ForumStacking & Switching

Mixing Cagri+Reta or Tirz+Reta in One Pen Cartridge

5 replies4 peopleAug 12, 2026☆ Follow
Summary

Can Cagri and Reta or Tirz and Reta be safely combined in a single pen cartridge?

Users report no personal experience successfully mixing either pair and advise against it. One notes Cagri affects glucagon receptor activity, making same-day use with Reta unwise. Another clarifies Cagri and Reta both suppress glucagon but not necessarily the receptor, while highlighting stability risks from pH sensitivity and long-term storage. No one endorses the approach.

What this discussion establishesWhere people disagree

Participants differ on the exact mechanism (receptor vs. glucagon suppression) but agree mixing is inadvisable

Nothing here is advice.

5 replies · 4 people
NorthTimber67archiveopening postAug 12

Has anybody tried mixing either pair together in a pen and run into problems? Doses are usually spread across the week, but I wondered whether putting them in one cartridge would work without issues.

AmberLantern34archiveAug 12

I read that Cagri alters glucagon receptor activity somehow. That explains why it's taken on the days between Reta shots. So mixing them in one cartridge is not a good idea.

NorthTimber67archiveAug 13
↳ replying to @AmberLantern34

I have not seen that mentioned anywhere before.

AmberLantern34archiveAug 13
↳ replying to @NorthTimber67

I can no longer locate the paper. There is still a reason to avoid taking them on the same day though.

PatientHarbour61archiveAug 13
↳ replying to @NorthTimber67

Cagri suppresses glucagon. People mix that up with suppressing the glucagon receptor, but those are different. Reta also suppresses glucagon, which shows the distinction. I still would not put them in the same pen. Similar combo efforts have dragged on without success. Why assume this version will suddenly work?

BrightBramble77archiveAug 13

I would not do it either. Reta reacts to pH shifts and many other factors. Plenty of reports show it clouding up from unsuitable BAC water. When I once tried mixing it with another peptide I saw white strings form in the syringe. After that I stopped combining Reta with anything. Cagri needs a low pH setting, so a reaction is possible. Mixing peptides for quick injection is different from keeping them in a pen for a month.

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