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If you’re having weight problems, chronic inflammation, CFS or CIRS, then a-MSH has a very significant role in your problems.

a-MSH is not what your doctor would usually test, even though it can tell you a lot about your health. However, you can request it from your doctor and plug your test results into Lab Test Analyzer. You will find all the information you need about your a-MSH values, such as if your levels are optimal. And if they are not, it will tell you how to get there, using evidence-based lifestyle, diet, and supplement tips.

Intro to Alpha-Melanocyte Stimulating Hormone (a-MSH)


Alpha-Melanocyte Stimulating Hormone (a-MSH) is a subcategory of MSH (there’s also beta and gamma MSH).

The two most prominent roles that a-MSH has in human physiology is in causing weight loss (by reducing appetite and increasing energy expenditure) and by increasing tanning.

a-MSH drastically reduces food intake [R].

a-MSH is a hormone that increases melanocytes, which are skin cells that cause you to become tanned.

Different levels of MSH are not the major cause of racial variation in skin color. However, in many red-headed people, and other people who do not tan well, there are variations in their hormone receptors, causing them to not respond to MSH in the blood [R].

MSH is an anti-inflammatory hormone and helps build a tolerance to our own and foreign proteins [R, R, R].

Where Most of Our a-MSH is Produced

a-MSH is produced in the hypothalamic arcuate nucleus and in the nucleus tractus solitarius of the brainstem [R], where it functions to reduce appetite and increase energy expenditure [R].

a-MSH is primarily produced by the intermediate lobe of the pituitary in most of the mammals, but in humans, a-MSH detected in the blood probably originates from the Arcuate Nucleus in the hypothalamus [R].

Note: I interchange a-MSH with MSH.

Benefits of MSH

1) MSH is an Anti-Inflammatory


MSH is an anti-inflammatory hormone that also functions as anti-microbial and anti-fungal [R].

MSH brings down brain inflammation (from TNF) [R, R].

MSH causes a lower immune response to lectins (PHA) [R].

Receptors responsive to MSH (MCR1) are found on cells of the immune system, which mediates the robust anti-inflammatory properties of a-MSH, which include the prevention of Th1 responses and the induction of T regulatory (TREGS) responses [R].

2) MSH Improves Blood Flow

MSH improves nitric oxide delivery in our blood vessels [R], which can help with blood flow.

MSH enhances libido, especially in males (through MC3R, MC4R) [R].

In males, it contributes to erections [R, R].  In females, it contributes to desire and arousal [R].  This is one reason why people with CIRS have a reduced libido.

3) MSH Lowers Blood Glucose

MSH increases insulin sensitivity and lowers blood glucose. It increases glucose uptake by the liver and decreases glucose production from the liver [R].

4) MSH Causes Weight Loss


MSH reduces abdominal fat [R] and may be the most potent weight reducer.

Leptin reduces weight through the melanocortin system (MC4R) [R].

Alpha-MSH helps maintain normal levels of aldosterone secretion in animal models [R].

5) MSH Has Anti-Microbial Properties

MSH is also a broad spectrum anti-microbial hormone [R].  Its anti-microbial nature includes anti-fungal properties [R].

MSH may combat HIV1 [R].

6) MSH Benefits the Vascular System


MSH helps in stroke recovery [R].

Gamma-MSH, which is different but correlated with alpha-MSH, decreases blood pressure [R].

7) MSH Stimulates Thyroid Hormones

MSH stimulates the thyroid hormone precursor TRH (precursor to TSH, via MC4R) [R].

Increases in MSH lead to increased T3 in rats [R].

The Negatives of a-MSH

MSH causes anxiety, which is caused by it lowering GABA [R, R, R].

MSH in the amygdala (by activating the MC4R) induces anxiety, inhibits appetite and activates the HPA axis [R].

MSH stimulates prolactin secretion (through MC3R) [R].

MSH also causes depression [R, R].

However, MSH decreases anxiety brought on by inflammation (IL-1b) [R] – presumably by decreasing inflammation.

MSH contributes to opioid tolerance [R].

MSH increases CRH (precursor to ACTH/Cortisol) [R].

MSH decreases ADH/Vasopressin in rat studies [R].

