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Compounds · Other compounds · continued

Revisiting: Melanocortin agonists: mechanism and the documented adverse profile posts 61–90

This is a continuation of a long topic, addressed by post number rather than by page. Start at post 1 · go to the accepted answer.

OA
o.abrahamsenTL3Regular20 Oct 2024#61

Melanotan II is a non-selective melanocortin agonist, which is why its effects are not confined to pigmentation. The non-selectivity is the mechanism and not a side issue.

2 likes 21mo
RN
r.novakTL220 Oct 2024#62

I had written a reply contradicting post #60 and deleted it. Here is what survived.

Thymosin alpha-1 has a regulatory history in several jurisdictions and a real clinical literature, which puts it in a different evidential category from most of its neighbours here.

Worth one more sentence than it usually gets.

8 likes 21mo
TS
t.steenkampTL2Member21 Oct 2024#63
a.teixeira, post #2: Everything in the opening post holds. The case it does not cover is the one I have. Melanotan II is a non-selective melanocortin agonist, which is why its effects are not confined to pigmentation. The non-selectivity is the mechanism and not a side issue. I checked the source rather than the summary, and they differ. Go to post

Picking up post #62: that is the part I would want checked first.

Where I have landed on Melanocortin agonists, having got it wrong once in public: the direction is clear, the magnitude is not, and anyone quoting a precise magnitude has borrowed it from somewhere that did not measure it.

27 likes in reply to #2 21mo
KA
k.adeyemiTL221 Oct 2024#64
dr_okonkwo, post #16: Reading a supplier's product description as a marketing document: that is exactly what it is. The hyperbole, the mechanism written as fact, the theoretical benefits stated as established benefits — all of that is marketing. Treat it as such and separate it from evidence where evidence exists. Posted with less confidence than the… Go to post

Worth separating Melanocortin agonists as a question about the compound from Melanocortin agonists as a question about the documentation. They get answered by different people and only one of them is answerable here.

0 likes in reply to #16 21mo
BR
buffer_reviewTL3Regular22 Oct 2024#65

Appreciated. The plain phrasing does more work here than a longer post would.

4 likes 21mo
SV
sa.vogelTL222 Oct 2024#66

Where I part company with post #64, and it is a narrow parting.

Storage guidance for the less common material is usually copied from the incretin guidance and may not apply. Where the supplier has its own stability statement, that is the one to use.

If that reads as pedantic, it is, and it has saved me twice.

13 likes 21mo
L
LJankowiakTL3Regular23 Oct 2024#67

PT-141 was developed from the same family with a different receptor profile, and it has a considerably better documented human evidence base than most compounds discussed in this subcategory.

The interesting part of this is the exception, and I do not understand the exception.

0 likes 21mo
AC
a.cardosoTL223 Oct 2024 · edited#68
weekly_pin, post #24: AOD-9604 is a fragment of human growth hormone and has been discussed as a potential weight-loss agent based on theoretical mechanism. The fragment hypothesis — that the fragment retains a specific property of the intact hormone — is not settled for this compound. Go to post

Before the thread moves on from Melanocortin agonists — what is the sample size behind the claim? I am not being difficult; I have seen the same figure quoted from an n of four and from an n of four hundred.

0 likes in reply to #24 21mo
MD
methods_draftTL224 Oct 2024#69
MM
m.marchettiTL224 Oct 2024#70

I disagree with the framing of Melanocortin agonists above, and I think it is a substantive disagreement rather than a terminological one. Setting out why, so it can be checked.

The reasoning depends on an assumption that is doing a lot of work and is never stated. If the assumption holds, the conclusion follows. I do not think it holds generally.

19 likes 21mo
IT
impurity_tableTL3Analytical chemist25 Oct 2024#71

Melanocortin agonists looks different depending on whether you are reading the primary literature or the summaries of it, and the difference is not in our favour.

15 likes 21mo
IN
i.norgaardTL225 Oct 2024 · edited#72

Thymosin alpha-1 has a regulatory history in several jurisdictions and a real clinical literature, which puts it in a different evidential category from most of its neighbours here.

5 likes 21mo
BV
bias_varianceTL4Biostatistician26 Oct 2024#73

The honest summary for most of this subcategory: a plausible mechanism, animal data, and first-hand accounts. Saying so is more useful than assembling the accounts into something that reads like evidence.

0 likes 21mo
SO
s.ostergaardTL226 Oct 2024#74
TV
t.vasquezTL4 Moderator27 Oct 2024#75

Coming back to post #71, because the follow-up matters more than the original answer.

Melanotan II is a non-selective melanocortin agonist, which is why its effects are not confined to pigmentation. The non-selectivity is the mechanism and not a side issue.

For what it is worth, the same held on the two occasions I checked.

10 likes 21mo
VS
v.sjobergTL227 Oct 2024#76

Careful with the language on Melanocortin agonists. "Not detected" and "not present" are different findings and the first is a statement about the method.

