Yohimbine

Erectile functionFat lossCaution

An alpha-2 antagonist from West African yohimbe bark. Strong fat-loss and erectile effects — and an equally strong cardiovascular and anxiety side-effect profile. Use very carefully.

EvidenceModerate

Moderate for erectile dysfunction (older RCTs — predates Viagra). Moderate for stubborn-fat loss in lean / already-low-body-fat individuals (Ostojic). Effects: acute (hours).

Yohimbine is an alkaloid from Pausinystalia yohimbe bark and a real pharmacologic agent — it blocks alpha-2 adrenergic receptors, raising norepinephrine and triggering lipolysis (especially in stubborn, alpha-2-rich body fat like the lower abdomen and thighs). Also has decades of clinical use for erectile dysfunction. The catch: the same mechanism that drives the fat-loss and ED effects also raises blood pressure, heart rate, anxiety, and panic. Serious interaction risks with antidepressants and stimulants. Take this one seriously.

Form
Yohimbine HCl (the standardised hydrochloride form, much more reliable than crude yohimbe bark extracts).
Dose
0.1–0.2 mg/kg body weight (typically 5–15 mg per dose). Start low. Some users go 0.2 mg/kg twice daily.
Timing
Fasted (insulin blunts yohimbine's lipolytic effect). Pre-workout. Acute use, not chronic.
Schedule
As-needed, cycled. Not for daily long-term use.
Side effects
Anxiety, panic attacks, hypertension, tachycardia, sweating, jitters, insomnia, GI upset, headache. Real and common at meaningful doses.
Interactions
SSRIs, SNRIs, MAOIs, tricyclics — serotonin syndrome and hypertensive crisis risk. Stimulants (caffeine, amphetamines) — additive cardiovascular effects. Antihypertensives — opposing. Alpha-blockers (for BPH) — opposing.
Contraindications
On any antidepressant. Hypertension. Heart disease, arrhythmia. Anxiety / panic disorders. PTSD. Bipolar disorder. Pregnancy. Kidney or liver disease. Elderly.
Lab markers
BP, HR. Subjective tracking.
Food sources
Not in food.

Pairs with

Fasted cardio (synergistic fat loss). Generally avoid stacking with other stimulants.