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. Creatine can increase body water and scale weight, while tesamorelin can cause edema or fluid-related symptoms.
Mechanism. Creatine-related intracellular water shifts plus GH-axis fluid retention.
Recommendation. Differentiate expected creatine water weight from new edema, numbness, carpal tunnel symptoms, or joint pain.
Stack Score
How it moves the number.
Effect on the composite score
If both Creatine 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- 1Spooner LM et al. Tesamorelin review. Ann Pharmacother. 2012.Needs sourceNo link