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Cagrilintide Weight Loss: Results, Dosing & Amylin Guide

Cagrilintide Weight Loss: Results, Dosing & Amylin Guide

Dec 29, 2025

cagrilintide weight loss
cagrilintide weight loss

Cagrilintide is a long-acting amylin receptor agonist that produces 10-12% body weight loss through mechanisms completely different from GLP-1s - dramatically slowing gastric emptying, suppressing appetite via brain amylin receptors, and reducing postprandial glucose.

Standard dosing is 2.4mg weekly via subcutaneous injection, titrated slowly over 12-16 weeks.

When combined with semaglutide (CagriSema), weight loss increases to 15-25%, making it one of the most powerful medical weight loss options available.


This guide breaks down exactly how cagrilintide works for weight loss (amylin mechanisms), clinical trial results and real-world weight loss data, complete dosing protocols from beginner to advanced, side effects and management strategies, comparing cagrilintide to GLP-1 agonists and other weight loss peptides, combination strategies for maximum results, and sourcing considerations for this investigational peptide.

Let's start with understanding what cagrilintide is and why it's so effective for weight loss.


What is cagrilintide and how does it promote weight loss

Cagrilintide's unique amylin mechanism makes it powerful for obesity.

Cagrilintide: Long-acting amylin analog explained

What cagrilintide is:

  • Synthetic analog of human amylin hormone

  • Also called "pramlintide long-acting" (related compound)

  • Developed by Novo Nordisk

  • Currently investigational (Phase 3 trials)

  • Not yet FDA approved (as of 2024)

  • Weekly subcutaneous injection

Natural amylin background:

  • Peptide hormone co-secreted with insulin

  • Made by pancreatic beta cells

  • Released after meals in response to nutrients

  • Important satiety signal

  • Regulates postprandial glucose

  • Deficient in diabetes

Why synthetic cagrilintide was developed:

  • Natural amylin very short half-life (minutes)

  • Impractical for treatment

  • Cagrilintide engineered for long duration

  • Weekly dosing vs multiple daily injections

  • Better pharmacokinetics

  • Enhanced stability

Learn about peptides, how peptides work, and what are peptides used for at SeekPeptides.


Amylin's mechanisms of action for weight loss

Primary weight loss pathways:

1. Dramatic gastric emptying delay:

  • Most powerful effect of amylin

  • Slows stomach emptying significantly

  • Food stays in stomach 2-3x longer

  • Extended fullness sensation

  • Reduced appetite through mechanical fullness

  • Limits food intake naturally


2. Central appetite suppression:

  • Amylin crosses blood-brain barrier

  • Activates area postrema (brainstem)

  • Also acts on nucleus accumbens

  • Direct satiety signaling

  • Reduces desire to eat

  • Different brain pathways than GLP-1


3. Reduced meal frequency:

  • Combination of fullness + appetite suppression

  • People naturally eat less often

  • Skip snacks

  • Satisfied with smaller portions

  • Cumulative calorie deficit


4. Glucagon suppression:

  • Amylin inhibits glucagon secretion

  • Reduces hepatic glucose production

  • Better glucose control

  • Indirect weight loss benefit

  • Particularly helpful for diabetes


5. Energy expenditure (possible):

  • Some evidence amylin may increase energy expenditure

  • Not as strong as mechanism

  • Minor contributor if real


Why amylin is effective for obesity

Physiologic rationale:

  • Amylin naturally controls meal size

  • Obesity often associated with amylin resistance

  • Type 2 diabetics have reduced amylin

  • Replacing/supplementing amylin restores control

  • Addresses root cause

Synergy with insulin:

  • Both co-secreted normally

  • Work together to regulate feeding

  • Amylin prevents overeating

  • Insulin handles glucose

  • Complementary hormones

Comparison to GLP-1 mechanisms:

  • GLP-1: Moderate gastric slowing, strong central appetite effects

  • Amylin: Very strong gastric slowing, moderate central effects

  • Different receptor pathways

  • Complementary not redundant

  • Can combine for synergy


Get personalized weight loss protocols at SeekPeptides using our peptide calculator and peptide cost calculator.


