When people stopped taking tesamorelin, not only did their belly fat come back, but they also felt worse about how they looked and their waist got bigger again.
Scientific Claim
In HIV-infected adults on antiretroviral therapy with central fat accumulation, switching from tesamorelin to placebo for 6 months reverses the improvements in visceral adipose tissue, waist circumference, and body image distress achieved during initial treatment.
Original Statement
“The initial improvements over 6 months in VAT were rapidly lost in those switching from tesamorelin to placebo.”
Evidence Quality Assessment
Claim Status
appropriately stated
Study Design Support
Design supports claim
Appropriate Language Strength
definitive
Can make definitive causal claims
Assessment Explanation
The within-subject crossover design with blinded assessment provides strong causal evidence for reversal of benefits upon discontinuation. The claim is supported by the study’s structure and results.
Evidence from Studies
Supporting (1)
When people with HIV stopped taking tesamorelin and switched to a dummy pill, the belly fat and body image improvements they gained went away quickly — meaning the drug’s benefits don’t last unless you keep taking it.