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Potential Side Effects, Contraindications, and Safety Considerations Tesamorelin contraindications Disruption of the hypothalamic-pituitary axis Active malignancy Known hypersensitivity Pregnancy Common tesamorelin adverse reactions Arthralgia Injection-site erythema or itching Pain in extremity Peripheral edema Myalgia Growth-axis risks Elevated IGF-1 Glucose intolerance or diabetes Fluid retention Carpal-tunnel symptoms Joint pain Potential excessive tissue growth Malignancy concern Growth hormone and IGF-1 support cell proliferation and survival

This is a critical, non-negotiable element of its function and a key point of difference in the 5-Amino-1MQ vs MOTS-c debate

Pollom EL, Alagappan M, von Eyben R, Kunz PL, Fisher GA, Ford JA, Poultsides GA, Visser BC, Norton JA, Kamaya A, Cox VL, Columbo LA, Koong AC , Chang DT

Osteresch et al