Conclusion: Tirzepatide was effective in remission of obstructive sleep apnea syndrome and metabolic dysfunction-associated steatohepatitis. These results support the need to individualize the selection of OMMs.
Naltrexone side effects
Across 79 first-hand reports, people mentioned a side effect 6 times (about 8 per 100 reports). The most common: precipitated withdrawals, miserable, anhedonia. User reports show what people notice — they can't tell you whether Naltrexone is safe for you.
Reported side effects
precipitated withdrawals1
miserable1
anhedonia1
dysphoria1
worsened withdrawal1
insomnia1
What got worse for some people
In their own words
“LDN didn't work for me and made me miserable after the first few doses.”
“Naltrexone is an opioid antagonist with the notable side effect of profound dysphoria. it is the exact opposite of what we need.”
“aside from the sleep issues caused by Naltrexone, I feel about as calm as I ever have”
Is Naltrexone safe? What the research covers
AResearch: Strong317 meta-analyses · 926 randomized trials on PubMed
Nat Med · 2025
A systematic review and meta-analysis of the efficacy and safety of pharmacological treatments for obesity in adultsBMJ · 2026
Comparative effects of drugs for adults with overweight or obesity: systematic review and network meta-analysisConclusion: Obesity drugs produce variable weight loss at one year, with larger benefits generally accompanied by greater harms and discontinuation. Most agents do not improve quality of life meaningfully and few show cardiovascular benefits. Decisions in clinical practice should consider trade-offs between benefits and harms within the context of shared decision making.