Thermogenic / plant extract

Capsicum annuum (capsaicin)

DWeak evidence

At a glance

Extra energy burned
≈34 kcal a dayPooled increase in resting metabolic rate across trials. Roughly one small biscuit.
Less eaten at a meal
≈74 kcalPooled reduction in intake when capsaicinoids were taken before a meal, in short laboratory studies.
Weight regain after dieting
No differenceA 3-month trial at 135 mg capsaicin a day found more fat burning but no less weight regain than placebo.
Common side effects
Burning, refluxStomach and throat burning, heartburn and loose stools, especially on an empty stomach.
Where capsaicin has strong evidence
Skin patch for nerve painA prescription 8% patch — a different use, route and dose from any fat burner.

What is Capsicum annuum (capsaicin)?

Capsicum annuum is the species that gives us bell peppers, jalapeños, paprika and cayenne. The heat comes from a family of compounds called capsaicinoids, of which capsaicin is the main one. Sweet peppers have almost none. Supplements use extracts standardised to a capsaicinoid content, often around 2 per cent, and some use coated beadlets, such as the branded Capsimax, designed to release in the gut rather than the mouth so the capsule does not burn on the way down. A related group, capsinoids, comes from a non-pungent pepper variety. Capsinoids act on the same receptor without the heat and have been studied separately.

How it works

Capsaicin activates a receptor called TRPV1, the same one that responds to heat. That is why chilli feels hot and why the body responds as if it were warming up: the sympathetic nervous system becomes slightly more active, the body burns a little more energy and shifts slightly towards burning fat. Some studies suggest it activates brown fat, a heat-producing tissue that adults have in small and variable amounts. Capsaicin may also reduce appetite through signals from the gut. All of this is well documented in short laboratory studies. The problem is scale. The extra energy burned is a few tens of calories a day, and the body adjusts to repeated exposure, which may be why the effect has not produced much weight loss over months.

What the research actually shows

Evidence strength varies by what is being claimed, so each use is graded separately against the published criteria rather than averaged into one reassuring letter.

Increasing energy expenditure ("thermogenesis")

CLimited evidence

The effect is real and it is small. A 2012 critical review and meta-analysis in Chemical Senses concluded that capsaicin and capsiate both increase energy expenditure and fat burning, especially at high doses, and that the magnitude is small. A later meta-analysis put the pooled increase in resting metabolic rate at about 34 kcal a day. For scale, that is roughly one small biscuit. The grade is C rather than higher because the studies are mostly short and acute, doses vary widely, and the effect may fade with regular use. Nobody should build a weight-loss plan on 34 calories.

Sources: Ludy MJ, Moore GE, Mattes RD (2012), (2020)

Reducing appetite and food intake

CLimited evidence

A 2014 meta-analysis in Appetite found that taking capsaicinoids before a meal reduced how much people ate at that meal by about 74 kcal. That is a genuine finding, and it is the most useful part of the capsaicin story. It comes from short laboratory studies, though, and nobody has shown that it persists over weeks, or that people do not simply eat more later. Treat it as a small effect on one meal rather than a lasting change in appetite.

Sources: Whiting S, Derbyshire EJ, Tiwari B (2014)

Weight loss or keeping weight off

DWeak evidence

This is the claim fat burners make, and the longer trials do not support it. In a 2003 trial in the British Journal of Nutrition, people who had just lost weight took 135 mg of capsaicin a day or a placebo for three months. The capsaicin group burned more fat, but regained just as much weight. A 12-week trial of 6 mg a day of capsinoids, published in the American Journal of Clinical Nutrition in 2009, found a loss of abdominal fat but no significant difference in body weight. The European Food Safety Authority reviewed the evidence for capsaicin and maintaining weight after weight loss and did not accept the claim. D, because the mechanism is real but the outcome that matters has not been shown.

Sources: Lejeune MPGM, Kovacs EMR, Westerterp-Plantenga MS (2003), Snitker S et al, EFSA Panel on Dietetic Products, Nutrition and Allergies (2011)

Relieving nerve pain (topical use)

BModerate evidence

Included so the evidence is not borrowed by the wrong product. A 2017 Cochrane review of high-concentration (8 per cent) capsaicin patches, a prescription treatment applied in clinic, found moderate-quality evidence of moderate or better pain relief for a minority of people with post-herpetic neuralgia, with about 12 people needing treatment for one extra person to benefit. That is a real, licensed medical use. It is a different dose, route and product from a capsicum capsule in a fat burner, and none of it transfers.

Sources: Derry S et al

Effective dosage

There is no single agreed oral dose. Trials of capsaicin for energy expenditure used widely varying amounts, from a few milligrams to more than 100 mg a day of capsaicin, often in food. The capsinoid trial used 6 mg a day. Branded capsicum extracts in supplements commonly provide 2 to 4 mg of capsaicinoids per serving, often from 100 to 200 mg of an extract standardised to about 2 per cent. Taking it with food reduces stomach irritation. If you want the appetite effect, it has only been shown when taken shortly before a meal.

