AOD-9604 side effects
Also known as: AOD9604 · AOD 9604 · Advanced Obesity Drug · AOD-9604 acetate · AOD 9064
Updated 43 sources
16 side effects reported for AOD-9604: 12 from studies and labels, 4 from users and guides. 2 come with the ways people manage them.
Side effects reported in studies and labels
From trials and regulators12
Clinical studies and regulatory documents.
Headache
Most common adverse event in IV studies (6 of 15 in one, 16 of 23 in another). Also reported in oral trials, more often at 54 mg.
Fatigue
Reported in IV studies summarized by FDA and the company authors. No rate given.
Low blood sugar
Unspecified hypoglycemia reported in IV studies summarized by FDA and the company authors. No rate given.
Dizziness
Reported in IV studies summarized by FDA and the company authors. No rate given.
Mild euphoria
5 people on AOD-9604 vs 0 on placebo in an IV study, judged possibly related.
Chest tightness
One severe event in an IV study, judged possibly related.
Diarrhea
Reported in oral company trials; more frequent at 54 mg.
Flatulence
Reported in oral company trials; more frequent at 54 mg.
Increased appetite
Reported in oral company trials. No rate given.
Nausea
Reported in oral company trials. No rate given.
Cancer reports in one trial (causality unclear)
Five serious events (basal cell, squamous cell, breast, melanoma, one lipoma) in the 12-week, 300-person oral trial. Investigators called them unrelated; FDA said the data cannot rule out a link.
Animal toxicology signals
FDA flagged rat osteocalcin changes over 26 weeks, minimal liver vacuolation in monkeys over 9 months, and equivocal genotoxicity tests.
Side effects users and guides report
From users and guides4
Community reports, competitor and vendor guides, media.
No noticeable effect
The most common community complaint. Posters describe it as mild and say it does little without a GLP-1 or a calorie deficit.
How people manage it
- Most positive reports come from people running it alongside a GLP-1 and a calorie deficit, so judge it in that context.
- If a vial does nothing at all, it may be underfilled: one user-commissioned lab test found 0 mg in a vial labelled 5 mg.
Injection-site irritation
Listed in dosing-guide summaries. One report in app user logs summarized on a guide page.
Headache (guide and user-log reports)
Listed in dosing-guide summaries. Two reports in app user logs summarized on a guide page.
Gelled or cloudy vial after mixing
A recurring community complaint, with plain bacteriostatic water and sometimes even with acetic acid added.
How people manage it
- Reconstitute with 0.6% acetic acid, or a mix of acetic acid and bacteriostatic water.
- Roll the vial gently instead of shaking it.
- Throw out a vial that stays cloudy, gelled or full of particles.
How much is known
Limited human data
Six small to mid-size company-funded human trials, oral and IV, with about 900 people, including single IV doses of 25 to 400 mcg/kg. Most report safety only; no antibodies formed and IGF-1 did not change. The one efficacy trial failed. None used the subcutaneous route people use today. Joint claims rest on one rabbit study.
Sources for these side effects
11 sources, each checked by date. Record updated Oct 24, 2026. Numbers are restated in our own words and labelled by where they came from.
Clinical study2
- FDA Evaluation of AOD-9604-Related Bulk Drug Substances (PCAC briefing, 11/5/2024)FDA · checked Oct 23, 2026
- Stier, Vos, Kenley 2013, Safety and Tolerability of the Hexadecapeptide AOD9604 in Humans, J Endocrinol Metab 3(1-2):7-15Journal of Endocrinology and Metabolism · checked Oct 23, 2026
Competitor guide2
- AOD 9604 dosage and side effectspeptidesexplorer.com · checked Oct 23, 2026
- AOD-9604peptiq.io · checked Oct 23, 2026
Community-reported7
- AOD9604 available as sublingual drops? (comment: does little alone, works with a GLP)r/PeptidePathways · checked Oct 23, 2026
- Comment: "Aod is pretty worthless"r/Peptidesource · checked Oct 23, 2026
- User-commissioned vendor test: AOD-9604 5 mg vial tested 0 mgr/Biohackers · checked Oct 23, 2026
- AOD 9604 issues possibly? (10 mg vial, 1 mL acetic acid + 2 mL BAC, chunks)r/Peptides · checked Oct 23, 2026
Back to the full AOD-9604 page for dosing, the vial chart and storage.