Low Dose Naltrexone (LDN) for Weight Loss – What You Should Know

Low Dose Naltrexone (LDN) is a medication that has gained attention in recent years for its potential off-label uses, including weight loss. Here’s an overview of how it may work, the evidence behind it, and important considerations:

What is Low Dose Naltrexone (LDN)?

  • Naltrexone is an opioid receptor antagonist typically used at 50 mg/day to treat alcohol and opioid dependence.
  • LDN refers to much smaller doses, typically 0.5–4.5 mg/day, used for other purposes, including chronic pain, autoimmune disorders, and, more recently, weight loss.

How Might LDN Help With Weight Loss?

  1. Appetite Regulation:
    • LDN may modulate the hypothalamic-pituitary-adrenal (HPA) axis and suppress appetite.
    • It may increase endorphin levels, improving mood and reducing emotional eating.
  2. Insulin Sensitivity & Metabolism:
    • Some theories suggest it may improve insulin resistance, which could help with metabolic syndrome and fat loss.
    • May work synergistically with other medications like bupropion (as in Contrave).
  3. Anti-Inflammatory Effects:
      • LDN reduces chronic low-grade inflammation, which is increasingly associated with obesity and metabolic dysfunction.
  4. Improved Sleep and Mood:
    • Better sleep and mood stability may indirectly support weight management.
  • Research is limited and mostly anecdotal. LDN is not FDA-approved for weight loss.
  • Sometimes couple with Welbutrin for extra support.