Follistatin vs Cagrilintide

A detailed comparison to help you understand the differences and choose the right peptide for your research goals.

Follistatin

Follistatin is a glycoprotein that inhibits myostatin, the protein responsible for limiting muscle growth. By blocking myostatin, follistatin can theoretically allow for increased muscle development beyond natural limits.

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Cagrilintide

Cagrilintide is a long-acting amylin analog in development, showing promising results when combined with semaglutide (CagriSema). Amylin is a hormone co-secreted with insulin that promotes satiety.

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Side-by-Side Comparison

AspectFollistatinCagrilintide
MechanismBinds to and neutralizes myostatin and activin, both of which are negative regulators of muscle mass. This removes the natural brake on muscle growth, allowing for enhanced hypertrophy.Activates amylin receptors (calcitonin receptor with RAMP proteins) to slow gastric emptying, suppress glucagon secretion, and reduce food intake through central satiety mechanisms distinct from GLP-1.
Typical DosageResearch protocols typically use 100-300mcg daily, though optimal dosing is not well established. Gene therapy approaches have also been studied.Clinical trials: 2.4mg weekly as monotherapy or in combination with semaglutide 2.4mg (CagriSema). Optimal dosing still being determined.
AdministrationSubcutaneous injection. Different isoforms exist (FS344, FS315) with varying properties. Requires careful sourcing due to complexity.Subcutaneous injection once weekly. Currently only available in clinical trials - not yet FDA approved.
Side EffectsLimited human data. Theoretical concerns about effects on other organs where activin signaling is important.Nausea, vomiting, diarrhea, constipation similar to other incretin-based therapies. Combination with semaglutide may increase GI effects initially.
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Key Differences

Unique to Follistatin:

Unique to Cagrilintide:

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