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Its Phase 3 weight-loss figures (in the low-to-mid 20% range) and its late-2025 FDA filing belong to the combination product, not to standalone cagrilintide, which remains at the Phase 2 stage with a peer-reviewed monotherapy result of about 10.8% at 26 weeks

Evening administration faces three obstacles: circadian suppression of autophagy (PER2 gene expression peaks in the evening and actively inhibits autophagy initiation), postprandial insulin signaling (which blocks AMPK-mediated autophagy), and reduced lymphatic clearance during sedentary evening hours

Rotation between sites minimizes this issue

Restoring it is a major research focus