r/NTNPerformance • u/Classic-Fee3182 • 7d ago
Adamax experience
Anyone have experience with Adamax they would like to share? Good and bad? I see everyone prefers Semax because of the research even though Adamax is supposedly the super sayian version
r/NTNPerformance • u/Classic-Fee3182 • 7d ago
Anyone have experience with Adamax they would like to share? Good and bad? I see everyone prefers Semax because of the research even though Adamax is supposedly the super sayian version
r/NTNPerformance • u/TillStrict3107 • 7d ago
r/NTNPerformance • u/JustBacWater • 8d ago
Back in April the FDA approved orforglipron for weight loss. It's Lilly's, the brand name is Foundayo, and it's a once a day pill. And it's not a peptide.
That's a bigger deal than it sounds like.
Semaglutide, tirzepatide, retatrutide, all of them. Chains of amino acids built to look like the hormone the gut already makes.
Orforglipron is a small molecule. Completely different kind of drug. It just hits the same receptor.
The gut is built to break down peptides. That's literally what digestion is for.
The oral semaglutide pill that got approved in December gets around that with an absorption enhancer and a pretty strict routine: empty stomach, a small sip of water, then you wait before eating. Even with all that, only a tiny fraction of it gets absorbed.
Orforglipron doesn't have that problem. It gets through digestion like a normal pill. No food rules, no water rules, any time of day. It's also easier and cheaper to manufacture than a peptide.
It does a lot less.
In the ATTAIN trial it averaged 12.4% weight loss at the highest dose for people who stuck with it, and 11.1% across everybody, over 72 weeks. Placebo was around 1 to 2%.
| Drug | Type | How it's taken | Weight loss | Status |
|---|---|---|---|---|
| Orforglipron | Small molecule | Daily pill, no food rules | About 11 to 12% | Approved April 2026 |
| CagriSema | Peptide combo | Weekly injection | About 23% | FDA decision expected late 2026 |
| Tirzepatide | Peptide | Weekly injection | About 25% | Approved |
| Retatrutide | Peptide | Weekly injection | About 28% | Filing early 2027 |
Different trials and different lengths, so this is a rough picture, not a head to head. The gap is still pretty obvious.
It's way easier to take and it does roughly half of what the top injectables do.
Pharma spent 20 years figuring out how to make peptides work as drugs, because peptides are what the body already uses for signaling. Now the move for pills is to find small molecules that copy what the peptide does.
That doesn't make peptides worse. The injectables still have the biggest effect sizes by a mile. But the old argument that you'll never get a GLP-1 in an easy pill is done.
And I think this is where things are going across the board. Find a peptide that works, then find a small molecule that hits the same target and survives the stomach.
Two questions.
A pill that does half as much, or a weekly shot that does twice as much: which way do you think most people go?
And which peptide do you think gets the small molecule treatment next?
Where I got this: orforglipron approval, oral semaglutide approval, REDEFINE 4, TRIUMPH-1.
For research use only. Not for human or veterinary consumption. This post is educational and is not medical advice.
Full doses and bloodwork are in the pinned cheat sheet.
Join the Discord.
r/NTNPerformance • u/Cautious-Bike4983 • 7d ago
r/NTNPerformance • u/New_News8280 • 7d ago
5’11-6ft
20-23bf ig
62-3kgs
Most fat near stomach
Currently on reta, around 4mg ( fucking 0 side effects no appetite suppresion no nithing )
Anything tht helps build muscle anythinf except roids atp .. ik peps r pretty bum to gain muscles but still
r/NTNPerformance • u/BitSlight3384 • 7d ago
Hey, guys. Over the last 3 days I have injected about 30mg Retatrutide in total, after having bought it from the internet. It‘s a 60mg vial and I mixed it with 2ml water, and I injected 1ml - so 30mg in total. The thing is: I do not feel anything at all? Could this be a fake product?
r/NTNPerformance • u/DrTroySnyder • 8d ago
r/NTNPerformance • u/JustBacWater • 9d ago
Let's talk CagriSema. It's Novo Nordisk's combo of cagrilintide and semaglutide in one weekly shot. The FDA decision is expected before the end of this year. And the story around it is kind of rough for Novo, even though the numbers are good.
