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Cagrilintide + Semaglutide (10mg Blend) Dosage Protocol

Amylin analog (Cagrilintide) + GLP-1 agonist (Semaglutide) blend — investigational (CagriSema), not FDA-approved in this research form.

Peptide Stacks Updated November 25, 2025 10 min read Research information only
Cagrilintide + Semaglutide (10mg Blend) Dosage Protocol
Quick answerIn the research literature the 10 mg Cagrilintide + Semaglutide blend vial is typically reconstituted with 3 mL of bacteriostatic water. Documented research protocols reference a figure of about 0.25 mg per administration. All values are shared for research-use-only reference and are not dosing or medical guidance of any kind.

Reconstitution calculator

Mix & measure Cagrilintide + Semaglutide · 10 mg

Pre-filled with this protocol’s recommended BAC water and documented starting dose — edit any field to run your own numbers.

Concentrationmg/mL
Draw volumemL
On the syringeunits
Doses / vial 

Reconstitution math only — not dosing advice. U-100 syringe: 100 units = 1 mL. Full reconstitution guide → · Advanced calculator →

Dosing & Reconstitution Guide

A single combined-blend vial, one practical dilution, accurate once-weekly dosing — step by step

Frequency: one subcutaneous injection once weekly, titrating up gradually as tolerated. Doses are expressed as total blend (combined Cagrilintide + Semaglutide); the exact Cagrilintide-to-Semaglutide ratio is not disclosed for this vial, so per-component milligrams cannot be calculated[3][4]. These titration figures mirror published schedules for the branded CagriSema pharmaceutical and are not approved human dosing for this compounded research blend.

Standard / Gradual Approach (3.0 mL ≈ 3.33 mg/mL total blend)

Reconstitute: Add 3.0 mL bacteriostatic water to the single 10 mg blend vial (one combined Cagrilintide + Semaglutide vial) → final concentration ~3.33 mg/mL (3,333 mcg/mL of total blend).

Typical weekly range: 0.25–2.4 mg of total blend once weekly, raised gradually over a 16–week titration.

Easy measuring: At ~3.33 mg/mL, 1 unit ≈ 33.3 mcg of total blend on a U-100 syringe, so units = mg ÷ 0.0333 (e.g. 1.0 mg ≈ 30 units).

Phase / Week(s) Weekly Dose (total blend) Volume (U-100 units / mL)
Weeks 1–4 0.25 mg total blend (1× weekly) ~7.5 units (0.075 mL)
Weeks 5–8 0.5 mg total blend (1× weekly) ~15 units (0.15 mL)
Weeks 9–12 1.0 mg total blend (1× weekly) ~30 units (0.30 mL)
Weeks 13–16 1.7 mg total blend (1× weekly) ~51 units (0.51 mL)
Week 17+ (Maintenance) 2.4 mg total blend (1× weekly) ~72 units (0.72 mL)

Advanced / Aggressive Approach (3.0 mL ≈ 3.33 mg/mL total blend)

Weeks 1–2: 0.5 mg total blend once weekly — ~15 units (0.15 mL).

Weeks 3–6: 1.0 mg total blend once weekly — ~30 units (0.30 mL).

Weeks 7–10: 1.7 mg total blend once weekly — ~51 units (0.51 mL).

Weeks 11–16 (Maintenance): 2.4 mg total blend once weekly — ~72 units (0.72 mL).

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Why researchers study it

Why Cagrilintide + Semaglutide draws research interest

These are the directions researchers and the peptide community most often explore Cagrilintide + Semaglutide for — so you know you’re in the right place. They describe what is being studied, not proven benefits, approved uses, or promised results.

weight loss / obesity

The CagriSema blend is investigated in research on body-weight regulation; this combined form is investigational and not FDA-approved.

appetite & satiety

Studied for how amylin and GLP-1 receptor signaling together influence appetite and food intake across preclinical and clinical research.

glycemic control

Explored in research on blood-glucose regulation, building on semaglutide's FDA-approved GLP-1 role in type 2 diabetes (Ozempic).

fat metabolism / body composition

Researched as a combined amylin-plus-GLP-1 approach to changes in fat mass and body composition; the combined form remains investigational.