MSH is Higher in CFS


It makes sense that people with CFS are more likely to have higher MSH. Here’s why:

  • MSH causes flushing, lower blood pressure and increased pain [R], all common symptoms of CFS.
  • Stress increases the likelihood of CFS and the intensity of symptoms [R].  Stress increases MSH.
  • People with CFS are more likely to be thin, and a-MSH causes weight loss.
  • People with CFS are more likely to have intestinal inflammation, which increases MSH.
  • People with CFS are more likely to have anxiety and depression, which can both be caused by MSH.
  • MSH suppresses orexin in animal models [R], which may theoretically lead to fatigue.

Indeed it’s the case that in 55 people with CFS, a-MSH levels were higher than healthy controls.

The stress-induced increase in α-MSH probably originates from the pituitary gland [R].

CFS and “Pituitary Fatigue”

In CFS, there may be a disorder of the hypothalamic dopaminergic neurons, and that this could further affect pituitary hormone secretion. Although the structure of the intermediate lobe is less clear than that seen in rodents,

As time went on in people with CFS, their a-MSH declined.  This may be a result of a dysfunction of the pituitary cells that release a-MSH (melanotrophs) because of prolonged stimulation by stress. In a rat model, melanotrophs subjected to continuous stress for more than 5 days showed degenerative features due to hypersecretion of α-MSH, and the raised a-MSH levels fell five days after stimulation [R].

Thus, melanotrophs in humans with CFS are likely to become exhausted and impaired by prolonged stress. It is also possible that the melanotrophs become desensitized following prolonged stimulation, or that the prolonged high level of a-MSH may activate an unidentified feedback system from the periphery.

Hence, people with CFS may have “Pituitary Fatigue.”

MSH is Lower in Chronic Inflammatory Response Syndrome “CIRS”

People who have a multitude of symptoms and blood markers – and who respond to cholestyramine often are suffering from environmental illness.

Dr. Ritchie Shoemaker has coined this CIRS.

People with CIRS often have lower MSH.

Shoemaker says that the normal range is 35-81 pg/mL [R].

However, I’m not sure where he gets this information because he doesn’t cite a study backing this range.  Actually, I’ve only found studies that contradict this range in healthy people.

In 30 healthy controls, the average was a-MSH level was 14.5 pg/mL [R].

Not a single healthy person had an MSH over 35, so it’s a bit odd that his reference range is 35-81 pg/mL [R].

MSH and “Histamine Intolerance”

People with histamine issues are most often underweight, have low blood pressure, experience flushing and have increased pain sensitivity.

While histamine has a role in these, activation of an a-MSH receptor (MC4R) can cause the same symptoms [R].

People with chronic stress and/or inflammation will have the MC4R receptor activated, which then leads to flushing, weight loss, lower blood pressure and increased pain [R].

Modifying MSH Levels

Everyone is different and our bodies can be complex. If you want to increase/decrease your a-MSH levels, it’s best to analyze them with Lab Test Analyzer. This tool will compute, based on this and your other results, the best steps you can take that will bring you back to optimal.

Factors That Increase MSH

  • Sun/UV [R] – in humans and horses.  The light itself may also increase MSH [R].  UVA increases MSH [R] and UVB increases MSH receptors [R].
  • Nicotine activates the MC4 receptors [R], which is the main mechanism of action for MSH [RR].
  • Leptin [R]…Leptin directly activates the POMC/CART neurons causing the release of alpha-MSH [R], which in turn decreases leptin, keeping the system balanced [R]. Leptin binds to its receptors on POMC neurons and increases its activation [R].
  • Insulin [R],
  • Eating [R],
  • Stress [R] –POMC neurons in the arcuate nucleus are rapidly activated by acute emotional stress and a-MSH is also increased by stress [R].
  • CRH (rats),
  • STAT3 – increases the POMC [R].
  • Lower dopamine [R, R] – located in the hypothalamic periventricular region. Some studies show an increase in prolactin response in CFS, which suggests that CFS patients could have lower dopamine function [R].
  • Endotoxins [R]
  • Cytokines [R]
  • Cyclic AMP/Forskolin (cAMP is the cellular medium by which MSH works).
  • Chronic cold in carp [R],
  • Thyrotropin Releasing Hormone (TRH) in horses [R].
  • Adiponectin [R],
  • Resistin [R],
  • Carboxypeptidase E (CPE) [R] – increased by FOXO1 [R].
  • α-amidating monooxygenase (PAM) [R].
  • N-acetyltransferase (NAT) [R].

