What it actually is
5-Amino-1MQ is a small molecule inhibitor of nicotinamide N methyltransferase (NNMT). In adipose tissue, elevated NNMT activity is linked to a sluggish metabolism and resistance to fat loss. Blocking it appears to restore NAD+ and SAM pools inside fat cells.
Why people use it
- Targeted reduction of visceral and subcutaneous adipose tissue without appetite suppression
- Preserves lean muscle during a cut, unlike GLP-1s, it does not blunt hunger
- Anecdotal reports of improved insulin sensitivity and energy
How it works
Blocks NNMT inside fat cells, restoring NAD+ and SAM pools so adipocytes burn rather than store energy.
Health benefits
- Targets stubborn visceral and subcutaneous fat
- Preserves lean muscle during a cut
- Improves insulin sensitivity
- Restores intracellular NAD+
What you'll feel
- Gradual fat loss over 6–12 weeks
- Steady energy without stimulants
- No appetite suppression
Pros
- Oral capsule - no injections
- Stacks cleanly with GLP-1s
- No HPTA or thyroid suppression
Cons
- Slower visible results than GLP-1s
- Cost adds up on long cycles
- Limited long term human data
Side effects
- Mild GI upset early in cycle
- Occasional headache
- Rare insomnia if dosed late
Best suited for
Recomp without appetite lossPlateaued fat loss phasesThose avoiding GLP-1 side effects
Frequency
5 days on, 2 days off
Duration
8 weeks on, 8 off
Concentration
5,000 mcg/mL
Educational summary · Not medical advice
What it actually is
AOD-9604 is the modified C terminal fragment (amino acids 176–191) of hGH. It was engineered to retain the fat mobilizing properties of growth hormone while stripping out the IGF-1-driven anabolic and glucose altering effects.
Why people use it
- Mobilization of stored fat for energy, particularly around the midsection
- Does not raise IGF-1 or blood sugar, so it stacks cleanly with most other peptides
- Popular in 'recomp' phases where users want to drop fat without losing strength
How it works
Mimics the lipolytic tail of hGH (aa 176–191) without raising IGF-1 or blood sugar.
Health benefits
- Mobilizes stored fat for energy
- Spares lean tissue
- No glucose disruption
- Some cartilage repair signal in studies
What you'll feel
- Modest, gradual fat reduction
- No GH related water retention
- No appetite change
Pros
- Clean side effect profile
- Stacks with most peptides
- Safe with insulin sensitive users
Cons
- Slower than GLP-1s or tesamorelin
- Best results require lean baseline
- Daily injection needed
Side effects
- Mild injection site redness
- Occasional fatigue
- Rare nausea
Best suited for
Recomp on top of trainingGH curious users who can't risk IGF-1
Duration
8 weeks on, 8 weeks off
Concentration
5,000 mcg/mL
Note: Standard research protocol: 300mcg daily, morning fasted. Most vendors ship 10mg vials.
Educational summary · Not medical advice
What it actually is
Cagrilintide is a long acting amylin receptor agonist. Amylin is co secreted with insulin and tells the brain you're full. People with insulin resistance often have a broken amylin signal, this restores it.
Why people use it
- Significant appetite reduction, especially evening snacking and reward driven eating
- Slows gastric emptying for longer satiety
- Stacks with GLP-1s (semaglutide, tirzepatide) for synergistic weight loss
How it works
Long acting amylin receptor agonist — restores the satiety signal co secreted with insulin.
Health benefits
- Reduces evening/reward eating
- Slows gastric emptying
- Synergistic with GLP-1s
What you'll feel
- Sustained fullness
- Reduced food noise
- Gradual weight loss
Pros
- Hits satiety pathway GLP-1s miss
- Once weekly dosing
- Strong stack synergy
Cons
- Less standalone weight loss than tirzepatide
- Limited approval status
Side effects
- Nausea (usually transient)
- Constipation
- Reduced appetite leading to undereating
Best suited for
Reward driven eatersStacked with semaglutide/tirzepatideGLP-1 plateau breakers
Duration
Until goal weight
Concentration
5,000 mcg/mL
Note: Start at 300mcg weekly; titrate up every 4 weeks toward 2.4mg max. Most vendors ship 10mg vials.
