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Survodutide

Also known as BI 456906

A weekly injection being tested for weight loss and fatty liver disease. It acts on both GLP-1 and glucagon.

Quick facts

Status
Investigational — not approved yet
Evidence
Investigational (phase 3 trials)
Taken as
Injection under the skin once a week (in trials)
Common sizes
10 mg
Category
GLP-1/glucagon receptor agonist · weight & liver (investigational)

How it works

It lowers hunger like other GLP-1 drugs and also targets glucagon, which helps burn fat stored in the liver.

What people use it for

  • Obesity (in clinical trials)
  • Fatty liver disease, MASH (in clinical trials)

What the research shows

  • Phase 3 trials in 2026 showed up to about 16% weight loss.
  • Promising results for reducing liver fat.
  • Not approved yet.

Side effects & risks

  • Stomach side effects were common — many trial participants stopped because of them
  • Products sold online are not the trial drug

Is it legal?

Investigational — not approved anywhere as of October 2026. Phase 3 SYNCHRONIZE trials reported positive weight-loss results in 2026. The FDA has given it Breakthrough Therapy designation for MASH with fibrosis.

Storage & safe handling

  • Mix with bacteriostatic water: let it run slowly down the inside of the vial and swirl gently — never shake.
  • Store the mixed vial in the fridge and follow the use-by period on the label.
  • Wipe the vial top with alcohol and use a new sterile needle and syringe every time.
  • Rotate injection sites so the same spot is not used again and again.
  • Put used needles in a sharps container, not the household bin.
  • Get medical help for redness that spreads, fever, swelling or trouble breathing.
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Sources: Boehringer Ingelheim SYNCHRONIZE-1 and -2 phase 3 results (2026).
Last updated 12 October 2026. Information — not medical advice. PepTimer does not replace a doctor. Many peptides are not approved medicines in the EU, UK or US. Talk to a qualified healthcare provider before starting, changing or stopping any treatment.