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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.

Further down: the full list with frequencies · when to get medical help · questions

Medically reviewed by Jennifer Montecillo, MD · non-practicing medical reviewerReviewed 2026-08-17open the primary sources

At a glance

Common reactions listed

6

Serious reactions listed

0

Boxed warning

No label exists

Strongest source

Human trial

The counts show how many distinct reactions the cited trial report names. The percentages show how often a reaction appeared in a study group, not the chance that it will happen to you.

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.

Common reactionstrial-reported
ReactionFrequency
VomitingReported by 53.1% on 9 mg weekly (vs 1.3% on placebo)
NauseaReported by 46.9% on 9 mg weekly (vs 3.2% on placebo)
DiarrheaReported by 39.4% on 9 mg weekly (vs 6.5% on placebo)
Stopping treatment because of a side effect2.9% 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 trialsComparable 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 moderateThe most frequently reported events in every mazdutide trial published so far

Human trialEvery reaction above comes from a cited trial. These are study findings, not instructions on what to take.

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.

EmergencySome symptoms should not wait for an appointment. Call emergency services (911 in the US) if they are severe, getting worse fast, or involve trouble breathing, chest pain, fainting or confusion.

1Read deeperTiming, evidence limits, and product context

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.

  • Approved in China, not in the United States. FDA has approved no mazdutide product and holds no label for it. A Drugs@FDA search on 13 August 2026 found nothing under any of its four names
  • At 10 milligrams in 2 milliliters, the draw for 6 mg is 1.2 mL and for 9 mg is 1.8 mL. Neither fits a 1 mL barrel, so the common habit of mixing into 2 mL does not work at this compound’s upper doses
  • Nobody here has read the approved Chinese label. Every quantity on this page is a trial arm from a published paper. That is why no dosing schedule is printed as one
  • Every result was measured in Chinese adults. An independent 2026 review of nine trials says longer and more varied studies are still needed. It names durability, wider populations and heart safety as the open questions
  • Participants also started lighter than a US obesity trial would enroll. The average was 87.2 kg in one phase 3 trial and 94.0 kg in the other. A percentage of body weight is a percentage of the body it was measured in
  • Trial doses are study information, not a recommendation
  • Gut reactions were the rule rather than the exception at the highest dose. More than half the 9 mg group reported vomiting, and nearly half reported nausea
  • The climb in the trials was slow. Each step lasted four weeks, and reaching 6 mg took eight weeks of lower doses first. Faster increases were not studied
  • The same two doses run through the diabetes trials as through the obesity ones. So a milligram figure for this compound does not say which trial it came from, or which question it was answering
  • The 9 mg figure comes from one trial with a single dose group. It did not compare 9 mg with a lower dose, so the study cannot tell us what the step up from 6 mg changes
  • The dose-finding trial that chose these amounts ran 3 mg, 4.5 mg and 6 mg for 24 weeks in 248 people. The 4.5 mg arm went no further, so it has a published result and no later trial behind it
  • The comparison most readers want is against semaglutide. Two phase 3 trials running exactly that comparison are registered and one of them has finished, but no result from either has been published
  • Doses above 9 mg have been given only in small early trials. One gave 10 mg to eight people. Another climbed 24 people toward a 16 mg target over twenty weeks. A figure above that range has nothing behind it
  • Employees of Innovent Biologics are co-authors on every trial cited here. That is ordinary for a drug company’s own program. It is also why an independent review is cited beside them
  • This acts on the glucagon receptor as well as GLP-1. That is what separates it from semaglutide and tirzepatide. The second receptor is not simply extra weight loss, and what it does over years is not settled in anyone
  • Anything sold under this name outside a Chinese pharmacy is not the approved product. No regulator anywhere has looked at what is in the vial

This is the one compound on this site approved somewhere and not here.

China approved mazdutide in June 2025 for weight, and in September 2025 for type 2 diabetes. It is sold there as Xinermei. That approval governs a Chinese pharmacy and nothing else.

FDA has approved no mazdutide product, and a Drugs@FDA search on 13 August 2026 found nothing under any of its four names. The drug is dispensed under supervision several thousand miles away. Anything reaching a US reader outside that is unapproved and unchecked.

No schedule is copied from the Chinese label, because nobody here has read it.

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.

3primary sources, each with the day we read it — open the documents used on this page