Desert plant chewed to blunt hunger. Evidence for appetite suppression and weight loss is conflicted, and every study was paid for by a company selling or developing the product. Harms are clearer: raised blood pressure and pulse, nausea, vomiting, odd skin sensations, shifted liver markers, muscle loss in animals. Many products contain another plant, no Hoodia, or an undeclared drug. (Full Review)
| Marker | Target | Why |
|---|---|---|
| Blood pressure | 105–120 / 65–78 mmHg; no rise above 10 mmHg systolic from personal baseline | The endpoint that rose significantly on Hoodia extract |
| Resting heart rate | 50–70 beats per minute; no rise above 8 beats from personal baseline | Second component of the sympathomimetic signal |
| Corrected QT interval | Below 430 milliseconds | Screens for the conduction risk that makes stimulant load dangerous |
| Alanine aminotransferase | 10–26 U/L (women), 10–30 U/L (men) | Detects liver-cell injury, the registry-level concern |
| Alkaline phosphatase | 45–90 U/L | Rose significantly on extract in the controlled trial |
| Total bilirubin | 0.3–0.9 mg/dL | Second liver marker that rose in the same trial |
| Blood urea nitrogen | 12–18 mg/dL | Fell significantly on extract; also tracks protein intake |
| Fasting glucose | 75–90 mg/dL | Tests the proposed insulin-secretion pathway |
| Glycated haemoglobin | 4.8–5.3% | Confirms whether any glucose change persists |
| Fat-free mass | No established target; track change from personal baseline, aiming for no loss | The lean-mass loss seen in rodents is the main longevity-relevant harm |
Cadence: Home blood pressure and resting heart rate every second day; liver panel and blood urea nitrogen repeated at day 15; electrocardiogram repeated at day 15 if any cardiovascular symptom appears; full panel monthly beyond 30 days; body composition and full panel four weeks after stopping.