Setmelanotide vs FGL

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

Setmelanotide

Setmelanotide (Imcivree) is an FDA-approved MC4R agonist for chronic weight management in patients with obesity due to specific genetic conditions (POMC, PCSK1, or LEPR deficiency).

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FGL

FGL (FG Loop) is a synthetic peptide that mimics the neural cell adhesion molecule (NCAM) FG loop region. It promotes neuroplasticity and has shown cognitive-enhancing effects in research.

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Side-by-Side Comparison

AspectSetmelanotideFGL
MechanismSelective agonist of melanocortin 4 receptors (MC4R) in the hypothalamus, restoring the satiety signaling pathway that is disrupted in certain genetic obesity syndromes.Binds to FGFR1 (fibroblast growth factor receptor 1) to activate downstream signaling cascades that promote neurite outgrowth, synaptic plasticity, and neuronal survival.
Typical DosageAdults: Start 2mg daily, titrate based on tolerability up to 3mg daily. Pediatrics (6+): Weight-based dosing starting at 1mg daily.Research protocols have used subcutaneous doses ranging from 1-10mg. Intranasal administration also studied. Optimal dosing not established.
AdministrationSubcutaneous injection once daily. Requires genetic testing to confirm eligible mutations before prescribing.Subcutaneous injection or intranasal administration. Research compound with limited human dosing data.
Side EffectsInjection site reactions, skin hyperpigmentation, spontaneous penile erections, depression, and suicidal ideation (boxed warning). GI effects less common than GLP-1s.Limited human data available. Animal studies show good tolerability.
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Key Differences

Unique to Setmelanotide:

Unique to FGL:

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