Tesamorelin

    I spend my days looking at exactly where people carry fat, and I know something patients often do not: liposuction and abdominoplasty address the fat I can reach, not the visceral fat behind the abdominal wall. That deep fat is the one that changes your silhouette and your metabolic health, and no amount of contouring will touch it.

    How I Run The Protocol

    I do not prescribe peptides casually. I start with history, body composition, and baseline labs, and I recheck them. Tesamorelin is a nightly subcutaneous injection, dosed to protocol, with sites rotated across the abdomen — I teach patients to inject at home properly rather than hand them a vial and hope. Follow-ups exist to catch what matters: fluid retention, joint aching, glucose drift, and whether the change we set out to make is actually happening.

    Who It Suits, In My Experience

    The patient I see benefit most is in their forties or beyond, lean-ish everywhere except the midsection, holding onto muscle with effort, and often coming off or alongside a GLP-1. Tesamorelin pairs well with a weight-loss plan precisely because my priority is protecting lean mass while the scale moves. If you want a shortcut, I am the wrong surgeon. If you want a supervised, measured protocol with someone who will tell you when to stop, this is how I practice.

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