If you have been reading about Visceral adipose tissue and want a single page that covers the useful parts, this is it: definitions, context, how it is studied, and the questions that come up repeatedly.
Updated 2026-01-21. Numbers and descriptions here follow the published literature rather than marketing material.
Tesamorelin is a synthetic peptide that acts as an analog of growth hormone-releasing hormone, a natural hypothalamic signal. Its sequence corresponds to the forty-four amino acid form of the human hormone, with a small acyl group attached near the amino terminus. That modification slows enzymatic breakdown and extends the time the peptide remains active in circulation. The compound was developed as a pharmacological way to raise endogenous growth hormone output rather than supplying the hormone directly.
After injection, the peptide binds receptors on somatotroph cells in the anterior pituitary. Receptor activation raises intracellular cyclic AMP and triggers release of stored growth hormone into the bloodstream. Because the compound works through the body's own regulatory system, growth hormone pulses retain much of their normal feedback control. Repeated administration also raises insulin-like growth factor 1, a hormone produced mainly in the liver. Investigators treat that rise as a marker that the pituitary axis has been engaged.
Clinical study of tesamorelin has centered on adults with HIV-associated lipodystrophy, a condition in which abdominal fat accumulates while peripheral fat is lost. In controlled trials, treated participants showed reductions in visceral adipose tissue measured by imaging, alongside modest shifts in some lipid values. Effects on subcutaneous fat were smaller and less consistent across studies. Whether these changes translate into fewer cardiovascular events remains an open question, because the trials were not designed or powered to answer it.
Clinical interest in tesamorelin arose from the need to address visceral adiposity in people living with HIV. Antiretroviral therapy improved survival but was associated in some patients with central fat accumulation, altered lipid profiles, and metabolic complications. This condition, often called HIV-associated lipodystrophy, involves excess visceral adipose tissue that is difficult to manage through diet and exercise alone. Investigators evaluated tesamorelin because GHRH analogs can stimulate growth hormone secretion and influence fat distribution without direct liposuction or invasive procedures.
A Phase 3 program led to regulatory approval in the United States in 2010 for reduction of excess visceral abdominal fat in adults with HIV and lipodystrophy. Subsequent studies examined effects on liver fat, muscle area, and metabolic markers, with mixed findings for some endpoints. Long-term cardiovascular outcomes and effects on mortality remain uncertain because most trials were relatively short and focused on imaging-based fat measurements. Use in populations without HIV has been studied experimentally but is not part of the approved indication.
| Property | Value | Notes |
|---|---|---|
| Drug class | Peptide hormone analog | Acts at the growth hormone-releasing hormone receptor |
| Receptor | Growth hormone-releasing hormone receptor | G protein-coupled; raises cyclic AMP in somatotrophs |
| Key mediator | Insulin-like growth factor 1 | Increases with repeated administration |
| Main studied population | Adults with HIV-associated lipodystrophy | Trials measured visceral adipose tissue by imaging |
| Route | Subcutaneous injection | Given once daily in clinical use |
研究背景集中在特定人群的体成分改变，尤其是与脂肪分布异常相关的内脏脂肪堆积。不同地区对它的监管状态与获批适应症并不一致，部分市场仅限特定诊断人群使用。在一般人群中的长期效应、与其他激素的相互作用以及停药后的维持情况仍属开放问题，现有数据不足以给出普遍结论。
tesamorelin 是一种人工合成的四十四肽，序列与内源性生长激素释放激素（GHRH）的 1-44 片段一致，区别在于 N 端加接了一个反式-3-己烯酰基。该修饰抑制二肽基肽酶 IV 的快速切割，从而延长分子在循环中的存留时间。作为肽类分子，它难以经胃肠道吸收，文献中讨论的均是注射途径。分类上通常把它归为 GHRH 类似物，以区别于生长激素本身。
作用位置在垂体前叶。tesamorelin 与 GHRH 受体结合后激活腺苷酸环化酶，升高细胞内 cAMP，再经蛋白激酶 A 通路促进生长激素的合成与释放。由于它作用于内源调控节点，生长激素仍以脉冲方式分泌，而不是被持续抬升到固定水平。生长激素随后在肝脏等组织诱导胰岛素样生长因子 1 产生，构成完整的生长激素轴响应。
where e is the engineering strain. The logarithmic strain provides the correct measure of the final strain when deformation takes place in a series of increments, taking into account the influence of the strain path.
