From the databaseWhat the row says.
Every entry follows the same shape: what is happening, the mechanism, and the recommendation.
Scope
Supplement × Supplement
Last verified
June 4, 2026
CautionInsufficient evidence
What is happening. Alpha-lipoic acid can affect glucose handling while tesamorelin requires glucose monitoring.
Mechanism. Insulin-sensitizing supplement effects plus GH-axis glucose effects.
Recommendation. Track glucose trends and report hypoglycemia or hyperglycemia symptoms.
Stack Score
How it moves the number.
Effect on the composite score
If both Alpha-Lipoic Acid and Tesamorelin are in the same stack, this pair applies −5 to your Stack Score (per scored caution row).
The full algorithm, the clamping rules, and four worked stacks are at /methodology/stack-score.
SourcesSources, by evidence tier.
Every claim on this page is cited. PMIDs link straight to PubMed.
Reference material
1- 1Stanley TL et al. Tesamorelin visceral and liver fat trial. JAMA. 2014.Needs sourceNo link