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Tesamorelin: The FDA-Approved Benchmark What sets tesamorelin apart Tesamorelin holds a unique position in the GH peptide landscape: it is the only GHRH analogue to receive FDA approval, granted in 2010 under the brand name Egrifta for the treatment of excess abdominal fat in HIV-infected adults with lipodystrophy a metabolic complication characterised by visceral fat accumulation and altered fat distribution

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This centrally produced GLP-1 reaches specific receptors located in key structures involved in appetite regulation, such as the paraventricular nucleus, the lateral septum, the nucleus accumbens and the lateral parabrachial nucleus.2,3,6 Furthermore, it promotes aversive responses, inhibits neuroinflammation and gastric emptying, and stimulates sympathetic tone and thermogenesis in experimental models.2,4,6 Activation of GLP-1R on neurons in the arcuate nucleus stimulates the production of pro-opiomelanocortin (POMC), which in turn inhibits neurons that produce neuropeptide Y (NPY), thereby generating an appetite-suppressing response.2 GLP-1 production has also been reported in the olfactory bulb, although its significance remains unclear.2,6 GLP-1R has been identified in the sinoatrial node, atrial and ventricular myocytes, and vascular endothelium