== Etymology and naming == The genus name Lycium was assigned by Linnaeus in 1753. The Latin name lycium is derived from the Greek word λύκιον (lykion), used by Pliny the Elder (23–79) and Pedanius Dioscorides (ca. 40–90) for a plant known as dyer's buckthorn, which was probably a Rhamnus species. The Greek word refers to the ancient region of Lycia (Λυκία) in Anatolia, where that plant grew. The common English name, wolfberry, has an unknown origin. It may have arisen from the mistaken assumption that the Latin name Lycium was derived from Greek λύκος (lycos), meaning "wolf". In the English-speaking world, the name goji berry has been used since around 2000. The word goji is an approximation of the pronunciation of 枸杞 (pinyin: gǒuqǐ), the name for the berry-producing plant Lycium chinense in several Chinese dialects. In Japanese, 枸杞 is written and pronounced クコ (kuko). In technical botanical nomenclature, Lycium barbarum is called matrimony vine, while Lycium chinense is Chinese desert-thorn. In the United States, various common names are used for Lycium species and varieties, such as desert-thorn, boxthorn, matrimony vine, and wolfberry.
==== Sweden ==== The Swedish Riksdag added 4-HO-MET to Schedule I ("substances, plant materials and fungi which normally do not have medical use") as narcotics in Sweden as of May 1, 2012, published by Medical Products Agency in their regulation LVFS 2012:6.
=== Relationship === Rose's parents forbade their daughter from continuing to date Fred, but she defied their wishes, prompting them to visit Gloucestershire's social services agency to explain that their 15-year-old daughter was having a sexual relationship with an older man, and that they had heard rumours that she had begun to engage in prostitution at Fred's caravan. In response, Rose was placed in a home for troubled teenagers in Cheltenham in August 1969, and only permitted to leave under controlled conditions. When allowed to return home to visit her parents at weekends, Rose almost invariably took the opportunity to visit Fred. On her 16th birthday, Rose left the home for troubled teenagers to return to her parents while Fred was serving a thirty-day sentence for theft and unpaid fines. Upon his release, Rose left her parents' home to move into a flat in Cheltenham with Fred. Shortly thereafter, Fred collected Charmaine and Anne Marie from social services. Rose's father made one final effort to prevent his daughter from seeing Fred, and Rose was examined by a police surgeon in February 1970, who confirmed she was pregnant. In response, Rose was again placed into care but was discharged on 6 March on the understanding she would terminate her pregnancy and return to her family. Instead, Rose opted to live with Fred, resulting in her father forbidding his daughter from ever again setting foot in his household. Three months later Fred and Rose vacated the Cheltenham flat and moved to the ground-floor flat of a two-storey house at 25 Midland Road in Gloucester.
Sources: en.wikipedia.org
== External links == Official website Duncan Sheik at the Internet Broadway Database Duncan Sheik at IMDb Duncan Sheik at Rounder Records Duncan Sheik discography at Discogs Duncan Sheik at International Songwriters Association
GC-interface (combustion or pyrolysis) is also an online preparation method followed by IRMS detection. This is a 'compound-specific' method, allowing separation of analytes prior to measurement and thus providing information about the isotopic composition of each individual compound. After GC separation, samples are converted to smaller gaseous molecules for isotope measurements. GC/pyrolysis uses the pyrolysis interface between GC and IRMS for the conversion of H and O in the molecules into H2 and CO. GC-IRMS was first introduced by Matthews and Hayes in the late 1970s, and was later used for δ13C, δ15N, δ18O and δ34S. Helium is used as the carrier gas in the GC systems. However, the separation of DH (m/z=3) signal from the tail of 4He+ beam was problematic due to the intense signal of 4He+. During the early 1990s, intense efforts were made in solving the difficulties to measure δD by GC/pyrolysis-IRMS. In 1999, Hilkert et al. developed a robust method by integrating the high temperature conversion (TC) into GC-IRMS and adding a pre-cup electrostatic sector and a retardation lens in front of the m/z=3 cup collector. Several different groups were working on this at the same time. This GC/pyrolysis-IRMS based on TC has been widely used for δD measurement nowadays. The commercial products of GC-IRMS include both combustion and pyrolysis interfaces so that δ13C and δD can be measured simultaneously. The significant advantage of GC/pyrolysis method for HIC measurement is that it can separate different compounds in the samples.
The result was that on January 29, 1981, Adolfo Suárez made public on television his decision to resign from the presidency of the government and the party. He justified it with the enigmatic phrase: "I do not want the democratic system of coexistence to be, once again, a parenthesis in the life of Spain". Two days later Suárez gathered the "barons" of UCD who agreed to propose Leopoldo Calvo Sotelo as candidate for the presidency of the government. The political crisis that the country was going through worsened when it was known that ETA had assassinated José María Ryan, industrial engineer of the Lemóniz Nuclear Power Plant who had been kidnapped a few days before, and coincided with the death by torture in the Carabanchel Penitentiary Hospital of the presumed etarra José Ignacio Arregui. It also fueled the tension the signs of rejection that the kings received from representatives of Herri Batasuna when they visited the Casa De Juntas De Gernika together with the lehendakari Carlos Garaikoetxea.
