Thinking of dropping tesa

The original poster suspects tesamorelin is causing returning food noise and hunger spikes after three weeks on tirz, despite also using ipamorelin, mots-c, and aod-9604. Others note that tesa raises ghrelin while ipamorelin acts on the same receptor, so either could be responsible; timing doses at bedtime is common to limit daytime effects. Suggestions include raising the tirz dose, adding cagri for suppression, or shifting tesa/ipa to morning. No clear consensus emerges on which peptide is the main culprit or whether dropping tesa would harm progress.

• Tesa increases ghrelin and can drive hunger at certain times of day
• Ipa also stimulates ghrelin receptors and may contribute to appetite changes
• Bedtime dosing is frequently used to reduce daytime hunger spikes
• Options discussed are increasing tirz, adding cagri, or changing injection timing
• Uncertainty remains about whether the hunger is from tesa, ipa, or needing a higher tirz dose

Participants differ on whether tesa or ipa is more likely to cause the hunger, and on the best timing or adjustment to make.

Whether dropping tesa would sabotage progress or if another change would resolve the appetite issue without that risk.

Nothing here is advice.