The evidence base for Melanotan II itself is thin and dominated by early pharmacology studies and small human experiments rather than large controlled trials, and it was never carried through formal approval. Its ability to increase pigmentation and to affect sexual arousal is reasonably well established from that early work, but rigorous long-term safety data in humans is lacking. The safety concerns are not merely theoretical: dermatologists report seeing patients develop atypical, unusual-looking moles while using it, and there are published case reports in the scientific literature linking Melanotan II to melanoma, though a causal relationship has not been proven. A further, practical evidence gap is product quality, because material sold online comes from unregulated labs and may be impure or contaminated. Common reported side effects include nausea, facial flushing, appetite loss, yawning and stretching, and darkening of moles and freckles.