Visceral Fat Cut
15-26%
Trial Length
26wks
FDA Approval
2010
Daily Dose
1-2mg
Sourcing note: most readers of this site buy research peptides from Primara Labs, our partner and supplier. Stock sits inside the Philippines, vials are batch-numbered and shipped cold-chain, and Metro Manila orders verified before noon go out the same day. View the catalogue
GHRH analog · Egrifta
Tesamorelin is a modified version of GHRH, the growth hormone releasing hormone your hypothalamus produces naturally. It binds GHRH receptors in the pituitary and triggers your own pulsatile GH release, which is a different and generally safer proposition than injecting synthetic HGH directly. It received FDA approval in 2010 under the brand name Egrifta, specifically for reducing visceral fat in HIV patients with lipodystrophy.
The headline number: Phase 3 trials showed 15 to 26 percent reductions in visceral adipose tissue over 26 weeks. That is human trial data, not rat studies, which makes tesamorelin unusual in this category. I am not going to rehash the mechanism, dosing tables, and side-effect profile here. The tesamorelin peptide profile carries all of that. This page is about getting it, or deciding not to bother, inside the Philippines.
Three routes, one that works
Here is the part that surprises people who arrive from the US. An FDA approval in America means nothing for shelf presence in Manila. Egrifta was approved for a narrow indication with a small patient population, and its manufacturer never built Philippine distribution. So the compound exists in a strange position here: legitimate clinical pedigree, zero retail footprint.
| Route | Reality |
|---|---|
| Retail pharmacy | Zero. Egrifta is not distributed in the Philippines. Mercury Drug and Watsons have never stocked it and will not order it in. |
| Hospital endocrinology | The approved GH-axis lane here is recombinant somatropin for genuine GH deficiency, plus tesamorelin only inside the narrow HIV-lipodystrophy indication. Not a route for body composition. |
| Research-grade supplier | The only route that actually functions. Lyophilized vials shipped cold-chain from peptide suppliers, reconstituted and used under research framing. |
The hospital lane deserves one clarification. The GH-axis products that move through licensed Philippine channels are recombinant somatropin brands like Genotropin and Norditropin, prescribed through endocrinology for genuine GH deficiency, and tesamorelin only within the HIV-lipodystrophy indication it was approved for. If your interest is body composition, no endocrinologist here is writing you into that lane, and asking mostly wastes a consult fee.
Vials, COAs, cold chain
Research-grade tesamorelin moves the same way every other peptide on this site moves: lyophilized powder in small vials, sold by research suppliers, reconstituted with bacteriostatic water, injected subcutaneously. The difference is volume. Tesamorelin protocols run 1 to 2mg daily, which is an order of magnitude more material per week than something like ipamorelin. That has two practical consequences.
First, purity matters more, because you are injecting more total mass every single day. A batch-matched COA from an independent lab is the minimum bar. My COA verification guide covers how to read one. Second, supply continuity matters. Running out mid-protocol because your supplier went dark is a real failure mode when you burn a vial in days rather than weeks, so establish that a supplier can actually restock before you commit to 26 weeks of daily dosing.
For general supplier vetting, the supplier selection guide applies without modification. Tesamorelin does not get a special exemption from the trust problem just because it once earned an FDA approval.
Our partner and supplier
Primara Labs, our partner and supplier, does not currently list tesamorelin as a stocked SKU. If you want it, message them through the marketplace and ask about sourcing. They hold their catalogue in stock inside the Philippines with batch-numbered vials, cold-chain handling, and same-day Metro Manila dispatch, and every order gets 10% off.
Ask Primara about tesamorelin sourcingHonest numbers, and honest gaps
I keep dated peso tables for the compounds I track closely. Tesamorelin is not one of them, and I would rather say that plainly than invent a range. Quotes vary widely between suppliers, and I have not verified current street pricing on the ground.
What the compound files do support: tesamorelin runs roughly three times the cost of a CJC-1295 and ipamorelin stack for a comparable GH protocol. The reason is arithmetic, not markup. You dose tesamorelin at 1 to 2mg daily where the CJC and ipamorelin stack runs on 100 to 200mcg doses. More milligrams consumed means more vials bought, every month, for six months. If visceral fat is not specifically your target, that premium is hard to justify, which is where the CJC-1295 conversation usually starts instead.
The one cost I can anchor: baseline bloodwork. An IGF-1, fasted glucose, HbA1c, and thyroid panel runs ₱4,500 to 6,000 at Hi-Precision or Makati Med outpatient. Given tesamorelin elevates GH and can push blood glucose, that panel is not optional bookkeeping. It is the difference between running a protocol and guessing.
Manila heat is the enemy
Domestic movement is the easy part. Nationwide insulated courier runs 1 to 3 days with cold packs, and Metro Manila same-day delivery exists through the usual channels when a supplier holds local stock. Research-peptide retail is effectively zero outside Metro Manila, so buyers in Cebu, Davao, and everywhere else order online like everyone in Manila does, with an extra transit day.
Storage discipline matters more with tesamorelin than with most peptides simply because you handle it every day. Lyophilized vials stay cool and dark. Reconstituted vials live in the fridge, full stop. A Manila apartment without aircon spends most of the year above 30 degrees, and a daily-use vial left on a desk through that is a degraded vial.
Tesamorelin vs CJC and ipamorelin
The honest framing from the compound research: for specifically targeting visceral fat, tesamorelin has the best clinical data of any GH peptide, and it is not close. For overall body composition on a budget, the CJC-1295 and ipamorelin stack is more versatile at a third of the cost.
They are also not mutually exclusive. Tesamorelin works through GHRH receptors and ipamorelin through GHSR receptors, so combining them stimulates GH release through complementary pathways. That stack shows up in research circles here, but it compounds the cost problem, so most people pick a lane based on whether visceral fat is the actual target.
Readers who want the 90 days mapped out before they order start with the Longevity Manila protocol planner, which sets one goal, sequences the compounds behind it, and hands the list to our partner and supplier, Primara Labs.
What readers actually ask
If you only read one section
Research use only. Tesamorelin outside its approved indication is a research compound, not a treatment. Nothing here is medical advice. Consult a healthcare professional before starting any peptide protocol.
Our partner and supplier
Primara Labs, our partner and supplier, holds stock inside the Philippines. Vials are batch-numbered and ship cold-chain, Metro Manila orders verified before noon dispatch the same day, provincial couriers run 1 to 3 days, and every order gets 10% off.
View the catalogue