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c/cagrilintide·posted 1 year ago by u/ferran_mensah

week 45 check-in — 21kg down, sulphur burps manageable, one thing confusing me

Trial Data Receipts ×2

week 45 check-in — 21kg down, sulphur burps manageable, one thing confusing me. Numbers below. Ask me the boring questions, they are the useful ones.

Figures up front so nobody has to dig: week 45 and 21kg.

Why this compound is not simply another agonist, which is how it gets described everywhere else.

Amylin is co-secreted with insulin and signals satiety through its own receptor complexes. It is a different axis from the incretin system, not a parallel version of it. That is why the combination story is interesting: two mechanisms that address appetite differently, rather than more agonism at one receptor.

It is also why the dosing intuitions people bring from the semaglutide and tirzepatide boards do not transfer. Different receptors, different exposure-response, and no published schedule anybody here can reason from.

Bought small deliberately because the evidence base is thin. That felt like the only defensible approach.

If somebody has the same thing measured a different way, post it next to mine and we will see whether they agree.

1,081 up / 387 down74% upvoted16 commentsid 1buddm7 Aug 2024

16 comments

15 in this archive, depth 5

best — the order this archive was captured in

u/nl_verzekering116 points·1 year ago

Combination and monotherapy arms must be read separately. Efficacy and tolerability both differ substantially between them and summaries routinely blur the two.

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u/ferran_mensahOP82 points·1 year ago

Went looking for independent results on this and found a handful across the whole site. That is the honest state of the evidence.

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u/micro_bump_mick34 points·1 year ago

Are you comparing against a GLP-1 monotherapy result? They are not comparable.

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u/ferran_mensahOP18 points·1 year ago

Do you have the publication or a summary of it?

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u/emeka_chowdhury24 points·1 year ago

amylin and GLP-1 are not redundant pathways

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u/hedda_aguirre19 points·1 year ago

independent purity data on this compound is thin

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u/nz_unfunded5 points·1 year ago·edited

Is there any independent purity data on this compound that you have seen?

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u/zeynep_weiss2 points·1 year ago

Push back: the evidence base here is thin enough that a confident ranking against the established compounds is not supportable.

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u/ferran_mensahOP78 points·1 year ago

Sent a vial to PeptideMeter because there was almost nothing on file for this compound. 98.6% against a claimed 98.0%, and I posted it because the log needs entries.

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u/lucia_bruun71 points·1 year ago

Agreed — it is an amylin analogue and importing intuitions from the incretin boards produces confident nonsense.

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u/zeynep_zielinski18 points·1 year ago

Read the combination paper twice before saying anything here. The monotherapy and combination arms tell genuinely different stories.

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u/throwaway_44b116 points·1 year ago

nothing containing this is approved as a standalone product

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u/ravi_sandvik49 points·1 year ago·edited

The engineering problem was duration: native amylin is short-acting and aggregation-prone. A long-acting analogue suitable for weekly administration is what makes the combination clinically interesting.

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u/lukas_vermeulen41 points·1 year ago

Kept a log purely because so few people are logging this one. It is one person and it is not data.

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u/kavya_kravchenko62 points·1 year ago

this is a less-travelled board and the evidence base shows it

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About c/cagrilintide

Amylin analog pharmacology and the CagriSema combination: why amylin and GLP-1 co-agonism produces a different satiety profile, the REDEFINE readouts, and the very limited pool of people handling cagrilintide as research material.

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