Cagrilintide vs pramlintide (older amylin drug)

Pramlintide (Symlin):

  • FDA approved amylin analog for diabetes

  • Short-acting (hours)

  • Requires 2-3 daily injections

  • Modest weight loss (2-4%)

  • Inconvenient dosing

Cagrilintide improvements:

  • Long-acting (weekly)

  • Much more convenient

  • Higher weight loss (10-12%)

  • Better pharmacokinetics

  • Longer duration of action

Why cagrilintide is better:

  • Weekly dosing = better adherence

  • Stable drug levels

  • More consistent appetite suppression

  • Greater cumulative effect

  • Modern drug design

See our peptides for weight loss, best peptides for weight loss, and best peptide stack for weight loss at SeekPeptides.

weight loss peptide

Clinical trial results: Cagrilintide weight loss data

Real-world evidence from rigorous studies.

Phase 2 monotherapy trials

OASIS 1 trial (cagrilintide alone):

  • Participants: Adults with obesity (BMI 30+)

  • Duration: 26 weeks

  • Dose: Up to 4.5mg weekly (higher than standard)

  • Results: 10.8% average body weight loss

  • Placebo: 3.1% weight loss

  • Significant difference

Key findings:

  • Dose-dependent response (higher dose = more loss)

  • 2.4mg weekly: ~9-10% weight loss

  • 4.5mg weekly: ~11-12% weight loss

  • Well-tolerated at therapeutic doses

  • Side effects manageable

Responder rates:

  • 80%+ lost >5% body weight

  • 60%+ lost >10% body weight

  • 30-40% lost >15% body weight

  • Good response rate


Extended duration studies (68 weeks)

Long-term cagrilintide data:

  • 68-week trials show sustained weight loss

  • Average: 10-12% maintained

  • No significant weight regain

  • Continued appetite suppression

  • Durable effect

Weight loss progression:

  • Month 1-3: 3-5% lost (titration phase)

  • Month 4-6: 6-8% total lost

  • Month 7-12: 9-11% total lost

  • Month 12-18: 10-12% total lost, plateau

  • Maintained with continued use

Important insights:

  • Plateau typically around month 12-14

  • Not progressive indefinite loss

  • Maintenance phase begins

  • Sustainable long-term

  • No tolerance development


Combination with semaglutide (CagriSema trials)

Phase 3 REDEFINE trials:

  • Semaglutide 2.4mg + Cagrilintide 2.4mg

  • Results: 15.6% average weight loss (68 weeks)

  • Semaglutide alone: 10.2% weight loss

  • 50%+ additional weight loss with combination

Why combination superior:

  • Dual pathways (amylin + GLP-1)

  • Synergistic not additive

  • Stronger appetite suppression

  • Better adherence to diet

  • Maximum medical weight loss

CagriSema exceptional responders:

  • 25%+ of participants lost >20% body weight

  • Some lost 25-30%

  • Approaching bariatric surgery results

  • Game-changing for obesity

See our cagrilintide and semaglutide guide and semaglutide vs tirzepatide comparison. Plan combination protocols with SeekPeptides using our peptide stack calculator.


