What is known
MOTS-c is a mitochondrial-derived signaling peptide, and controlled mouse studies report effects on insulin resistance, diet-induced obesity, skeletal-muscle metabolism, exercise performance, and late-life physical capacity. Human work in the key exercise paper measured changes in endogenous MOTS-c after exercise rather than demonstrating benefit from administering MOTS-c to people. No peer-reviewed canine intervention study was identified in the targeted search. FDA's 2026 evidence review likewise found no human administration studies and concluded that effectiveness evidence for nominated metabolic, musculoskeletal, and longevity uses was confined to in-vitro and rodent models, with major pharmacology and safety gaps.