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The hCG Diet

A 70-year-old idea, tested, failed, banned - and still for sale. Here is the record.

THE SHORT VERSION

The “hCG diet” — daily hCG injections or drops plus a 500-calorie starvation diet — does not work, has been known not to work for decades, and the products sold for it over the counter are illegal. This is not a controversial position. It is the settled conclusion of the controlled trials, the FDA, and the FTC — which ordered hCG weight-loss clinics to stop their claims back in 1976.

WHERE IT CAME FROM

In the 1950s, British physician A.T.W. Simeons proposed that hCG injections would suppress hunger and mobilize “abnormal” fat stores, allowing patients to thrive on 500 calories a day. It was an appealing story. It was also testable — and when it was tested properly, it failed.

WHAT THE TRIALS SHOWED

The definitive analysis (Lijesen 1995, British Journal of Clinical Pharmacology) reviewed 24 studies of the Simeons protocol, including the randomized controlled trials. The findings:

• 12 of 14 RCTs found weight loss with hCG no greater than with placebo injections plus the same diet.
• All 8 trials measuring fat redistribution: negative.
• Hunger and well-being: essentially no difference from placebo.
• The authors' conclusion, verbatim in spirit: there is no scientific evidence that hCG causes weight loss, redistributes fat, staves off hunger, or induces well-being.

People on the protocol do lose weight — because they are eating 500 calories a day, which is semi-starvation with its own real risks (gallstones, muscle loss, electrolyte disturbance). The injections contribute nothing but expense and a pharmacologically active pregnancy hormone.

THE REGULATORY RECORD
• 1976: the FTC ordered hCG weight-loss clinics to stop claiming the protocol was safe, effective, or FDA-approved.
• 2011: the FDA and FTC jointly warned makers of homeopathic hCG drops, pellets, and sprays that the products are unapproved, fraudulent, and illegal to sell over the counter.
• Today: hCG is a prescription medication approved for specific fertility and endocrine uses. Every legitimate use appears on our hCG info page; weight loss is not among them.
ONE MORE THING

hCG taken for dieting is still hCG: it turns pregnancy tests positive, disrupts cycles, and in men suppresses normal hormonal feedback. If a clinic near you sells this program in 2026 — and some still do — that tells you something about the clinic, not about the hormone.

KEY SOURCES
1. Lijesen GK, Theeuwen I, Assendelft WJ, Van Der Wal G. The effect of human chorionic gonadotropin (HCG) in the treatment of obesity by means of the Simeons therapy: a criteria-based meta-analysis. Br J Clin Pharmacol. 1995;40(3):237-243.
2. US Food and Drug Administration / Federal Trade Commission. Joint warning letters regarding homeopathic hCG weight-loss products. 2011.
3. Goodbar NH, et al. An unfortunate resurgence of human chorionic gonadotropin use for weight loss. Int J Obes (Lond). 2011 (editorial).
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