blend10MG
Cagrilintide + Semaglutide
10MG Protocol
Cagrilintide + Semaglutide 10MG
Injection Freq.
Once weekly
Cycle Sched.
Weekly subcutaneous injections for 16+ weeks (maintenance thereafter)
Reconstitution
3.0 mL BAC water
~15–17% mean body‑weight reduction reported in phase 2 trials (32 weeks)
Greater weight loss than GLP‑1S monotherapy (reported)
HbA1c reductions alongside weight loss in type 2 diabetes cohorts
1
Reconstitution Requirements
- 3.0 mL BAC water
| Step | Week Range | Dose | Units |
|---|---|---|---|
| 1 | Weeks 1–4 | 250 mcg (0.25 mg) each | 15 |
| 2 | Weeks 5–8 | 500 mcg (0.50 mg) each | 30 |
| 3 | Weeks 9–12 | 1000 mcg (1.0 mg) each | 60 |
| 4 | Weeks 13–16 | 1700 mcg (1.7 mg) each | 102 |
| 5 | Weeks 17+ | 2400 mcg (2.4 mg) each | 144 |
Once weekly
Weekly subcutaneous injections for 16+ weeks (maintenance thereafter)
This blend is positioned as a ‘dual‑satiety’ strategy by combining an amylin analog with a GLP‑1 receptor agonist. Cagrilintide is described as a long‑acting amylin analog that reduces appetite through central satiety pathways; amylin signaling is also associated with delayed gastric emptying and satiety signaling via brainstem circuits such as the area postrema. GLP‑1S (a semaglutide‑type GLP‑1 receptor agonist) contributes complementary effects: it increases glucose‑dependent insulin secretion, suppresses glucagon, slows gastric emptying, and adds central appetite suppression. The rationale for the combination (referred to as a CagriSema‑style approach) is that overlapping but non‑identical mechanisms can produce greater weight‑loss efficacy than either pathway alone, as reported in clinical trial outcomes for co‑administration. Side‑effect expectations follow the GLP‑1/amylin profile: primarily gastrointestinal intolerance (nausea, vomiting, diarrhea), improved by gradual titration, plus mild, transient injection‑site reactions.
Nausea
Vomiting
Diarrhea
Mild, transient injection‑site reactions
- Use aseptic technique: wipe vial stopper with alcohol; use new sterile syringe/needle
- Add diluent slowly down the vial wall to minimize foaming
- Gently swirl/roll until fully dissolved (do not shake)
- Label vial with reconstitution date and concentration; protect from light
- Refrigerate after reconstitution (commonly 2–8 °C) unless protocol states otherwise
- Avoid repeated freeze–thaw cycles
- Bacteriostatic Water for Injection contains benzyl alcohol preservative (multi-dose); follow protocol for beyond-use (many peptide protocols use ~28 days after mixing)
- Avoid benzyl-alcohol-containing diluents in neonates/infants (safety warning for benzyl alcohol)