Tesamorelin is a synthetic peptide. It is a synthetic form of the naturally occurring growth hormone-releasing hormone (GHRH) produced in the hypothalamus, which stimulates the pituitary gland to release growth hormone. The active ingredient, Tesamorelin Acetate, consists of 44 amino acids.
Because Tesamorelin mimics the body's own hypothalamic peptide, it works as a "system regulator" rather than a replacement hormone: