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Both stimulate your own pituitary to release growth hormone, but they do it through different mechanisms with very different clinical results

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Liver fat A randomized study reported modest reductions in liver fat in HIV-infected adults with abdominal fat accumulation, but tesamorelin is not approved as a general fatty-liver treatment

PubMed Fletcher, M.M., Halls, M.L., Christopoulos, A., Sexton, P.M., & Wootten, D