MT-2 contrasted with MT-1/afamelanotide: broader receptor affinity drives the extra risk
This peptide-focused channel contrasts the two: MT-1 (afamelanotide, branded Scenesse) is FDA-approved for erythropoietic protoporphyria, works predominantly through MC1R, preferentially boosts UV-absorbing eumelanin over carcinogenic pheomelanin, and has a favorable safety profile with no evidence at this point of increased melanoma risk. MT-2 is a shortened cyclic analog with broader affinity for MC3, MC4 and MC5, which is why users report libido and appetite effects alongside tanning, and it is that broad affinity plus multiple case reports of melanocytic changes and melanomas that make it the higher-risk cousin.