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Metabolic

CagriSema

Also called Semaglutide + cagrilintide, Cagrilintide/semaglutide 2.4/2.4

InjectableEvidence AOnce a week
Half-life
variesby component
Typical vial
4.8mg
Research amounts
0.5–4.8mg

per administration

Common schedule
Once a week
Tested in people

A human trial worked out how much to take and how often, so a dosing schedule is shown.

Work out your draw

These numbers are a starting point — change any of them.

3 mL cartridge · 300 units loaded31units dialled
Concentration
1.6mg/mL
Volume per draw
0.31mL

Requested 0.313 mL

Units to dial
31

Requested 31.25

Doses per cartridge
9

31.25 units is between clicks. The nearest setting is 31, which delivers 496 mcg instead of 500 mcg.

Vial label

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What one draw delivers

Per-draw amounts for the CagriSema blend
ComponentSharePer draw
Semaglutide50%250 mcg
Cagrilintide50%250 mcg

Every draw has these same proportions.

0.54.8 mg of CagriSema per administration, worked out from the components rather than quoted from a study of the blend.

A fixed-ratio blend of semaglutide and cagrilintide sold as one vial, so it is drawn as a whole. The two clear at different multi-day rates, so no single half-life is given and the decay view plots both components. The range here is worked out from the components rather than quoted as one figure: escalation mirrors semaglutide's weekly steps to a combined 2.4 mg + 2.4 mg. Its components are covered on their own pages.

What is in a 4.8 mg CagriSema vial

Vial contents for the CagriSema blend
ComponentSharePer vial
Semaglutide50%2.4 mg
Cagrilintide50%2.4 mg

Every draw has these same proportions.

Dosing schedule

How CagriSema is commonly stepped up, for reference only.

These are commonly-discussed research protocols shared for educational reference. This is not medical advice and is not a substitute for guidance from a qualified professional.

PhaseAmountFrequencyRoute
Weeks 1–4Semaglutide + cagrilintide; conservative start to limit gastrointestinal effects.0.25 mg + 0.25 mgOnce weeklySubQ
Weeks 5–80.5 mg + 0.5 mgOnce weeklySubQ
Weeks 9–121.0 mg + 1.0 mgOnce weeklySubQ
Weeks 13–161.7 mg + 1.7 mgOnce weeklySubQ
Week 17+Target combined step; step up no sooner than every 4 weeks.2.4 mg + 2.4 mgOnce weeklySubQ

Modelled level — once a week

One curve per component: the components clear at very different rates.

Semaglutide (in CagriSema)Cagrilintide (in CagriSema)

Where these numbers come from

  • REDEFINE 1 (Novo Nordisk phase-3 obesity program)Once-weekly semaglutide 2.4 mg co-formulated with cagrilintide 2.4 mg (CagriSema) escalated over 16 weeks in adults with obesity.
  • Component sourcesSee the semaglutide and cagrilintide pages for the individual components' trials.

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