StackTerminal.Health

Peptides 💀💀💀

Public 2/6/2026

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

Practical pre-check
Deterministic heuristics (stimulants, duplicates, hydration). Not medical advice.
Supplements
3
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Stimulant estimate
0 mg
Only counts explicit caffeine items
Looks clean
No obvious duplication/stimulant/hydration flags from the heuristic pass.
AI risk assessment
Context: No wearable data
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Supplements
3 items
Morning • Other • Click to expand
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 and 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 and obesity-related complications (OSA, OA, CVD). No primary efficacy results published as of early 2026; design and 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 • Click to expand
Clinical trial evidence in obesity programs (often combination development).
1mg
Body weight and 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, and 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/
Weight loss and 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 and 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/NEJMoa2501552https://pubmed.ncbi.nlm.nih.gov/40544433/
Daily • — • Click to expand
Added manually
400mg
Insomnia in older adults (sleep latency, total sleep time)
Low
Population: Older adults with insomnia (3 RCTs, n=151)
Study type: Systematic review & meta-analysis
Dose context: 320 mg typical (range: 100–500 mg) • Duration: 8 weeks

Magnesium supplementation reduced sleep onset latency by ~17 min vs. placebo; increased sleep time and efficiency. Evidence rated low-to-very-low quality; all trials at moderate-to-high bias risk.

Citation: Mah J & Pitre T. BMC Complement Med Ther. 2021;21(1):125.DOI: 10.1186/s12906-021-03297-zhttps://pubmed.ncbi.nlm.nih.gov/33865376/
Benefit most plausible in those with low baseline magnesium. Dose refers to elemental magnesium.
Sleep quality in adults with poor sleep (magnesium bisglycinate RCT)
Moderate
Population: Adults aged 18–65 with self-reported poor sleep (n=155)
Study type: RCT (double-blind, placebo-controlled)
Dose context: 250 mg typical (range: 200–250 mg) • Duration: 8 weeks

250 mg elemental magnesium as bisglycinate modestly but significantly reduced Insomnia Severity Index score vs. placebo (−3.9 vs −2.3, p=0.049) by week 4; well-tolerated with minimal GI effects.

Citation: Abboud M et al. Nutrients. 2025.https://pubmed.ncbi.nlm.nih.gov/40918053/
First RCT specifically using magnesium bisglycinate for sleep in a general adult population.

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