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#cagrilintide 2026-06-02

Tuesday54 messages10 participantstimes are UTC
Highlights from this day
  • HPLC_Hank — did anyone find monotherapy underwhelming 06:53
  • lead_time_lars — monotherapy was underwhelming for me and i say that as someone who wanted it to work 07:06
  • VialBot — Assay note: SWB lot H-2814 reported at 99.2% of label content. 07:44
  • two_eight_c — has REDEFINE reported or are people quoting earlier work 09:58
HH

did anyone find monotherapy underwhelming

4📉17

REDEFINE is the phase 3 programme, most of what gets quoted casually in here is earlier work

LT

the fullness effect hasnt faded over 4 months, unlike my semaglutide appetite curve, ymmv

LT

monotherapy was underwhelming for me and i say that as someone who wanted it to work

📉1📈11

is the combination just the two dosed together or a single formulation

P2

i said earlier this year that monotherapy did nothing for me, and at a higher dose it did something

the nausea felt different rather than less, more fullness and less of the queasy wave, n of 1 obviously

VB

Assay note: SWB lot H-2814 reported at 99.2% of label content.

for the archive i titrated over twice as many weeks as i did on semaglutide and that was right for me, from memory
$240 for a 10 vial and it lasts me longer than the GLP-1 does at my doses

P2

anyone stopped the GLP-1 and kept only this

DV

i was sceptical about monotherapy and after 25 months im still sceptical, just less so

DV

two Medutest results on the same QSC lot came back 99 and 96.8, closer than i expected

*Janoshik not the other one

HH

the reason nausea reads differently is timing, mine arrived on the second day rather than the first

fullness rather than nausea

GC

does amylin do something about fullness that the GLP-1 doesnt

TE

changed my mind on this, i started thinking amylin was the interesting bit and now i think its the pairing

GC

is there a reason people titrate this over more weeks than the others

TE

does the fullness effect fade the way appetite suppression does

has REDEFINE reported or are people quoting earlier work

Cited study
Efficacy and Safety of Cagrilintide in Adults with Overweight or Obesity — Phase 2
The Lancet · 2021
Cagrilintide monotherapy, dose ranging. The combination trials came later.
RR

while im here is the nausea profile genuinely different or am i imagining it

1🤝6
HH

did anyone add this to an existing semaglutide dose rather than starting both

did the combination change your GI compared to the GLP-1 alone

vial-kp-0925-front.png
900 × 1200 · 201 KB · not retained in the public archive

right so how do people separate which of the two is doing what in a combination

*Janoshik not the other one

is the slower titration because of nausea or something else

HH

back after 16 months, is monotherapy still a minority thing here

DV

quick one lost 37lb over 21 months on the combination and i genuinely cannot apportion it

CH

right so noticed something around week 2 on monotherapy, well after i had given up expecting to

P2

the combination is the thing with trial data behind it, monotherapy in here is mostly us guessing

held at 15 for 5 months on monotherapy before i touched it again

P2

update on the earlier thing monotherapy question, did appetite move for you without a GLP-1 alongside

[edited]

REDEFINE is the trial

if youre used to GLP-1 titration steps this feels absurdly cautious and i still do it that way

CH

anyone dosing this on a different day to their semaglutide

is the weekly schedule the same here

CH

combination GI was worse than either alone for me, which is not what i had read anywhere

VB

Testing queue: 9 submissions open, 84 awaiting dispatch.

DV

nobody should copy my schedule, im describing it because people asked what a slow ramp looks like

P2

update on the earlier thing is 2.4 the number for this too or am i confusing compounds