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Weight loss

Adipotide, explained simply

A targeted fat-destroying peptide that works like a smart missile, cutting off blood supply to fat cells and causing rapid weight loss in primate studies.

Animal studies only — extensiveInjection under the skin (like insulin shots)5 cited sourcesResearch compound — not FDA approved

Start here

What is Adipotide?

Adipotide is an experimental weight-loss peptide that destroys the blood vessels feeding fat tissue, causing the fat cells to starve and die. It has produced rapid fat loss in animal studies, including several primate species, but it has not been through human trials. It is a research compound and is not FDA approved.

How it works in your body

Adipotide works like a guided missile for fat tissue. It has two parts: a targeting sequence that finds and locks onto blood vessels feeding your fat cells, and a destructive payload that kills those blood vessel cells. When the blood supply to fat tissue gets cut off, the fat cells starve and die. Your body then naturally clears away the dead tissue. This is completely different from diet or exercise, which just shrink fat cells - Adipotide actually eliminates them by destroying their lifeline.

The deeper mechanism, for the curious

Adipotide (CKGGRAKDC-GG-D(KLAKLAK)2) is a hybrid peptide-like molecule with two parts. The first part, a ring-shaped chain of nine amino acids (CKGGRAKDC), acts as a homing device. It sticks tightly to prohibitin (PHB) and annexin A2 (ANXA2), two proteins found on the inner surface of the blood vessels that feed white fat. The second part, D(KLAKLAK)2, is a man-made peptide that damages mitochondria (the cell's power plants) once it gets inside a cell. After the cell takes it in, this part goes to the mitochondria and triggers release of cytochrome c (a protein that signals the cell to die). This sets off caspases (enzymes that carry out the self-destruct program), and the cell dies by apoptosis (programmed cell death). Only the cells lining fat's blood vessels are hit. When those vessels are destroyed, the fat cells they supply die from lack of blood flow (ischemic necrosis). The selectivity comes from prohibitin: it is highly present on the blood vessels of fat but barely present on blood vessels in other tissues. The D-form of the KLAKLAK sequence (a mirror-image version of the amino acids) resists being broken down by protein-cutting enzymes, which extends its half-life (how long it stays active in your body) in the body to about 24 hours.

Evidence check

Animal studies only — extensive

It has been studied a lot, but in animals, not people. Results in mice or rats often don't carry over to humans.

Every numbered marker on this page links to one of the 5 sources at the bottom.

95/100

Fat Elimination

Works by destroying the blood supply to white fat rather than by changing metabolism or appetite signalling. In obese monkeys it produced rapid weight loss and a marked reduction in white adipose tissue confirmed by MRI and DEXA. All of the efficacy evidence is in animals; none of it is human.

88/100

Metabolic Improvement

Insulin resistance improved in the obese monkeys treated in the Science Translational Medicine study, and metabolism normalised in the original mouse work. Whether that holds in people is unknown — no human trial has reported metabolic outcomes.

92/100

Speed of Results

Fast for a fat-loss compound, in animals: about 10.6% of body weight lost over 28 days at the best-performing dose in obese monkeys. In rodents the fat loss came with no change in energy expenditure and no sign of illness on a conditioned taste aversion test. There is no human timeline — the one registered human study posted no results.

What the research points to

  • Fast and significant fat loss that targets white fat (the ordinary storage fat) specifically
  • Better insulin sensitivity (how well the body responds to insulin) and metabolic markers (blood measures of how the body uses energy)
  • Targeted action that spares lean muscle
  • Reduces both fat under the skin and fat deep around the organs (visceral fat)
  • Works by targeting the blood vessels that feed fat tissue, unlike any other weight loss compound
  • Consistent results shown across multiple primate species

The most-asked question

How much Adipotide do I take?