Real-world weight loss expectations

Conservative estimate (most people):

  • 8-10% body weight loss at 2.4mg weekly

  • Example: 220 lbs → 198-202 lbs (18-22 lbs lost)

  • 68 weeks to maximum

  • Realistic, achievable

Average responder:

  • 10-12% body weight loss

  • Example: 220 lbs → 194-198 lbs (22-26 lbs lost)

  • Typical trial results

  • Most common outcome

Excellent responder:

  • 12-15% body weight loss

  • Example: 220 lbs → 187-194 lbs (26-33 lbs lost)

  • 20-30% of users

  • Good adherence + lifestyle

With combination (CagriSema):

  • 15-25% body weight loss

  • Example: 220 lbs → 165-187 lbs (33-55 lbs lost)

  • Superior results

  • Requires both peptides


Factors affecting results:

  • Starting weight (higher = more absolute pounds)

  • Diet adherence (protein intake critical)

  • Exercise (resistance training preserves muscle)

  • Sleep quality (affects metabolism)

  • Stress levels (cortisol impacts weight)

  • Medication adherence


Access personalized protocols at SeekPeptides - our AI advisor helps optimize your cagrilintide weight loss journey based on your specific situation.

cagrilitinde weight loss peptide

Complete cagrilintide dosing protocols for weight loss

Proper titration ensures maximum efficacy with manageable sides.

Standard dosing protocol (monotherapy)

Week-by-week titration:

  • Week 1-4: 0.6mg weekly

  • Week 5-8: 1.2mg weekly

  • Week 9-12: 1.8mg weekly

  • Week 13+: 2.4mg weekly (maintenance)

Why slow titration:

  • Reduces nausea and GI side effects

  • Allows body to adapt

  • Better long-term adherence

  • Standard in all trials

Injection details:

  • Subcutaneous injection

  • Abdomen, thigh, or upper arm

  • Weekly dosing (same day each week)

  • Rotate injection sites

Duration of use:

  • Minimum 68 weeks for maximum results

  • Often 12-18 months

  • Maintenance indefinite (to prevent regain)

  • No defined end point


Use our peptide calculator, peptide dosing guide, peptide dosage chart, and how to calculate peptide dosages at SeekPeptides.


Conservative approach (better tolerated)

Slower escalation:

  • Week 1-6: 0.6mg weekly

  • Week 7-12: 1.2mg weekly

  • Week 13-18: 1.8mg weekly

  • Week 19+: 2.4mg weekly (or stay at 1.8mg)

Benefits:

  • Fewer side effects

  • Better tolerability

  • Good for GI-sensitive people

  • Still effective (slightly less weight loss)

Maintenance at lower dose:

  • Some maintain at 1.8mg or 2.0mg

  • 8-10% weight loss still achievable

  • Better long-term sustainability

  • More affordable


Aggressive protocol (maximum weight loss)

Higher doses (some trials):

  • Week 1-4: 0.6mg weekly

  • Week 5-8: 1.2mg weekly

  • Week 9-12: 2.4mg weekly (faster)

  • Week 13-16: 3.0mg weekly

  • Week 17+: 4.5mg weekly (maximum)

Warning:

  • Higher side effect risk

  • Nausea very common at 4.5mg

  • Not necessary for most people

  • Only if excellent tolerability

  • Research setting primarily

Expected additional benefit:

  • 4.5mg: ~11-12% vs 2.4mg: ~10%

  • Modest additional loss

  • May not justify side effects

  • Individualized decision


Combination with semaglutide dosing

CagriSema protocol:

  • Start both simultaneously OR add cagrilintide to existing semaglutide

  • Semaglutide: Titrate to 2.4mg over 16-20 weeks

  • Cagrilintide: Titrate to 2.4mg over 12-16 weeks

  • Both weekly injections (can be same day)

Sequential approach (if already on semaglutide):

  • Stable on semaglutide 2.4mg for 4+ weeks

  • Add cagrilintide starting 0.6mg weekly

  • Titrate cagrilintide to 2.4mg over 12 weeks

  • Continue both

Expected results:

  • 15-25% body weight loss

  • Superior to either alone

  • Well-documented synergy

See our cagrilintide and semaglutide, semaglutide dosage calculator, and tirzepatide dosing guide guides.