Evidence ranges from early laboratory work to clinical trials depending on the use — the sections below cover the actual data and sources.

01 · Dosing & reconstitution

Important: Start with the Prep & Injection Guide — it covers the preparation and safety basics every protocol on this site assumes.

Reconstitution Steps

1

Draw 3.0 mL of bacteriostatic water into a sterile syringe.

2

Release it slowly down the vial’s inner wall to limit foaming.

3

Swirl or roll gently until fully dissolved — don’t shake.

4

Label with the date and concentration, then refrigerate at 2–8 °C (35.6–46.4 °F), shielded from light.

02 · What you’ll need

Supplies Needed

Quantities below assume a 16–week once-weekly course with gradual titration. This research blend is not sold here; supplier links are informational only.

Cagrilintide + Semaglutide, 10 mg Blend (single combined vial)

One 10 mg blend vial reconstituted at 3.0 mL covers the full titration; total dose used per 16–week cycle stays under the 10 mg supplied.

  • 16-week cycle: 1 vial
  • Concentration: ~3.33 mg/mL
  • Dose basis: total blend, once weekly
Insulin Syringes (U-100, 1 mL)
  • Per injection: 1 syringe
  • 16 weeks (once weekly): ~16 syringes
  • Use a U-100 1 mL syringe per injection
Bacteriostatic Water (10 mL bottles)

Use ~3.0 mL to reconstitute the single 10 mg blend vial.

  • Per blend vial: ~3.0 mL
  • Need: 1 bottle (10 mL)
Alcohol Swabs

One for the vial stopper + one for the injection site each week.

  • Per injection: 2 swabs
  • 16 weeks (once weekly): ~32 swabs1 box
Cagrilintide + Semaglutide, 10 mg Blend Vial
Peptide Vial

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Insulin Syringes
Insulin Syringes

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Bacteriostatic Water
Bacteriostatic Water

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Alcohol Pads
Alcohol Pads

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Dosing Protocol

  • Cycle Length: Typically ~16 weeks or longer, depending on research goals.
  • Timing: Inject on the same day each week and rotate injection sites systematically.

Storage Instructions

Correct storage is what preserves the peptide’s stability and activity.

  • Lyophilized: Hold the dry vial at −20 °C (−4 °F) in dry, dark conditions and limit moisture exposure[7].
  • Reconstituted: Refrigerate at 2–8 °C (35.6–46.4 °F) and use within about 28 days; do not freeze the mixed solution, as freezing can denature peptides[8].
  • Handling: Let frozen vials warm to room temperature before opening so condensation won’t form, and keep the solution clear of heat and direct light.
  • Freeze–thaw: Avoid repeated freeze–thaw cycles of the reconstituted solution.
03 · Good to know

Important Notes

Practical points that keep weekly administration safe and consistent.

  • Sterile technique: Use a fresh sterile U-100 insulin syringe each time and drop it straight into a puncture-proof sharps container afterward.
  • Site rotation: Move between abdomen, thighs and upper arms to reduce local irritation and lipohypertrophy[9].
  • Slow injection: Push the plunger slowly and pause a few seconds before withdrawing the needle to prevent backflow.
  • Recordkeeping: Log each weekly dose, injection site and any observations to keep the protocol consistent.
  • Regulatory / approval note: Neither this Cagrilintide + Semaglutide blend nor cagrilintide is FDA-approved; the semaglutide molecule is FDA-approved standalone (Wegovy/Ozempic) but not in this compounded research blend, and CagriSema remains investigational under FDA review. GLP-1/amylin agents are not explicitly named on the WADA Prohibited List, but an unapproved research form warrants S0 (non-approved substance) caution[10].
04 · How it works

How This Works

Semaglutide is a GLP-1 receptor agonist: it mimics the incretin hormone GLP-1 to enhance glucose-dependent insulin secretion, slow gastric emptying and reduce appetite[1][2].

Cagrilintide is a long-acting amylin analog. Amylin is co-secreted with insulin and promotes satiety and slowed gastric emptying; cagrilintide extends that signalling to complement the GLP-1 pathway[3].

