A practical reference on Visceral adipose tissue: what it is, how it behaves, what the literature reports, and where the honest uncertainties sit.
Reviewed 2026-02-15. Anything still debated is marked as such rather than presented as settled.
Clinical interest in tesamorelin arose from the need to address visceral adiposity in people living with HIV. Antiretroviral therapy improved survival but was associated in some patients with central fat accumulation, altered lipid profiles, and metabolic complications. This condition, often called HIV-associated lipodystrophy, involves excess visceral adipose tissue that is difficult to manage through diet and exercise alone. Investigators evaluated tesamorelin because GHRH analogs can stimulate growth hormone secretion and influence fat distribution without direct liposuction or invasive procedures.
A Phase 3 program led to regulatory approval in the United States in 2010 for reduction of excess visceral abdominal fat in adults with HIV and lipodystrophy. Subsequent studies examined effects on liver fat, muscle area, and metabolic markers, with mixed findings for some endpoints. Long-term cardiovascular outcomes and effects on mortality remain uncertain because most trials were relatively short and focused on imaging-based fat measurements. Use in populations without HIV has been studied experimentally but is not part of the approved indication.
Tesamorelin is a synthetic peptide that acts as an analog of growth hormone-releasing hormone, a natural hypothalamic signal. Its sequence corresponds to the forty-four amino acid form of the human hormone, with a small acyl group attached near the amino terminus. That modification slows enzymatic breakdown and extends the time the peptide remains active in circulation. The compound was developed as a pharmacological way to raise endogenous growth hormone output rather than supplying the hormone directly.
After injection, the peptide binds receptors on somatotroph cells in the anterior pituitary. Receptor activation raises intracellular cyclic AMP and triggers release of stored growth hormone into the bloodstream. Because the compound works through the body's own regulatory system, growth hormone pulses retain much of their normal feedback control. Repeated administration also raises insulin-like growth factor 1, a hormone produced mainly in the liver. Investigators treat that rise as a marker that the pituitary axis has been engaged.
| Property | Value | Notes |
|---|---|---|
| Molecular weight | Approximately 5,136 Da | Based on the 44-amino-acid peptide backbone and N-terminal modification. |
| Appearance | White to off-white lyophilized powder | Usually supplied in single-use vials for reconstitution. |
| Solubility | Freely soluble in water; slightly soluble in some organic solvents | Peptide nature supports aqueous reconstitution. |
| Typical storage | 2–8 °C, protected from light | Refrigeration reduces degradation; avoid freezing unless specified. |
| Common analytical method | Reverse-phase high-performance liquid chromatography | Used for identity, purity, and quantification. |
| Synonyms | Tesamorelin, TH9507, GHRH(1-44) analog | Generic descriptors; avoid proprietary names. |
tesamorelin 是一种人工合成的四十四肽，序列与内源性生长激素释放激素（GHRH）的 1-44 片段一致，区别在于 N 端加接了一个反式-3-己烯酰基。该修饰抑制二肽基肽酶 IV 的快速切割，从而延长分子在循环中的存留时间。作为肽类分子，它难以经胃肠道吸收，文献中讨论的均是注射途径。分类上通常把它归为 GHRH 类似物，以区别于生长激素本身。
作用位置在垂体前叶。tesamorelin 与 GHRH 受体结合后激活腺苷酸环化酶，升高细胞内 cAMP，再经蛋白激酶 A 通路促进生长激素的合成与释放。由于它作用于内源调控节点，生长激素仍以脉冲方式分泌，而不是被持续抬升到固定水平。生长激素随后在肝脏等组织诱导胰岛素样生长因子 1 产生，构成完整的生长激素轴响应。
研究背景集中在特定人群的体成分改变，尤其是与脂肪分布异常相关的内脏脂肪堆积。不同地区对它的监管状态与获批适应症并不一致，部分市场仅限特定诊断人群使用。在一般人群中的长期效应、与其他激素的相互作用以及停药后的维持情况仍属开放问题，现有数据不足以给出普遍结论。
112—single emergency 101—the Fire Service and the Ministry of Emergency Situations 102—the police 103—ambulance 104—gas emergency Moscow's Emergency Medical Service (EMS) is the second most efficient among the world's megacities, according to the consultancy PwC in a study called "Analysis of EMS Efficiency in Megacities of the World".
