Supplement Scholar
Metabolic / Melanocortin

Setmelanotide

Also: Imcivree

MC4 receptor agonist approved for rare genetic forms of obesity.

Overview

What it is

Approved for obesity caused by POMC, PCSK1 or LEPR deficiency and for Bardet-Biedl syndrome. It is not a treatment for common obesity.

Common forms

Daily injection
Mechanism

How it works

Activates melanocortin-4 receptors in the hypothalamus, restoring the fullness signal that these gene defects break.

MC4 receptor agonismHypothalamic satiety signaling
↓Hunger
↓Body weight (in eligible genetic conditions)
↑Skin pigmentation
Evidence

What the research supports

Weight and hunger reduction in POMC or LEPR deficiencystrong
Weight reduction in Bardet-Biedl syndromemoderate
Safety

Side effects & interactions

Side effects

  • Skin darkening
  • Injection-site reactions
  • Nausea
  • Depression or suicidal thoughts (monitor) serious
  • Unwanted erections serious

Medications

  • No notable drug interactions listed.
Community

Discussion

Experiences from people who have tried Setmelanotide. Anecdotes are not medical advice.

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