The research-reported range is No standard dose range on file. Studies used different doses for different situations — find yours:

  1. Research use only

    0.10 mg/kg

    • How often
      Once daily
    • For how long
      About 2 weeks before stepping up
    • How
      Injection under the skin

    Adipotide is research-only and has never been approved for people. These numbers come from a dose-finding study in obese monkeys, where the dose was raised step by step every 2 weeks 2. The first-in-man Phase 1 study started lower, at 0.03 mg/kg under the skin once daily for 28 days; it enrolled 4 people and was terminated without posting results 5.

  2. Research use only

    0.25 mg/kg

    • How often
      Once daily
    • For how long
      About 2 weeks at this step
    • How
      Injection under the skin

    Middle step in the rhesus macaque dose-finding study — not an approved or established human dose. Renal tubular degeneration with elevated creatinine was dose-dependent in those macaques, and this level sits at the point where that injury was observed. The mechanism makes it expected rather than incidental: adipotide is a homing sequence fused to a pro-apoptotic domain, and the kidney accumulates it. 2

  3. Research use only

    0.43 mg/kg

    • How often
      Once daily
    • For how long
      Up to ~3-4 weeks at this level (studies ran 28 days at the top dose)
    • How
      Injection under the skin

    This was the best-working ("optimal") dose in obese monkeys, leading to about 10.6% body-weight loss over 28 days. It is from animal research and is not an approved or established human dose. 2

Adjusting your dose

You're at the right dose if…

  • Steady fat loss of 2-3% body weight per week
  • Stable kidney function markers
  • Improved insulin sensitivity (how well your body responds to insulin) on bloodwork
  • No significant side effects

Consider going up if…

  • Tolerating current dose well with stable kidney markers
  • Minimal side effects after 1-2 weeks
  • Fat loss progress has plateaued at current dose
  • Serum creatinine remains within normal range

Go down if…

  • Serum creatinine rises above normal range
  • Significant proteinuria or glucosuria develops
  • Signs of dehydration despite adequate fluid intake
  • Any concerning changes in urination patterns

The ceiling: 0.43 mg/kg once daily for no more than 4 weeks

Reconstitution, in plain words

How do I mix Adipotide?

Peptides usually arrive as a freeze-dried powder in a small vial. “Reconstitution” just means adding sterile water back in so you can measure a dose. Here's how it works for Adipotide:

What you need

  • Bacteriostatic water (BAC water)
  • Insulin syringe (29-31 gauge)
  • Alcohol swabs
  • Sterile vial of Adipotide powder
  • Calculator for dose calculation based on body weight

A worked example

10mg vial + 2mL BAC water = 5mg/mL concentration. For an 80kg person at 0.25 mg/kg dose: 80 x 0.25 = 20mg needed. At 5mg/mL, draw 4mL total (split into multiple injections if needed).

Working out your dose

Calculate your dose in mg by multiplying your body weight in kg by the mg/kg dose. Then divide by your concentration to get the volume to inject.

Or let the calculator do it

Three quick questions — your vial, your water, your dose — and it tells you the exact syringe mark. “Find dose amount” is preloaded with Adipotide's recorded schedule.

AdipotideOnce daily

How much peptide is in your bottle?

Look at the label on the vial. It’s the number next to the unit — like "5 mg". Labeled in IU? Switch the unit to IU.

Type a number to continue.
0

Injection sites & technique

Where do I inject Adipotide?

The best spots

  • Abdomen (2 inches from navel)
  • Front of thigh (middle third)
  • Upper arm (outer area)

How to do it, step by step

  • Calculate your dose based on body weight and verify the math
  • Clean injection site thoroughly with alcohol swab and let dry
  • Pinch skin to create a fold at the injection site
  • Insert needle at 45-90 degree angle depending on body composition
  • Inject slowly and steadily
  • Remove needle and apply light pressure - do not rub

Injection under the skin once daily

Timing

When do I take Adipotide?

Best time of day

Morning, at a consistent time each day

With or without food?

Can be administered with or without food. Ensure adequate hydration throughout the day.

Taking it with other peptides

If using BPC-157 for potential renal support, administer at a different time of day. Avoid combining with other nephrotoxic substances.

The honest list

What side effects could Adipotide cause?

Common — usually mild

These show up most often. They usually fade as your body adjusts.

