What can affect weight and appetite?

This page explains the evidence and the differences between products. It cannot recommend a weight-loss plan or predict your result.

Weight is affected by many things, including biology, food access, sleep, activity, medicines, illness and surroundings. Prescription medicines such as semaglutide and tirzepatide have different product-specific evidence and risks. Retatrutide is still being studied. Supplements marketed for weight loss are not the same as these medicines.12

On this page
  1. Separate the questions
  2. Food and movement still matter
  3. Products and status
  4. Semaglutide products
  5. Tirzepatide
  6. Retatrutide
  7. Reading weight-loss results
  8. Fat burning, body fat and weight
  9. Growth-hormone signals and body composition
  10. Sources
Follow this question
Weight & appetite Choose a step to explore this subject in more detail.
  1. 1Separate the questions
  2. 2Food and movement still matter
  3. 3Products and status
  4. 4Semaglutide products

Separate the questions

You might want to know about appetite, body weight, waist size, blood sugar, heart health or keeping weight off. A study that answers one question does not automatically answer the others. To see how a cosmetic injection differs from a weight-loss medicine or peptide, read what “fat dissolving” means.12

Food and movement still matter

The World Health Organization describes a healthy diet in terms of having enough food, balance, moderation and variety. Physical activity can support health and daily function even when weight does not change.

For practical questions about appetite, meals and nausea with these medicines, see eating and drinking with semaglutide or tirzepatide.12

Products and status

When you see a claim, check the exact product, its form, what it is approved for, the country and the date. Peptides and supplements described by sellers as weight-loss products should not be assumed to be approved medicines.

Orlistat works differently from medicines such as semaglutide and can affect vitamin absorption: explore orlistat and vitamin A. An early liver study of a molecule related to MOTS-c is sometimes discussed alongside weight claims: see what it actually measured.123

Semaglutide products

Ozempic, Wegovy and Rybelsus contain the same active ingredient, but they are different products with different approved uses. Read how the semaglutide products compare.

Tirzepatide

Tirzepatide is a medicine with its own product information and trial evidence. Read the tirzepatide profile.

Retatrutide

Retatrutide is still being studied; it is not an approved substitute. Read the retatrutide profile.

Reading weight-loss results

Look at who was studied, what the treatment was compared with and how long people were followed. A group average does not predict an individual result. Read how to read weight-loss results and what studies found after stopping treatment.

If weight loss has slowed, see what a plateau can mean and what the studies measured.

Fat burning, body fat and weight

Using fat as fuel, losing stored body fat and weighing less are different things. Read how fat burning and weight differ and compare peptide claims.45

Growth-hormone signals and body composition

Several peptides affect growth-hormone signalling, but they have different uses and different evidence. Explore the claims about growth-hormone peptides.6

Sources, kept close.

Selected supporting sources; this is not a complete literature review.

  1. Healthy dietWorld Health Organization · public-health guidanceAccess checked 2026-11-05 · Source date: 2026-01-26 · Population guidance; it does not test individual supplements or establish a personal diet.
  2. Physical Activity and Your Weight and HealthCenters for Disease Control and Prevention · public-health guidanceAccess checked 2026-11-05 · Source date: 2026-04-07 · Page date shown as Apr. 7, 2026. General information about activity and weight; not a personal weight-management plan.
  3. XENICAL (orlistat) capsules: US prescribing informationDailyMed / US National Library of Medicine · US product label for Xenical 120 mg capsules; revised September 2026; DailyMed version 3 November 2026Access checked 2026-11-06 · US Xenical label for the named formulation; pregnancy and interaction instructions are product- and jurisdiction-specific and are not an individual care plan.
  4. Overweight and obesity in adultsNational Institutes of Health · Public health overviewAccessed 2026-11-05
  5. Dietary Supplements for Weight Loss: Health Professional Fact SheetNIH Office of Dietary Supplements · Authoritative evidence overview; supplements, not peptide medicinesAccessed 2026-11-05
  6. Prolonged stimulation of growth hormone and insulin-like growth factor I secretion by CJC-1295 in healthy adultsJournal of Clinical Endocrinology & Metabolism / PubMed · Two randomised double-blind placebo-controlled human hormone studies; 2006Accessed 2026-11-04