Cagri + Sema Stack 5mg +5mg
Cagri + Sema Stack 5mg +5mg
Once-weekly subcutaneous protocol for combined amylin / GLP-1 receptor agonist research. Cagrilintide + Semaglutide is a dual-agonist combination blending an amylin analog (cagrilintide) with a GLP-1 receptor agonist (Semaglutide).
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Vial Size
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Dose Range
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Schedule
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Primary Goal
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| 5mg + 5mg | 0.25 to 2.4 mg each peptide weekly with gradual titration. | Weekly subcutaneous injections for 16+ weeks (maintenance thereafter). | Support significant weight reduction through dual amylin + GLP-1 receptor agonism. |
Reconstitution Summary
Storage Summary
Reconstitution Steps
- Draw 2 mL bacteriostatic water with a sterile syringe.
- Inject slowly down the vial wall; avoid foaming.
- Gently swirl until fully dissolved (do not shake).
- Label with date and refrigerate at 2 to 8 °C, protected from light; use within 30 days. Reconstitution math: 5 mg cagrilintide + 5 mg Semaglutide = 10 mg total blend; 10 mg ÷ 3.0 mL = 5 mg/mL total. At 5 mg/mL, 1 unit = 0.01 mL » 50 mcg total (16.7 mcg each peptide).
How It Works
Cagrilintide is a long-acting amylin analog that reduces appetite via central satiety pathways, while Semaglutide activates GLP-1 receptors to enhance glucose-dependent insulin secretion and suppress glucagon. The combination leverages complementary mechanisms: amylin primarily delays gastric emptying and signals satiety through the area postrema, while GLP-1 enhances pancreatic b-cell function and central appetite suppression. Clinical trials of the co-administered regimen (CagriSema) show greater body-weight reduction than either agent alone.
Benefits & Side Effects
- Weight reduction: Phase 2 trials report mean body-weight loss of ~15 to 17% at 32 weeks with the
combination, exceeding Semaglutide monotherapy. - Glycemic control: In type 2 diabetes, HbA1c reductions were observed alongside weight loss.
GI tolerability: Nausea, vomiting, and diarrhea are the most common adverse events; gradual titration minimizes severity. - Injection-site reactions: mild and transient in clinical reports.
References & Scientific Literature
- Efficacy and safety of co-administered once-weekly cagrilintide 2.4 mg with Semaglutide 2.4 mg in
- T2D: phase 2 trial (Lancet Diabetes Endocrinol, 2024).
Safety, tolerability, PK/PD of concomitant cagrilintide with Semaglutide 2.4 mg: phase 1b trial (Lancet, 2021). - Once-weekly cagrilintide for weight management: phase 2 trial in overweight/obesity (Lancet, 2021).
- Efficacy and safety of CagriSema 2.4 mg + 2.4 mg in T2D (ScienceDirect, 2024