Conditions With Increased MSH

  • Pregnancy [R],
  • Insulin resistance [R],
  • Obesity [R],
  • Cushing’s [R]
  • Addison’s [R]
  • Chronic Haemodialysis [R]
  • HIV [R]
  • Sepsis [R]
  • Congestive heart failure (CHF) [R]
  • XMRV infection [R].

Factors That Decrease MSH

  • SIRT1 activation – decreases POMC [R].
  • Autoantibodies to a-MSH [R].
  • Fasting [R]…Fasting decreases POMC, which decreases MSH [R].
  • Melatonin [R].
  • GABA [R].
  • Dopamine [R].
  • Constant light.  Animals in a constant light cycle had had a reduced peak of a-MSH [R], which suggests circadian rhythm problems may result in less MSH.


  • Melanocyte-inhibiting factor, which is derived from oxytocin [R].
  • Lower leptin levels [R], which is likely if you’re thin.
  • NPY [R] – NPY inhibited the processing of POMC.  NPY decreased the amount of a-MSH in the PVN [R].  NPY increased the release of the inhibitory neurotransmitter GABA onto POMC/CART neurons [R].
  • AgRP [R]
  • Ghrelin (by way of NPY/AgRP) [R]
  • PRCP [R]

Conditions With Low a-MSH

  • Anorexia or being very thin (anorexia decreases MSH a lot more) [R]
  • Bingeing on alcohol (in rats) [R].
  • Multiple sclerosis [R]
  • A damaged pituitary or hypothalamus produce less alpha-MSH [R]
  • Acute brain injury [R]

Analogues of MSH

Melanotan II and MSH2-Pro are synthetic analogues of a-MSH.  Usage has been shown to produce tanning and has aphrodisiac effects in preliminary studies and clinical trials [R].

Genes and MSH

MSH acts through a variety of receptors, but the most significant is the Melanocortin 4 Receptor (MC4R).

SelfDecode discusses a variety of SNPs in MC4R, with additional information about this gene.

Variations in these SNPs are associated with weight changes.

Why Some People May Have Low MSH

Interestingly, the body can create antibodies to a-MSH by mistake.

Certain proteins in E. Coli found in the gut (both friendly and disease-causing E Coli) are similar enough to where the immune system confuses the two and creates antibodies to a-MSH [R].

It’s thought that this is one reason for the low a-MSH levels detected in anorexic subjects (because autoantibodies reduce a-MSH) [R].

What’s really interesting is that these antibodies can sometimes improve the function of a-MSH (by being a carrier) instead of reducing it [R].

When antibodies (proteins) attach themselves to a-MSH strongly, they block its function, but when they latch on to it weakly, they help its function [R].

Rats exposed to chronic stress had increased levels of antibodies and they attached more strongly to a-MSH, which reduced its levels [R].

This is one link between stress and inflammation.

Antibodies are also increased by gut inflammation, but it doesn’t cause a stronger binding to a-MSH, which means that it improves its functioning [R].

This is one reason why intestinal inflammation often causes weight loss.

Practical Applications For People Who Can’t Gain Weight

People who can’t gain weight have overactive POMC neurons in the hypothalamus and a-MSH.

That means you need to take action that decreases POMC/MSH.

This includes:

  • Stress reduction,
  • Reducing inflammation,
  • Reducing leptin – I theorize that leptin is causing a hyper POMC response in people who can’t gain weight.
  • Reducing insulin,
  • SIRT1 activators,
  • STAT3 inhibitors,
  • Rhodiola/adaptogens to increase NPY,
  • Increase dopamine with Mucuna.

Irregular MSH Levels?

If you have not yet tested your MSH levels, I recommend that you ask your doctor to do it. If you already have your blood test results and you’re not sure what to make of them, check out Lab Test Analyzer. It does all the heavy lifting for you. No need to do thousands of hours of research on what to make of your various blood tests.

People don’t realize that their blood test results contain a gold mine of information that’s waiting to be unearthed. Unfortunately, not everyone has the time nor the inclination to sift through dozens of research papers.

It’s super-simple, so that even if you don’t have any background in science, you will understand what your results mean and what you can do to get them in the optimal range.

Lab Test Analyzer gives you up-to-date scientific information about your lab results. In addition, you will get both lifestyle tips and natural solutions to help you optimize your health. You can also rely on our science-based Optimal Ranges to prevent potential health issues and maximize your overall well-being.

