Rapid emergence of appetite and hunger resulting in weight gain and improvement of eating disorder symptomatology during and after short-term off-label metreleptin treatment of a patient with anorexia nervosa

oleh: Gertraud Gradl-Dietsch, Gabriella Milos, Martin Wabitsch, Rebecca Bell, Franziska Tschoepe, Jochen Antel, Johannes Hebebrand

Format: Article
Diterbitkan: Karger Publishers 2022-11-01

Deskripsi

Off-label treatment of a 15-year-old female patient with anorexia nervosa with human recombinant leptin (metreleptin) for nine days was associated with self-reported increments of appetite and hunger resulting in rapid weight gain, substantial improvement of eating disorder cognitions and of depression. The results further substantiate the effects of metreleptin on both AN and depression. We contrast these results with the widespread view that leptin is an anorexigenic hormone. Randomized controlled trials are warranted to confirm the described effects.