Gokhan Okan, Can Baykal, Rifkiye Sarica. "Childhood bullous pemphigoid developed after the first vaccination." Journal of Dermatological Treatment Gokhan Okan, Pervin Vural. "Worsening of the vitiligo following the second dose of the BNT162B2 mRNA COVID‐19 vaccine." Journal of Dermatological Treatment Gokhan Okan, Adile Merve Baki, Eda Yorulmaz, Semra Doğru‐Abbasoğlu, and Pervin Vural. "Serum Visfatin, Fetuin‐A, and Pentraxin 3 Levels in Patients with Psoriasis and Their Relation to Disease Severity". Journal of clinical laboratory analysis. Gokhan Okan, and Halil Ibrahim Canter. "Nicolau syndrome and perforator vessels: a new viewpoint for an old problem". Journal of Cutaneous and Ocular Toxicology. Gokhan Okan, and Can Baykal. "Nevoid hyperkeratosis of the nipple and areola: treatment with topical retinoic acid". Journal of the European Academy of Dermatology and Venereology. Gokhan Okan, Serpil Yaylaci, Onder Peker, Sabahattin Kaymakoglu, and Murat Saruc. "Vanishing bile duct and Stevens-Johnson syndrome associated with ciprofloxacin treated with tacrolimus". World Journal of gastroenterology. Can Baykal, Gökhan Okan, and Rifkiye Sarica. "Childhood bullous pemphigoid developed after the first vaccination". Journal of the American Academy of Dermatology. Gökhan Okan, "Atopik dermatitin baş boyun lokalizasyonlarında pityrosporum ovalenin rolü". ("The role of pityrosporum ovalen in head and neck localization of atopic dermatitis.") Gokhan Okan, Adile Merve Baki, Eda Yorulmaz, Semra Dogru-Abbasoglu, Pervin vural.
=== Brand names === Nalbuphine is marketed primarily under the brand names Nubain, Nalpain, and Nalbuphin. It is also marketed under the brand name Nalufin in Egypt and Nalbun in Bangladesh by Incepta Pharma Limited, under the brand name Rubuphine in India by Rusan Healthcare Pvt Ltd, under the brand name Kinz and Nalbin in Pakistan by Sami and Global Pharmaceuticals, under the brand name Analin by Medicaids in Pakistan, and under the brand name Exnal by Indus Pharma in Pakistan, among many others.
Sources: en.wikipedia.org
IC50 / pIC50 values represent binding affinity only and do not reflect efficacy or pharmacokinetics, and some compounds listed are GABAA antagonists rather than agonists (e.g. flumazenil). Low IC50 or high pIC50 values indicate tighter binding (pIC50 of 8.0 = IC50 of 10nM, pIC50 of 9.0 = IC50 of 1nM, etc.) These are non subtype selective IC50 values averaged across all GABAA receptor subtypes, so subtype selective compounds with strong binding at one subtype but weak at others will appear unusually weak due to averaging of binding values (see e.g. CL-218,872) † indicates a predicted value from in silico modelling. Finally, note that the benzodiazepine core is a privileged scaffold, which has been used to derive drugs with diverse activity that is not limited to the GABAA modulatory action of the classical benzodiazepines, such as devazepide and tifluadom, however these have not been included in the list below. 2,3-benzodiazepines such as tofisopam are also not listed, as these act primarily as AMPA receptor modulators, and are inactive at GABAA receptors.
May 25 2021 George Floyd protests New York City Mayoral candidate Shaun Donovan is arrested during a protest near the Holland Tunnel. Protests break out across the country to mark the first anniversary of the murder of George Floyd. Manhattan District Attorney Cyrus Vance Jr. announces that he has convened a grand jury in his criminal investigation into former President Trump over his real estate business, as well as the Trump Organization. COVID-19 pandemic COVID-19 vaccination – The CDC announces that 50% of the American adult population has been fully vaccinated. COVID-19 vaccines – Moderna says that their vaccine is 100% effective in teenagers between the ages of 12 and 17 years old. They say that they will seek approval from the FDA in early June. Michigan surpasses 19,000 confirmed deaths from COVID-19. May 26 – 2021 San Jose shooting: A mass shooting occurs at a Santa Clara Valley Transportation Authority rail yard in San Jose, California, leaving ten people dead, including the gunman who committed suicide. May 27 – The Department of Energy launches Perlmutter, the world's fastest AI-specialized supercomputer, with four exaflops of performance. May 30 2021 Hialeah shooting: A mass shooting in Hialeah, Florida leaves two dead and 20 injured. JBS S.A. cyberattack: A ransomware cyberattack hits several beef processing plants and slaughterhouses in Utah, Texas, Wisconsin, Nebraska, and Pennsylvania. Russian firm REvil has been accused of being the perpetrators of the attack.
