Not going to reply to anyone specific here
First, claiming that a secretagogue is going to increase IGF-1 levels more than HGH itself is absolute non-sense, whos supposed to believe that.
Second, Z-Score it not a useful metric to track in this discussion. Z score is age-adjustd standard deviations above or below mean. It's a lot tougher to boost 0 -> 1 than it is 1 -> 2.
You want to follow IGF-1 Levels compared to your personal baseline, thats the useful metric to follow, not Z-score, thats only useful for tracking how prone someone may be to developing acromegaly or some other GH-related disease when compared to the general population.
Tesa was found to increase IGF-1 levels vs placebo by 50% at 1mg and 65% at 2mg:
https://pubmed.ncbi.nlm.nih.gov/16052083/
Another Tesa trial examined only 2mg daily dosing and concluded that it increased IGF-1 levels by 85%
https://www.nejm.org/doi/full/10.1056/NEJMoa072375
This study on HGH concluded that 2iu led to 70-100% increase in IGF1 levels, and 4iu led to 150-200% inrease in IGF-1 levels:
https://pubmed.ncbi.nlm.nih.gov/3288652/
Tesa 1mg -- +50% IGF-1
Tesa 2mg -- +65%-80% IGF-1
HGH 2iu -- +70%-100% IGF-1
HGH 4iu -- +150%-200% IGF-1
If we assume that 1mg tesa = 2iu hgh in cost, its clear that hgh provides the more cost-effective means of improving IGF-1