GLP-1 / GIP / Glucagon

Type Hormone receptor systems (incretin axis + counter-regulatory)
Related compounds Retatrutide, Tirzepatide, Ecnoglutide, Semaglutide, Orforglipron, CagriSema, Survodutide, Mazdutide


Three Axes

AxisSourcePrimary Function
GLP-1L-cells (gut, post-prandial)Satiety, gastric delay, insulin secretion
GIPK-cells (duodenum, post-prandial)Insulin synergy, adipose lipid buffering
Glucagonα-cells (pancreas, fasting)Hepatic glucose output, lipolysis, thermogenesis

GLP-1 — Appetite Axis

  • Released in response to food intake
  • Binds hindbrain + hypothalamus → suppresses appetite independent of gastric stretch
  • Delays gastric emptying → prolonged satiety
  • Crosses BBB → hypothalamus + hindbrain → modifies food reward pathways
  • Retatrutide: GLP-1R component is ~0.4× endogenous potency

vs. CB1 (Cannabis): GLP-1 and CB1 have reciprocal inhibitory cross-talk — CB1 activation can reduce circulating GLP-1; cannabis may partially blunt GLP-1 agonist weight-loss signaling. See GLP-1 vs CB1 cross-talk.


GIP — Lipid Buffering Axis

  • Released from duodenal K-cells in response to fat + carbohydrate
  • Potentiates glucose-stimulated insulin secretion (incretin effect)
  • Improves subcutaneous adipocyte lipid buffering capacity
  • Prevents ectopic fat deposition (visceral, hepatic, intramuscular)
  • Retatrutide: GIPR component is ~8.9× MORE potent than endogenous GIP — the dominant receptor in its pharmacology

Glucagon — Energy Expenditure Axis

  • Activated during fasting / hypoglycemia
  • Stimulates hepatic glycogenolysis + gluconeogenesis → raises blood glucose
  • Drives hepatic lipolysis + β-oxidation → ketone production
  • Increases resting energy expenditure (REE) via thermogenesis
  • The differentiator: Counteracts adaptive metabolic slowdown that kills GLP-1 mono-agonist weight loss
  • Retatrutide: GCGR component (~0.3× endogenous) is deliberately moderated to drive thermogenesis without hepatic glucose dumping

Clinical Pharmacology Differences

DrugMechanismWeight lossKey distinction
SemaglutideGLP-1 mono~15%First-gen injectable standard; CV-protection evidence exists for injectable semaglutide
OrforglipronGLP-1 mono, non-peptide allosteric small molecule~9–11%Oral once daily; no fasting requirement; lower weight-loss ceiling than injectable dual/triple agonists; GI tolerability is the main limitation
TirzepatideGLP-1 + GIP dual~21%GIP adds lipid buffering
EcnoglutidecAMP-biased GLP-1~15.4%Bias toward lipolysis
RetatrutideGLP-1 + GIP + Glucagon triple~28.7%GCGR prevents plateau
MazdutideGLP-1 + Glucagon dual~14%China-approved only; Chinese adults; GLORY-1 phase 3; no head-to-head vs semaglutide 2.4 mg, tirzepatide, or retatrutide
SurvodutideGLP-1 + Glucagon dual~15% (phase 2)BI 456906; phase 3 SYNCHRONIZE; MASH signal

Stack Implications

  • GLP-1 agonists cause skin laxity → stack with GHK-Cu
  • GLP-1 agonists cause lean mass loss → stack with SLU-PP-332 or XW4475/bimagrumab
  • MC4R (Melanotan II PT-141) appetite suppression is separate axis — additive with GLP-1
  • Retatrutide’s GCGR axis is unique — no plateau, unlike all prior GLP-1 agents


Source: Gemini Deep Research · TRIUMPH-4 · PeptideDosages.com 2026-03-20