Amylin is a hormone that is produced by the beta cells of the pancreas simultaneously with insulin. It performs several important functions:
Regulates appetite by reducing hunger and promoting satiety.
Slows gastric emptying, which contributes to a longer feeling of fullness.
Regulates energy balance, contributing to weight loss and improved metabolism.
|
Weeks |
Dose (mg) |
Note |
|---|---|---|
|
1-4 |
0.25 |
Tolerability test |
|
5-8 |
0.5 |
Appetite ↓ |
|
9-12 |
1.0 |
Weight -4-6% |
|
13-16 |
1.7 |
Stabilization |
|
17+ |
2.4 (maintenance) |
Max. effect -10-17% |
|
Max. |
4.5 |
Only under supervision |
The main effects are realized through influence on satiety centers and metabolism:
Slows gastric emptying → food lingers longer, stomach walls stretch, the satiety signal intensifies.
Activates amylin receptors in the area postrema and nucleus tractus solitarius, as well as hypothalamic structures, which reduces hunger and cravings for "reward" food (via dopaminergic, opioid, and cannabinoid systems).
Suppresses postprandial glucagon secretion, improving glycemic control, and potentiates the action of insulin and leptin, increasing sensitivity of leptin receptors and STAT3 signaling.
Decreases calorie intake and increases energy expenditure, leading to sustained body mass reduction of 8–17% during monotherapy, more so in combination with GLP‑1 agonists.
2 times per week Cagri 2.4 mg SC
IV drips (AOD + L-carnitine) + protein 2g/kg
Monitoring: Waist CT, DEXA every 8 weeks
Goal: -25% weight within a year
Cagrilintide belongs to the next generation of anti-obesity peptides and is actively discussed in professional communities as a candidate for the standard of combined therapy alongside GLP‑1/dual/triple agonists.
In reviews for physicians and audiences, it is positioned as one of the most promising tools for patients who have:
insufficient effect from single GLP‑1 therapy;
pronounced emotional and "reward-based" component of overeating.
Cagrilintide represents a promising agent for the treatment of obesity and metabolic disorders. Its efficacy and safety make it an attractive option for patients suffering from these problems.