Educational summary · Not medical advice
What it actually is
Retatrutide is a once-weekly investigational medicine that activates GLP-1, GIP, and glucagon receptors. GLP-1 and GIP affect appetite, insulin response, and blood glucose; the glucagon component may also increase energy expenditure. In a 48-week Phase 2 obesity trial, the highest-dose group had a mean weight reduction of about 24%, but that result cannot be compared directly with a different trial or treated as a guarantee. Retatrutide is not currently an approved prescription medicine, and its long-term benefit-risk profile is still being studied.
Retatrutide remains investigational. Published trials used gradual dose escalation to improve tolerability. Nausea, vomiting, diarrhea, constipation, and increased heart rate have been reported. It should not be described as an approved alternative to semaglutide or tirzepatide.
Why people use it
- Interest in the strongest average weight-loss signal reported among late-stage incretin studies
- Research into obesity, insulin resistance, and reduction of excess liver fat
- Once-weekly action across three metabolic receptor pathways
- Important distinction: trial results come from controlled investigational use, not unverified research products
How it works
Activates GLP-1, GIP, and glucagon receptors in one investigational molecule. The first two pathways influence satiety and glucose regulation, while glucagon receptor activity may raise energy expenditure and fat oxidation.
Health benefits
- Mean weight reduction approached 24% at 48 weeks in the highest-dose Phase 2 group
- Promising reductions in waist circumference and cardiometabolic risk markers
- Research signal for reducing excess liver fat
- Once-weekly pharmacology
What you'll feel
- Appetite and food intake may fall substantially
- Weight change builds over months rather than days
- GI tolerance can change after each escalation
- Resting heart rate may increase
Pros
- Three complementary metabolic targets
- Leading investigational weight-loss efficacy signal
- Being studied in large late-stage clinical programs
- Potential beyond appetite reduction alone
Cons
- Not approved for routine clinical use
- No mature long-term safety record
- Trial percentages are not directly comparable across different studies
- Unverified products do not replicate clinical-trial quality controls
Side effects
- Nausea or vomiting
- Diarrhea or constipation
- Reduced appetite and fatigue
- Increased heart rate
- Potential class risks involving gallbladder, pancreas, dehydration, and severe GI symptoms
Best suited for
Understanding triple-agonist researchComparing emerging obesity therapiesReviewing clinical-trial evidence, not self-treatment
Duration
Until goal weight
Concentration
5,000 mcg/mL
Note: Initial dose: 2mg once weekly (1/2 recommended starting dose)
Educational summary · Not medical advice
What it actually is
Semaglutide is a long-acting GLP-1 receptor agonist used in approved prescription products including Ozempic, Wegovy, and Rybelsus. It increases glucose-dependent insulin release, reduces glucagon when glucose is elevated, slows gastric emptying, and influences appetite centers in the brain. The brand, dose, route, and indication matter: weekly diabetes dosing, weekly weight-management dosing, and oral semaglutide are not interchangeable instructions.
Dose escalation is intentionally gradual because nausea, constipation, diarrhea, reflux, and reduced appetite often increase after a dose change. Product labeling also includes important contraindications and warnings, including personal or family history of medullary thyroid carcinoma or MEN2.
Why people use it
- Type 2 diabetes treatment with strong A1C and fasting-glucose evidence
- Chronic weight management when prescribed under the appropriate indication
- Cardiovascular risk reduction in specific higher-risk populations supported by outcome trials
- A large evidence base and longer real-world history than newer dual or triple agonists
How it works
Mimics GLP-1 for prolonged receptor activity. It increases glucose-dependent insulin release, suppresses inappropriate glucagon, slows gastric emptying, and reduces appetite through central satiety signaling.