All of the content is backed by science and researched by a team of PhDs, professors, and scientists.

We’re all unique, so we deserve solutions that treat us that way.

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  • Jerry

    I have suffered with horrible inflammatory pain for over 30 years. This all began after contracting Rock Mountain Spotted fever (diagnosis was missed for 21 years), EBV, CMV, and various mycoplasma infections. I have undetectable levels of a-msh in my system which I believe is what is causing my issues. I have read that a-msh was available in this country for quite some time but I can’t seem to find a solid answer as to why it was banned by the FDA. This really needs to be reassessed because so many people are suffering needlessly. I would actually travel out of the country for treatment if I could find a source.

  • Rob

    I suffered an extremely adverse reaction to Bremelanotide 0.25 mg. Got anhedonia and blank mind which I never had in my life.

    Any ideas on how I should reverse this?

  • Bindi

    Wow, this explains decades of illness and a long, long list – – always growing – – of symptoms. I’ve basically lost all quality of life because of this, and yet there’s not a single supplement I can take to boost my levels. The FDA thinks it’s too dangerous. They had no problem allowing the medical industry to flood me with cortisol so that I got osteonecrosis (bone death) in 15 joints and a life of bodywide severe pain. I didn’t have a cortisol deficiency, but that didn’t stop them. Hey, but all these people with the many illnesses we’re learning have low MSH who have lost so much of their lives to low MSH, well, who cares about having a pill that will help balance them so they can heal? Certainly not anyone at the FDA, which only cares about securing its funding dollars from its friends in the pharmaceutical industry. Who would have ever though America would become so pervasively, systemically corrupt?

  • Titan

    Did you used to have Propolis as a supplement to increase MSH and then took it off fairly recently? I could have swore I saw it listed here a few weeks ago.

  • Dulce leon

    Although this may be a little off topic. I have Vitiligo. I am tired of waiting for these Doc’s to find a cure for Vitiligo since they are so busy trying to cure baldness. Obviously they are interested in their own future issues or perhaps their present. So, Mr. Cohen, apparently, Vitiligo is connected to about 1000 other diseases and disorders. In early 2016, Dr. King, (Yale University) was doing a study on Rhmetoid Arthritis using a molecule named Tofacitinib. One patient, who had RA AND Vitiligo pigmented totally and completely in 5 months. This molecule is now on the market for RA and it is now called Xeljanz and is used as a last resort because of the side affects. ( Tofacitinib works on the JAK/STAT pathway inhibiting cytokines interleukins) So, now it becomes obvious enough that perhaps checking into inflammation and melanocytes might not be a bad idea. Does this sound interesting to you? What is your favorite desert? You are too intelligent to let this one go!

  • Dennis Knöper

    can melanotan help when msh is low ?

  • lori

    Does rhiodiola roses increase or decrease MSH levels?

  • Kb

    Regarding Dr Shoemaker’s MSH ranges, he says the labs have arbitrarily taken it upon themselves to change the “healthy” range because most of the people they tested were in this range. The labs apparently know who is healthy and who is not? If a Dr is testing MSH, which is not a common test, there’s likely a health issue being investigated. Since environmental toxins have become more and more of an issue, the vast majority of people are being exposed. Some get sick and some don’t, but we’re all being exposed. This would lead to a lowering of MSH in the general population, thus effecting the the labs have arbitrarily lowered the ranges.

  • Remy

    If obesity increases MSH, wouldn’t it be more likely that MSH would be high in overweight people?

    1. Joseph M. Cohen


  • Sarita

    So… for an overweight person trying to lose weight, is it likely that MSH is low and needs to be increased?

    1. Joseph M. Cohen

      Decent possibility. Only one way to find out 😉

      1. tom richardson

        not so quick… α-MSH is produced by POMC neurons in the brain where it acts to suppress appetite. Some cases of extreme obesity have been traced to mutations in the brain receptor for α-MSH. Presumably these people are unable to respond to the appetite-suppressing effect of their α-MSH.

  • X

    Re CIRS, have you seen this new article: Seems important.

    Also regarding CIRS, you should try to do an interview with Dr Daniel Cagua-Koo at Groton Wellness, he is a genius on CIRS & super experienced.

    Also what about helminth therapy with HDC such as Dr Sidney Baker recommends, maybe this is possible CIRS remedy by inducing immune tolerance?

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