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Evidence level C⚖️ Weight and metabolism⚪ Investigational use (tableted)Triple monoamine reuptake inhibitor (serotonin/norepinephrine/dopamine) studied for obesity. There was a phase 2 with relevant weight loss; it is not approved by the FDA/EMA as an obesity drug as of the closing of this file.

Tesofensina

Anti-obesity candidate with real phase 2 RCTs; not to be confused with a “peptide supplement”.

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Quick summary

Tesofensine is not a peptide: it is a monoamine reuptake inhibitor investigated for weight loss. The 2008 Lancet trial (TIPO-1) showed dose-dependent weight loss vs placebo at 24 weeks, with mild stimulant/anticholinergic-type adverse effects (dry mouth, nausea, insomnia). Tableted research products are not an authorized medication.

Studied for

Obesitybody composition

How it works

↑ synaptic serotonin, norepinephrine, and dopamine → less appetite / more satiety (classic pharmacology of central anorexigenics).

What the research says

PubMed 18950853 — obesity RCT. ClinicalTrials NCT00394667. Subsequent reviews of the candidate. Regulatory status: not approved as a standard obesity therapy (unlike semaglutide/tirzepatide).

Evidence level

B–C — positive phase 2; without approval / consolidated commercial phase 3

What's most reported

  • Phase 2 weight loss (~4–10% depending on dose in the Lancet trial, vs ~2% placebo+diet)
  • Dry mouth, nausea, constipation, insomnia

Common side effects

From the trial: GI, insomnia, dry mouth; monitoring of HR/BP typical for the class. Interactions with other serotonergics/stimulants are possible. Research product: non-pharmaceutical grade quality not guaranteed.

Combines / does not combine

Do not combine with SSRIs/MAOIs/other stimulant anorexigenics. Do not stack with research GLP-1s without supervision — risk of unstudied additive effects with that product.

Frequently asked questions

It did not complete the regulatory path to broad approval; GLP-1s changed the standard.

No.

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Educational content. Not medical advice or usage guidance. Research products are not approved medications unless otherwise indicated.

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