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⚠️ Educational only · Not medical advice · Consult a doctor · Most peptides are research-only / not FDA-approved for human use

Cagrilintide

Also: NN9838, AM833

⚖️Metabolic

How It Works

Long-acting amylin analog that activates amylin receptors in the area postrema and hypothalamus to reduce appetite, slow gastric emptying, and suppress post-meal glucagon secretion. Works on a distinct pathway from GLP-1 agonists, making it ideal for combination therapy.

Primary Benefits

1Weight loss
2appetite reduction
3glycemic control

Key Studies

Cagrilintide Phase 2 trial for weight management

Lau et al. (Lancet): Phase 2 RCT showing cagrilintide 4.5mg weekly achieved 10.8% weight loss vs 3.0% placebo at 26 weeks, with acceptable safety profile.

strong

CagriSema (cagrilintide + semaglutide) Phase 2 results

Frias et al. (Lancet): CagriSema combination achieved 15.6% weight loss at 32 weeks in type 2 diabetes patients — superior to either agent alone.

strong

Amylin analogs in obesity management: mechanism review

Review of amylin's role in energy homeostasis and why dual amylin-calcitonin receptor agonists like cagrilintide represent a new weight loss mechanism distinct from GLP-1.

moderate

Safety Notes

Generally well-tolerated in Phase 2 trials. Main side effects are GI-related (nausea, vomiting). Novo Nordisk is developing CagriSema (cagrilintide + semaglutide) as next-gen obesity treatment. Research-only peptide.

Dosing Protocol

⚠️ For educational purposes only. Not medical advice. Consult a healthcare professional before using any peptide.

RouteSubQ
Dose Range500-4500 mcg
FrequencyWeekly
TimingAny time, consistent day
Cycle Length12-24 weeks

Clinical trial doses: 0.3-4.5mg weekly with dose escalation over 4-8 weeks. Start low (0.3-0.6mg) and increase every 4 weeks to minimize GI side effects.

Half-Life Visualization

⏱️ Half-Life: 7d

Plasma concentration over time
100%50%0%0t½ = 7d

Expected Timeline

Week 1

Appetite suppression begins; reduced food cravings

Weeks 2-4

Measurable weight loss (1-2 lbs/week); improved meal portion control

Month 2-3

10-11% body weight loss at clinical doses; improved glycemic markers

Long-term

Clinical trials show sustained weight loss through 26+ weeks; CagriSema in Phase 3 trials

Side Effects & Incidence

Side EffectIncidenceSeverity

Nausea

Most common during dose escalation; typically resolves in 2-4 weeks

~25% of usersmoderate

Diarrhea

~10% of usersmild

Vomiting

~8% of usersmoderate

Injection site reaction

~5% of usersmild

Constipation

~8% of usersmild

Incidence rates sourced from published clinical trial data where available; otherwise based on community research observations.

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