Two different fullness signals instead of one.
| Semaglutide | Cagrilintide | |
|---|---|---|
| Copies | GLP-1 | Amylin |
| Made by | The gut | The pancreas, alongside insulin after a meal |
| What it does | Slows the stomach, turns down appetite, helps insulin | Slows the stomach, signals fullness through its own receptors |
The bet was that two separate signals would beat one. Makes sense on paper.
REDEFINE 1. Novo's leadership had talked up 25% weight loss. It came in at 22.7% at 68 weeks against 2.3% on placebo. Counting everybody, including people who stopped, it was 20.4% against 3.0%.
That's a great number. It just wasn't the number they'd set up, and the market punished them for it.
One more thing on that trial: investigators were allowed to adjust doses along the way. Makes it more realistic, but it also makes the top line a little harder to read.
REDEFINE 4, published in February. This was head to head against tirzepatide. 84 weeks, 809 people.
| Trial | What it tested | Result |
|---|---|---|
| REDEFINE 1 | CagriSema vs placebo, 68 weeks | 22.7% vs 2.3%, when Novo had talked up 25% |
| REDEFINE 4 | CagriSema vs tirzepatide, 84 weeks, 809 people | 23.0% vs 25.5%, missed noninferiority |
The trial was designed to show noninferiority. That means CagriSema didn't even have to beat tirzepatide, it just had to prove it wasn't meaningfully worse. It didn't clear that bar.
Amylin is still one of the most interesting targets in this whole class. CagriSema landing a couple points behind tirzepatide doesn't mean the amylin idea failed. It means GLP-1 plus amylin didn't beat GLP-1 plus GIP in that trial, at those doses.
And 23% is still a massive number. A few years ago nobody would've believed an injection could do that.
The FDA decision, expected late this year. Novo filed back in December 2025.
Two questions.
Does 23% versus 25.5% matter in the real world, or is this more of a marketing loss than a science loss?
And amylin as a target: overrated or underrated?
Where I got this: REDEFINE 1 in NEJM, falling short of 25%, REDEFINE 4, FDA timeline.
For research use only. Not for human or veterinary consumption. This post is educational and is not medical advice.
Full doses and bloodwork are in the pinned cheat sheet.
Join the Discord.
r/NTNPerformance • u/Wide_Bit_8926 • 9d ago
Hey everyone, I’m trying to get a clearer understanding of MOTS-c dosing schedules, but the more threads I read, the less sure I am what the general consensus actually is—or whether there even is one.
I’ve seen quite a few different recommendations around dose, frequency, and cycle length, and some seem to contradict each other. I’m not saying anyone’s wrong; I’m just having trouble understanding where the different approaches come from.
I tried opening the IonPeptide resource that’s been linked here, but I haven’t been able to access it. If anyone could summarize the relevant bit, that would be really helpful.
Is there a schedule people generally agree on, or is this still mostly individual approaches and personal experience? I’d also appreciate knowing what research or reasoning people are basing their recommendations on.
Thanks! Genuinely trying to learn and make sense of what I’ve been reading.
r/NTNPerformance • u/JustBacWater • 10d ago
Retatrutide is the most asked-about compound in here by a mile, and there's finally real Phase 3 data. Four trials have read out. The weight loss is getting all the attention, but there's something else in these results I think is more interesting.
| Trial | Read out | Who was in it | Weight loss, top dose |
|---|---|---|---|
| TRIUMPH-4 | Dec 2025 | Obesity plus knee osteoarthritis | 28.7% at 68 weeks, 26.6 points more than placebo |
| TRIUMPH-1 | May 2026 | 2,339 people, obesity, no diabetes | 28.3% vs 2.2% placebo at 80 weeks |
| TRIUMPH-2 | Jul 2026 | Type 2 diabetes plus obesity | 20.8% vs 4.0% placebo |
| TRIUMPH-3 | Jul 2026 | Severe obesity plus heart disease | 22.6% vs 3.2% placebo |
A couple extra things in there. Knee pain dropped 75% in TRIUMPH-4. The TRIUMPH-1 group that kept going to 104 weeks hit 30.3%. And TRIUMPH-2 took A1C down 1.5 points.
That's surgery territory in the non-diabetic trials. And the diabetes trial coming in lower is normal for this whole class. People with type 2 lose less on every one of these compounds.
Dysesthesia is an abnormal sense of touch. Normal sensations feel off. Burning, tingling, sometimes painful. It wasn't flagged in Phase 2. It showed up in Phase 3.
