Most of today’s new weight-loss medications work by suppressing appetite, helping people eat less. However, researchers at the University of California, Berkeley, are exploring an alternative approach that targets energy expenditure instead.
Rather than focusing primarily on reducing food intake, an experimental drug appears to increase how much energy the body burns.
The compound is called TOFA, short for 5-tetradecyloxy-2-furoic acid.
In recent mouse studies, scientists observed that TOFA helped lower body fat, improved blood sugar regulation, and decreased unhealthy blood fats. These results were published in Science Advances.
This research comes amid a significant shift in obesity treatment options. Medications like Ozempic and Wegovy contain semaglutide, while Mounjaro and Zepbound include tirzepatide.
These drugs target hormones that influence appetite, blood sugar, and digestion, often leading to significant weight loss for many users.
While these medications offer benefits for those with obesity, diabetes, and related health issues, they can also cause side effects such as nausea, vomiting, diarrhea, or constipation—especially when starting treatment or increasing doses.
Because patients often eat less while using these drugs, doctors also focus on ensuring proper nutrition and preventing muscle loss during weight reduction.
Muscle loss is concerning since total body weight doesn’t fully reflect overall health. Losing excess fat can boost metabolic well-being, but losing too much muscle can weaken strength and reduce physical function.
This is particularly problematic for older adults and individuals already at risk for frailty.
The Berkeley team aimed to find another strategy to encourage weight loss. Body weight depends partly on the balance between calories consumed and calories burned. While GLP-1 medications mainly influence appetite, this study focused on boosting energy expenditure.
TOFA isn’t a newly discovered chemical. It’s been known for decades and is understood to interfere with enzymes called ACCs, which help the body convert food into fatty acids that can be stored or used for energy.
Blocking ACC enzymes sounds promising for reducing fat, but previous efforts faced challenges. Some ACC inhibitors unexpectedly increased triglycerides in the blood, raising concerns since high triglycerides are linked to cardiovascular risk, which limited enthusiasm for this approach.
However, the new findings suggest TOFA might behave differently, as it appears to affect multiple aspects of metabolism simultaneously. Besides slowing fat production (like cholesterol and triglycerides), it also activates genes involved in fat utilization, causing cells to burn more fuel.
This effect is partly linked to two cell receptors called PPAR-alpha and PPAR-delta, which regulate genes related to fat processing and energy production. When activated, these receptors promote the uptake and use of fatty acids as fuel.
In treated mice, this resulted in up to an 18% increase in energy expenditure. Notably, this wasn’t due to increased activity or heat production, as body temperature remained stable. This indicates that the metabolism itself was driving the increased energy use.
Additionally, TOFA improved several indicators associated with type 2 diabetes. The mice became more responsive to insulin, leading to better blood sugar control, and their triglyceride levels decreased instead of rising.
The compound also positively impacted fatty liver disease, a condition characterized by excess fat accumulation in the liver, strongly linked to obesity and insulin resistance. Over time, fatty liver can progress to inflammation, scarring, and serious liver damage.
One of the most striking results was the change in body composition. Obese mice treated with TOFA lost fat without losing significant muscle mass, suggesting a potential way to achieve weight loss while preserving strength.
The researchers also tested whether combining two separate drugs—one that inhibits fat production and another that stimulates energy burning—could replicate TOFA’s effects. Surprisingly, this two-drug combo was less effective overall than the single molecule, indicating TOFA may trigger a coordinated response in the body.
Lead author Justin Y. Lee explained that TOFA seems to activate a linked process where fat production decreases and the body becomes more efficient at handling excess fat and glucose. Fully understanding this mechanism could be key to designing future therapies.
Further, when TOFA was combined with existing GLP-1-based treatments like semaglutide or tirzepatide in mice, results improved even more. These animals showed greater reductions in body weight and better metabolic profiles compared to using each treatment alone. Blood sugar, insulin, and triglyceride levels all improved more with combination therapy.
This combined approach is promising because these meds target different pathways — GLP-1 drugs mainly curb appetite, while TOFA boosts energy use. Targeting both sides of energy balance could yield stronger results.
Nevertheless, caution is essential. TOFA’s safety and effectiveness in humans remain unproven. While animal studies reveal important biological insights, many promising drugs fail when tested in people.
Questions about long-term safety also remain. Modifying how the body produces and burns fats could impact vital organs like the liver and heart. Further research will need to evaluate toxicity, dosing strategies, potential drug interactions, and whether increased energy expenditure can be maintained safely over time.
The team has founded ReRx Therapeutics to continue developing this approach. More comprehensive safety studies are necessary before human trials can determine if TOFA or similar compounds could be viable treatments. Until then, TOFA stays in the experimental stage.
This research broadens understanding of obesity therapies. While current GLP-1 drugs have shown that controlling appetite can produce significant weight loss, future treatments might also include medications that safely increase energy expenditure or help preserve muscle mass.
What’s most encouraging is that TOFA improved multiple health issues in mice—excess fat, insulin resistance, elevated triglycerides, and fatty liver disease. Its enhanced effect when combined with GLP-1 medications is noteworthy, though human data is needed before any conclusions can be made regarding its benefit for people.
The study was conducted at UC Berkeley and published in the peer-reviewed journal Science Advances.




