Survodutide
Also known as: BI 456906, GLP-1/glucagon dual agonist
limited human dataNot FDA approvedResearch only
Published Dose Range
Low0.6 mg/week
Typical2.4-3.6 mg/week
High6 mg/week
Phase 2 obesity trial used dose-escalation up to 6 mg/week over 46 weeks. Phase 3 program ongoing for obesity and MASH.
Published Cycle Range
No published cycle data available.
Administration
Routessubcutaneous
FrequencyOnce weekly
Preferred timingSame day each week
Safety Profile
Contraindications
- • Personal or family history of medullary thyroid carcinoma (class label)
Common side effects
- • Nausea
- • Vomiting
- • Diarrhea
- • Decreased appetite
- • Headache
Serious risks
- • Pancreatitis risk (class effect)
- • Glucagon-mediated transient hyperglycemia in non-diabetic users (mechanism-related)
Drug interactions
- • Insulin
- • Sulfonylureas
Requires monitoring
- • Blood glucose
- • Heart rate
Pregnancy / breastfeeding
Avoid — limited human data
Common Misconceptions
- Glucagon agonism increases energy expenditure but can transiently raise blood glucose — distinct mechanism vs pure GLP-1 agonists
- Not yet approved — investigational only
Next Steps
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