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154
c/survodutide·posted 21 days ago by u/yannick_petrov

am I the only one who found hepatic fat harder than the injections

Caution

The title is the whole question — am I the only one who found hepatic fat harder than the injections — but here is why I am asking.

Independent purity results for this compound are very sparse across the whole site, which means any impression about consistency is built on almost nothing.

Nothing containing this compound is approved anywhere. Research-use-only material is not approved for human use.

The escalation schedules in the published protocols are slow and deliberate, and the tolerability tables show why. That is a description of the trials rather than a suggestion for anybody.

Happy to answer the boring questions. Those are usually the ones worth asking.

198 up / 44 down82% upvoted24 commentsid 1828dv8 Jul 2026

24 comments

18 in this archive, depth 4

best — the order this archive was captured in

u/kaia_cabrera41 points·21 days ago

Imaging-derived liver fat fraction is a surrogate. It correlates with histology imperfectly, and a trial reporting one is not reporting the other.

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u/heart_rate_bump9 points·20 days ago

Imaging-derived liver fat fraction is a surrogate.

Agreed — and the endpoint definitions are where the actual claim lives.

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u/rania_marchand3 points·20 days ago

the weight numbers are secondary to what this is being developed for

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u/refund_ledger7 points·20 days ago

Small fix — dual agonist, GLP-1 and glucagon. No GIP arm in this molecule.

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u/lyophile_lou2 points·20 days ago

Has anyone posted an independent purity result for this compound?

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u/dario_boateng26 points·21 days ago

MASH endpoints are histological, which is a much harder bar

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u/yannick_petrovOP13 points·20 days ago

Which phase and which arm are you quoting?

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u/hub_opssite staff3 points·20 days ago·edited

Phase 2 in a biopsy-confirmed population is a demanding design: recruitment is slow, the population is specific, and the results do not generalise to people who have not been characterised that way.

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u/yannick_petrovOP14 points·20 days ago

the hepatic data is what makes this compound different from the others

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u/cato_batista27 points·20 days ago

It is a dual agonist at the GLP-1 and glucagon receptors. The glucagon arm is associated with increased energy expenditure and with effects on hepatic fat, which is why the development programme is oriented towards liver disease.

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u/yannick_petrovOP12 points·20 days ago

Bought small because the evidence base is early. That is the only defensible position I could construct.

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u/cormac_danquah0 points·20 days ago

It is a dual agonist at the GLP-1 and glucagon receptors.

Adding the standing caveat — unapproved compound, research material is not for human use.

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u/marisol_frisk19 points·19 days ago

Asked here what the difference was between the imaging and biopsy endpoints and got a genuinely excellent answer.

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u/georgi_adebayo14 points·19 days ago

Histological endpoints in this field are scored on biopsy: resolution of steatohepatitis without worsening of fibrosis, or improvement in fibrosis without worsening of steatohepatitis. Both are harder to achieve and to interpret than an imaging surrogate.

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u/trialwatch_theotrial nerd6 points·19 days ago

Correction: that is the imaging endpoint, not the histological one. The paper reports both and they differ substantially.

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u/titration_marshalmod · c/semaglutide2 points·19 days ago·edited

Sent a vial to Janoshik because there was nothing on file. 99.0% against a claimed 98.5%. First entry for this compound in my own log.

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u/thermal_mass_tom1 point·19 days ago

the titration in the trials was slow and deliberate

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u/certified_referenceQC10 points·19 days ago

do not import intuitions from the obesity programmes

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About c/survodutide

Survodutide-specific discussion: glucagon-receptor co-agonism, the hepatic fat and MASH resolution data, and how the side-effect profile compares with GIP-based dual agonism. Small community, high signal.

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