Reta X Cagrilintide

I have said this before a few times but why not.
If you are on 12mg of reta and weight loss has ceased after losing 70 lbs, then assuming it is not the effects of other drugs you have added in which sounds pretty likely , and you are not gaining weight. Then what is happening is exactly what the drug is meant to do. If average weight loss for reta is 29% over about a year or so, your start weight 319 , you have lost around 22% of your weight and then weight loss has stopped and you are not putting weight on. This is not tolerance or any loss of effect of the drug, this is just your new normal on that dose at that new lower weight. It might be possible you could lose some more weight if on reta longer without other peptides interfering, or you might just lose a bit less than the average.

With substantial to massive weight loss, metabolic rate drops a lot partly due to lowered metabolic effects of the muscle, organ and fat tissue you no longer have not consuming calories, and partly due to metabolic adaptation to lowered calorie input over time as your body tries to conserve energy. This is combined with increased appetite with weight loss as your body thinks you need to eat more to restore the lost fat. When not taking GLP's this is what makes keeping the weight off so hard. When you are taking GLP's the drug effect balances out the increased hunger with its appetite suppression and reta even gives you a metabolic rate boost of 1-200 kcal/day, not enough to counter the long term low calorie drop but every bit helps. And this new normal is the weight reduced state it can achieve. Now if you are not yet at your target weight this kind of sucks, but I think understanding this is critical to not throwing the baby out with the bathwater in this situation. Staying on it now will allow you to stay at that reduced weight, even if not perfect. a 22% weight loss is a fantastic achievement and would previously have been near impossible to achieve and maintain without GLP's. And more than enough in nearly every case to drastically reduce the serious long term health consequences that come from being severely obese, even if not at normal BMI's.

Stopping it because you have stopped losing weight is almost precisely the wrong approach, all the evidence says most people put most of the weight back on sooner or later.

Staying on it or restarting it will allow you to keep the weight off and maybe a bit more and drastically reduce the long term health problems that result from obesity, and at that degree of overweight they are severe and common, how soon you might get to enjoy having diabetes or heart disease depends a lot on your age, but the process that causes them starts early, and stopping it sooner is much better than stopping it later after irreversible damage is already done. Ask me how I know.

I am not going to suggest adding extra medications in to improve weight loss , as how safe this is or is not depends on your age and health and BMI and I do not know these, but there are options once you get back to 12mg and inevitably stall again. Stalling is not a bad thing , it might be frustrating if you are still overweight, but if it happens at 70 lbs down the drug has done its job, and that is a very good reason to stay on it.
 
Well, ok, you could say that the trends were positive anyway, and that I got trigger happy after that last regression going the wrong way.
But still, that Cagri shit works.
 
Has anyone had any luck with this stack? Currently on 6mg/w of Reta with JEEP but my appetite suppression has been very minimal since I started 6mg.

I’d like to dig into a stack with Cagrilintide and see if anyone has had any experience with it.

Yes! Using Reta on Monday 3mg and Cagri the next day .5mg. And, finally, the noise is down as much as it was with Tirz! Actually leaving salad in the bowl! Can have a 1 serving of candy and be absolutely happy. I don't recognize my own behavior! 🤣
 
In case you’re wondering why I decided to titrate up after 4 weeks: I just started a Tesa+Ipa protocol, which increases hunger.
 
Earlier tried tri, had a strong appetite suppression and the scale was going down.

Switched to reta, the energy improved drastically and hunger came back in. On adding tesa weight has gone up with
I can say that while I run Tesa/Ipa alongside Reta/Tirz, The scale doesn't really go down and the Ipa feels like it somewhat overrides the "suppression" effect. All that said I do seem to lose fat in my stomach area while taking those albeit not as much as I'd like. Also, when I am off those the weight seems to resume dropping fairly easily.
Did you break the stall after going off tesa/ipa? Or a higher dose of reta helped ?
 
Earlier tried tri, had a strong appetite suppression and the scale was going down.

Switched to reta, the energy improved drastically and hunger came back in. On adding tesa weight has gone up with

Did you break the stall after going off tesa/ipa? Or a higher dose of reta helped ?
Increasing reta broke it, then I switched to hgh and got even better results. I would do it again with Tesa/iPa separate so I could customize the ratio
 
Thanks.
Increasing reta broke it, then I switched to hgh and got even better results. I would do it again with Tesa/iPa separate so I could customize the ratio
Thanks but can one taper off hgh later or the weight will come back?

