# Pegvisomant (Somavert) > Pegylated GH receptor antagonist for acromegaly. Source: https://peptides.cafe/peptide/pegvisomant Category: GH Receptor Antagonist · Endocrine Tag: FDA-Approved · Endocrine ## Mechanism Genetically engineered analog of human GH with site-directed mutations blocking functional dimerization of the GH receptor; pegylation extends half-life. Lowers IGF-1 without lowering GH. ## Research areas - Acromegaly inadequately controlled by surgery, radiation, or somatostatin analogs ## Common research protocols - Daily SC: Loading dose 40 mg SC, then 10–30 mg SC daily titrated to IGF-1. ## Study summaries - "Pegvisomant long-term acromegaly control" — Lancet (2001): IGF-1 normalization in >90% on adequate doses. ## Considerations - FDA-approved. - Monitor LFTs; tumor monitoring via MRI required. - Lipohypertrophy at injection sites. ## Disclaimer Educational content only. Not medical advice, diagnosis, or treatment. Most research peptides are not FDA-approved for human therapeutic use. Consult a licensed clinician before any use.