StackTerminal.Health

BETA
Alternative layoutGrade B · 84Clean

Clinical-only: Metabolic / Weight Loss (Retatrutide + Cagrilintide)

Investigational/clinical agents with strong RCT evidence in obesity-related indications (not supplements).

What this is for
General support
metabolic, weight-loss, clinical-only
Why you are seeing this
Goal fit: metabolic, weight-loss, clinical-only.
What to do next
Add body metrics if you want dose previews to reflect your weight rather than the reference dose.
PublicBuilt 06 Feb 20262 ingredientsNo interactions detected
Core stack
The main ingredients doing the work.
2 key items
PLACEHOLDER • Other
Human phase 2 RCT evidence for weight loss in obesity.
1mg
Body weight reduction
High
Population: Adults with obesity (without diabetes) in a randomized controlled phase 2 trial
Study type: Randomized, double-blind, placebo-controlled phase 2 trial
Dose context: 12 mg typical (range: 1–12 mg) • Duration: 48 weeks

Retatrutide produced substantial mean body-weight reductions over 48 weeks (up to ~24% at highest dose), with larger losses at higher doses; GI adverse effects were common & dose-related.

Citation: Jastreboff et al., N Engl J Med (2023) — Triple–Hormone-Receptor Agonist Retatrutide for ObesityDOI: 10.1056/NEJMoa2301972https://www.nejm.org/doi/full/10.1056/NEJMoa2301972
Phase 3 registrational program design (TRIUMPH)
Low
Population: Adults with obesity ± OSA, knee osteoarthritis, or cardiovascular disease (>5800 participants across 4 trials)
Study type: Phase 3 registrational program design/rationale publication
Dose context: • Duration: Ongoing (trials projected through 2025–2026)

The TRIUMPH phase 3 program (4 trials, >5800 participants) evaluates once-weekly subcutaneous retatrutide vs. placebo for weight management & obesity-related complications (OSA, OA, CVD). No primary efficacy results published as of early 2026; design & rationale published in 2025.

Citation: Wadden et al., Diabetes Obes Metab (2025) — Retatrutide for obesity, OSA and knee OA: Rationale and design of TRIUMPHhttps://pubmed.ncbi.nlm.nih.gov/41090431/
PLACEHOLDER • Other
Clinical trial evidence in obesity programs (often combination development).
1mg
Weight loss & glycemic control — late-stage trial report (type 2 diabetes)
Low
Population: Adults with type 2 diabetes (CagriSema vs semaglutide)
Study type: Late-stage trial (news report; now superseded by peer-reviewed NEJM publication above)
Dose context: • Duration: 68 weeks

Reuters news report (February 2026) described CagriSema outperforming semaglutide in a late-stage diabetes trial; this is now confirmed by the peer-reviewed REDEFINE 2 NEJM paper (see above).

Citation: Reuters (2026-02-02) — Novo Nordisk says CagriSema outperforms semaglutide in late-stage diabetes trialhttps://www.reuters.com/business/healthcare-pharmaceuticals/novo-nordisk-says-cagrisema-outperforms-semaglutide-late-stage-trial-type-2-2026-02-02/
Body weight reduction (phase 3 — REDEFINE 1, overweight/obesity without diabetes)
High
Population: Adults with overweight/obesity (without diabetes), n=3417 randomized
Study type: Randomized, double-blind, placebo-controlled and active-controlled phase 3a trial
Dose context: 2 mg typical (range: 0–2 mg) • Duration: 68 weeks

CagriSema (cagrilintide 2.4 mg + semaglutide 2.4 mg once weekly) produced an estimated mean body-weight reduction of -20.4% vs -3.0% with placebo at week 68 (P<0.001), superior to either component alone. GI adverse events were common (majority transient & mild-to-moderate). Published in NEJM 2025.

Citation: Lincoff et al., N Engl J Med (2025) — Coadministered Cagrilintide and Semaglutide in Adults with Overweight or Obesity (REDEFINE 1)DOI: 10.1056/nejmc2513141https://pubmed.ncbi.nlm.nih.gov/40544433/
Body weight & glycemic control (phase 3 — REDEFINE 2, type 2 diabetes)
High
Population: Adults with overweight/obesity and type 2 diabetes (n=1206 randomized)
Study type: Randomized, double-blind, placebo-controlled phase 3a trial
Dose context: 2 mg typical (range: 0–2 mg) • Duration: 68 weeks

CagriSema produced mean weight loss of -13.7% vs -3.4% with placebo at week 68, & 73.5% of patients achieved HbA1c ≤6.5% vs 15.9% with placebo. GI adverse events in 72.5% of CagriSema group (mostly transient/mild-moderate). Published in NEJM 2025.

Citation: Davies et al., N Engl J Med (2025) — Cagrilintide–Semaglutide in Adults with Overweight or Obesity and Type 2 Diabetes (REDEFINE 2)DOI: 10.1056/NEJMoa2502082https://pubmed.ncbi.nlm.nih.gov/40544432/
Stack pre-check
No personal data connected — connect wearables or upload bloodwork for a personalised check
Clean
Supplements
2
Training load
Unknown
No flags
No duplication, stimulant, interaction, or recovery concerns detected.

Pre-check is rule-based, not medical advice. Consult a healthcare professional for personalised guidance.

Interaction Analysis
Pharmacokinetic + pair-level checks
Timing optimizations
Retatrutide (LY-343794)
Take ~72h before the intended effect window
Reaches peak plasma concentration in ~72h. Half-life ~150h.
Cagrilintide
Take ~24h before the intended effect window
Reaches peak plasma concentration in ~24h. Half-life ~168h.

Interaction analysis is based on peer-reviewed pharmacology. PMID links go to PubMed. Not medical advice.

Similar community stacks

If this is close but not quite right, start from a similar stack rather than from zero.

Browse all community stacks →
metabolicweight-lossclinical-only

Investigational/clinical agents with strong RCT evidence in obesity-related indications (not supplements).

Retatrutide (LY-343794)
1mg
Cagrilintide
1mg
Magnesium (Glycinate)
400mg
New
View
gutdigestionresearch-only

Groups gut-inflammation oriented peptides (mostly studied in preclinical colitis/inflammation models).

KPV
1mg
BPC-157
1mg
Magnesium (Glycinate)
400mg
New
View
recoveryskinresearch-only

Adds a copper peptide often discussed in cosmetic/skin contexts to a recovery/joint pairing. Evidence is indirect & component-based.

BPC-157
1mg
TB500 (TB4 / Thymosin Beta-4)
1mg
GHK-Cu
1mg
New
View