Combining the two creates a dual GLP-1 + amylin agent — the pairing developed commercially as “CagriSema.” In this vial both peptides are supplied together as a single 10 mg total blend; the Cagrilintide-to-Semaglutide ratio is not disclosed, so doses on this page are stated as total blend and per-component milligrams are unknown.

Approval status (important): Neither this compounded blend nor cagrilintide is FDA-approved. The semaglutide molecule is FDA-approved on its own (Wegovy/Ozempic) but not in this research blend. CagriSema is investigational — under FDA review with a decision expected in 2026, not yet approved[4].

The roughly 20% weight-loss figures attributed to CagriSema come from Novo Nordisk’s controlled trials of the pharmaceutical, not from this unregulated research blend, and should not be read as proven for this product. Presented for research and educational use only — not medical advice.

05 · Daily habits

Lifestyle Factors

Habits that may support metabolic and weight-management goals alongside the protocol.

  • Nutrition: Prioritise adequate protein and a moderate calorie deficit so appetite reduction translates into healthy weight change.
  • Activity: Combine regular resistance and aerobic exercise to preserve lean mass during weight loss.
  • Sleep: Aim for 7–9 hours to support appetite-regulating hormones and metabolic health.
  • Stress & hydration: Manage stress and stay well hydrated, especially if GI side effects reduce intake.
06 · What to expect

Potential Benefits & Side Effects

What controlled trials of the branded CagriSema pharmaceutical describe; this unregulated research blend has not been studied, and individual results vary.

Potential Benefits

  • Weight reduction (trial pharmaceutical): Phase trials of the branded CagriSema reported roughly ~20% mean body-weight loss — from the pharmaceutical, not this blend[5][6].
  • Glycemic control: The GLP-1 component supports glucose-dependent insulin secretion and improved glycemic markers in studies of the approved molecule[2].
  • Appetite & satiety: Dual GLP-1 + amylin signalling is reported to reduce appetite and increase satiety in trial subjects.
  • Important: These benefits are not established for this compounded blend — they come from controlled trials of the regulated pharmaceutical, and CagriSema itself remains investigational[4].

Common Side Effects

  • GI effects (most common): Nausea, reduced appetite, constipation or diarrhea are the most frequently reported effects of GLP-1/amylin agents; gradual titration helps.
  • Injection-site & other: Mild injection-site reactions and headaches can occur; safety of this compounded blend specifically is unstudied, so caution and monitoring are advised.
  • Approval / sport note: Not FDA-approved in this research form; as an unapproved substance it warrants WADA S0 caution for athletes.
07 · Injection technique

Injection Technique

General subcutaneous technique, following established clinical best-practice guidance[14][15].

Pre-Injection Preparation

  • Wash your hands well with soap and water.
  • Wipe the vial stopper with an alcohol swab and let it air-dry.
  • Choose a site (abdomen, thigh, or upper arm) and clean it with a fresh alcohol swab, letting it dry fully[15].
  • Draw the intended dose, then check for air bubbles and push any out.

Injection Procedure

  • Pinch a skinfold at the chosen site between thumb and forefinger.
  • Insert the needle into the pinch at a 45–90-degree angle (use 45 degrees if the fat layer is thin)[14].
  • Skip aspiration for subcutaneous shots — it isn’t needed[14].
  • Press the plunger slowly and steadily until it’s fully down.
  • Wait 5–10 seconds, then pull the needle straight out to prevent leakage.

Post-Injection Care

  • Drop the used syringe straight into a puncture-proof sharps container — never recap a needle.
  • Return the reconstituted vial to the fridge right away.
  • Rotate the injection site each week to prevent irritation and lipohypertrophy[9].
  • Watch the site for excess redness, swelling, or signs of infection.
09 · The evidence

References

  1. 1
    FDA — Wegovy (semaglutide) Prescribing Information
    FDA-approved labeling for the standalone semaglutide molecule (GLP-1 receptor agonist) for chronic weight management.

    View Source

  2. 2
    NEJM — Semaglutide and Weight Loss (STEP trials)
    Randomized controlled trial of once-weekly semaglutide for weight management and its metabolic effects.

    View Source

  3. 3
    The Lancet — Cagrilintide, a long-acting amylin analogue
    Phase 2 trial of the long-acting amylin analog cagrilintide for weight management.