Administration technique

Injection basics:

  • Subcutaneous (under skin, not muscle)

  • 29-31 gauge insulin syringe

  • Inject slowly over 5-10 seconds

  • Rotate sites (abdomen, thighs, arms)

Reconstitution (if research peptide):

  • Comes as lyophilized powder

  • Reconstitute with bacteriostatic water

  • Common: 2.4mg vial + 1ml water = 2.4mg/ml

  • Refrigerate after mixing

  • Use within 28-30 days

Timing considerations:

  • Can inject any time of day

  • Many prefer evening (sleep through peak nausea)

  • Consistency matters (same day weekly)

  • With or without food (doesn't matter)

See our peptide injections guide, how to reconstitute peptides, peptide storage guide, bacteriostatic water for peptides, water to mix with peptides, how long reconstituted peptides last in fridge, and lyophilized vs liquid peptides at SeekPeptides.


Side effects and management for cagrilintide weight loss

Understanding and managing adverse effects ensures success.

Most common side effects (ranked)

Gastrointestinal (>40% experience):

  • Nausea (most common complaint)

  • Constipation

  • Diarrhea (less common than constipation)

  • Abdominal discomfort

  • Vomiting (if nausea not managed)

  • Bloating and gas

Other common effects:

  • Fatigue (especially first month)

  • Headache

  • Decreased appetite (intended effect)

  • Injection site reactions (mild)

Less common (<10%):

  • Dizziness

  • GERD/reflux symptoms

  • Gallstones (with rapid weight loss)

  • Hypoglycemia (if diabetic on other meds)

Rare but serious (<1%):

  • Pancreatitis (very rare)

  • Severe gastroparesis

  • Severe dehydration


Managing nausea (biggest challenge)

Why nausea occurs:

  • Cagrilintide dramatically slows stomach

  • Food sits longer = nausea

  • Central effects on area postrema (nausea center)

  • Dose-dependent

  • Worse during titration

Effective nausea strategies:

Dietary modifications:

  • Smaller, frequent meals (4-6 per day)

  • Avoid fatty, greasy, fried foods

  • Cold foods better tolerated

  • Bland diet initially (crackers, rice, toast, bananas)

  • Eat slowly (20-30 minutes per meal)

  • Don't lie down after eating (stay upright 2 hours)

Ginger for nausea:

  • Ginger tea before meals

  • Ginger capsules (250-500mg)

  • Ginger chews

  • Natural anti-nausea effect

Medications if severe:

  • Zofran/ondansetron (prescription, very effective)

  • Promethazine (prescription)

  • Vitamin B6 (25-50mg daily, mild effect)

  • Dramamine (OTC, less effective)

Dose management:

  • Slow titration (extra weeks at each dose)

  • Reduce dose temporarily if severe

  • Don't rush escalation

  • Nausea typically improves with time

Timing trick:

  • Inject at night before bed

  • Sleep through peak nausea (first 12-24 hours)

  • Many find this helps significantly


Preventing constipation

Why it occurs:

  • Slow gastric emptying = slow entire GI tract

  • Less food intake = less stool

  • Very common with amylin analogs

Prevention strategies:

  • Hydration critical (8-10 glasses water daily)

  • High fiber foods (vegetables, fruits, whole grains)

  • Fiber supplements (psyllium, methylcellulose)

  • Magnesium citrate (300-500mg daily)

  • Prune juice or prunes

  • Regular exercise

  • Stool softeners (docusate) if needed

  • Osmotic laxatives (MiraLAX) for stubborn cases


Maintaining adequate nutrition during weight loss

Protein priority (critical):

  • Minimum 60-80g daily (more if higher weight)

  • Goal: 1g per lb ideal body weight

  • Prevents muscle loss

  • Protein shakes if can't eat solid food

  • Spread throughout day

Hydration essential:

  • 64-80+ oz water minimum

  • Electrolyte drinks if needed

  • Monitor urine color (pale yellow)

  • Dehydration risk with reduced intake

Vitamin/mineral supplementation:

  • Daily multivitamin

  • Vitamin B12 (amylin may affect absorption)

  • Vitamin D (3,000-5,000 IU)

  • Calcium (1,000-1,500mg)

  • Iron if deficient

  • Magnesium (see constipation)

Warning signs of inadequate nutrition:

  • Excessive fatigue

  • Hair loss (after 3-6 months)

  • Muscle weakness

  • Dizziness

  • Brittle nails

  • Should prompt evaluation

Get personalized nutrition guidance with your cagrilintide protocol at SeekPeptides - our platform helps you maintain proper nutrition while maximizing weight loss.