Main aim is to cut out fat and then cycle reta for long term maintenance
 
I'll spout my typical "be careful of the pH level of cagri" schpeil. Don't just mix it with BAC and get the pH down to 4 ideally, or within 3.5-4.5.
Hi! Can you help clarify this for a newb? I did not see on a reconstitution calculator about adding the AA--how much would you add of the AA and the BAC to a Cagri 5MG vial in order to get the appropriate pH?
 
Hi! Can you help clarify this for a newb? I did not see on a reconstitution calculator about adding the AA--how much would you add of the AA and the BAC to a Cagri 5MG vial in order to get the appropriate pH?
I would first use BAC, then test the pH (just one drop is enough). Then add say 0.1mL of AA, then test the pH again. Get that down to ~4 pH.
 
The AA that I have seen is not pharma grade for injection. So arguably introducing more risk than is necessary compared to the norm of just using Hospira BAC.

For example:

There are several threads/ posts on here with varied methods for varied tolerances. My experience early on w/ Cagri, I used AA bc I wanted a 4pH. I tested my Cagri pin, every pin. After a few months. I just used BAC. The pH was usually steady around 5, so I was ok with that. But definitely read some other historical posts/ threads for some anecdotal info.

Personally, I ditch my cagri after a month or so, just to be extra safe.
 
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So many chasing appetite suppression when what matters is weight loss. These are not definitely the same thing.
Agreed to a point. I do still want some appetite suppression though, as it keeps me away from making bad choices with food. I’m only on 3mg, lost 13 lbs in 10 weeks but I know I could have dropped more with better food management.
 
Yes there is a distinction. Appetite and Satiety are separate functions. I get hungry and then I get full.
So true! I get hungry but man I feel almost sick to my stomach if I eat as much as I used to. It really does help you manage food intake even at small doses. I’m only at 3mg and it definitely helps control how much I eat.
 
Been on 8mg reta pw for six months with zero weight loss, and increased hunger/appetite. Just started cagri to help reduce food noise so I can function day to day without daydreaming about food. 250mcg - nothing. 500mcg - still nothing. Wondering if I should just do 1mg.
 
Been on 8mg reta pw for six months with zero weight loss, and increased hunger/appetite. Just started cagri to help reduce food noise so I can function day to day without daydreaming about food. 250mcg - nothing. 500mcg - still nothing. Wondering if I should just do 1mg.
Just wondering why you have not gone up to 12mg of reta? Side effects? I thought that the small unfortunate percentage of people who lost little weight with GLP's usually got very few side effects, going on the fact that the circuits that cause nausea etc are pretty much the same ones that reduce appetite. So really zero weight loss with 8mg of reta. Ouch. I cannot see any reason not to try 12mg , though if you have had no response so far the odds are not great. Do you have a lot of weight to lose? diabetic? Any chance your batch of reta is no good?

And if cagri is not causing side effects then it has been studied up to 2.4mg so no reason not to keep on increasing , though a lot of people are pretty sensitive to small increases so maybe 0.75 for a couple of weeks first before 1mg. If you still get zero effect from 12mg of reta, tirz might be worth trying, the odds of responding to it after not responding to reta are not great, but it is by far the strongest on GIP, just maybe your system might be more sensitive to that incretin, even if so far it is not responding much to GLP-1 or glucagon or amylin.
 
After maxing out Tirz then Reta, I ramped up on Cagri using the study protocol:
  • 4 weeks at 0.25mg
  • 4 weeks at 0.5mg
  • 4 weeks at 1mg
  • 4 weeks at 1.7mg <== I am still here
  • Maintenance at 2.4mg <== I am not there
It worked fine, no side effects and I reached weight goal now.
 
After maxing out Tirz then Reta, I ramped up on Cagri using the study protocol:
  • 4 weeks at 0.25mg
  • 4 weeks at 0.5mg
  • 4 weeks at 1mg
  • 4 weeks at 1.7mg <== I am still here
  • Maintenance at 2.4mg <== I am not there
It worked fine, no side effects and I reached weight goal now.
Out of interest how much weight did you lose? I assume you are on max reta and not quite max cagri and stopped the tirz. Most of the people I have seen add in cagri have done it at low doses, I am on 0.25mg every 4 days but it does cause a bit of nausea so not sure increases are an option. plus tirz15mg /reta5mg

There just is not much if any research yet on how to manage more severe obesity that does not get near normal BMIs with standard doses, or in those who respond poorly. So I am interested in how people have dealt with this given I am trying to keep off 55% of my start body weight.
 