Where products diverge from the research. Most fat burners that include capsicum list it inside a proprietary blend, so you cannot tell how much capsaicinoid you are getting. Where the amount is listed, it is often an extract weight rather than the capsaicinoid content. "Capsicum annuum 100 mg" at 2 per cent is 2 mg of capsaicinoids. Check whether the label gives the standardisation. The bigger gap, though, is between the mechanism and the promise. Even a product dosed exactly as in the trials delivers an effect measured in tens of calories.

Safety, side effects and interactions

Capsaicin is safe in food amounts for most people, but concentrated extracts can cause stomach pain, burning, heartburn, nausea and diarrhoea, particularly on an empty stomach. People with reflux, gastritis, ulcers or irritable bowel syndrome are likely to find it uncomfortable. Because it raises sympathetic activity, it is usually combined in fat burners with caffeine and other stimulants, and the combination is harder on the heart than capsicum alone. Anyone with high blood pressure or a heart rhythm problem should look at the whole formula, not just this ingredient. Capsaicin may interact with blood thinners and some blood pressure medicines, although the evidence is limited. Keep the capsules away from eyes and broken skin, and wash your hands after opening one.

None of this is medical advice. See the medical disclaimer for what that means before you act on anything here.

Common questions

Does capsaicin burn fat?

It increases energy expenditure and fat burning slightly: pooled trials put the extra energy burned at about 34 kcal a day. That is real but tiny, and a three-month trial found it did not stop people regaining weight after a diet. It is not a meaningful fat-loss tool on its own.

Does it reduce appetite?

In short laboratory studies, taking capsaicinoids before a meal reduced intake by about 74 kcal at that meal. Nobody has shown this lasts over weeks or that people do not compensate later.

Is eating chilli the same as taking a capsicum supplement?

Broadly, yes. Many trials used capsaicin in food or as red pepper. Supplements offer a measured dose and, in coated forms, less burning in the mouth. Neither delivers a large effect.

What is Capsimax?

A branded capsicum extract in coated beadlets, designed to release in the gut so it does not burn the mouth and throat. The coating changes comfort, not the size of the effect.

Are there side effects?

Stomach burning, heartburn, nausea and loose stools are common with concentrated extracts, especially on an empty stomach. People with reflux or a sensitive gut often cannot tolerate it. In fat burners it is usually combined with stimulants, so check the full label if you have heart or blood pressure problems.

Does capsaicin help with pain?

As a high-strength skin patch prescribed for nerve pain, yes, for a minority of people. That evidence is about a medical treatment applied to the skin and has nothing to do with a capsicum capsule.

References7 sources
  1. Ludy MJ, Moore GE, Mattes RD (2012). The effects of capsaicin and capsiate on energy balance: critical review and meta-analyses of studies in humans. Chemical Senses 37(2):103-121 — small increases in energy expenditure and fat oxidation, greater at higher doses.
  2. (2020). The effect of capsaicinoids or capsinoids in red pepper on thermogenesis in healthy adults: a systematic review and meta-analysis — resting metabolic rate increased by about 34 kcal a day against placebo.
  3. Whiting S, Derbyshire EJ, Tiwari B (2014). Could capsaicinoids help to support weight management? A systematic review and meta-analysis of energy intake data. Appetite 73 — ad libitum intake reduced by 309.9 kJ (74 kcal) at the meal after dosing.
  4. Lejeune MPGM, Kovacs EMR, Westerterp-Plantenga MS (2003). Effect of capsaicin on substrate oxidation and weight maintenance after modest body-weight loss in human subjects. British Journal of Nutrition 90(3):651-659 — 135 mg a day sustained fat oxidation but did not limit three-month weight regain.
  5. Snitker S et al. (2009). Effects of novel capsinoid treatment on fatness and energy metabolism in humans: possible pharmacogenetic implications. American Journal of Clinical Nutrition 89(1):45-50 — 6 mg a day for 12 weeks; abdominal fat loss, no significant difference in body weight.
  6. EFSA Panel on Dietetic Products, Nutrition and Allergies (2011). Scientific Opinion on the substantiation of health claims related to capsaicin and maintenance of body weight after weight loss, increase in carbohydrate oxidation, and contribution to normal hair growth. EFSA Journal 9(6):2210.
  7. Derry S et al. (2017). Topical capsaicin (high concentration) for chronic neuropathic pain in adults. Cochrane Database of Systematic Reviews — eight studies, 2,488 participants; NNT of about 12 for moderate relief in post-herpetic neuralgia.
Page historyPublished
  1. First published with per-claim evidence grades. Energy expenditure findings from the 2012 Chemical Senses meta-analyses and the 2020 thermogenesis meta-analysis; appetite from the 2014 Appetite meta-analysis; weight outcomes from the 2003 British Journal of Nutrition and 2009 AJCN trials and the 2011 EFSA opinion; topical use from the 2017 Cochrane review.

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Compiled by SNL Team