The honest hierarchy: Tesamorelin is the only compound here with trial evidence aimed at abdominal (visceral) fat specifically. Semaglutide produces large, real systemic weight loss — belly fat falls as part of overall loss, not selectively. AOD-9604 is the hyped “lipolytic” that did not beat placebo in obesity trials. There is no peptide that melts belly fat on its own, and none that spot-reduces. Diet, training and overall energy balance remain the engine; these are adjuncts at best. Free information is full; actionable depth is gated.
If a clinician is involved, the GH axis and metabolic markers are the ones that matter here: fasting glucose and HbA1c (GHRH analogs can nudge insulin resistance), IGF-1, and standard lipids/blood pressure. GLP-1 use brings its own GI tolerance and, rarely, pancreatitis considerations. None of this is a green light — it is what a careful clinician would track. General information, not medical advice.