5-Amino-1MQ: What the Research Shows
AOD-9604: The Growth Hormone Fragment That Failed Its Only Clinical Trial
CagriSema: What the Research Shows
Liraglutide (Victoza / Saxenda): What the Research Shows
Orforglipron: What the Research Shows
Retatrutide: What the Research Shows
Semaglutide (Ozempic / Wegovy): What the Research Shows
Survodutide: What the Research Shows
Tirzepatide (Mounjaro / Zepbound): What the Research Shows
How These Compounds Relate
The approved compounds in this cluster—liraglutide, semaglutide, and tirzepatide—represent three generations of incretin therapy. Liraglutide established the GLP-1 receptor agonist class as a viable weight loss approach. Semaglutide doubled the efficacy and extended to weekly dosing and oral administration. Tirzepatide added GIP agonism and pushed mean weight loss above 20%.
The pipeline compounds—retatrutide, cagrisema, orforglipron, and survodutide—each represent a distinct hypothesis about what comes after tirzepatide: adding glucagon agonism for greater energy expenditure (retatrutide, survodutide), combining incretin with amylin signaling for a different receptor profile (cagrisema), or abandoning the peptide format entirely for a small molecule oral (orforglipron).
AOD-9604 and 5-Amino-1MQ sit entirely outside the incretin lineage. AOD-9604 is an hGH fragment with a failed primary efficacy endpoint in its one Phase IIb trial. 5-Amino-1MQ is an NNMT inhibitor with no human data at all. Their inclusion in self-experimentation weight loss stacks alongside GLP-1 agonists is not pharmacologically coherent—these compounds target different pathways, and the evidence for stacking them has not been evaluated.
Understanding the incretin lineage is the prerequisite for evaluating anything else in this cluster. Read the semaglutide and tirzepatide articles first.
The Research Digest
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Disclaimer: This page is for educational and research purposes only. It does not constitute medical advice, diagnosis, or treatment. The compounds discussed have not been evaluated by the FDA for all applications described. Consult a qualified healthcare provider before making any decisions about your health.