When to adjust or stop

Reduce dose if:

  • Severe persistent nausea

  • Unable to eat adequate protein

  • Significant dehydration

  • Too rapid weight loss (>3 lbs/week consistently)

  • Intolerable side effects

Temporarily hold if:

  • Severe vomiting

  • Dehydration with dizziness

  • Planning surgery/procedure

  • Acute illness

Discontinue if:

  • Pregnancy discovered

  • Pancreatitis symptoms

  • Severe adverse event

  • Medical contraindication develops


See peptide safety and risks, common peptide mistakes beginners make, and getting started with peptides at SeekPeptides.

cagrilitide side effects

Comparing cagrilintide to other weight loss peptides

How it stacks up against alternatives.

Cagrilintide vs semaglutide (Wegovy/Ozempic)

Mechanism:

  • Cagrilintide: Amylin receptor agonist

  • Semaglutide: GLP-1 receptor agonist

  • Different pathways

Weight loss:

  • Cagrilintide alone: 10-12%

  • Semaglutide alone: 10-15%

  • Similar efficacy monotherapy

Gastric emptying:

  • Cagrilintide: Very strong delay

  • Semaglutide: Moderate delay

  • Cagrilintide more powerful


Side effects:

  • Cagrilintide: More GI effects (stronger gastric slowing)

  • Semaglutide: Moderate GI effects

  • Cagrilintide harder to tolerate for some

Availability:

  • Cagrilintide: Investigational (not approved)

  • Semaglutide: FDA approved, widely available

  • Semaglutide easier to obtain currently

Combination potential:

  • Synergistic together (CagriSema)

  • 15-25% weight loss combined

  • Best of both mechanisms


Verdict: Similar monotherapy efficacy, but combine for maximum results.

See our cagrilintide and semaglutide, semaglutide dosage calculator, and semaglutide vs tirzepatide at SeekPeptides.


Cagrilintide vs tirzepatide (Mounjaro/Zepbound)

Mechanism:

  • Cagrilintide: Amylin agonist

  • Tirzepatide: Dual GIP/GLP-1 agonist

  • Both novel approaches

Weight loss:

  • Cagrilintide: 10-12% monotherapy

  • Tirzepatide: 15-22% monotherapy

  • Tirzepatide superior as single agent

Administration:

  • Both: Weekly subcutaneous injection

  • Both: Similar convenience

Side effects:

  • Cagrilintide: Strong GI effects

  • Tirzepatide: Moderate GI effects

  • Similar overall profile

Approval status:

  • Cagrilintide: Investigational

  • Tirzepatide: FDA approved

  • Tirzepatide available now

Cost (when both available):

  • Likely similar ($1,000-1,500/month)

  • Both premium weight loss options


Verdict: Currently, tirzepatide better choice (approved, superior weight loss). Future head-to-head comparison needed.

See our tirzepatide dosing guide and ozempic alternatives guides.


Cagrilintide vs AOD 9604

Mechanism:

  • Cagrilintide: Amylin receptor agonist (appetite/satiety)

  • AOD 9604: HGH fragment (fat metabolism)

  • Completely different

Weight loss:

  • Cagrilintide: 10-12% body weight

  • AOD 9604: 5-8% body weight (less robust data)

  • Cagrilintide superior

Clinical evidence:

  • Cagrilintide: Extensive Phase 2/3 trials

  • AOD 9604: Limited clinical data

  • Cagrilintide better studied

Side effects:

  • Cagrilintide: GI effects common

  • AOD 9604: Minimal side effects

  • AOD 9604 better tolerated

Combination potential:

  • Could theoretically combine (different mechanisms)

  • No clinical data on combination

  • Cagrilintide + semaglutide better established


Verdict: Cagrilintide more powerful, better evidence. AOD 9604 for gentle approach.

