What tesamorelin is
Tesamorelin is a synthetic analog of human growth-hormone-releasing hormone, the full 44-residue GHRH(1-44) sequence with a trans-3-hexenoyl group attached at the N-terminal tyrosine. That single acyl modification is the whole design: it blocks dipeptidyl peptidase-4 cleavage at the N-terminus, which is the degradation route that gives native GHRH a half-life of a few minutes.
It acts at the GHRH receptor on pituitary somatotrophs, stimulating endogenous GH release rather than supplying exogenous GH. That distinction is the basis of the whole GHRH-analog class: the pituitary's own feedback loops remain in the circuit.

