This invention provides methods and compositions for inducing weight loss
and maintaining optimum weight comprising administering an agent that
stimulates carnitine palmitoyl transferase-1 (CPT-1) activity to the
patient in need, including human patients. These methods do not require
inhibition of fatty acid synthesis. In particular, this invention
provides methods for development of therapeutics that selectively enhance
fatty acid oxidation, increase energy production, and reduce adiposity
while preserving lean mass, through the pharmacological stimulation of
CPT-1 activity. In a preferred mode, the agent is administered in an
amount sufficient to increase fatty acid oxidation. In another preferred
mode, the agent is administered in an amount sufficient to antagonize
malonyl CoA inhibition of CPT-1. In yet another preferred mode, the agent
is administered in an amount sufficient to increase malonyl CoA level.