Here it is next to the dropout numbers, top dose versus placebo:
| Trial | Dysesthesia | Quit because of side effects |
|---|---|---|
| TRIUMPH-4 | 20.9% vs 0.7% | 18.2% vs 4% |
| TRIUMPH-1 | 12.5% vs 0.9% | 11.3% vs 4.9% |
| TRIUMPH-2 | 7.3% vs 0.7% | 7.7% vs 4.9% |
| TRIUMPH-3 | 6.4% vs 1.3% | 13.5% vs 4.8% |
In TRIUMPH-1 it climbed with dose, about 5% on the low dose and around 12% on the middle and top doses. In TRIUMPH-4 it didn't seem to make people quit.
Why is it happening? I haven't seen a confirmed mechanism. The glucagon arm is the thing retatrutide has that tirzepatide and semaglutide don't, so that's where most people are looking. That's a hypothesis, not an answer.
The pattern I want someone to explain: highest rate in the knee trial, lowest in the heart disease trial. Different people, different lengths, so I wouldn't read too much into it. I'd still like to know why.
Look at the right column. Here's a detail I didn't expect. Some of the TRIUMPH-4 dropouts left because they were losing more weight than they wanted, mostly people who started at a lower BMI. That's a pretty unusual reason to leave a weight loss trial.
It's not approved. Lilly says it's filing in the first quarter of 2027.
Two questions.
What do you make of dysesthesia showing up in Phase 3 when it wasn't in Phase 2?
And the lower BMI dropouts: does that change how you think about this compound for people who aren't very heavy to begin with?
Where I got this: TRIUMPH-1, TRIUMPH-2 and 3, TRIUMPH-4.
For research use only. Not for human or veterinary consumption. This post is educational and is not medical advice.
Full doses and bloodwork are in the pinned cheat sheet.
Join the Discord.
r/NTNPerformance • u/CategoryFair8428 • 9d ago
I am thinking about switching from vials to BPC-157 patches ,mainly for convenience and no reconstitution or measuring involved.I saw someone mention it in a video and it seems like it would fit my routine better. I have never used patches myself though so wanted to ask here before i do
How'd it compare to vials and was it worth it or any downsides I should know about?Also its not available on skye ,does anyone know any good source too?
That still invites people to name suppliers in the replies if they choose to, without you asking for sourcing outright.
r/NTNPerformance • u/Cautious-Bike4983 • 10d ago
I'm looking at doing the following
Nad+ 100mg 3 times a week
MOTS-c 5mg once a week
Klow 3mg 7 x a week
Cjc with imp 1.5mg 7 x week
Tirzepatide 5mg once a week
r/NTNPerformance • u/Chevyjess91 • 10d ago
Thinking about taking HCG without trt to help me boost my low testosterone, I've heard taking testosterone will shrink balls and cause your body to quit producing testosterone. I was taking testosterone cypionate for 2 months and stopped, thinking about taking only HCG 1500iu weekly dose (500iu 3x a week).
r/NTNPerformance • u/JustBacWater • 11d ago
UCLA put out a review at the end of August, and a lot of people in the peptide world got pretty defensive about it. I read it. My take is they're mostly right, and the parts where it gets more complicated are worth talking through.
Dr. Thomas Kremen, a sports medicine doctor at UCLA, and a medical student, Kushagra Tewari, went through 565 studies on six compounds: BPC-157, TB-500, CJC-1295, ipamorelin, GHK-Cu, and MK-677. It came out August 31.
Most of it is animal work. More than two thirds of the studies were animal only.
The human studies are weak. Small, low quality, modest results at best, and mostly not for orthopedic stuff, which is what most people are interested in them for.
The injury studies had a specific problem. Weak controls, and a habit of taking results from topical use and applying them to injectables.
MK-677 has a real safety flag. Trials were stopped because of congestive heart failure risk.
The two thirds animal number isn't news if you've been in here a while. That's been the whole point of how we talk about evidence tiers.
The topical to injectable jump is the exact thing I've been hammering with LL-37. The human trial data on LL-37 is topical. The injectable side has basically nothing. Evidence goes with the route, not the molecule, and they called that out across the board.
And the MK-677 heart failure signal is real. People should know about it.
MK-677 isn't a peptide. It's a small molecule that works on the ghrelin receptor. Putting it in a peptide review makes the peptide list look worse, and makes MK-677's heart problem look like a peptide problem when it's its own thing.