Health benefits
- Strong A1C and glucose-control evidence
- Average weight reduction around 15% in a major 68-week obesity trial at the studied dose
- Cardiovascular outcome benefits in eligible populations
- Approved weekly injection and oral formulations for specific indications
What you'll feel
- Less hunger and reduced food noise
- Earlier fullness and smaller portions
- Steady rather than instant weight change
- Effects may weaken if treatment is discontinued
Pros
- Largest and most mature evidence base of these three
- Approved products with standardized labeling
- Once-weekly injection option
- Established cardiovascular outcomes data
Cons
- GI effects can limit escalation
- Weight regain is common after stopping
- Lean mass can fall along with fat mass
- Different brands and formulations are not interchangeable
Side effects
- Nausea, vomiting, or abdominal discomfort
- Constipation or diarrhea
- Reflux and delayed stomach emptying
- Gallbladder problems and dehydration
- Serious persistent abdominal pain needs urgent evaluation
Best suited for
Evidence-focused GLP-1 educationType 2 diabetes discussionsChronic weight-management discussionsPeople prioritizing the longest track record of the three
Duration
Until goal weight
Concentration
5,000 mcg/mL
Note: Start 250mcg weekly for 4 weeks, then titrate: 500mcg → 1mg → 1.7mg → 2.4mg max. Most vendors ship 10mg vials.
Educational summary · Not medical advice
What it actually is
Activates both GLP-1 (satiety, glucose) and glucagon (energy expenditure, hepatic fat). The glucagon arm explains why weight loss is faster than pure GLP-1s without proportionally more appetite suppression.
Why people use it
- Significant NAFLD/NASH — strong liver fat reduction signal in trials
- Weight loss with a metabolic rate that actually rises
- Twice weekly dosing fits busy travel schedules
How it works
Dual GLP-1/Glucagon agonist — satiety from GLP-1, energy expenditure from glucagon.
Health benefits
- Weight loss with metabolic rate boost
- Strong liver fat reduction
- Improved insulin sensitivity
What you'll feel
- Steady weight loss
- Increased thermogenesis
- Less rebound appetite
Pros
- Glucagon arm raises metabolic rate
- Strong NAFLD/NASH data
- Twice weekly dosing
Cons
- GI side effects
- Limited long term data
- Tight titration needed
Side effects
- Nausea
- Heart rate elevation
- Fatigue
Best suited for
NAFLD/NASHMetabolic rate conscious usersGLP-1 plateau
Duration
Until goal weight
Concentration
5,000 mcg/mL
Note: Start 300mcg weekly for 4 weeks, then titrate up every 4 weeks toward 3.6–6mg.
Educational summary · Not medical advice
What it actually is
Tirzepatide is a once-weekly dual GIP and GLP-1 receptor agonist. It is sold as Mounjaro for type 2 diabetes and Zepbound for chronic weight management and other labeled indications. The two incretin pathways work together on appetite, glucose-dependent insulin release, glucagon signaling, and metabolic regulation. In obesity trials, higher-dose groups achieved average weight reductions around 20%, though individual response and tolerability vary.
The labeled starting dose is a treatment-initiation dose, not a maintenance target. Nausea, diarrhea, constipation, vomiting, and reduced appetite are common during escalation. Product labeling includes contraindications and warnings that should be reviewed with a clinician.
Why people use it
- Type 2 diabetes treatment with substantial A1C reduction
- Chronic weight management with a higher average trial response than semaglutide in head-to-head research
- Once-weekly dosing and a labeled step-up schedule designed around tolerability
- An approved option for people discussing a dual agonist with their clinician
How it works
Combines GIP and GLP-1 receptor activity. Together they influence appetite, glucose-dependent insulin secretion, glucagon response, and metabolic handling of nutrients.