  • Higher creatinine in the blood (a sign of reduced kidney function)

    The most consistently observed effect in primate studies, indicating the kidneys are processing the compound.

    What to do Monitor with regular blood tests. Usually normalizes within 4 weeks of stopping treatment. Stay well-hydrated.

  • Protein in the urine (proteinuria)

    Mild to moderate protein appearing in urine, reflecting kidney filtration changes.

    What to do Monitor with urinalysis. Reduce dose if marked. Ensure adequate hydration.

  • Sugar in the urine (glucosuria)

    Glucose appearing in urine even with normal blood sugar, due to effects on kidney tubules.

    What to do Monitor blood glucose to ensure it remains normal. Not typically concerning if blood sugar is stable.

  • Reduced Appetite

    Decreased food intake observed in all treated animals - appears to be genuine appetite reduction rather than nausea.

    What to do Ensure adequate protein intake despite reduced appetite. This effect contributes to weight loss.

Less common

Worth knowing about, but most people never see these.

  • Mild Dehydration

    Can occur especially at higher doses due to increased urination and reduced fluid intake.

    What to do Proactively increase water intake. Monitor for signs like dark urine, dry mouth, or dizziness.

  • Injection Site Reactions

    Occasional redness, swelling, or discomfort at injection sites.

    What to do Rotate injection sites regularly. Clean technique reduces risk. Apply ice if needed.

Serious — stop and get medical help

Rare, but if any of these happen, stop and contact a medical professional.

  • Kidney tube problems (renal tubular dysfunction)

    At doses above the therapeutic range, kidney tubule cells can be affected. This was reversible in all primate studies.

    What to do Do not exceed recommended doses. Stop immediately if kidney function tests become significantly abnormal. Effects resolved within 28 days of stopping in studies.

Week by week

What should I expect from Adipotide, and when?

  1. Week 1

    You might notice
    • Possible slight decrease in appetite
    • No dramatic weight changes yet
    • Injection site may have minor redness
    • Increased thirst as body adjusts
    What's normal
    • Mild elevation in creatinine on blood tests
    • Slight changes in urination patterns
    • Body weight relatively stable
    What's next
    • Continue monitoring kidney function
    • Maintain excellent hydration
    • Prepare to assess tolerance for dose increase
  2. Week 2-3

    You might notice
    • Noticeable reduction in appetite
    • Beginning of measurable weight loss (3-7%)
    • Clothes may start fitting differently
    • Possible increase in energy as fat decreases
    What's normal
    • Steady weight loss of 2-3% per week
    • Continued mild kidney marker changes
    • Reduced food intake without feeling ill
    What's next
    • Continue at current dose if tolerating well
    • Mid-cycle kidney function check recommended
    • Ensure protein intake remains adequate
  3. Week 4

    You might notice
    • Significant fat loss visible (7-15% body weight reduction)
    • Waist circumference noticeably reduced
    • Improved metabolic markers on bloodwork
    • Better insulin sensitivity (how well your body responds to insulin)
    What's normal
    • Total weight loss of 10-15% from baseline
    • Peak kidney marker changes
    • Appetite significantly reduced from baseline
    What's next
    • Complete the treatment cycle
    • Schedule post-treatment kidney function tests
    • Plan recovery period of at least 4 weeks
  4. Recovery (Week 5-8)

    You might notice
    • Kidney markers returning to normal
    • Appetite gradually returning
    • Weight may stabilize at new lower level
    • Improved metabolic health may persist
    What's normal
    • Creatinine normalizing within 2-4 weeks
    • Some appetite recovery
    • Maintained fat loss if diet is controlled
    What's next
    • Confirm kidney function fully normalized
    • Focus on maintaining results through diet
    • Assess if another cycle is appropriate after full recovery

How to tell it's actually working

Fat Loss Progress

  • Steady decrease in body weight (2-3% per week at optimal dose)
  • Reduction in waist and abdominal circumference
  • Visible reduction in subcutaneous (under the skin) fat
  • Clothes fitting looser, especially around midsection
  • DEXA or body composition scans showing fat mass decrease

