Follistatin vs Pramlintide

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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Pramlintide

Pramlintide (Symlin) is a synthetic analog of amylin, FDA-approved as an adjunct to insulin therapy in type 1 and type 2 diabetes. It helps control post-meal blood sugar spikes and promotes modest weight loss.

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Side-by-Side Comparison

AspectFollistatinPramlintide
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.Mimics amylin's effects: slows gastric emptying, suppresses glucagon secretion after meals, and promotes satiety through central mechanisms. Complements insulin therapy.
Typical DosageResearch protocols typically use 100-300mcg daily, though optimal dosing is not well established. Gene therapy approaches have also been studied.Type 1: Start 15mcg before meals, titrate to 30-60mcg. Type 2: Start 60mcg, may increase to 120mcg. Always with meal containing 30+ grams carbs or 250+ calories.
AdministrationSubcutaneous injection. Different isoforms exist (FS344, FS315) with varying properties. Requires careful sourcing due to complexity.Subcutaneous injection immediately before major meals. Must reduce mealtime insulin by 50% when starting to prevent hypoglycemia. Never mix with insulin.
Side EffectsLimited human data. Theoretical concerns about effects on other organs where activin signaling is important.Nausea (very common initially), headache, anorexia, vomiting, and abdominal pain. GI effects typically improve over time.
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Key Differences

Unique to Follistatin:

Unique to Pramlintide:

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