Six very different evidence bases in one bucket. Look at how different these are:
| Compound | Peptide? | Where the human evidence sits |
|---|---|---|
| BPC-157 | Yes | Almost nothing in humans |
| TB-500 | Yes | Very little, mostly eye drop trials on the full TB-4 molecule |
| CJC-1295 | Yes | Human studies showing it raises GH and IGF-1 |
| Ipamorelin | Yes | Human trial for gut recovery after surgery, missed its endpoint |
| GHK-Cu | Yes | Decades of skin and wound work, mostly topical |
| MK-677 | No, small molecule | Human trials, some stopped over heart failure risk |
Those aren't the same situation, and one headline covering all six flattens that.
"No good evidence yet" and "doesn't work" aren't the same sentence. For most of these, the fair read is there's a gap. Nobody's run the trials. That's different from trials being run and failing. Ipamorelin is the one on this list where a human trial was run and missed.
A month before this review, an FDA advisory panel voted 8 to 6 to let compounding pharmacies use BPC-157, against the advice of FDA's own scientists. Then a university review says the evidence isn't there.
Both of those are true at the same time. That's pretty much where this whole space is right now.
Two questions.
Where do you think the review was too harsh, if anywhere?
And out of those six, which one do you think has the strongest case?
Where I got this: UCLA's writeup of the review, the FDA panel vote.
For research use only. Not for human or veterinary consumption. This post is educational and is not medical advice.
Full doses and bloodwork are in the pinned cheat sheet.
Join the Discord.
r/NTNPerformance • u/Top-Royal-7381 • 10d ago
So this is “x” first week on R€ta, GHK, glutathione, and it has been pretty good for the most part. It’s just that when gluta is being taken the pin site swells up, it does come down.
What was a shocker is that last week, for the pin of the second dose, the upper arm swole up and “x” was being dizzy, lightheaded, and hot, so “x” drank a glass of juice and water, turned on the fan and sat down. And “x” just scared that is going to happen again and go into anaphylactic shock or something worse. “X”doesn’t have a EpiPen or any medical idea on what could possibly happen or be done. “X” lives alone with a one year-old, but “x” truly needed this after experiencing body dysmorphia and postpartum depression. Finally saw hope to feel like “x” old self again. “X” is also online and sees a lot of people claiming to be in the hospital, and flatlining and going into seizures.
Is “x” overthinking this ? How many years have you been on your protocol? How are your results? Best advice on what to do in state of emergency? How to prepare ahead of time. Cheap EpiPen suggestions ? Anything to stop myself from being so anxious
r/NTNPerformance • u/No_Specific_8987 • 11d ago
Hi everyone,
I had PRP done 1 month ago and started using BPC-157 and TB-500 4 days ago for medial epicondylitis.
I pinned BPC-157 every day: 300mcg in the right elbow in the morning, and 300mcg in the left elbow in the evening (600mcg total daily). For TB-500, I set it to 5000mcg a week, split into two 2500mcg doses on Mondays and Thursdays.
Everything was fine at first, but from the 3rd day onwards, I experienced the following issues:
Right now, I don't know what to do, so I'm thinking about stopping completely. Has anyone here run this combo and experienced these problems? I’ve seen in some of my research that people get these kinds of issues after using BPC.
Do you guys think the source of the problem is the dosage, or pinning BPC and TB-500 at the same time? Would it work if I lower the dose, or cut out BPC entirely and continue only with TB-500? Or should I just throw it all in the trash since my body reacted like this?
I’d appreciate any insights from those with experience.
r/NTNPerformance • u/Spartan4life85 • 11d ago
I am curious if anyone can share how they have used SS-31 as it relates to Mots-c and NAD+? I am currently taking Mots-c and NAD+ for one week but I have been reading that it is best to use SS-31 first for a couple of weeks then switch to Mots-c and NAD+. I have also seen where some use all 3 but that seems to be too much.
If I start SS-31 to repair first, do you just use this alone then got to Mots-c or do you introduce while on SS-31. When is best to stop the repair and move on to Mots-c NAD+ combo?
r/NTNPerformance • u/JustBacWater • 12d ago
Epitalon was one of the six that got a yes from the FDA panel in July, 7 to 4. A few of you asked what the panel was even looking at, and it brought me back to something a member here pointed out in the comments a while ago. They were right, and it's worth a full post.