Metabolic Improvements

  • Lower fasting insulin on bloodwork
  • Better insulin sensitivity (how well your body responds to insulin) markers
  • Better fasting glucose readings
  • Lower markers of inflammation
  • A healthier cholesterol and blood fat panel

Appetite and Behavior

  • Naturally reduced appetite without nausea
  • Feeling satisfied with smaller meals
  • Reduced cravings for high-calorie foods
  • More stable energy throughout the day

Not seeing anything? The usual reasons

  • Dose too low - the therapeutic dose of 0.43 mg/kg was needed for optimal results in primates
  • Not enough time - significant results require 3-4 weeks of consistent use
  • Poor quality peptide - ensure sourcing from reputable research suppliers
  • Inadequate hydration - dehydration can stress kidneys and reduce effectiveness
  • Inconsistent dosing - daily administration is important for maintaining tissue levels
  • Already lean - the peptide specifically targets excess fat and shows less effect in lean subjects

Is it right for you?

Who should avoid Adipotide?

Do not use it if…

  • You have any form of kidney disease or impaired renal function
  • You are pregnant, trying to conceive, or breastfeeding
  • You have a history of severe allergic reactions to peptides
  • You are taking other nephrotoxic medications
  • You have chronic dehydration or conditions affecting fluid balance
  • You cannot commit to regular kidney function monitoring

Be extra careful if…

  • You are taking NSAIDs or other medications affecting kidney function
  • You have a history of kidney stones
  • You have diabetes (blood sugar monitoring needed)
  • You are over 65 years of age
  • You have cardiovascular conditions
  • You are taking diuretics or blood pressure medications

When to stop

  • Serum creatinine rises significantly above your baseline
  • Marked proteinuria that persists or worsens
  • Signs of kidney problems (pain in lower back, changes in urination)
  • Severe or persistent dehydration despite adequate fluid intake
  • Any allergic reaction (rash, swelling, difficulty breathing)
  • Completion of the recommended 4-week treatment cycle

Adipotide is a research compound without FDA approval. Use only under medical supervision with regular kidney function monitoring. Stop immediately and consult a healthcare provider if you experience any concerning symptoms.

What it mixes badly (and well) with

Medications

  • Avoid
    NSAIDs (Ibuprofen, etc.)

    Can compound kidney stress - avoid during Adipotide use

  • Avoid
    ACE Inhibitors

    May affect kidney function - monitor closely if combining

  • Avoid
    Diuretics

    Increases dehydration risk significantly - avoid combination

  • Check first
    Metformin

    Generally safe but monitor kidney function more frequently

Other peptides

  • OK together
    BPC-157

    May provide protective effects for kidneys - consider using for support

  • Check first
    TB-500

    No known interactions, but avoid adding kidney stress

  • Avoid
    AOD-9604

    Both target fat loss through different mechanisms - use caution with combination

  • Avoid
    Semaglutide

    Different mechanisms but overlapping goals - not recommended to combine

Supplements

  • OK together
    Electrolytes

    Highly recommended to keep you hydrated and your minerals in balance

  • OK together
    Protein supplements

    Recommended to protect muscle mass during rapid fat loss

  • Avoid
    Creatine

    May throw off creatinine tests (a blood test used to check kidney function); consider stopping during treatment

  • Check first
    High-dose Vitamin C

    Very high doses may raise the risk of kidney stones; use moderate amounts

Who it tends to suit

Targeted Reduction of White (Storage) Fat

Adipotide specifically seeks out and destroys the blood vessels feeding white adipose tissue. Unlike diet or exercise that shrink fat cells, this peptide actually eliminates fat tissue by cutting off its blood supply - a completely unique mechanism.

Stubborn Fat Deposits

Because it targets the blood vessels feeding fat tissue directly, Adipotide may be particularly effective for stubborn fat deposits that resist traditional methods. The peptide homes in on prohibitin (a protein found specifically on the blood vessels that supply fat tissue).

