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GLP-1/glucagon dual receptor agonist · safety
Mazdutide side effects
The mazdutide side effects reported most often are vomiting, nausea and diarrhea. The full list is below, with the cited trial report cited at the bottom of the page.
These effects tend to cluster at the start and after each dose increase, and to settle down while the dose stays the same.
Mazdutide is a once-weekly injection that works on two hormone receptors at once, GLP-1 and glucagon. It is the same class idea as tirzepatide, with a different second target. In China it is prescribed for weight and for type 2 diabetes. Everywhere else it is sold online to people who want the newest weight-loss injection.
The trial program is large, and every trial in it was run in China. Two phase 3 trials compared it against placebo and reported substantial weight reduction. An independent review of nine trials says longer-term, multi-ethnic data is still needed. Nobody outside a Chinese pharmacy is getting the approved product.
At a glance
Common reactions listed
6
Serious reactions listed
0
Boxed warning
No label exists
Strongest source
Human trial
Common reactions
The full list, as reported across the available trial evidence. There is no FDA-approved label to read frequency bands off, so these are the trials’ own figures.
| Reaction | Frequency |
|---|---|
| Vomiting | Reported by 53.1% on 9 mg weekly (vs 1.3% on placebo) |
| Nausea | Reported by 46.9% on 9 mg weekly (vs 3.2% on placebo) |
| Diarrhea | Reported by 39.4% on 9 mg weekly (vs 6.5% on placebo) |
| Stopping treatment because of a side effect | 2.9% on 9 mg weekly (vs 0% on placebo); 1.5% on 4 mg and 0.5% on 6 mg in GLORY-1 |
| Serious adverse events, and stopping treatment, pooled across nine randomized trials | Comparable to the comparator arms in an independent review of 2,292 participants — the one source on this record with no manufacturer authorship. The same review found gastrointestinal events more frequent on mazdutide |
| Gastrointestinal reactions generally, mostly mild to moderate | The most frequently reported events in every mazdutide trial published so far |
When to seek medical care
The trial report does not give a separate list of serious reactions. There is also no approved label. That gap does not mean serious reactions cannot happen. This compound has been studied in fewer people and for less time than an approved drug.
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What the 48-week trial can—and cannot—show
The page above comes from a dose-finding study with 610 people. It tested weekly doses of 4 mg · 6 mg. The study shows what happened during that window. It may miss rare or later problems.
This page preserves 6 common reactions and 0 serious entries from that report. A missing reaction is outside this bounded record; it is not a result that the reaction cannot occur.
Common questions
How long do mazdutide side effects last, and do they go away?
The 48-week trial report does not establish a set number of days for any reaction. It records whether an event occurred during the study, not a reliable personal countdown for when it will stop.
What are the most common mazdutide side effects?
Vomiting, nausea, diarrhea and stopping treatment because of a side effect — the table above has the rest, each with its frequency band and source.
Does mazdutide have a boxed warning?
No, because a boxed warning is part of an FDA-approved label and mazdutide has no FDA-approved label. That reflects what regulatory review has and has not covered, not a finding that serious risks were looked for and ruled out.
Can the mazdutide dose be lowered if side effects are hard to tolerate?
That decision belongs to the prescribing clinician. No approved schedule exists for this compound, so there is no labeled framework for adjusting a dose. That leaves the prescriber as the only place the decision can sit.
Were hair loss, fatigue or constipation listed for mazdutide?
In the 48-week report, none of those three terms was listed; hair loss, fatigue and constipation were not. That is a statement about the paper’s recorded terms, not proof that an unlisted symptom cannot occur.
What should someone do about a serious mazdutide reaction?
Contact a clinician promptly, and emergency services if symptoms are severe or getting worse quickly. The available sources do not list any reactions as separately serious. That means there is no early-warning list here—not that serious reactions are impossible.
Do the frequencies on this page mean the chance it happens to one person?
No. These figures describe groups in a study. A band shows how often a reaction appeared under that trial’s conditions. It cannot predict what will happen to one person.
Related
The schedule these reactions were recorded against, the comparisons, and the sourcing rules behind every grade on this page.
Mazdutide research, dosing, and approval status
The mazdutide trial dosing program, arm by arm
Work out the mazdutide draw in syringe units
The generic calculator behind the mazdutide one
Which other pages list diarrhea besides mazdutide
Nausea across every page, not just mazdutide
Primary regulatory documents, including mazdutide
Every compound guide, mazdutide and the rest
- Gao L et al. Treatment With 9-mg Mazdutide for Weight Reduction in Chinese Adults With Obesity: The GLORY-2 Randomized Clinical Trial. JAMA 2026;336(5):377-388 — 60 weeks, ClinicalTrials.gov NCT06164873 (PMID 42251595)retrieved 2026-08-17Human trial
- Kamrul-Hasan ABM et al. Efficacy and Safety of the Dual GLP-1 and Glucagon Receptor Agonist Mazdutide in Predominantly Chinese Adults With Obesity and/or Type 2 Diabetes: A Systematic Review and Meta-Analysis. Diabetes Obes Metab 2026 — nine randomized trials, 2,292 participants, no manufacturer authorship (PMID 42410325)retrieved 2026-08-17Human trial
- Ji L et al. Once-Weekly Mazdutide in Chinese Adults with Obesity or Overweight. N Engl J Med 2025;392:2215-2225 (GLORY-1, NCT05607680, PMID 40421736)retrieved 2026-08-17Human trial