Although various different techniques of acupuncture practice have emerged, the method used in traditional Chinese medicine (TCM) seems to be the most widely adopted in the US. Traditional acupuncture involves needle insertion, moxibustion, and cupping therapy, and may be accompanied by other procedures such as feeling the pulse and other parts of the body and examining the tongue. Traditional acupuncture involves the belief that a "life force" (qi) circulates within the body in lines called meridians. The main methods practiced in the UK are TCM and Western medical acupuncture. The term Western medical acupuncture is used to indicate an adaptation of TCM-based acupuncture which focuses less on TCM. The Western medical acupuncture approach involves using acupuncture after a medical diagnosis. Limited research has compared the contrasting acupuncture systems used in various countries for determining different acupuncture points, and thus there is no defined standard for acupuncture points. In traditional acupuncture, the acupuncturist decides which points to treat by observing and questioning the patient to make a diagnosis according to the tradition used. In TCM, the four diagnostic methods are: inspection, auscultation and olfaction, inquiring, and palpation. Inspection focuses on the face and particularly on the tongue, including analysis of the tongue placement, size, shape, tension, color and coating, and the absence or presence of teeth marks around the edge. Auscultation and olfaction involve listening for particular sounds, such as wheezing, and observing body odor.
== Society and culture == In the biographical drama film Father Stu, the protagonist, a boxer-turned-Catholic priest, has sIBM. Musician Peter Frampton was diagnosed with the disease in 2019. Sportscaster and former Major League Baseball pitcher Mike Krukow has been diagnosed with the disease.
Sources: en.wikipedia.org
==== December 2023 ==== On 1 December, Hezbollah claimed five attacks on the Israel–Lebanon border. The IDF shelled Hula, killing two civilians, and the village of Jebbayn, killing an additional person. The IDF also struck a Hezbollah site and a Hezbollah cell preparing to carry out an attack near Malkia. Hezbollah announced the death of one of their members, presumably from one of the IDF strikes. The next day, Hezbollah fired several rockets at Israeli army posts along the border. Israel responded with airstrikes and artillery shelling against Hezbollah sites. Hezbollah stated that one of its fighters were killed. On 3 December, Hezbollah fired one anti-tank guided missile targeting an IDF base in Beit Hillel, injuring 11 Israelis and Global Affairs Canada announced that a Canadian citizen was killed in Lebanon. On 4 December, Hamas announced the creation of a new unit in Lebanon named the "Al-Aqsa Flood Vanguards" and called on "the youth and men of our people to join the vanguard resistance fighters and take part in shaping the future and liberating Jerusalem and the al-Aqsa Mosque." This created a negative reaction by many Lebanese politicians as they said that it would be a threat to Lebanon's sovereignty. One Lebanese soldier was killed and three others were injured by an Israeli attack on a Lebanese Army base in Odaisseh. The IDF later apologized for the incident, saying that it would investigate. A farm worker from Syria, was killed in an Israeli artillery attack on a poultry farm near Arnoun that also injured two of his relatives.
Substances containing natural radioactivity are known as NORM (naturally occurring radioactive material). After human processing that exposes or concentrates this natural radioactivity (such as mining bringing coal to the surface or burning it to produce concentrated ash), it becomes technologically enhanced naturally occurring radioactive material (TENORM). Much of this waste is alpha particle-emitting matter from the decay chains of uranium and thorium. The main source of radiation in the human body is potassium-40 (40K), typically 17 milligrams in the body at a time and 0.4 milligrams/day intake. Most rocks, especially granite, have a low level of radioactivity due to the potassium-40, thorium and uranium contained. Usually ranging from 1 millisievert (mSv) to 13 mSv annually depending on location, average radiation exposure from natural radioisotopes is 2.0 mSv per person a year worldwide. This makes up the majority of typical total dosage (with mean annual exposure from other sources amounting to 0.6 mSv from medical tests averaged over the whole populace, 0.4 mSv from cosmic rays, 0.005 mSv from the legacy of past atmospheric nuclear testing, 0.005 mSv occupational exposure, 0.002 mSv from the Chernobyl disaster, and 0.0002 mSv from the nuclear fuel cycle). TENORM is not regulated as restrictively as nuclear reactor waste, though there are no significant differences in the radiological risks of these materials.
== People == Ret Chhon (born 1940), former Cambodian cyclist Ret Chol (died 2004), Southern Sudanese politician Ret Kritzon (1979–), American Expert 3D Environment Artist for Video Games Ret Turner (1929–2016), American costume designer
Sources: en.wikipedia.org
France's "February Revolution" of 1848, was the first of the Revolutions of 1848. The events of the revolution led to the end of the 1830–1848 Orleans Monarchy and led to the creation of the Second Republic. The Revolution of 1830, part of a wave of similar regime changes across Europe, had put an end to the monarchy of the Bourbon Restoration and installed a more liberal constitutional monarchy under the Orleans dynasty governed predominantly by Guizot's conservative-liberal center-right and Thiers' progressive-liberal center-left. But to the left of the dynastic parties, the monarchy was criticized by Republicans (a mixture of Radicals and socialists) for being insufficiently democratic: its electoral system was based on a narrow, privileged electorate of property owners and therefore excluded workers. During the 1840s several petitions requesting electoral reform (universal manhood suffrage) had been issued by the National Guard but had been rejected by both of the main dynastic parties. Political meetings dedicated to this issue were banned by the government, and electoral reformers therefore bypassed the ban by holding a series of 'banquets' (1847–1848), events where the political debate was disguised as dinner speeches. This movement began overseen by Odilon Barrot's moderate center-left liberal critics of Guizot's conservative government but took on a life of its own after 1846 when the economic crisis encouraged ordinary workers to demand a say over the government.
