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c/cagrilintide·posted 7 months ago by u/nz_unfunded

anyone else notice co-agonism kicking in around week 5

Lab Slow Clap ×2 Long Haul ×1

Been lurking in c/orforglipron for about 9 months and finally have something worth posting.

Short version: week 6, 1.0mg, and amylin is the bit I still cannot get a straight answer on. I have read the wiki, I have read the last 21 threads, and the answers split roughly down the middle.

What I actually want to know is whether the people saying it does not matter have measured it, or whether it is just repeated confidently. Happy to be told I am overthinking this — I probably am — but I would rather overthink it now than at week 12.

2,588 up / 82 down97% upvoted42 commentsid 1buyi84 Dec 2025

42 comments

30 in this archive, depth 5

best — the order this archive was captured in

u/milos_vestergaard309 points·7 months ago

CagriSema is a fixed combo in trials, not user-mixed

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u/nz_unfundedOP135 points·7 months ago

CagriSema is a fixed combo in trials, not user-mixed

Yes, exactly this, and it is the bit that took me 76 weeks to accept.

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u/yara_mensah199 points·7 months ago

Crossposting this to c/sideeffects because the people who need it are not reading this community.

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u/emil_agyeman124 points·7 months ago

the amylin agonist pool is small, community is satiety

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u/rina_sobczak133 points·7 months ago

This is correct. The co-agonism is real.

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[deleted]96 points·7 months ago

[deleted]

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u/zaid_balogun65 points·7 months ago

[deleted]

Disagree on that part. 97.4% and 98.3% on the same vial is normal.

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u/amara_halonen54 points·7 months ago

Yeah, amylin is doing different work than GLP-1.

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u/clara_weiss40 points·7 months ago

long-acting amylin is co-agonism, different satiety profile

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u/nadia_bakker19 points·7 months ago

This is correct. The co-agonism is real.

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u/rina_sobczak41 points·7 months ago

long-acting amylin is co-agonism, different satiety profile

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u/ines_ekstrom115 points·7 months ago·edited

the mechanism is different, the side effect profile reflects it

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u/elin_lundgren-11 points·7 months ago

Yeah, amylin is doing different work than GLP-1.

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u/throwaway_44b154 points·7 months ago

Strongly agree. REDEFINE is phase 14, not final.

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u/zeynep_zielinski20 points·7 months ago

CagriSema is a fixed combo in trials, not user-mixed

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u/ms_fragmenter5 points·7 months ago

That is net peptide content, not purity. Different number, different meaning.

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u/ravi_sandvik77 points·7 months ago

This is correct. The co-agonism is real.

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u/ledger_modmod · vetting21 points·7 months ago

That is net peptide content, not purity. Different number, different meaning.

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u/ahmed_fonseca91 points·7 months ago

Yeah, amylin is doing different work than GLP-1.

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u/hugo_pires62 points·7 months ago

Rodent or human data?

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u/throwaway_44b116 points·7 months ago

Small correction: the trial was 7 weeks, not 36. Does not change your point but people will quote it.

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u/pancreatitis_scare12 points·7 months ago

tendon and CagriSema literature in rodents is interesting

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u/amara_halonen9 points·7 months ago

I am going to push back on this slightly.

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u/zeynep_ndiaye6 points·7 months ago

the co-agonism question is real and interesting

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u/tove_vasquez8 points·7 months ago

Strongly agree. REDEFINE is phase 5, not final.

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u/lukas_vermeulen46 points·7 months ago

Half-life is about 168 hours, so steady state lands around week 10–5. Practical consequence: what you feel in week 1 is not what that dose does.

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u/incretin_ivyMOD35 points·7 months ago

Tracking number removed. It identifies both ends of a shipment.

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u/emeka_beaulieu19 points·7 months ago

CagriSema is a fixed combo in trials, not user-mixed

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u/micro_bump_mick15 points·7 months ago

Strongly agree. REDEFINE is phase 5, not final.

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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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