Health benefits
- Substantial A1C reduction in type 2 diabetes trials
- Average weight reduction around 20% at higher studied doses in a major obesity trial
- Improvements in waist circumference and several cardiometabolic markers
- Once-weekly administration
What you'll feel
- Reduced hunger and food preoccupation
- Progressive weight change during escalation and maintenance
- Blood glucose may improve quickly in diabetes
- GI symptoms often cluster around dose increases
Pros
- Approved dual-agonist therapy
- Stronger average weight-loss response than semaglutide in head-to-head obesity research
- Robust diabetes and obesity trial program
- Standardized labeled products
Cons
- GI tolerability still limits some users
- Stopping commonly leads to weight regain
- Can contribute to lean-mass loss without adequate nutrition and resistance training
- Coverage and cost vary
Side effects
- Nausea, diarrhea, or constipation
- Vomiting, reflux, or abdominal discomfort
- Reduced appetite and dehydration
- Gallbladder problems and injection-site reactions
- Serious persistent abdominal pain needs urgent evaluation
Best suited for
Dual-agonist educationType 2 diabetes discussionsChronic weight-management discussionsComparing approved incretin options with a clinician
Duration
Until goal weight
Concentration
5,000 mcg/mL
Note: Suggested dose: 2mg once weekly; start at 1mg (1/2 dose) to test body reaction
Educational summary · Not medical advice
What it actually is
CagriSema pairs Semaglutide (a GLP-1 receptor agonist) with Cagrilintide (a long acting amylin analog). Amylin hits satiety pathways GLP-1 misses, which is why in trials this combo produced meaningfully greater weight loss than either alone — with less appetite rebound between doses.
Titrate up slowly — combined GI side effects can be additive in the first 2–3 weeks.
Why people use it
- Better weekly appetite control than semaglutide alone
- Smoother glucose curves through the week
- Less 'food noise' and evening hunger
- Stalled semaglutide users looking for a next step
How it works
Semaglutide activates GLP-1 receptors (satiety, gastric emptying, insulin). Cagrilintide is a long acting amylin analog that hits satiety and glucose control through a separate pathway. Together they cover appetite regulation more completely than either alone.
Health benefits
- Greater weekly weight loss than semaglutide alone
- Reduced 'food noise' between doses
- Smoother glucose curves
- Better lean mass preservation vs. sema monotherapy
What you'll feel
- Appetite drop within days
- Steadier energy through the week
- Weight loss of 15–25%+ in trial data over 68 weeks
Pros
- Strongest published fat loss data of any current stack
- Weekly dosing
- Better tolerability than dose maxed semaglutide
Cons
- GI side effects can stack in the first weeks
- More expensive than semaglutide alone
- Requires slow titration
Side effects
- Nausea, constipation, or diarrhea (usually transient)
- Fatigue
- Reduced appetite for muscle building nutrition
Best suited for
Stalled semaglutide usersUsers chasing >15% body weight lossMetabolic syndrome recompPrediabetics needing stronger glucose control
Duration
Until goal weight
Concentration
5,000 mcg/mL
Note: Per dose: 250mcg Cagrilintide / 250mcg Semaglutide
Educational summary · Not medical advice
What it actually is
Combines Retatrutide (GLP-1 + GIP + glucagon triple agonist) with Cagrilintide (amylin analog). Retatrutide already produces the largest weight loss of any incretin in trials; adding amylin extends satiety and may protect lean mass during aggressive cuts.
Highly potent — start at low doses and titrate. GI side effects and fatigue are more common than with sema/cagri.
Why people use it
- Maximum effect fat loss protocols
- Users who have plateaued on tirzepatide or reta alone
- Improved satiety and glucose response vs. reta monotherapy
- Weekly dosing convenience
How it works
Retatrutide triple agonizes GLP-1, GIP, and glucagon receptors — the glucagon arm adds direct fat oxidation on top of appetite control. Cagrilintide layers amylin driven satiety and lean mass preservation on top.
