| Tesamorelin One of only two FDA-approved peptides in this space — proven to cut visceral fat, but approved for a narrow HIV indication. | Grade A FDA-approved / proven in humans | FDA-approved | green | High — branded Egrifta commonly $3,000+/month retail | Tesamorelin is an FDA-approved drug (Egrifta, 2010) — Grade A, the strongest evidence tier here. But it is approved for HIV-associated visceral fat, not general weight loss; for that, approved GLP-1s are the evidence-backed route. | See the evidence → |
| Retatrutide The next-generation weight-loss peptide with the strongest efficacy signal — but it is investigational and not yet available by any legal route. | Grade B Real human trials, limited or historical | Research-only | amber | UNKNOWN (investigational — not commercially available) | Retatrutide is investigational (Phase 3), not FDA-approved, and not legally available. Human evidence is Grade B — strong published Phase 2 weight-loss data, but not a finished approval. For proven weight loss you can access legally today, see our GLP-1 guidance. | See the evidence → |
| MOTS-c An "exercise-mimetic" metabolic peptide — real mechanistic interest, but human evidence is association-only. | Grade D Animal studies only, unproven in humans | Under FDA review | amber | UNKNOWN | MOTS-c is not FDA-approved and is under FDA review (July 23, 2026 PCAC). Human evidence is Grade D — metabolic effects are mostly preclinical, with human data limited to associations. For actual weight loss, an approved GLP-1 is the evidence-backed route. | See the evidence → |