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Weight ManagementIntermediateGray Area

Mazdutide

Dual GLP-1/Glucagon Receptor Agonist (IBI362)

Low Dose
3 mg/wk
Medium Dose
6 mg/wk
Route
SubQ weekly
Cycle Length
Ongoing

Mechanism of Action

Dual GLP-1 and glucagon receptor agonist. GLP-1 agonism suppresses appetite and slows gastric emptying; glucagon receptor agonism increases energy expenditure and lipid oxidation, aiming to offset the metabolic-rate decline seen with GLP-1 monotherapy.

Key Benefits

  • Significant weight loss in Chinese phase 3 trials (DREAMS program)
  • Improved glycemic control, outperforming dulaglutide on both weight and HbA1c
  • Improved waist circumference, lipids, liver enzymes, and uric acid
  • Glucagon co-agonism may offset the metabolic-rate decline seen with GLP-1 monotherapy

Dosing Protocol

Low / Starting Dose
3 mg/wk
Medium / Maintenance Dose
6 mg/wk
Administration Route
SubQ weekly
Half-Life
~6–7 days (supports once-weekly dosing)
Frequency
Once weekly
Cycle Length
Ongoing
Protocol Notes

Almost all efficacy/safety data is from Chinese trials (DREAMS program); multi-ethnic long-term data still pending. Titrate similarly to other GLP-1-class agents.

Ideal Candidates

Adults with obesity and/or T2D, particularly those seeking a dual-mechanism option; data is predominantly in Chinese populations.

Side Effects & Safety

Gastrointestinal effects (nausea, diarrhea) more frequent than comparators; serious adverse event and discontinuation rates comparable to dulaglutide/semaglutide.

Regulatory Status

Gray Area

Approved in China (NMPA, 2025) for weight/glycemic management; not FDA-approved in the US. No 503A listing — research/international sourcing only.

Evidence & Citations

Frequently asked

What is Mazdutide?+

Mazdutide (Dual GLP-1/Glucagon Receptor Agonist (IBI362)) is a peptide studied for dual receptor agonist and weight loss. Dual GLP-1 and glucagon receptor agonist. GLP-1 agonism suppresses appetite and slows gastric emptying; glucagon receptor agonism increases energy expenditure and lipid oxidation, aiming to offset the metabolic-rate decline seen with GLP-1 monotherapy.

What is the dosing protocol for Mazdutide?+

Literature commonly references 3 mg/wk (low) to 6 mg/wk (maintenance) via SubQ weekly, on a ongoing cycle. Educational reference only — a licensed Stackhaus Health provider sets any personalized protocol.

What is the regulatory status of Mazdutide?+

Approved in China (NMPA, 2025) for weight/glycemic management; not FDA-approved in the US. No 503A listing — research/international sourcing only.

Where can I access Mazdutide?+

Research-grade Mazdutide is available through Stackhaus Research. For a personalized, provider-reviewed protocol, consult a licensed clinician through Stackhaus Health.

More in Weight Management

Written and reviewed by Stackhaus Academy Editorial Team · Last reviewed July 2026

Educational Only. This page is educational reference material, not medical advice. It does not establish a doctor-patient relationship and is not a substitute for individualized clinical guidance. Personalized protocols and clinical decisions are made through a licensed provider via Stackhaus Health.