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Cagrilintide vs Retatrutide

Cagrilintide: Long-acting amylin analog. Retatrutide: Triple GIP / GLP-1 / glucagon receptor agonist. Per milligram, Retatrutide is cheaper right now ($1.25 vs $0.350 at the cheapest tested vendor). Prices per mg compare cost, not effect: the amounts used in studies differ between compounds.

Cagrilintide

Mimics amylin, a hormone released with insulin that promotes fullness and slows stomach emptying. Usually studied together with semaglutide ("CagriSema").

What it is
Long-acting amylin analog
Category
GLP-1 & metabolic
Status
Investigational (Novo Nordisk, Phase 3 as CagriSema). Not approved.
Cheapest
$1.25 per mg (Nantong Guangyuan Chemical GYC)
Median price
$5.00 per mg
Vendors
79 independently tested, 21 with a lab report
Research
Grade A: Strong human evidence (7 papers)
Studied as
studied in people
Reported side effects
Gastrointestinal events (nausea, vomiting, diarrhea, constipation, abdominal pain), mostly transient and mild-moderate; Vomiting (higher with the combination than semaglutide alone); Injection/administration-site reactions; Discontinuation due to adverse events

Retatrutide

Adds glucagon-receptor activity, which raises energy expenditure, on top of the two incretin receptors. Phase 2 trials reported the largest average weight loss of any drug in its class so far.

What it is
Triple GIP / GLP-1 / glucagon receptor agonist
Category
GLP-1 & metabolic
Status
Investigational (Eli Lilly, Phase 3 trials). Not approved anywhere.
Cheapest
$0.350 per mg (Shanghai Wibson Biotechnology WBS)
Median price
$2.92 per mg
Vendors
98 independently tested, 53 with a lab report
Research
Grade A: Strong human evidence (7 papers)
Studied as
studied in people
Reported side effects
Nausea, diarrhea, vomiting, constipation (dose-related, mostly mild-moderate); Increased heart rate; Hypersensitivity reactions (non-severe); Discontinuation due to adverse events

Questions people ask

What is the difference between Cagrilintide and Retatrutide?

Cagrilintide: Long-acting amylin analog. Retatrutide: Triple GIP / GLP-1 / glucagon receptor agonist. Per milligram, Retatrutide is cheaper right now ($1.25 vs $0.350 at the cheapest tested vendor). Prices per mg compare cost, not effect: the amounts used in studies differ between compounds.

Which is cheaper, Cagrilintide or Retatrutide?

Retatrutide is cheaper per mg: $1.25 for Cagrilintide vs $0.350 for Retatrutide at the cheapest independently tested vendor.