Endocrine
Growth hormone-releasing factor signalling
Growth hormone-releasing factor receptor activation stimulates pituitary growth hormone secretion.
Biological pathway
GHRH receptor activation increases cyclic AMP in pituitary somatotrophs and promotes growth hormone release with downstream IGF-1 signalling.
Evidence summary
Tesamorelin has strong human pharmacology and clinical evidence for activating this pathway in its licensed HIV-associated lipodystrophy context.
Limitations
Endocrine activity does not establish weight-loss benefit or support use outside studied indications.