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Comparison

AOD-9604 vs Tesamorelin

How AOD-9604 and Tesamorelin compare on research category, evidence tier, regulatory status, and reported side effects.

The verdict

These get grouped together in fat-loss discussion, but the evidence gap is large. Tesamorelin is FDA-approved (specifically for excess visceral fat in HIV-associated lipodystrophy) with real human trial data behind it. AOD-9604, a fragment of growth hormone, has mostly inconclusive human results and no FDA-approved weight-loss use. Going by what has actually been shown in people, Tesamorelin is far better supported; AOD-9604 remains largely unproven.

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AOD-9604
Fat LossEvidence: Limited

AOD-9604 is a fragment of HGH designed to target fat metabolism without the bulky GH side effects. Subtle compared to the GLP-1 drugs. Mostly used as a stack add-on during a cut, not as a primary fat-loss tool.

Onset
80
Documentation
95
Side intensity
46
Popularity
40
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Tesamorelin
GH-axisEvidence: Strong

Tesamorelin is an FDA-approved GH-axis peptide that specifically targets visceral fat, the deep belly fat around organs. Daily injection. Slow burn, but the visceral fat reduction is well-documented.

Onset
65
Documentation
75
Side intensity
82
Popularity
55
Side-by-side
Field
Left
Right
Category
Fat Loss
GH-axis
Half-life
~30 minutes
~30 minutes
Route
Subcutaneous
Subcutaneous
Schedule
Once daily, fasted
Once daily
Cycle length
8-12 weeks
12-26 weeks typical
Dose
250-500 mcg sub-q daily, fasted, ideally before cardio.
1-2 mg sub-q daily. Taken at the same time each day, ideally before bed.
FDA
Not FDA approved. Failed Phase 2 obesity trial.
Approved as Egrifta, 2010, for HIV-associated lipodystrophy.
WADA
Banned (S2)
Banned (S2)
Natty?
Not natty
Not natty
Prescribed
Not prescribed in conventional medicine.
Yes for HIV indication. Off-label use outside that scope is common but not on-label.
Top side effects
Mild injection-site irritation; Rare: headache, fatigue
Injection-site reaction; Fluid retention; Joint stiffness

Which one should you pick?

Pick AOD-9604 if users wanting localized fat-loss support or people who can't tolerate gh-class side effects (water, glucose impact).

Pick Tesamorelin if users targeting visceral (deep abdominal) fat specifically or older adults wanting gh-axis support without hgh.

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