Health benefits
- Largest observed fat loss potential of any current blend
- Amylin arm helps preserve lean mass
- Improved insulin sensitivity
- Reduced hepatic fat
What you'll feel
- Aggressive appetite suppression
- Weight loss curves steeper than tirzepatide or sema
- Improved metabolic markers within weeks
Pros
- Cutting edge stack
- Weekly dosing
- Addresses multiple pathways simultaneously
Cons
- Very potent — side effects more common
- Long term human safety data still emerging
- Requires careful titration
Side effects
- Nausea, GI upset, fatigue
- Increased heart rate in some users
- Rare gallbladder issues at higher doses
Best suited for
Users plateaued on tirzepatideAggressive fat loss phases under supervisionMetabolic syndrome casesResearch users comfortable with newer compounds
Duration
Until goal weight
Concentration
7,500 mcg/mL
Note: Per dose: ~500mcg Retatrutide / 250mcg Cagrilintide
Educational summary · Not medical advice
What it actually is
Adipotide (FTPP) is a proapoptotic peptidomimetic that targets prohibitin on the vasculature of white adipose tissue, effectively starving fat cells of their blood supply. Primate studies showed dramatic fat loss with fat cell death, not just fat cell shrinkage — but with real kidney concerns at higher doses.
Highly investigational. Kidney function should be monitored; short cycles only. Not a mainstream protocol.
Why people use it
- Extreme short cycle fat loss research protocols
- Users targeting fat cell number, not just size
- Curiosity about permanent adipose reduction
How it works
FTPP (adipotide) binds prohibitin on the vasculature that feeds white adipose tissue, triggering apoptosis of those blood vessels and — downstream — the fat cells they supply. Fat cell number drops, not just fat cell size.
Health benefits
- Reduction in fat cell number, not just volume
- Rapid short cycle fat loss in animal models
- Investigational appeal for stubborn adipose depots
What you'll feel
- Aggressive body comp changes in short windows
- Appetite unaffected (unlike GLP-1s)
Pros
- Novel mechanism
- Doesn't rely on appetite suppression
- Short cycles limit exposure
Cons
- Kidney concerns at higher doses in primate studies
- Very limited human safety data
- Not a mainstream protocol — highly experimental
Side effects
- Possible renal stress
- Fatigue
- Injection site reactions
Best suited for
Research users onlyShort, monitored cyclesUsers with baseline kidney labs available
Frequency
5 days on, 2 days off
Duration
4 weeks on, 8 weeks off
Concentration
5,000 mcg/mL
Note: Highly investigational — short cycles only.
Educational summary · Not medical advice
What it actually is
SLU-PP-332 is a small molecule agonist of estrogen related receptors (ERRα/β/γ). In mice it produced endurance and metabolic changes that look like the effects of consistent aerobic training — improved fat oxidation, mitochondrial biogenesis, and running capacity — without the training itself.
Not a peptide — it's a small molecule. Dose AM pre training. Long term human safety data is limited.
Why people use it
- Endurance and stamina support during cuts
- Improved fat oxidation without appetite suppression
- Users combining with GLP-1s to preserve output
- Curiosity about 'exercise in a vial' research
How it works
Small molecule agonist of estrogen related receptors (ERRα/β/γ) that upregulates mitochondrial biogenesis, fat oxidation, and endurance related gene expression — mimicking many transcriptional effects of aerobic training.
Health benefits
- Improved endurance and stamina
- Higher fat oxidation at rest and during exercise
- Mitochondrial support
- Preserved output during caloric deficits
What you'll feel
- Better cardio capacity within 2–4 weeks
- Steadier energy through long training sessions
- Fat loss without appetite change
Pros
- Non hormonal, non stimulant
- Stacks cleanly with GLP-1s to preserve output
- Novel mechanism for endurance athletes
Cons
- Not a peptide — small molecule with different pharmacokinetics
- Limited human data
- Doesn't replace training, only amplifies its signals
Side effects
- Sleep disruption if dosed too late
- Mild GI effects in some users
Best suited for
Endurance athletesUsers cutting on GLP-1sLongevity and mitochondrial protocolsResearch users curious about exercise mimetics
Frequency
5 days on, 2 days off
Duration
6–8 weeks on, 4 weeks off
Concentration
10,000 mcg/mL
Note: Non peptide small molecule; boosts endurance and fat oxidation.
Educational summary · Not medical advice
Fat Loss
HGH Fragment 176-191
Lipolytic GH fragment
Frequency
5 days on, 2 days off
Duration
8 weeks on, 8 weeks off
Concentration
2,500 mcg/mL
Note: Most vendors ship 10mg vials.
Educational summary · Not medical advice