library.onepin.app/tesofensine Peptide Education Library
Education only, not medical advice 21+ Every dose is an example to finalize with a licensed provider

OnePin Peptide Library · Weight

Weight Triple Monoamine Reuptake Inhibitor Not FDA-approved · investigational

Tesofensine

NS-2330

Triple Monoamine Reuptake InhibitorSmall-Molecule Weight Loss DrugMexico-Approved (Tesomet 2023)Research Chemical (no FDA approval)

Tesofensine is a small-molecule monoamine reuptake inhibitor (norepinephrine, serotonin, dopamine triple reuptake inhibitor / SNRI+DRI). Originally developed by NeuroSearch for Parkinson's disease and Alzheimer's disease, repurposed for obesity after Phase 2 trials showed substantial weight loss as an off-target effect. The TIPO-1 trial in obese patients showed dose-dependent weight loss up to ~12% at 1mg daily over 24 weeks - among the largest non-injectable weight loss agents.

Quick Start
Route
Oral capsule
Start low
0.25mg daily
Frequency
1x daily
Timing
With food

Morning preferred (CNS-active).

Start here. Every protocol below is ordered lowest-first. Begin at the smallest effective dose, hold about a week to assess tolerance, and step up only if needed.

Tiered Protocols · lowest first
Quick Start
Conservative start
0.25mg daily · Oral capsule · 1x daily
Lowest starting point. Hold about a week to assess tolerance before stepping up.
0.25mg daily
1x daily
Intermediate
Monoamine Weight Loss
0.25-0.5 mg · Oral · Daily
human clinical trial · Astrup et al. 2008 (Lancet 2008;372:1906-13)
0.25-0.5 mg
Daily
01

How it works

Tesofensine is a triple monoamine reuptake inhibitor:

Norepinephrine Reuptake Inhibition

Increases synaptic NE - drives sympathetic activation, energy expenditure, and appetite suppression.

Dopamine Reuptake Inhibition

Increases synaptic DA in reward and appetite circuits - reduces hedonic feeding drive.

Serotonin Reuptake Inhibition

Modest 5-HT effect contributes to appetite suppression and satiety.

Net Effect

Substantial appetite reduction + modest energy expenditure increase = up to 12% weight loss at 1mg daily in TIPO-1 trial.

Cardiovascular Side Effects

NE/DA reuptake inhibition raises HR and BP - dose-limiting at higher doses. Tesomet combination with metoprolol (beta-blocker) mitigates this in Mexican formulation.

CNS Side Effects

Insomnia, dry mouth, nausea, anxiety - all class-typical for triple reuptake inhibitors.

02

What to expect

Early
Days 1–7

Days 1-7: rapid appetite suppression onset.

Mid
Weeks 2–4

Weeks 4-12: peak weight loss (up to ~12% at 1mg).

Later
Weeks 4–12

Long-term: efficacy beyond 24 weeks not well characterized.

03

Evidence

HumanPresent
AnimalPresent
In-vitroPresent
2008Tesofensine, a novel antiobesity medicine, induces meaningful weight loss in obese patients · Astrup A et al, Lancet ↗peer reviewed
2018Tesofensine for obesity: an emerging therapy · Bello NT, Drug Design, Development and Therapy ↗review
2022Tesomet (Tesofensine + Metoprolol) for hypothalamic obesity · Huynh K et al, European Journal of Endocrinology ↗peer reviewed
04

Interactions & stacking

What's safe to combine, and what belongs in a separate pin.

Keep separate

05

Side effects & safety

Commonly reported

  • Dry mouth
  • Insomnia
  • Nausea
  • Anxiety
  • Elevated heart rate
  • Mild blood pressure elevation

Less common & notes

  • Severe tachycardia, hypertension.
  • Mood/psychiatric effects (mania-like in susceptible).
  • Long-term safety beyond 24 weeks limited.
  • Cardiovascular events at higher doses are the primary concern.
06

Pharmacokinetics

Illustrative plasma concentration · 24 h
Half-life
~9 days (long)
Peak · Tmax
8-10 hours post-ingestion
Elimination
Steady state achieved over weeks
Activity
Daily dosing maintains steady state

Storage. Capsule. Cool dry location.

07

Regulatory status

Approved in Mexico (Tesomet, 2023) for obesity and Prader-Willi syndrome. NOT FDA-approved. Available outside Mexico as research chemical.

Put it to work

Calculate, log & track

Open Tesofensine straight into OnePin with your vial and dose pre-filled, then let it handle the syringe math and remind you before the vial runs out.

Open Tesofensine in the app →

Go deeper

The guide & community

The complete Tesofensine walkthrough, real protocol discussion and coaching live inside the BlessUp community on Skool.

Join the community ↗
Open in app Community