Since about 1990, there has been a resurgence of the promotion of colloidal silver as a dietary supplement or used otherwise internally, marketed with claims of its being an essential mineral supplement, or that it can prevent or treat numerous diseases, such as cancer, diabetes, arthritis, HIV/AIDS, herpes, and tuberculosis. No medical evidence supports the effectiveness of colloidal silver for any of these claimed indications. Silver is not an essential mineral in humans; there is no dietary requirement for silver, and hence, no such thing as a silver "deficiency". There is no evidence that colloidal silver treats or prevents any medical condition, and it can cause serious and potentially irreversible side effects, such as argyria.
=== First crewed spacecraft === Focused by the commitment to a Moon landing, in January 1962 the US announced Project Gemini, a two-person spacecraft that would support the later three-person Apollo by developing the key spaceflight technologies of space rendezvous and docking of two craft, flight durations of sufficient length to go to the Moon and back, and extra-vehicular activity to perform work outside the spacecraft. Meanwhile, Korolev had planned further long-term missions for the Vostok spacecraft, and had four Vostoks in various stages of fabrication in late 1963 at his OKB-1 facilities. The Americans' announced plans for Gemini represented major advances over the Mercury and Vostok capsules, and Korolev felt the need to try to beat the Americans to many of these innovations. He had already begun designing the Vostok's replacement, the next-generation Soyuz, a multi-cosmonaut spacecraft that had at least the same capabilities as the Gemini spacecraft. Soyuz would not be available for at least three years, and it could not be called upon to deal with this new American challenge in 1964 or 1965. Political pressure in early 1964 – which some sources claim was from Khrushchev while other sources claim was from other Communist Party officials – pushed him to modify his four remaining Vostoks to beat the Americans to new space firsts in the size of flight crews, and the duration of missions.
Four periods define Pakistani architecture: pre-Islamic, Islamic, colonial, and post-colonial. The onset of the Indus civilisation around the mid-3rd millennium BCE heralded an urban culture, evidenced by surviving large structures. Notable pre-Islamic settlements include Mohenjo-daro, Harappa, and Kot Diji. The fusion of Buddhism and Greek influences birthed a distinctive Greco-Buddhist style from the 1st century CE, exemplified by the renowned Gandhara style. Notable Buddhist architectural remnants include the Takht-i-Bahi monastery in Khyber Pakhtunkhwa. The advent of Islam in present-day Pakistan marked the cessation of Buddhist architecture, ushering in Islamic architecture. The notable Indo-Islamic structure, the tomb of Shah Rukn-i-Alam in Multan, remains significant. During the Mughal era, Persian-Islamic design merged with Hindustani art, seen in Lahore's architectural gems like the Badshahi Mosque and the Lahore Fort with the iconic Alamgiri Gate. Lahore also boasts the vibrant Wazir Khan Mosque, and the lush Shalimar Gardens. In the British colonial period, Indo-European buildings emerged, blending European and Indian-Islamic styles. Post-colonial identity shines through modern landmarks like the Faisal Mosque, Minar-e-Pakistan, and Mazar-e-Quaid. British architectural influence persists in structures across Lahore, Peshawar, and Karachi.
Sources: en.wikipedia.org
It is a laboratory-made peptide that mimics growth hormone-releasing hormone. It prompts the pituitary gland to release growth hormone and has been studied mainly in adults with HIV-associated lipodystrophy.
Administered growth hormone supplies the hormone directly, while this peptide acts upstream by prompting the pituitary to release it. The indirect route preserves pulsatile secretion and some endogenous feedback, which changes the hormone and IGF-1 profile observed after treatment.
Reductions in visceral adipose tissue appear consistently in randomized trials of the approved population. Effects on peripheral fat, cardiovascular outcomes, and use outside that population are less well established.
It is a synthetic peptide analog of human growth hormone-releasing hormone. It is used clinically to reduce excess visceral abdominal fat in adults with HIV-associated lipodystrophy. It works by stimulating pituitary growth hormone release.