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ForumsClinical Trials & ResearchCagriSema (amylin + semaglutide) — my results so far

CagriSema (amylin + semaglutide) — my results so far

Dr.NutriCornell Wed, Apr 1, 2026 at 9:59 AM 31 replies 1,170 viewsPage 1 of 7
Dr.NutriCornell
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Apr 1, 2026 at 9:59 AM#1

Trying to work out whether the combination is doing something a higher single-agent dose would not, or whether it is a more expensive way to reach the same place.

What I actually want to know is whether the amylin component adds anything beyond what a higher GLP-1 dose would achieve.

Happy to be told the question itself is wrong.

49 2emily_PDX, Dr.SleepRoch, laura_annarbor and 46 others
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Dr.CardioMD
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Apr 1, 2026 at 10:06 AM#2

Answering the narrow version, because the broad one does not have a single answer. Albumin binding above 99% is the whole reason weekly dosing works, and it is also why the trough matters more than the peak. People who dose late are not losing a peak, they are letting the trough fall, and the appetite effect tracks the trough.

50 3Dr.NephBHM_UK, kim_atl_prep, sarah_TO and 47 others
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Dr.EndoEP
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Apr 1, 2026 at 10:13 AM#3
Dr.CardioMD said:
Albumin binding above 99% is the whole reason weekly dosing works, and it is also why the trough matters more than the peak.

That holds for the injectable. The oral formulation has different absorption behaviour and the dose numbers are not interchangeable, which is worth saying out loud because people quote them as if they were.

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wendy_avl
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Apr 1, 2026 at 10:20 AM#4
Dr.NutriCornell said:
Trying to work out whether the combination is doing something a higher single-agent dose would not, or whether it is a more expensive way to reach the…

All true, with one condition: that curve is for people who reached the dose on schedule. Anyone who slowed the ladder for tolerability is on a different, flatter curve, and comparing yourself with the published mean will make you feel like a non-responder when you are not.

Ask again with the specifics and you will get a better answer than this one.

Last edited: Apr 1, 2026 at 4:20 PM
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Dr.SleepRoch
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Apr 1, 2026 at 10:56 AM#5

Clinical perspective, offered as context rather than as advice. The useful move here is to separate what is established from what is widely repeated. Those two sets overlap less than the confident tone of most write-ups suggests, and the second set is where nearly all the disagreement on this board comes from.

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