What the research
actually shows.
18 compounds, each graded by the strength of its human evidence. Some are licensed medicines backed by trials in tens of thousands of people. Others have never been tested in a human at all. Those are not the same thing, and this index is built to make the difference obvious.
How the evidence grades work
Licensed by at least one major regulator for a specific indication, on the strength of completed phase 3 trials. Approval is for that indication in that population — it is not a general endorsement of the compound.
Large randomised trials in humans are complete or under way, but the compound is not licensed. Efficacy and common adverse effects are reasonably well characterised; long-term safety may not be.
Tested in humans for efficacy at a modest scale. Enough to show a signal and characterise short-term tolerability, not enough to establish safety or durability. Most compounds that reach this stage still fail.
Studied in small numbers of humans, usually for safety and pharmacokinetics rather than whether it works. A phase 1 result says almost nothing about effectiveness.
Evidence comes from rodents or other animal models, with no published controlled human trials. Most compounds that look promising in animals do not replicate in people — the attrition rate from animal model to approved drug is well over 90%.
Evidence comes from cell culture or biochemical assays. This can establish that a compound does something to cells in a dish. It establishes nothing about what it does in a living body.
Taken into human trials and did not outperform placebo on its primary endpoint, or development was discontinued. This is stronger evidence than "untested" — it is evidence of absence, not absence of evidence.
18 compounds
Semaglutide
A long-acting analogue of GLP-1, a hormone the gut releases after eating. Structural changes — an Aib substitution that resists enzymatic breakdown, and a fatty acid chain that binds albumin — extend its half-life from minutes to about a week.
Read the evidenceTirzepatide
A single molecule that activates two incretin receptors — GIP and GLP-1 — built on a GIP backbone with substitutions that resist degradation and a fatty acid chain for weekly dosing.
Read the evidenceMelanotan I
A linear, MC1R-selective analogue of alpha-MSH. Unlike Melanotan II it completed clinical development and is a licensed medicine — though for a rare condition, not for cosmetic tanning.
Read the evidencePT-141
The des-amide metabolite of Melanotan II, developed separately as a melanocortin agonist for sexual dysfunction. The two compounds differ by one functional group, and that difference produced one approved medicine and one regulators warn against.
Read the evidenceTesamorelin
A stabilised analogue of growth hormone releasing hormone, and one of the few growth hormone secretagogues to complete clinical development and reach approval.
Read the evidenceRetatrutide
An investigational agonist at three receptors — GIP, GLP-1 and glucagon. The glucagon component is what distinguishes it, and is intended to raise energy expenditure alongside the appetite suppression the other two provide.
Read the evidenceThymosin Alpha-1
A 28-residue peptide originally isolated from thymus tissue, with a genuine clinical history — approved in a number of countries, though not in the UK, EU or US.
Read the evidenceGHK-Cu
A naturally occurring tripeptide that binds copper, first isolated from human plasma in the 1970s. Plasma levels decline with age, which is the observation most claims about it are built on. It is a cosmetic ingredient, not a medicine.
Read the evidenceSemax
A heptapeptide analogue of a fragment of ACTH, developed in Russia where it is a registered medicine. It is not licensed in the UK, EU or US.
Read the evidenceMelanotan II
A synthetic cyclic analogue of alpha-MSH developed at the University of Arizona in the 1980s. Unlike its relative Melanotan I it is non-selective, activating melanocortin receptors across subtypes, which is the source of both its effects and its problems.
Read the evidenceCJC-1295
A modified fragment of growth hormone releasing hormone with substitutions that resist enzymatic breakdown. A separate version with a drug affinity complex extends the half-life considerably; the two are often confused.
Read the evidenceKisspeptin-10
The minimal active fragment of kisspeptin, a hormone central to the onset of puberty and to reproductive signalling. It is a genuine and well-regarded research tool in reproductive endocrinology.
Read the evidenceBPC-157
A synthetic peptide corresponding to a partial sequence of a protein found in human gastric juice. It is among the most discussed compounds in this space and among the least supported by human evidence.
Read the evidenceTB-500
A seven-residue fragment of thymosin beta-4, a naturally occurring actin-binding protein. TB-500 and full-length thymosin beta-4 are routinely conflated in discussion, but they are different molecules with different evidence behind them.
Read the evidenceMOTS-c
A peptide encoded within mitochondrial DNA rather than the nuclear genome — one of a small group of mitochondrial-derived peptides identified since 2015. The underlying biology is genuinely interesting and independently studied.
Read the evidenceEpitalon
A four-residue peptide developed in the Soviet Union and later Russia, derived from work on pineal gland extracts. It is widely marketed on longevity claims that its evidence base does not support.
Read the evidenceIpamorelin
A selective growth hormone secretagogue receptor agonist, developed by Novo Nordisk and later taken into trials for a gastrointestinal indication rather than anything related to body composition.
Read the evidenceAOD-9604
A fragment of the C-terminus of human growth hormone, developed specifically as a weight-loss drug on the theory that the fat-metabolising properties of growth hormone could be separated from its growth effects.
Read the evidenceNo matching compounds
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