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Community protocols on TRT describe: 1-2 mg subcutaneous daily (FDA-approved dose: 2 mg) 6-12 month protocols for visceral fat reduction Monitoring waist circumference, fasting glucose, and IGF-1 For men tracking their body composition changes on TRT, adding tesamorelin can accelerate the visceral fat reduction that typically takes 6-12 months on testosterone alone

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Improvements are usually seen after several weeks of therapy or topical application