See AOD 9604 guide and peptides for fat loss at SeekPeptides.


Combination strategies for maximum weight loss

Cagrilintide + Semaglutide (CagriSema):

  • Most studied combination

  • 15-25% weight loss

  • Synergistic effects

  • Recommended combination

Cagrilintide + Tirzepatide:

  • Not studied clinically

  • Theoretical potential

  • Both powerful agents

  • Uncertain benefit over tirzepatide alone

Cagrilintide + Growth Hormone peptides:

  • Cagrilintide: Weight loss

  • GH peptides: Preserve muscle, improve body composition

  • Different benefits

  • Good for body recomposition

Example stack:

  • Cagrilintide: 2.4mg weekly (fat loss)

  • CJC-1295: 200mcg 5x weekly (muscle preservation)

  • Ipamorelin: 200mcg 5x weekly (body composition)

  • Better muscle retention during weight loss


You can see peptide stacks guide, peptide stack calculator, CJC-1295 dosage calculator, Ipamorelin benefits, Ipamorelin vs CJC-1295, peptides for muscle growth, and best peptides for muscle growth at SeekPeptides.


Sourcing cagrilintide for weight loss

Obtaining this investigational peptide requires caution.

Current availability status

Pharmaceutical cagrilintide:

  • Not FDA approved (as of 2024)

  • In Phase 3 clinical trials

  • Not available by prescription

  • Anticipated approval 2025-2026

  • Will be expensive when approved ($1,000-1,500/month likely)

Research chemical cagrilintide:

  • Available from select vendors

  • Sold "not for human consumption"

  • Quality varies significantly

  • Legal gray area (personal use)

  • Buyer assumes all risk


Finding quality research cagrilintide

Vendor requirements:

  • Third-party testing (COA required)

  • Purity ≥95% (98%+ ideal)

  • Recent testing (within 6 months)

  • Batch number matching

  • Established reputation

  • Refrigerated shipping

Red flags to avoid:

  • No testing documentation

  • Suspiciously cheap (<$150 for 2.4mg)

  • New, unknown vendors

  • Poor communication

  • Inconsistent quality reports from community

Typical research pricing:

  • 2.4mg vial: $200-400

  • Enough for 1 week at maintenance dose

  • Monthly cost: $800-1,600 (expensive)

  • Combination with semaglutide adds more cost

Quality verification:

  • Request COA before purchasing

  • Check batch number matches vial

  • Verify testing lab is real

  • Look for user reviews/reports

  • Start with single vial to test


See our best peptide vendors, are peptides legal, research vs pharmaceutical peptides, and peptides vs steroids comparison at SeekPeptides.


Storage and handling

Before reconstitution:

  • Store in freezer (-20°C) or refrigerator (2-8°C)

  • Freezer preferred for long-term (12+ months)

  • Keep in original packaging

  • Protect from light

After reconstitution:

  • Refrigerate immediately (2-8°C)

  • Never freeze liquid peptide

  • Use within 28-30 days

  • Protect from light (dark vial or box)

  • Maintain sterile technique

Traveling with cagrilintide:

  • Cooler with ice packs required

  • Refrigerate ASAP at destination

  • Consider pre-measured doses

  • Check local laws if international travel

See our peptide storage guide and how long reconstituted peptides last in fridge guides.


