ForumDosing & Titration

Mazdutide trial results and higher dosing discussion

5 replies3 peopleNov 20, 2025☆ Follow
Summary

How do recent mazdutide study results compare to other GLP-1 drugs on weight loss and liver fat reduction?

The thread shares data from a phase 3 study showing 20% weight loss at 60 weeks with the 9 mg dose and a 72% drop in liver fat, far exceeding placebo and apparently better than tirzepatide on liver fat. Participants note retatrutide reached 24% weight loss in less time even after placebo adjustment. Higher doses up to 16 mg were tested in earlier phase 1 and 2 trials, with the phase 1 results published and phase 2 presented at a conference.

What this discussion establishes

Nothing here is advice.

5 replies · 3 people
CopperLedger37archiveopening postNov 20, 2025

A press release describes a study in which mazdutide at 9 mg produced up to 20.1 percent weight loss among Chinese adults with obesity and met its main and all secondary goals. The sponsor intends to request approval for a weekly maximum of 9 mg rather than the current 6 mg limit. In people without diabetes who started with at least 10 percent liver fat, the 9 mg arm showed a 71.9 percent average drop in liver fat by week 60 while placebo rose 5.1 percent. I recall tirzepatide achieving only an 8 percent reduction, which suggests GIPR activity is required for large liver-fat decreases. The same 9 mg group lost 20.08 percent of body weight at week 60 compared with 2.81 percent on placebo. Weight kept falling steadily through the treatment period without leveling off.

CopperLedger37archiveNov 20, 2025

By comparison retatrutide reached 24 percent weight loss at 48 weeks, twelve weeks earlier than the mazdutide data cutoff. That 24 percent figure already excludes the placebo response. The nearest matching number for mazdutide is 17 percent, so the result still looks strong.

IronWillow10archiveNov 22, 2025

I could have sworn I saw that mazdutide went up to 16 mg in trials.

NorthAnchor41archiveNov 22, 2025
↳ replying to @IronWillow10

It was in a phase 1 clinical trial.

IronWillow10archiveNov 22, 2025
↳ replying to @NorthAnchor41

That feels familiar from earlier on, cheers for the reminder.

CopperLedger37archiveNov 23, 2025
↳ replying to @NorthAnchor41

Sixteen milligrams has been tested in both a phase 1 trial and a phase 2 trial. The phase 1 results appeared in a journal while the phase 2 findings were shown in a poster at a recent obesity conference. Although higher doses of GLP-1 medicines generally produce more weight loss, the gains look especially large with mazdutide. The phase 2 trial explored several dosing regimens in people with obesity or overweight.

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