Tesamorelin dosing schedules stacking side effects and fasting optimization

Thanks for all the details that's helpful. I've been hesitant because some reported stalls but after reading your experience I'll probably add tesa.

Start low and titrate up. There can be some initial water retention that fades. In my view reta handles most of the weight loss while tesa supports recovery and strength retention in a deficit. Can't explain how I keep training volume without it and the test. The workload would likely tank natural test otherwise.

Good info. How long does the water retention usually last? Varies person to person but curious about typical duration. Do you feel tesa helped protect muscle on reta? That's my main worry. I train eat clean and aim for high protein but hitting enough is tough some days so I set phone reminders.

What starting dose did you use for tesa 0.5 mg? How did the first days feel and any sides?

On tesa and ipa for 34 days now plus reta for a while. I got frustrated with weekly weigh ins too but noticed clear waist reduction and my hypertrophy numbers are creeping back up. Started at 1 mg tesa and 200 mcg ipa daily then raised to 1.2 mg and 250 mcg four days ago. Deep sleep has been the biggest win and the dreams feel extremely real. The better rest indirectly helps muscle preservation though I wouldn't claim direct growth yet. Slowly increasing to test that possibility.

Had a similar stall on CJC ipa after steady 1.5 to 2 lb weekly loss. Switched to hgh and still stalled then raised reta from 3 to 4 mg weekly and started dropping again. Body fat percentage kept falling during the stall though. GH compounds and hgh cause water retention that can hide scale movement. Some think reta helps offset insulin resistance from higher IGF-1.

Can't say it was tesa directly but it didn't cause problems. Water retention cleared fairly quickly from what I recall.

Someone posted stability test results for tesa showing baseline purity and content then checks at 30 60 and 90 days. The 30 and 60 day marks showed almost no drop while 90 days had a 1 percent purity decline and 0.9 mg content loss. Room temperature samples declined faster at about 1 percent monthly early on and 5 percent overall. Still most people wouldn't keep a vial that long anyway since even 20 mg would be used up in around 40 days at 0.5 mg daily.

Started at 1 mg pinning every day in the morning. Now switching to evening to test sleep effects too soon to tell. Side effects have been only slight sting after the shot. Best sleep came the first one or two days but hasn't repeated so trying night pins to bring it back. Mornings feel less fatigued and recovery from workouts is better lately. No other sides. Planning to stay at 1 mg for at least a month or until bloodwork. Also have ipa ready but don't want to add multiple things at once.

That midnight or 1 am option could work for me too. Thanks. And wow picking up sale vegetables at the store. I didn't realize hgh levels might not return to baseline after stopping. Every new detail makes it feel like there's always more to learn. I had assumed it would bounce back. Also didn't know tesa could potentially boost natural production like exercising a muscle. Following you now. Might just stick with tesa after all since price isn't the issue but long term health is. Appreciate the info that's why I stay here.

Unlike testosterone or similar steroids, growth hormone lets your own output recover fast, usually within a day or two at most. I've never seen any sign that tesa creates a permanent rise in natural levels, as though it were building up the pituitary the way muscle grows. Output would just settle back to normal once you quit. Anyone concerned that ongoing growth hormone might reduce pituitary function over time could try alternating several months on with breaks that include tesa to support recovery.

That's what I thought too. Never heard that hgh wouldn't return to baseline or that tesa could raise natural amounts. What you're saying matches what I believed.

Yep that's me. Normally 123 to 125 lb without ipa CJC or tesa ipa but on them I'm about 5 lb heavier. Also notice some under eye swelling at first that usually fades after week two.

I begin each morning with a protein shake blended together with psyllium husk. Would that mixture count as breaking the fast?

If you pin the Tesa first, then yes it would.

No, what I meant is whether a protein shake breaks a fast at all. If I pin Tesa right after waking, can I have the shake an hour later without it interfering?

Any calories at all end the fasted state right away, even a little milk because of the sugars and protein that raise glucose and insulin. That stops the repair and fat burning processes. I had to get used to plain black coffee for that reason, and even artificial sweeteners can trigger the same response.

Week four day one went smoothly with almost no sting, probably because I used the glute. Sleep turned out excellent and gym recovery felt noticeably better with a couple personal bests hit. Waist looks visibly smaller too.

Okay thanks, that clears it up. How long after the morning Tesa pin should we wait before eating and breaking the fast?

Already covered that anything with calories breaks the fast. Still, waiting sixty minutes or longer after the Tesa pin means the pulse should stay effective. Pin first thing, stick to water only, then carry on with your day after an hour or more.

True, I left that out earlier but water retention has shown up for me too. Started around two pounds and now sits closer to four or five, pushing the scale higher in week two. Measuring the waist helps track progress since the number on the scale gets misleading. Some people on five days on and two off notice the extra fluid eases during the break days. The chart shows the jump right after I began Tesa following a stretch of reta only.

Two hours would work well.

Anything above twenty five to fifty calories ends the fast. Taking tesa before bed works better if your last meal was at least two hours earlier.

Yes, heavy glp1 use slows gastric emptying so an empty stomach was not realistic for me.

That explains it. I finish eating by seven most nights while on reta, so I will check timing once the tesa and ipa show up.

My partner finishes work late so we end up eating together then.

Any update on how things went after you started back in April?

Same thing happened when I began CJC and ipa. Steady weekly loss stopped and after six weeks only two more pounds came off even though I look leaner.

Sounds familiar and happens to plenty of others. Looking forward to the fluid coming off once I finish the twelve week run, but recovery feels better so I am staying the course.

Does it change your sleep at all?

Good to hear the details, you are heading in a solid direction. Adding ipa should help with feeling wiped out after workouts. I am on week five of the tesa ipa combo and waistline plus recovery have both improved noticeably.

Gemini warned that inner thigh might not be ideal because nerves and blood vessels sit close to the surface.

Try an ice pack beforehand to tighten vessels and again right after to limit swelling, and avoid pressing hard while pinning.