    View Source

  4. 4
    Novo Nordisk / NEJM — CagriSema (cagrilintide + semaglutide)
    Trial data on the investigational dual GLP-1 + amylin combination CagriSema; regulatory status under FDA review.

    View Source

  5. 5
    The Lancet — CagriSema weight-loss outcomes
    Reported mean body-weight reduction (~20%) with the branded CagriSema pharmaceutical in controlled trials.

    View Source

  6. 6
    Nature Reviews / Diabetes Obes Metab — Dual GLP-1 + amylin agonism
    Mechanistic review of combining GLP-1 receptor agonism with amylin analog therapy for appetite and satiety.

    View Source

  7. 7
    Peptide Storage Guide
    Best practices for storing lyophilized peptides (temperature, humidity and light protection).

    View Source

  8. 8
    Peptide Reconstitution & Stability
    Guidance on reconstituting peptides and refrigerated storage of the mixed solution; avoid freeze–thaw.

    View Source

  9. 9
    CDC — Safe Injection Practices
    Recommendations on sterile single-use syringes and rotation of subcutaneous injection sites.

    View Source

  10. 10
    FDA — Compounded and Unapproved Drugs
    FDA guidance on compounded/unapproved drug products and their regulatory status.

    View Source

  11. 11
    Diabetes, Obesity and Metabolism — GI tolerability of incretin therapies
    Review of gastrointestinal side effects (nausea, GI discomfort) of GLP-1-based therapies and titration strategies.

    View Source

  12. 12
    Pharmacokinetics of long-acting incretin analogs
    Pharmacokinetic basis for once-weekly subcutaneous dosing of semaglutide and cagrilintide.

    View Source

  13. 13
    WADA — Prohibited List
    World Anti-Doping Agency Prohibited List; unapproved substances fall under S0 (non-approved substances).

    View Source

  14. 14
    Clinical best practice — subcutaneous injection technique
    Established guidance on subcutaneous injection angle, technique and site selection.

    View Source

  15. 15
    Injection site preparation & antisepsis
    Best-practice guidance on skin antisepsis and air-drying before subcutaneous injection.

    View Source

  16. 16
    Subcutaneous injection — do not aspirate
    Guidance that aspiration is not required for routine subcutaneous injections.

    View Source

Read the complete guide Semaglutide Dosage and Titration: The Complete Schedule Where to source it Which suppliers we lab-tested — purity, price and shipping compared
FAQ

Cagrilintide + Semaglutide — frequently asked questions

How do I reconstitute a 10 mg vial of Cagrilintide + Semaglutide?

Wipe the stopper with an alcohol swab, then inject your bacteriostatic water slowly down the inside wall of the vial. Let it sit and gently swirl until dissolved — never shake. Store the mixed vial in the refrigerator and draw doses with an insulin syringe. Use the calculator above to turn any dose into syringe units.

How much bacteriostatic water should I add to Cagrilintide + Semaglutide?

There is no single correct amount — more water simply spreads the same 10 mg of peptide across a larger volume, which makes small doses easier to measure accurately. 1 to 3 mL per vial is typical. Enter your chosen volume in the calculator above to see the resulting concentration and syringe units.

What do the "units" on an insulin syringe mean?

On a U-100 insulin syringe, 100 units equal 1 mL, so 1 unit equals 0.01 mL. The calculator above converts your draw volume into these units automatically so you can measure without doing the math by hand.

How should I store Cagrilintide + Semaglutide after mixing?

Keep the reconstituted vial refrigerated at roughly 2 to 8 degrees Celsius, away from light, and avoid freezing it. Reconstituted research peptides are generally used within a few weeks. Always follow the specific guidance supplied with your product.

How many doses does a 10 mg vial of Cagrilintide + Semaglutide provide?

Divide the vial strength of 10 mg by the amount you use per injection. The calculator above reports this as "doses per vial" the moment you enter a dose.

Is Cagrilintide + Semaglutide approved for human use?

No. Cagrilintide + Semaglutide is sold strictly for laboratory and research purposes and is not approved by the FDA or other regulators for human use. Everything on this page is research information, not medical advice — consult a licensed healthcare professional before any use.

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