Improving insulin resistance (when the body responds poorly to insulin)

Primate studies showed remarkable improvements in insulin sensitivity - treated monkeys used about 50% less insulin after treatment. This makes it interesting for research into obesity-related metabolic dysfunction.

Research Applications

As a pioneering vascular-targeting peptide, Adipotide represents a new class of potential therapeutics. Its unique mechanism of targeting specific tissue vasculature has implications beyond obesity research.

The safety picture overall

Everything known about adipotide's safety comes from animals. It has been given to mice 1, to mice and rats 4, and to obese monkeys of three different species 2.

The main safety finding is the kidneys. In the monkey study, the doses that worked best also produced changes in the function of the renal proximal tubule — the part of the kidney that reabsorbs what the body needs from filtered blood. Those changes were dose-dependent and they reversed after treatment stopped 2.

The selectivity claim comes from a direct comparison rather than an impression: the same peptide that completely reversed diet-induced obesity in mice on a high-fat diet did not reduce body weight in animals on a low-fat diet 4.

There is no human safety data. One first-in-man Phase 1 study opened in 2012 in men with metastatic prostate cancer and obesity. Four people were enrolled. It was terminated, the registry records the reason as the principal investigator's request rather than a safety finding, and no results have ever been posted 5.

The animal work is real and was published in serious journals — Nature Medicine 1, Science Translational Medicine 2 and Diabetes 4. The monkey study is the one that matters most, because rodent obesity results often fail to translate, and it showed weight loss and improved insulin resistance in a primate 2. But there is no published human trial. The only registered human study enrolled 4 people and closed without posting results 5, so the human safety profile is unknown — including whether the reversible kidney changes seen in monkeys behave the same way in people.

Keeping it good

How do I store Adipotide?

Before mixing (powder)

Store lyophilized powder at -20°C for long-term storage (up to 2 years) or 2-8°C for short-term storage (up to 3 months). Keep in original container protected from light. Do not expose to repeated freeze-thaw cycles.

After mixing (liquid)

Refrigerate immediately at 2-8°C. Store upright to prevent contamination of the stopper. Use within 14 days of reconstitution. Never freeze reconstituted solution as this will destroy the peptide.

Signs it has gone bad

  • Cloudy or discolored solution (should be clear)
  • Visible particles or floaters in solution
  • Solution that fails to fully dissolve
  • Any unusual odor

Not our opinion — the published record

What the studies actually found about Adipotide

2004

Reversal of obesity by targeted ablation of adipose tissue

This foundational study found that the CKGGRAKDC peptide homes in on the blood vessels that feed white fat by binding prohibitin (a protein on those vessels). When it was linked to a sequence that makes cells die, it destroyed fat tissue in a targeted way and quickly reversed obesity in mice, with no detectable side effects.

Kolonin MG, Saha PK, Chan L, Pasqualini R, Arap W

2010

Peptide designed to elicit apoptosis in adipose tissue endothelium reduces food intake and body weight

Lean and obese mice and rats were given the fat-homing peptide (which makes target cells die) for 4 or 27 days. It completely reversed diet-induced obesity in mice. It lowered body weight in mice and rats on a high-fat diet, but not in animals on a low-fat diet. This comparison is where the selectivity for excess fat comes from. Weight loss happened with no change in energy burned and with less food eaten, and a conditioned taste aversion test (a test for whether animals feel sick) found no sign of illness. All of this is rodent data.

Kim DH, Woods SC, Seeley RJ

2012

A First-in-Man, Phase I Evaluation of A Single Cycle of Prohibitin Targeting Peptide 1 in Patients With Metastatic Prostate Cancer and Obesity (NCT01262664)

The only registered human study of adipotide. It opened in May 2012 in men with prostate cancer that had spread, and obesity. It started at 0.03 mg/kg injected under the skin once daily for 28 days. Four people were enrolled. The record closed in January 2019 with the status TERMINATED and the reason given as "Terminated per PI's request" (the lead researcher's request). The registry does not blame a safety finding for the termination. No results have been posted, so there is no published human efficacy or safety outcome for adipotide.