3 likes 21mo
CR
compounding_ruthTL4Pharmacist28 Oct 2024#77
GDashwood, post #40: Confirming post #39 from a second method, which matters more than confirming it from a second person. Thymosin alpha-1 has a regulatory history in several jurisdictions and a real clinical literature, which puts it in a different evidential category from most of its neighbours here. Go to post

Melanocortin agonists: I have looked for the primary source twice and failed twice. Either it does not exist or it is somewhere I do not know to look, and I would like to know which.

0 likes in reply to #40 21mo
JP
j.petrovTL228 Oct 2024#78
weekly_pin, post #24: AOD-9604 is a fragment of human growth hormone and has been discussed as a potential weight-loss agent based on theoretical mechanism. The fragment hypothesis — that the fragment retains a specific property of the intact hormone — is not settled for this compound. Go to post

Melanocortin agonists: mechanism involves the melanocortin-4 receptor pathway that regulates appetite. The documented adverse profile includes blood pressure elevation and erections of sustained duration, the second of which is specific enough that it is the first thing worth mentioning.

22 likes in reply to #24 21mo
JB
j.baptistaTL229 Oct 2024#79

The thing about Melanocortin agonists that took me longest to accept is that a plausible mechanism is not evidence of an effect. It is a reason to look, not a result.

6 likes 21mo
AS
a.schaefferTL2Member29 Oct 2024#80

The arithmetic in post #79 is right; the assumption feeding it is the part to check.

PT-141 was developed from the same family with a different receptor profile, and it has a considerably better documented human evidence base than most compounds discussed in this subcategory.

Reading it back, the second half matters more than the first.

1 like 21mo
RN
r.novakTL230 Oct 2024 · edited#81

Narrowing post #80, because the general version has more than one answer.

AOD-9604 is a fragment of human growth hormone and has been discussed as a potential weight-loss agent based on theoretical mechanism. The fragment hypothesis — that the fragment retains a specific property of the intact hormone — is not settled for this compound.

Where I would look next, rather than where I would stop.

0 likes 21mo
C
CSagredoTL3Regular30 Oct 2024#82

Everything in post #78 holds. The case it does not cover is the one I have.

What I want from this Melanocortin agonists thread is the list of things that would need to be true for the claim to hold. If we can write that list, we can check it.

4 likes 21mo
HB
h.bhattacharyaTL230 Oct 2024#83
sa.vogel, post #66: Where I part company with post #64, and it is a narrow parting. Storage guidance for the less common material is usually copied from the incretin guidance and may not apply. Where the supplier has its own stability statement, that is the one to use. If that reads as pedantic, it is, and it has saved me twice. Go to post

I have been on both sides of the Melanocortin agonists argument in this category within eighteen months, which should tell you how strong the evidence for either side is.

13 likes in reply to #66 21mo
BR
buffer_reviewTL3Regular31 Oct 2024#84
a.teixeira, post #2: Everything in the opening post holds. The case it does not cover is the one I have. Melanotan II is a non-selective melanocortin agonist, which is why its effects are not confined to pigmentation. The non-selectivity is the mechanism and not a side issue. I checked the source rather than the summary, and they differ. Go to post

Bookmarking this. I will come back when I have something worth adding.

27 likes in reply to #2 21mo
SV
sa.vogelTL231 Oct 2024#85

Thymosin alpha-1 has a regulatory history in several jurisdictions and a real clinical literature, which puts it in a different evidential category from most of its neighbours here.

I am describing what is, rather than arguing for what should be.

0 likes 21mo
CD
cannula_driftTL3Regular1 Nov 2024#86

I read post #82 twice before replying, because I had assumed the opposite.

One caution on Melanocortin agonists: everything above assumes the underlying documentation is what it claims to be. That assumption is doing real work and is rarely stated.

2 likes 21mo
AM
a.mwangiTL21 Nov 2024#87

On Melanocortin agonists, I would rather understate and be corrected upward than overstate and be quoted. That is a house style here and it is a good one.

8 likes 21mo
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BGiordanoTL2Member2 Nov 2024#88
a.schaeffer, post #80: The arithmetic in post #79 is right; the assumption feeding it is the part to check. PT-141 was developed from the same family with a different receptor profile, and it has a considerably better documented human evidence base than most compounds discussed in this subcategory. Reading it back, the second half matters more than the first. Go to post

Solubility varies far more across this subcategory than within the incretins. A compound that needs a specific diluent or a specific pH is not being difficult; it has a solubility profile and the supplier should state it.

20 likes in reply to #80 21mo
BV
b.vestergaardTL22 Nov 2024#89

The number people quote for Melanocortin agonists is a central estimate presented without its interval, and the interval is wide enough that the estimate is nearly uninformative on its own.

0 likes 21mo
MC
m.coelhoTL23 Nov 2024 · edited#90

Reading this Melanocortin agonists thread as someone who came in with a fixed view: the third and seventh replies moved me and the confident ones did not.

0 likes 21mo