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BiologicalX

Comparison

AOD-9604 vs Metformin

Side-by-side of AOD-9604 and Metformin. Every row below is pulled from the compound schema and will update as our data grows. For deeper reads, follow through to each compound page.

Effects at a glance

AOD-9604

  • Modified 16-amino-acid synthetic fragment of human growth hormone (residues 176-191)
  • Preclinical models show lipolytic activity in adipose tissue without GH-axis growth effects
  • Phase 2 obesity trial (Heffernan 2001) showed no significant weight-loss difference versus placebo
  • Anecdotal protocols use 250 to 500 mcg subcutaneously daily on an empty stomach
  • No FDA approval; the obesity drug development program was discontinued in 2007
  • Granted GRAS status in some jurisdictions for compounded use; not validated for fat loss in humans

Metformin

  • Reduces HbA1c by ~1.0 to 1.5 percentage points in type 2 diabetes; first-line agent in major guidelines
  • DPP trial: 31% reduction in T2DM incidence in adults with prediabetes over 2.8 years
  • Suppresses hepatic gluconeogenesis via AMPK activation and complex I inhibition
  • Long-term use depletes B12; annual monitoring recommended after year 2
  • Lifespan extension in non-diabetic humans is not established; TAME trial pending
  • MASTERS trial reported blunted resistance-training hypertrophy in older adults

Side-by-side

Attribute AOD-9604 Metformin
Category peptide pharmaceutical
Also known as hGH fragment 176-191, Human Growth Hormone Fragment 176-191 Glucophage, Fortamet, Glumetza, dimethylbiguanide
Half-life (hr) 0.5 6
Typical dose (mg) 0.3 1500
Dosing frequency daily 1 to 3 times daily with meals; XR once daily
Routes subcutaneous oral
Onset (hr) 1 1
Peak (hr) 2 2.5
Molecular weight 1815.17 129.16
Molecular formula C78H125N23O23S2 C4H11N5
Mechanism Modified C-terminal fragment of human growth hormone proposed to stimulate beta-3 adrenergic receptor signaling in adipocytes, increasing lipolysis and fatty-acid oxidation without engaging the GH receptor or activating IGF-1. Suppresses hepatic gluconeogenesis primarily via AMPK activation and complex I inhibition; modestly improves peripheral insulin sensitivity and shifts gut microbiome composition.
Legal status Not FDA approved; research-use-only grey market in most jurisdictions Prescription only (FDA approved for type 2 diabetes 1994)
WADA status unknown allowed
DEA / Rx Not FDA approved; not scheduled; research-chemical status Rx only (not a controlled substance)
Pregnancy Insufficient data; not recommended Category B; used in gestational diabetes and PCOS per current guidance
CAS 221231-10-3 657-24-9
PubChem CID 71300630 4091
Wikidata Q4654106 Q19484

Safety profile

AOD-9604

Common side effects

  • injection-site reactions
  • transient mild headache (anecdotal)
  • minimal in clinical trials

Contraindications

  • pregnancy
  • lactation
  • no established human safety profile for chronic use

Interactions

  • beta-blockers: theoretical antagonism of beta-3 adrenergic lipolytic signaling(minor)

Metformin

Common side effects

  • nausea
  • diarrhea
  • abdominal discomfort
  • metallic taste
  • decreased appetite
  • B12 depletion (long-term)

Contraindications

  • eGFR below 30 mL/min/1.73m2
  • acute or chronic metabolic acidosis
  • severe hepatic impairment
  • acute heart failure
  • iodinated contrast within 48 hours

Interactions

  • iodinated contrast media: renal injury risk; hold 48 hours peri-imaging(major)
  • alcohol (heavy use): elevated lactic acidosis risk(major)
  • cimetidine: raises metformin plasma levels via OCT2 inhibition(moderate)
  • insulin and sulfonylureas: additive hypoglycemia risk in combination(moderate)
  • dolutegravir: raises metformin exposure via OCT2(moderate)

Which Should You Take?

Metformin comes out ahead for most readers on the criteria we weight: 2 catalogued goals, prescription-only, oral dosing, with a Tier-A outcome catalogued. AOD-9604 is the right call when one of the conditionals below applies.

  • If your priority is fat loss, pick AOD-9604.
  • If your priority is body composition, pick AOD-9604.
  • If your priority is metabolic health and glucose control, pick Metformin.
  • If your priority is healthspan extension, pick Metformin.

Edge case: If you cannot self-administer injections, Metformin is the only oral option in this pair.

Default choice: Metformin. Wider use case, a Tier-A evidence outcome catalogued, and broader goal coverage. Reach for AOD-9604 only if your priority sits squarely in the goals it owns above.

This verdict is generated from each compound's schema (goals, legal status, evidence outcomes, dosing route). It updates automatically as our compound data evolves; the deeper read sits on each individual compound page.

Common questions

What is the difference between AOD-9604 and Metformin?

AOD-9604 and Metformin differ in category (peptide vs pharmaceutical), mechanism, and typical dosing. See the side-by-side table for full details.

Which has a longer half-life, AOD-9604 or Metformin?

AOD-9604 half-life is 0.5 hours; Metformin half-life is 6 hours.

Can you stack AOD-9604 with Metformin?

Stack compatibility depends on mechanism overlap, legal status, and individual response. Check each compound page for specific interactions and contraindications before combining.

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