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Is Tesamorelin legal?

Medically reviewed by Dr. Jonathan Snipes, MD

Reviewed for clinical accuracy · Last reviewed July 22, 2026 · Review policy

Quick answer

Tesamorelin is FDA-approved as Egrifta for HIV-associated lipodystrophy and is legal with a prescription. Other uses are off-label. It is prohibited in sport.

FDA status
FDA-approved (Egrifta) for HIV lipodystrophy; off-label otherwise
Prohibited in sport (WADA)
Yes

Tesamorelin is an FDA-approved prescription drug (Egrifta) for HIV-associated lipodystrophy, legal to prescribe and dispense. Using it for general body composition or anti-aging is off-label, and compounded versions are a separate category. As a growth-hormone secretagogue, it is prohibited in sport under the WADA framework.

Frequently asked questions

Is Tesamorelin legal in the US?+

Tesamorelin is FDA-approved as Egrifta for HIV-associated lipodystrophy and is legal with a prescription. Other uses are off-label. It is prohibited in sport.

Do you need a prescription for Tesamorelin?+

Yes. Tesamorelin is a prescription medication, dispensed by a pharmacy with a valid prescription from a licensed clinician.

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