Culture Secretary Lucy Frazer holds an urgent meeting with BBC Director General Tim Davie at which he tells her the BBC is investigating the matter "swiftly and sensitively". The BBC subsequently confirms it has suspended the presenter and referred the matter to the police. 10 July A lawyer representing the young person who was allegedly paid by a BBC presenter for indecent photographs casts doubt on the story. In a letter to the BBC, the lawyer says that his client contacted The Sun on 7 July to tell the newspaper there was "no truth in it". The paper is said to have subsequently printed the "inappropriate article" containing allegations made by the client's mother. EasyJet announces the cancellation of 1,700 flights to and from Gatwick Airport during July, August and September, citing constraints on airspace in Europe and ongoing traffic control difficulties. 11 July A second young person comes forward to make allegations about the BBC presenter at the centre of a scandal, claiming that they were contacted by him on a dating app and sent abusive and threatening messages. The person, in their early 20s, also says they felt under pressure to meet up, although they did not do so. The average deal on a two-year fixed mortgage reaches 6.66%, the highest level since the 2008 financial crisis. 12 July Huw Edwards is identified by his wife as the BBC presenter being investigated for allegedly paying a 17-year-old for sexually explicit photos.
c. 620: Rufaida Al-Aslamia, Was recognized as the first Muslim nurse in history. c. 975: Chinese alchemist Keng Hsien-Seng was employed by the Royal Court. She distilled perfumes, utilized an early form of the Soxhlet process to extract camphor into alcohol, and gained recognition for her skill in using mercury to extract silver from ores. 10th century: Syrian scientist, mathematician, and astronomer Al-ʻIjliyyah manufactured astrolabes for the court of Sayf al-Dawla in Aleppo. 11th century: Li Shao Yun, Chinese chemist. 11th century: Zhang Xiaoniang, Chinese physician. c. 1098–1179: Hildegard of Bingen was a founder of scientific natural history in Germany. fl. 1119–1182: Sun Bu'er, Chinese chemist. fl. 1122–1131: Dobrodeia of Kiev, a Rus' princess and Empress of the Eastern Roman Empire, was the first woman to write a treatise on medicine. 1159: Alsatian nun Herrad of Landsberg (1130–1195) compiled the scientific compendium Hortus deliciarum. fl. 1176: Helvidis, French physician. fl. 1200: Rebecca Guarna, Italian physician and was known as one of the "Women of Salerno". Early 12th century: The Italian medical practitioner Trota of Salerno compiled medical works on women's ailments and skin diseases. 12th century: Adelle of the Saracens taught at the Salerno School of Medicine. fl. 1249–1259: Magistra Hersend, French surgeon. fl. 1265 Stephanie de Lyon, French physician. fl. 1291 Théophanie, French barber surgeon. fl. 1292 Denice, French barber-surgeon. fl. 1292 Isabiau la Mergesse, French-Jewish physician. fl. ca. 13th century Demud, German physician. fl.
== Killing == Around 9 a.m. on November 20, 1932, Robert Karriem had escorted James J. Smith into a room with a makeshift altar in the home at 1429 DuBois Street. Robert Karriem was described as a large 44 year old negro who had moved from Tennessee to Detroit on July 3, 1929. Smith, 40, was described as a negro. In the audience were twelve adult witnesses and Karriem's wife and children. Smith was asked if he would sacrifice his life for Islam, and Smith nodded his assent. Karriem then stabbed Smith in the chest, and proceeded to bludgeon him to death with an axle rod. Smith's body was found on the altar, stabbed through the chest with an 8-inch knife. A "cheap magazine" was open to a story about "mysticism of the desert", with the underlined phrase "The believer must be stabbed through the heart".
Sources: en.wikipedia.org
It is a synthetic peptide analog of human growth hormone-releasing hormone. It is used clinically to reduce excess visceral abdominal fat in adults with HIV-associated lipodystrophy. It works by stimulating pituitary growth hormone release.
Pivotal trials enrolled adults with HIV and excess visceral abdominal fat, often in the context of antiretroviral therapy. Participants were assessed mainly by computed tomography for visceral adipose tissue. The approved indication remains specific to that population.
Long-term effects on cardiovascular events, mortality, and sustained fat distribution are not well established. Most trials measured changes over months rather than years. Open questions also include whether benefits persist after treatment stops.
It is a laboratory-made peptide that mimics growth hormone-releasing hormone. It prompts the pituitary gland to release growth hormone and has been studied mainly in adults with HIV-associated lipodystrophy.