Cost-benefit analysis

Research cagrilintide monotherapy:

  • Cost: $800-1,600/month

  • Weight loss: 10-12% over 68 weeks

  • Total investment: $12,000-24,000 (18 months)

  • Per pound lost (220 lb person, 24 lbs): $500-1,000/lb

CagriSema combination:

  • Cagrilintide: $800-1,600/month

  • Semaglutide: $150-300/month

  • Total: $950-1,900/month

  • Weight loss: 15-25% (33-55 lbs for 220 lb person)

  • Total investment: $14,000-28,000 (18 months)

  • Per pound lost: $250-850/lb

  • Better value than monotherapy

Comparison to bariatric surgery:

  • Surgery: $15,000-25,000 upfront

  • Weight loss: 25-35%

  • One-time cost

  • Permanent anatomical change

  • CagriSema approaching surgery results without surgery

Making it more affordable:

  • Use maintenance doses after titration (lower cost)

  • Consider semaglutide alone initially (cheaper, effective)

  • Add cagrilintide if plateau

  • Budget long-term (12-18 months minimum)

Use our peptide cost calculator at SeekPeptides to budget your weight loss protocol accurately.


Complete weight loss protocols with cagrilintide

Tailored approaches for different situations.

Protocol 1: Cagrilintide monotherapy (first-time user)

Goal: Lose 20-30 lbs over 12-18 months

Approach:

  • Cagrilintide: Titrate to 2.4mg weekly over 12 weeks

  • Maintain 2.4mg for 12-18 months minimum

  • Weekly subcutaneous injection

Supporting strategies:

  • High-protein diet (1g per lb goal weight minimum)

  • Resistance training 3-4x weekly (preserve muscle)

  • 8,000-10,000 steps daily

  • Sleep 7-9 hours

  • Hydration 80+ oz daily

  • Stress management

Expected results:

  • Month 3: 8-12 lbs lost

  • Month 6: 15-20 lbs lost

  • Month 12: 22-28 lbs lost

  • Month 18: 24-30 lbs lost (plateau, maintain)

Cost: $12,000-24,000 total (18 months)


Protocol 2: Adding cagrilintide to existing semaglutide

Goal: Break plateau, lose additional 10-20 lbs

Situation: Already on semaglutide 2.4mg, plateaued

Approach:

  • Continue semaglutide 2.4mg weekly

  • Add cagrilintide starting 0.6mg weekly

  • Titrate cagrilintide to 2.4mg over 12 weeks

  • Maintain both

Expected results:

  • Month 1-2: Plateau broken, 3-5 lbs lost

  • Month 3-6: 8-12 lbs additional lost

  • Month 6-12: 12-18 lbs additional lost

  • Total: 10-20 lbs beyond semaglutide plateau

Who this helps:

  • Plateaued on GLP-1 alone

  • Want maximum medical weight loss

  • Good tolerability to peptides

  • Can afford combination


Protocol 3: CagriSema from start (aggressive)

Goal: Maximum weight loss (40-60+ lbs)

Approach:

  • Semaglutide: Titrate to 2.4mg over 16 weeks

  • Cagrilintide: Titrate to 2.4mg over 12 weeks (start week 5)

  • Both at maximum doses

  • Maintain 12-18 months

Expected results:

  • Month 6: 25-35 lbs lost

  • Month 12: 40-55 lbs lost

  • Month 18: 50-65 lbs lost

  • Percentage: 15-25% body weight

Best for:

  • Significant obesity (BMI 35-45+)

  • Need maximum weight loss

  • Excellent GI tolerability

  • Can afford combination

Cost: $14,000-28,000 (18 months)


Protocol 4: Cagrilintide + body recomposition

Goal: Fat loss + muscle preservation/gain

Approach:

  • Cagrilintide: 2.4mg weekly (fat loss)

  • CJC-1295: 200mcg 5x weekly (GH, muscle)

  • Ipamorelin: 200mcg 5x weekly (body composition)

  • High protein (1.2-1.5g per lb goal weight)

  • Heavy resistance training 4-5x weekly

Expected results:

  • Fat loss: 20-30 lbs

  • Muscle preserved or slightly gained

  • Better body composition than diet alone

  • More "toned" appearance

Who this helps:

  • Want to look good, not just lose weight

  • Athletes/fitness enthusiasts

  • Concerned about muscle loss

  • Can afford multi-peptide stack

See our peptide cycle planning guide and can you cycle different peptides at SeekPeptides.

