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

[Discussion] amylin is doing more work than we give it credit for

Discussion Long Haul ×2

amylin is doing more work than we give it credit for. Not a hot take, just something I have not seen said plainly here.

Sent a vial to Medutest because there was almost nothing on file for this compound. 99.5% against a claimed 99.0%, and I posted it because the log needs entries.

The tolerability tables were more informative than the headline numbers, which is usually the case and never how it gets summarised.

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

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

721 up / 217 down77% upvoted30 commentsid 192e7716 Jun 2025

30 comments

24 in this archive, depth 5

best — the order this archive was captured in

u/ferritin_low59 points·1 year ago

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.

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u/plain_titration57 points·1 year ago

long-acting amylin is the whole point of the molecule

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u/b12_baseline26 points·1 year ago

the interesting data is the combination, not the monotherapy

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u/amara_halonen9 points·1 year ago

Agreed that the monotherapy numbers look modest out of context and that the context is the whole story.

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[removed]4 points·1 year ago

[removed by moderator]

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u/b12_baseline1 point·1 year ago

do not assume the dosing intuitions from the GLP-1 boards transfer

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u/chidi_yilmaz5 points·1 year ago

read the combination arms separately from the monotherapy arms

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u/rina_sobczak7 points·1 year ago

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

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u/lucia_bruun-35 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_halonen8 points·1 year ago

Same view — long-acting is the engineering achievement here, and it is why the molecule exists at all.

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u/rania_salinas12 points·1 year ago

nausea profile in the combination trials is the thing to read carefully

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u/ferran_halonen8 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/amara_halonen3 points·1 year ago

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

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u/tomas_kimani18 points·1 year ago

Cosigning on the thin independent data. Fewer members test this, so the bands are wider and should be treated that way.

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u/helga_vermeulen11 points·1 year ago

Cosigning on the thin independent data.

This is the distinction that keeps this board honest — different axis, not a stronger version of the same one.

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u/egfr_watcher3 points·1 year ago

satiety signalling rather than incretin signalling

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u/rania_salinas1 point·1 year ago

independent purity data on this compound is thin

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u/incretin_ivyMOD7 points·1 year ago

Standing reminder: nothing here is approved standalone, research material is not for human use, and no dosing schedules for other members.

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u/crosspost_bot_no2 points·1 year ago

nothing containing this is approved as a standalone product

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u/viktor_nkemelu4 points·1 year ago

Small fix — amylin analogue, not a GLP-1 analogue. The whole mechanism argument changes on that word.

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u/ilias_kaufmann2 points·1 year ago

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

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u/georgi_chowdhury16 points·1 year ago

Independent purity data on this compound is sparse compared with the older molecules, simply because far fewer members have paid for testing. Sparse data means wide uncertainty, not a verdict.

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u/ferran_mensah12 points·1 year ago

the monotherapy numbers are modest and that is not the point

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u/hedda_aguirreOP10 points·1 year ago

the co-agonism argument is about complementary mechanisms

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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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