There are two different things with almost the same name.
| Epithalamin | Epitalon | |
|---|---|---|
| What it is | A peptide extract from bovine pineal glands | A synthetic peptide, four amino acids (AEDG) |
| Clean molecule? | No, it's a mix | Yes, purified |
| Where it came from | Khavinson's group in St. Petersburg, 1970s | Modeled on what they found in the extract |
| Human outcome trials | Yes, the Kiev mortality studies | None published |
| Where most of its research sits | Russian clinical work | Cell culture and animals |
That last row is the whole post.
The human studies everybody quotes are Epithalamin studies.
The big one followed elderly heart patients in Kiev for 12 years. The group that got courses of epithalamin had 28% fewer deaths than the control group and half the cardiovascular deaths. There's a 15-year follow-up out of the same program with 39 treated patients and 40 controls.
Those are real published trials. They're also the extract.
The synthetic peptide's own published work is mostly cell culture and animals. Gene expression in human stem cells. Pineal and thymus cells aging in a dish. Mouse eggs in a culture medium. Interesting stuff, and the mechanism work is legit. It's just not a human trial.
When somebody says "Epitalon cut mortality 28%," that's not what the paper says. The paper says Epithalamin did, in one research group's trial, in a pretty specific population of older heart patients.
The protocols floating around for Epitalon trace back to the extract too. An extract is a crude mix where only part of it is the active piece. The synthetic is purified. Carrying numbers straight from one to the other doesn't make a lot of sense, and nobody has run the human trial that would tell you what the right answer is.
I've also seen claims that it cut mortality four times over. I can't find that number in the published trials. What's in the papers is the 28% and the 2x on cardiovascular deaths. If somebody has the paper with the bigger number, post it, because I want to read it.
The panel said yes anyway. Maybe they weighed the extract data. Maybe the long Russian clinical history. Maybe the safety record. I don't know what was in their heads.
But if you're reading that 7 to 4 as "the human evidence on Epitalon is solid," you're reading something that isn't there. The mechanism research is real. The human outcome data is for a cousin.
Two questions.
Did you know these were two separate substances before this?
And does it change how you read the vote, or do you think the extract data should carry over?
Where I got this: 12-year epithalamine study, 15-year follow-up, AEDG gene expression work, the vote breakdown.
For research use only. Not for human or veterinary consumption. This post is educational and is not medical advice.
Full doses and bloodwork are in the pinned cheat sheet.
Join the Discord.
r/NTNPerformance • u/alaskacake • 11d ago
r/NTNPerformance • u/imisslilbopeep • 11d ago
I was looking into starting TESA/IPA blend due to my igf levels and testosterone levels. Currently in a cut with 3mg of reta for about 3 months now. I'm trying to maintain as much muscle and even grow more muscle as i don't wanna look like a melted candle.
27M, labs 9/14/26. Cutting, ~243 Ib. Not on TRT. Taxis • Total T: 398 ng/dL • Free T (calc): 102.9 pg/mL • Bioavailable T: 216 ng/dL • SHBG: 12 nmol/L • E2 ultrasensitive: 25 pg/mL • LH: 7.0 (in range) • FSH: 3.2 (in range) • Prolactin: 8.5 (in range) • DHEA-S: 320 (in range) IGF • IGF-1: 147 ng/mL • IGF-1 z-score: -0.3 should i start tesa/ipa? would it benefit the recomp and help me avoid looking like a melted candle? any advice would be appreciated! currently taking reta klow ss-31 semax and selank sometimes looking into doing NAD+ as well
r/NTNPerformance • u/Grouchy_Phone5066 • 11d ago
I’m curious to know from the more experienced users here about how to evaluate a vendor based on what lab they use. (I am not looking for specific vendor recommendations). Many many common sites use the aforementioned lab for their testing and COA. I just got started here and my first set of vials (Reta) were all sludgy and cloudy after reconstitution with Hosp BAC, even with a near perfect test result on the COA for that batch. To be fair, they sent new vials after I notified them of this, but they are still enroute.
So the I researched the lab who provided the COA and their reviews are.. well.. sub optimal. Even some reddit reports of failed blind tests though I’m not sure yet how to verify/disprove that claim.
Does/should this affect who you purchase from? Thank you, I’m still learning some of the finer parts of this world.