University of Texas MD Anderson Cancer Center

If this isn't the right fit

What people use instead of Adipotide

Fat loss with established safety profile

  • Semaglutide
  • Tirzepatide
  • AOD-9604

Improving insulin sensitivity (how well the body responds to insulin)

  • Semaglutide
  • Tesamorelin
  • Metformin

Research into how fat reduction works

  • AOD-9604
  • MOTS-c
  • 5-Amino-1MQ

Your questions

Adipotide FAQ

Is Adipotide approved for human use?

No, Adipotide is currently a research compound only. While it showed impressive results in mice and primate studies, it has not undergone human clinical trials and is not approved by any regulatory agency. It should only be used in research settings.

How is Adipotide different from other weight loss drugs?

Most weight loss drugs work by suppressing appetite or blocking fat absorption. Adipotide is unique because it physically destroys fat tissue by targeting and killing the blood vessels that feed fat cells. This is a completely novel mechanism that actually eliminates fat rather than just shrinking fat cells.

Are the kidney side effects dangerous?

In primate studies, kidney effects (elevated creatinine, protein in urine) were dose-dependent and fully reversible within 4 weeks of stopping treatment. However, exceeding recommended doses caused more significant kidney stress. Regular monitoring and staying within studied doses is critical.

How much weight can I expect to lose?

In the rhesus monkey studies at the optimal dose, animals lost an average of 11% of their body weight in just 4 weeks. Some individuals lost up to 20%. However, human results may vary, and there are no human trials to reference.

Does the fat come back after stopping?

Because Adipotide actually destroys fat tissue rather than just shrinking fat cells, the fat loss may be more permanent than with other methods. However, new fat cells can eventually form if caloric excess continues. Maintaining results requires proper diet and lifestyle.

Why does Adipotide affect the kidneys?

The kidneys filter the peptide from the blood, and the proapoptotic (cell-killing) portion may have some effect on kidney tubule cells. The targeting sequence has some affinity for kidney tissue as well. This is why dose and duration limits are important.

Can lean people use Adipotide?

Interestingly, in primate studies, lean animals given Adipotide did not lose weight. The compound appears to preferentially target excess fat tissue, suggesting it may have built-in selectivity for obese conditions. This selectivity is encouraging for safety.

How should kidney function be monitored?

Blood tests measuring serum creatinine and BUN (blood urea nitrogen) should be done before starting, at week 2, and at week 4. Urinalysis checking for protein and glucose in urine is also recommended. Stop immediately if values become significantly abnormal.

5 sources

References

Every numbered marker on this page points to one of these. Same sources, same numbering as the Adipotide research profile on Peptide Initiative.

  1. Reversal of obesity by targeted ablation of adipose tissueKolonin MG, Saha PK, Chan L, Pasqualini R, Arap W · 2004
  2. A peptidomimetic targeting white fat causes weight loss and improved insulin resistance in obese monkeysBarnhart KF, Christianson DR, Hanley PW, et al. · 2011
  3. Systemic combinatorial peptide selection yields a non-canonical iron-mimicry mechanism for targeting tumors in a mouse model of human glioblastomaKolonin MG, Pasqualini R, Arap W · 2011
  4. Peptide designed to elicit apoptosis in adipose tissue endothelium reduces food intake and body weightKim DH, Woods SC, Seeley RJ · 2010
  5. A First-in-Man, Phase I Evaluation of A Single Cycle of Prohibitin Targeting Peptide 1 in Patients With Metastatic Prostate Cancer and Obesity (NCT01262664)University of Texas MD Anderson Cancer Center · 2012

Want the deep science?

Read the full Adipotide research profile

Every claim on this page traces back to the research database behind Peptide Initiative — studies, citations, clinical trial data, and the technical detail we deliberately left out here.

Open the research profile

More weight loss guides

This guide is education, not medical advice. Adipotide is a research compound that is not FDA-approved for human use. Talk to a clinician before taking anything.