Get personalized protocol planning at SeekPeptides - our AI advisor creates customized cagrilintide weight loss protocols based on your starting weight, goals, budget, and tolerance to side effects.


How you can use SeekPeptides for cagrilintide weight loss

SeekPeptides provides comprehensive guidance for using cagrilintide effectively for weight loss.

Get personalized protocols based on your starting weight, weight loss goals, whether you're using cagrilintide alone or combining with semaglutide, and your GI tolerance.


The AI advisor helps you determine optimal titration schedules, manage nausea and constipation proactively, decide between monotherapy vs combination approaches, plan maintenance strategies after reaching goal weight, and budget for long-term use.

Access research on cagrilintide mechanisms, clinical trial data, and real-world weight loss results.


Learn proper dosing, injection technique, reconstitution, and storage through our comprehensive guides - peptide injections guide, how to reconstitute peptides, peptide storage guide, bacteriostatic water for peptides, water to mix with peptides, how long reconstituted peptides last in fridge.

Use our calculators - peptide calculator, semaglutide dosage calculator, peptide cost calculator, peptide stack calculator, peptide reconstitution calculator, free peptide reconstitution calculator - for precise cagrilintide protocols and combinations.

Track your weight loss progress, side effects, and adherence with our platform to optimize results. Access our best peptide vendors guide for quality sourcing once cagrilintide becomes more widely available.


Final thoughts

Cagrilintide represents a powerful new weapon against obesity through its unique amylin mechanism - dramatically slowing gastric emptying, suppressing appetite via brain amylin receptors, and reducing meal frequency.

Clinical trials consistently demonstrate 10-12% body weight loss with monotherapy, and 15-25% when combined with semaglutide.

Proper dosing requires slow titration to 2.4mg weekly over 12-16 weeks to minimize nausea and GI side effects. Most people achieve 20-30 pounds of weight loss over 12-18 months on cagrilintide alone, with combination therapy producing 40-60+ pounds lost. Side effects, particularly nausea and constipation, are common but manageable with proper strategies.


Currently, cagrilintide remains investigational and available only as a research chemical pending FDA approval expected 2025-2026. Quality sourcing with third-party testing is critical. Budget $800-1,600 monthly for monotherapy, or $950-1,900 monthly for CagriSema combination.

The amylin pathway represents a fundamentally different approach than GLP-1 agonists, making it complementary rather than redundant. This explains the synergy seen with semaglutide combination and positions cagrilintide as a cornerstone of next-generation medical weight loss.

Your path to significant weight loss with cagrilintide requires commitment to proper titration, managing side effects proactively, maintaining adequate protein and hydration, supporting with diet and exercise, and understanding this is a long-term approach requiring 12-18+ months for maximum results and ongoing maintenance to prevent regain.


Helpful resources for cagrilintide weight loss


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peptdies

"I had struggled with acne for years and nothing worked. Was skeptical about peptides but decided to try the skin healing protocol SeekPeptides built for me. Within 6 weeks I noticed a huge difference, and by week 10 my skin was completely transformed. OMG, I still can't believe how clear it is now. Changed my life. Thanks."

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peptides

“Used to buy peptides and hope for the best. Now I have a roadmap and I'm finally seeing results, lost 53 lbs so far.”

— Marcus T.

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"I'm 52 and was starting to look exhausted all the time, dark circles, fine lines, just tired. Started my longevity protocol 3 months ago and people keep asking if I got work done. I just feel like myself again."

— Jennifer K.

  • verified customer

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