Tesamorelin Cognitive Support refers to the specific therapeutic application of the synthetic Growth Hormone-Releasing Hormone (GHRH) analogue, Tesamorelin, to improve cognitive function, particularly memory and executive function, in individuals experiencing age-related or pathology-related cognitive decline. This intervention leverages the secretagogue’s ability to stimulate the pulsatile release of endogenous Growth Hormone (GH) and Insulin-like Growth Factor 1 (IGF-1). The support mechanism is primarily attributed to the downstream neurotrophic and anti-inflammatory effects of GH and IGF-1 within the central nervous system.
Origin
This term originates from clinical endocrinology and neuropharmacology, stemming from research into the role of the somatotropic axis in brain health and aging. Tesamorelin was initially developed for HIV-associated lipodystrophy, but its observed effects on visceral fat and subsequent research into its neuroendocrine properties established its potential for cognitive support. The concept is based on the brain’s high density of GHRH receptors.
Mechanism
Tesamorelin acts directly on the pituitary gland’s somatotroph cells, stimulating the release of GH in a more physiological, pulsatile manner. GH then promotes the systemic release of IGF-1, which crosses the blood-brain barrier to exert neurotrophic effects, promoting synaptogenesis and neuronal repair. Furthermore, the GHRH receptors found in the hippocampus may be directly activated by Tesamorelin, enhancing memory consolidation and protecting against neuronal damage via anti-inflammatory pathways.
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