HIV-associated lipodystrophy. In that population it cuts visceral fat by about 15% over six months, and the fat returns when treatment stops. Its use for general fat loss, muscle or anti-ageing rests on extrapolation from that specific group; there are no trials in healthy adults. It is not authorised in the EU.
Tesamorelin is approved (rx, us). Legal status differs by country — see the regulation section or the jurisdiction pages.
Questions
Is Tesamorelin proven to help with liver fat?
What studies are behind the grade?
Is Tesamorelin approved for this?
Other outcomes for Tesamorelin
- AVisceral fat (HIV lipodystrophy)2 phase 3 RCTs (n=816)
- CCognition in older adults1 RCT (n=152)
- DFat loss in healthy adultsNone
- AIGF-1 elevation and glucose effectsadversePhase 3 programme
Reviewed 2 September 2026. Grades count human evidence only; see how LYO grades. Not medical advice. Correct this page →