Weight & metabolism

GLP-3

One peptide that activates GLP-1, GIP, and glucagon receptors—three pathways involved in appetite, blood sugar, and energy use.

GLP-1GIPGlucagon

Three receptors. Three connected pathways.

GLP-3 connects three hormone pathways. GLP-1 and GIP help coordinate the insulin response to food. Glucagon acts on the liver and contributes to energy use. Together, these receptor targets link appetite with metabolism.

How it works.

GLP-1 · appetite & digestion
Helps you feel full, slows the movement of food out of the stomach, and increases insulin release when blood sugar rises.
GIP · insulin response
Helps the pancreas release insulin in response to food and participates in how the body handles nutrients.
Glucagon · energy use
Signals the liver to release glucose and participates in fat metabolism and energy expenditure.
Useful terms
Agonist
A molecule that activates a receptor.
Incretin
A gut hormone that increases insulin secretion in response to food. GLP-1 and GIP are incretins.
Metabolism
The processes that convert, store, and use energy.

Results.

Human trial · 80 weeks

Substantial average weight loss.

In TRIUMPH-1, which enrolled 2,339 adults with obesity or overweight without diabetes, the highest-dose group had an estimated average weight reduction of 25.0%, versus 3.9% with placebo. This analysis included participants regardless of whether they stayed on treatment.

Risks, concerns & drawbacks.

Digestion
Constipation, nausea, diarrhea, and vomiting were among the most commonly reported side effects in TRIUMPH-1.
Sensitive skin
Altered skin sensation, called dysesthesia, was reported by about 5–13% of treated participants, compared with about 1% on placebo.
Heart rate
An earlier 48-week trial found dose-related increases in heart rate. These peaked around week 24 and then declined.
Follow-up
The main trial ran for 80 weeks; a selected group continued to 104 weeks. Effects over many years remain an open question.