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Compounds · Other compounds · continued

Revisiting: Melanocortin agonists: mechanism and the documented adverse profile posts 91–120

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.

TI
trough_indexTL3Regular3 Nov 2024#91

Post #89 describes the usual case. This is about the unusual one.

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.

Someone should write this up properly, and it should probably not be me.

0 likes 21mo
AN
a.norgaardTL24 Nov 2024#92

Adding the measurement that post #89 says would settle it.

Answering the Melanocortin agonists question as asked, then the question I think is meant. As asked: yes, with the qualification below. As meant: it depends on how the first measurement was taken.

25 likes 21mo
BR
buffer_reviewTL3Regular4 Nov 2024#93
i.norgaard, post #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. Go to post

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.

12 likes in reply to #72 21mo
NL
ne.laurentTL25 Nov 2024#94

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.

4 likes 21mo
TN
t.ndiayeTL25 Nov 2024#95

Agreed on Melanocortin agonists, with one qualification that I think matters. The reasoning holds for the case as described. Change the starting assumption and it does not, and the starting assumption is the part nobody states.

0 likes 21mo
TD
t.demirTL25 Nov 2024#96

Picking up post #93: that is the part I would want checked first.

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.

It took me longer than it should have to see that.

18 likes 21mo
K
KTurkingtonTL3Regular6 Nov 2024#97
buffer_review, post #65: Appreciated. The plain phrasing does more work here than a longer post would. Go to post

Agreed on all of that, and I have nothing to add to it.

7 likes in reply to #65 21mo
FN
f.novakTL26 Nov 2024#98

The version of Melanocortin agonists that circulates here is a simplification of a simplification. It is not wrong, but it has lost the conditions under which it holds, and those conditions are where the interesting cases live.

1 like 21mo
JN
j.nascimentoTL27 Nov 2024#99

Dose conversions between related compounds in this subcategory are made far too casually. Structural similarity does not imply potency similarity and frequently does not imply the same receptor profile.

Noting that I have skin in this question and have tried to discount for it.

26 likes 21mo
NM
n.moreauTL27 Nov 2024#100

I have no financial interest in anything named in this thread and I want to say so before I comment on Melanocortin agonists, because it is the sort of subject where it matters.

12 likes 21mo
RE
r.ekstromTL28 Nov 2024#101

Worth separating two things that post #98 runs together.

Adding a reference point for Melanocortin agonists. Mine is a single case, collected without controls, and I am posting the method alongside it so it can be discounted appropriately.

30 likes 21mo
EF
endo_fellow_rkTL3Endocrinology fellow8 Nov 2024#102

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.

Speaking for myself and not for anyone else who has posted here.

15 likes 21mo
CA
c.amankwahTL29 Nov 2024#103

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.

5 likes 21mo
TH
TL4_HalvorsenTL4Leader · Journal club9 Nov 2024#104
m.lehtinen, post #11: 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 would put this at better than even and not much better. Go to post

Post #101 is right about the mechanism and I think understates the practical bit.

Dose conversions between related compounds in this subcategory are made far too casually. Structural similarity does not imply potency similarity and frequently does not imply the same receptor profile.

That matches what I was told, which is not the same as knowing it.

1 like in reply to #11 21mo
AI
an.ibarraTL29 Nov 2024#105
impurity_table, post #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. Go to post

The failure mode on Melanocortin agonists is boring rather than dramatic. It is almost always the step everyone assumes was done correctly because it is too simple to get wrong.

22 likes in reply to #71 21mo
FN
formulary_notesTL3Regular10 Nov 2024#106

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.

10 likes 21mo
LV
l.vukovicTL210 Nov 2024 · edited#107

Following, with nothing to contribute beyond having asked the same thing elsewhere.

3 likes 21mo
SC
s.chowdhuryTL3Regular11 Nov 2024#108

Post #105 answers the question as asked. The question underneath it is different.

Melanocortin agonists is a question about a distribution, not about a value, and treating it as a value is what produces the confident wrong answers.

0 likes 21mo
II
i.ilungaTL211 Nov 2024#109
r.novak, post #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. Go to post

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.

16 likes in reply to #62 21mo
SL
sleep_logTL2Regular12 Nov 2024#110

Small correction to my own earlier position on Melanocortin agonists. I had the units the wrong way round, which changes the conclusion by an order of magnitude and therefore changes it entirely.

6 likes 20mo
SS
s.salgadoTL212 Nov 2024#111
n.moreau, post #100: I have no financial interest in anything named in this thread and I want to say so before I comment on Melanocortin agonists, because it is the sort of subject where it matters. Go to post

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.

Genuinely open to being wrong about this one.

3 likes in reply to #100 20mo
VT
vial_tableTL2Member13 Nov 2024#112
j.fonseca, post #15: Dose conversions between related compounds in this subcategory are made far too casually. Structural similarity does not imply potency similarity and frequently does not imply the same receptor profile. The short version is the first sentence; the rest is why. Go to post

Worth stating the null on Melanocortin agonists before we explain it: the observation may be nothing. That possibility deserves a sentence and usually does not get one.

11 likes in reply to #15 20mo
GO
g.oyelaranTL213 Nov 2024 · edited#113

Confirming post #112 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.

24 likes 20mo
IL
integrator_logTL3Regular13 Nov 2024#114

The arithmetic on Melanocortin agonists is the easy part and it is where the errors are, which is an uncomfortable combination. Show your working and someone will catch it.

0 likes 20mo
BF
b.friskTL214 Nov 2024#115
a.norgaard, post #92: Adding the measurement that post #89 says would settle it. Answering the Melanocortin agonists question as asked, then the question I think is meant. As asked: yes, with the qualification below. As meant: it depends on how the first measurement was taken. Go to post

Where the Melanocortin agonists discussion usually stalls is that nobody wants to say "I do not know" and everyone is willing to say "it varies". Those are the same sentence with different clothes on.

1 like in reply to #92 20mo
TK
t.kulkarniTL3Regular14 Nov 2024#116

Thank you — that answers what I came here to find out.

7 likes 20mo
IW
i.wojcikTL215 Nov 2024#117
BE
bench_entryTL3Regular15 Nov 2024#118

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.

Flagging that the sources on this are thinner than the confidence in the thread suggests.

0 likes 20mo
ND
n.duarteTL216 Nov 2024#119
h.bhattacharya, post #83: 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. Go to post

This follows post #118 rather than contradicting it.

The most useful reply I ever got about Melanocortin agonists was a request to state my units. It sounds like pedantry and it has saved me twice.

0 likes in reply to #83 20mo
V
VPoulsenTL3Regular16 Nov 2024#120

Worth separating two things that post #118 runs together.

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.

4 likes 20mo