Peptides for weight loss

The most-searched use in the category, and the one where the gap between what works and what is sold is widest. Every peptide below is used for weight or fat loss; the grade tells you which ones have actually shown it in people.

Ranked by strength of evidence

  1. S+
    Semaglutide

    Produces large, sustained weight loss in adults with obesity or overweight

    The approved drug behind Ozempic and Wegovy.

    Read the evidence →
  2. S+
    Tirzepatide

    Produces large, sustained weight loss in adults with obesity or overweight — and more than semaglutide in head-to-head trials

    Mounjaro and Zepbound. Beat semaglutide head-to-head.

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  3. S+
    Retatrutide

    Produces large weight loss in adults with obesity/overweight

    The largest weight loss recorded in obesity trials — still investigational, trial participants only.

    Read the evidence →
  4. S+
    Mazdutide

    Produces substantial weight loss in adults with obesity or overweight

    Approved in China, and nowhere else. Two published Phase 3 trials, all of them run in Chinese participants.

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  5. S+
    Cagrilintide

    Combined with semaglutide (CagriSema), produces large weight loss in adults with obesity or overweight

    An amylin analog — a different mechanism from the GLP-1 drugs. Investigational; on its own it underperformed semaglutide.

    Read the evidence →
  6. S+
    Tesamorelin

    Reduces excess visceral abdominal fat in HIV-associated lipodystrophy

    Approved, but only for a specific HIV-related indication.

    Read the evidence →
  7. S
    Survodutide

    Produces substantial weight loss in adults with obesity

    Pairs GLP-1 with glucagon rather than GIP. Phase 2 only so far, and investigational.

    Read the evidence →
  8. B
    MOTS-c

    Causes fat loss or treats metabolic disease in humans

    Read the evidence →
  9. B
    Melanotan II

    Causes fat loss / suppresses appetite for weight control

    Read the evidence →
  10. B
    CJC-1295

    Builds muscle, burns fat, or improves body composition in people

    Read the evidence →
  11. B
    Ipamorelin

    Builds muscle, burns fat, or improves body composition in people

    Read the evidence →
  12. C
    AOD-9604

    Produces meaningful weight or fat loss in humans

    Its pivotal Phase 2b obesity program did not show significant weight loss.

    Read the evidence →
  13. C
    5-Amino-1MQ

    Causes fat loss or weight reduction in humans

    Cell and mouse data only — and it is a small molecule, not a peptide.

    Read the evidence →
  14. C
    HCG

    Causes fat loss, reduces hunger, or redistributes body fat (the 'HCG diet')

    The FDA label says in capital letters that it does not do this. The weight loss comes from the 500-calorie diet sold with it.

    Read the evidence →

The honest read

Everything at the top of this list is an approved, prescription medicine, and everything sold without a prescription sits at the bottom. That is the pattern for this use case. If the top of the list is what you are after, it runs through a licensed prescriber.