Biological Mechanisms

GHRH

Growth Hormone-Releasing Hormone (GHRH) is a 44-amino-acid hypothalamic peptide that stimulates growth hormone secretion from anterior pituitary somatotroph cells by binding the GHRH receptor (GHRH-R) and activating cAMP/PKA signaling.

Tesamorelin is a synthetic GHRH analog consisting of the full 44-amino-acid human GHRH sequence with a trans-3-hexenoic acid N-terminal modification that protects against enzymatic degradation. It is the only GHRH analog to have received FDA approval (Egrifta).

GHRH-based compounds operate through a different mechanism than ghrelin-receptor-based secretagogues (like ipamorelin). GHRH stimulates pulsatile GH release while maintaining the natural secretory pattern.

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