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Supplement

5-HTP

5-HTP is a compound the body makes from the amino acid tryptophan and then converts into serotonin, a chemical messenger that helps shape mood, sleep, and appetite. Most people look at it for appetite control, and the evidence is moderate: in people with obesity, appetite went down, and weight loss followed the smaller appetite. The studies were small, though, and the weight findings remain limited.

Sources: PMID 9705024; PMID 1384305

Best evidence
Grade B
Conditions studied
7
Outcomes
11
Graded outcomes
0241

Evidence by condition

  • Strong
  • Moderate
  • Limited
  • Very limited

7 conditions

Depression: outcomes studied for 5-HTP
GradeOutcomeEffectSizeStudiesPeopleStudies list
Depression Symptoms

Moderate improvement in depression symptoms

Improves (the measure goes down)Moderate effect4 studies133 people
Obesity: outcomes studied for 5-HTP
GradeOutcomeEffectSizeStudiesPeopleStudies list
Appetite

Moderate decrease in appetite

Improves (the measure goes down)Moderate effect1 study39 people
Weight

Weight loss secondary to reduced appetite

Improves (the measure goes down)Small effect2 studies39 people

Type 2 Diabetes

  • Appetite: improves
  • Weight: changes; see studies
Type 2 Diabetes: outcomes studied for 5-HTP
GradeOutcomeEffectSizeStudiesPeopleStudies list
Appetite

Reduced appetite in diabetics leading to weight loss

Improves (the measure goes down)Moderate effect1 study25 people
WeightChanges; see studies2 studies25 people

Sleep Terrors

  • Sleep Terror Frequency: improves
Sleep Terrors: outcomes studied for 5-HTP
GradeOutcomeEffectSizeStudiesPeopleStudies list
Sleep Terror Frequency

Reduced frequency of sleep terrors in children

Improves (the measure goes down)Moderate effect1 study45 people

Studies that measured sleep terror frequency

Weight Loss & Maintenance

  • Appetite: improves
  • Weight: changes; see studies
Weight Loss & Maintenance: outcomes studied for 5-HTP
GradeOutcomeEffectSizeStudiesPeopleStudies list
Appetite

Moderate Decrease

Improves (the measure goes down)Moderate effect1 study20 people
WeightChanges; see studies2 studies20 people

Parkinson's Disease

  • Apathy
  • Depression Symptoms: changes; see studies
Parkinson's Disease: outcomes studied for 5-HTP
GradeOutcomeEffectSizeStudiesPeopleStudies list
Apathy

No effect on apathy in Parkinson's

NoneNo effect25 people
Depression SymptomsChanges; see studies4 studies25 people

Panic Disorder

  • Cortisol: changes; see studies
Panic Disorder: outcomes studied for 5-HTP
GradeOutcomeEffectSizeStudiesPeopleStudies list
CortisolChanges; see studies1 study48 people

What the published studies found

1 automated reading

Automated reading of the published studies (Decosa evidence engine), for outcomes Dr. Grey has not graded yet. It is not a Dr. Grey grade and does not change one. How it is read

Key findings

  • Depression SymptomsDepressionImproves (the measure goes down)
  • AppetiteObesityImproves (the measure goes down)
  • WeightObesityImproves (the measure goes down)

Shop the evidence-backed picks

Third-party tested 5-HTP products, in the forms the graded studies used where we can match them.

  • Grade B

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Studies cited

9 studies from PubMed

  1. The effects of oral 5-hydroxytryptophan administration on feeding behavior in obese adult female subjectsJ Neural Transm · PMID 2468734
  2. Eating behavior and adherence to dietary prescriptions in obese adult subjects treated with 5-hydroxytryptophanAm J Clin Nutr · PMID 1384305
  3. L -5-Hydroxytryptophan treatment of sleep terrors in childrenEur J Pediatr · PMID 15146330
  4. Effects of oral 5-hydroxy-tryptophan on energy intake and macronutrient selection in non-insulin dependent diabetic patientsInt J Obes Relat Metab Disord · PMID 9705024
  5. L-5-hydroxytryptophan induced increase in salivary cortisol in panic disorder patients and healthy volunteersPsychopharmacology · PMID 12073163
  6. Effects of 5-hydroxytryptophan on distinct types of depression: a systematic review and meta-analysis.Nutr Rev · PMID 31504850
  7. Comparative study of efficacy of l-5-hydroxytryptophan and fluoxetine in patients presenting with first depressive episode.Asian J Psychiatr · PMID 23380314
  8. A functional-dimensional approach to depression: serotonin deficiency as a target syndrome in a comparison of 5-hydroxytryptophan and fluvoxamine.Psychopathology · PMID 1909444
  9. Efficacy and safety of 5-hydroxytryptophan on depression and apathy in Parkinson's disease: a preliminary finding.Eur J Neurol · PMID 32067288