Just wondering why you have not gone up to 12mg of reta? Side effects? I thought that the small unfortunate percentage of people who lost little weight with GLP's usually got very few side effects, going on the fact that the circuits that cause nausea etc are pretty much the same ones that reduce appetite. So really zero weight loss with 8mg of reta. Ouch. I cannot see any reason not to try 12mg , though if you have had no response so far the odds are not great. Do you have a lot of weight to lose? diabetic? Any chance your batch of reta is no good?
I've been on each dose for 4 weeks before titrating up by another mg. I jumped from 6mg to 8mg this week because I wanted to see if I was really reta resistant. I experience all the side effects, without the benefits. I am freezing cold in June and have all the pleasure of the GI discomfort. I won't be able to survive beyond 8mg.. there's no way I would even do another week on 8mg.

Yes, really, zero weight loss! I don't really want to go up to 12mg when it doesn't work for me at 8mg. I have maybe about 5-10lbs to lose. Not overweight and not diabetic. Just have some stubborn midlife crisis weight I want to drop.

My reta was tested independently for m/p/e. It is overfilled. I filter. So it's real and it works on everyone else but me. I know it's hard to believe, but it is what it is I guess.

And if cagri is not causing side effects then it has been studied up to 2.4mg so no reason not to keep on increasing , though a lot of people are pretty sensitive to small increases so maybe 0.75 for a couple of weeks first before 1mg. If you still get zero effect from 12mg of reta, tirz might be worth trying, the odds of responding to it after not responding to reta are not great, but it is by far the strongest on GIP, just maybe your system might be more sensitive to that incretin, even if so far it is not responding much to GLP-1 or glucagon or amylin.

I actually pinned another 500mcg of cagri right after I wrote that, totaling 1mg. I felt no difference at all. I was going to try tirz next actually if cagri doesn't work. I'll pin another 1mg of cagri tomorrow and meanwhile source some tirz. I'm also considering survo or maz.
 
I am not suggesting your problem is not a problem but with not a lot of weight to lose it is annoying rather than devastating, and without severe health consequences. If after looking at the research for 30+ years and they finally made anti obesity drugs that worked but I did not respond I would be pretty upset, but I had a lot of weight to lose.
Most of the less overweight people on this forum have responded quite well to low doses of reta. The only ones I know of that did not respond tended to have more severe obesity often with diabetes. There is known genetic variation in the incretin receptors that can influence response to them, but a bit unlucky not to have a response to 4 different ones, assuming cagri does not start working at higher doses.
 
It is such a pity the only real studies so far combining GLP like drugs was cagrisema, which was not really that good, mainly because semaglutide is just not as effective as tirz or reta. And cagri on its own was disappointing to the point where they have not tried to get it approved as a drug on its own yet. But there do seem to be quite a few people adding in cagri to tirz or reta and getting additional weight loss, past the 30% mark. Will be interesting to see how well eloralintide works as an add on once it gets a bit cheaper and more available. Reta and eloralintide is possibly the new state of the art at least in theory for huge weight loss, might get very close to surgery without the surgery part.
 
I am not suggesting your problem is not a problem but with not a lot of weight to lose it is annoying rather than devastating, and without severe health consequences. If after looking at the research for 30+ years and they finally made anti obesity drugs that worked but I did not respond I would be pretty upset, but I had a lot of weight to lose.
Most of the less overweight people on this forum have responded quite well to low doses of reta. The only ones I know of that did not respond tended to have more severe obesity often with diabetes. There is known genetic variation in the incretin receptors that can influence response to them, but a bit unlucky not to have a response to 4 different ones, assuming cagri does not start working at higher doses.
Unfortunately, it is quite devastating for me. I started it because my family has a history of developing diabetes at an older age and subsequently dying from complications, despite having a below-average BMI. I am not diabetic yet, but I want to avoid going there, which is why I started reta right after my father's death and stayed on it for six months despite no progress. I am as desperate as, if not more than, anyone that has more weight to lose.

The studies show that compounds do work, but not on everyone. There is no medicine that works on 100% of the population.
 
Unfortunately, it is quite devastating for me. I started it because my family has a history of developing diabetes at an older age and subsequently dying from complications, despite having a below-average BMI. I am not diabetic yet, but I want to avoid going there, which is why I started reta right after my father's death and stayed on it for six months despite no progress. I am as desperate as, if not more than, anyone that has more weight to lose.

The studies show that compounds do work, but not on everyone. There is no medicine that works on 100% of the population.
Have you been tracking your A1C?
 
I did attempt to say that in a way that was intended to be non offensive and apologies if I got it wrong. Same question I was going to ask about hb1ac . It may still reduce glucose without reducing weight. They are one of the most effective medications for dropping hb1ac, and work well in diabetes even though they are less effective for weight loss in that case.
 

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