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Fractyl Health, Inc.
GUTSNASDAQ
Wall Street ScoreUnder review
$0.89USD+$0.01 (+0.99%)
The research page contains a warning that has not been mapped to a supported model interpretation. The company research remains available, but the complete score is withheld until the warning is reviewed.
Severe listing-compliance risk
The share price is below $1 and the stored reverse-split/listing-risk level is HIGH. No verified reverse-split authorization or announced reverse split is currently recorded. This is a risk signal, not confirmation that Nasdaq has issued a deficiency notice.
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Primary reporting period: 2025-12-31 · Research updated Oct 12, 2026. A research update is not a new financial filing.
Who they are
Fractyl Health, Inc., a metabolic therapeutics company, develops therapies for the treatment of type 2 diabetes (T2D) and obesity. The company develops Revita DMR System (Revita), an outpatient procedural therapy designed to durably modify duodenal dysfunction, a pathologic consequence of a high fat and high sugar diet, which can initiate T2D and obesity in humans. It develops Rejuva, a novel adeno-associated virus delivered pancreatic gene therapy platform that is designed to enable long-term remission of T2D and obesity by durably altering metabolic hormone function in the pancreatic islet cells of patients.
How they make money
Fractyl Health is a clinical-stage metabolic therapeutics company that does not currently generate commercial revenue from product sales. Its business model focuses on the research and development of novel procedural and gene therapy candidates for obesity and type 2 diabetes, relying on capital raises and equity financing to fund its ongoing clinical trials and operations.
Products & services
The company's primary product candidate is Revita, an endoscopic procedure designed to remodel the duodenal lining to improve metabolic health. It also maintains the Rejuva platform, which is in preclinical development for AAV-based gene therapies targeting obesity and type 2 diabetes.
Brands & revenue mix
Revita
Lead product candidate for duodenal mucosal resurfacing.
Separate brand revenue is not available in this research.Source
Rejuva
Preclinical platform for AAV-based gene therapies.
Separate brand revenue is not available in this research.Source
Revenue share is not unit sales or a best-seller ranking. Parent brands and included sub-brands can overlap; do not add overlapping rows.
Product / operating segments
No reconciled product or operating-segment revenue breakdown is available for the current research period. Company-wide revenue remains separate from segment disclosure.
Geographic revenue
No reconciled geographic revenue breakdown was confirmed for the current research period.
Customer types
Customer categories were not separately identified in the reviewed source set.
Customer concentration
No quantified customer-concentration disclosure is available in the current saved research.
Suppliers, materials & equipment
Contract Research Organizations and Contract Manufacturing Organizations — The company relies on third-party contract research organizations and contract manufacturing organizations for clinical trial management and the production of clinical trial materials. Specific supplier names are not disclosed.Source
Competitors
Pharmaceutical and Biotechnology Companies — The company faces competition from entities developing GLP-1 receptor agonists and other pharmacological treatments for obesity and type 2 diabetes.Source
Strengths
Proprietary Revita and Rejuva technology platformsSource
Risks
History of operating losses and expectation of future lossesSource
Dependence on clinical trial success and regulatory approvalSource
These questions are generated from this company's current financial and score data so the page adds context instead of treating the headline score as a stand-alone conclusion.
•How long can GUTS fund negative free cash flow using its current cash position before it may need more debt or new shares?
•Does GUTS's balance between cash and debt leave enough flexibility if business conditions weaken?
•What specifically needs to improve for GUTS to reach sustainable profitability?
•What future growth or profitability would be needed to justify GUTS's current valuation?
•What does the current fundamental change risk warning mean for the reliability or interpretation of GUTS's score?
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A high momentum score means price has been trending upward with confirming short- and medium-term strength. A low score means downward or weakening momentum.
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Community Sentiment
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0% Bullish (0) 0% Bearish (0)
No personal call yet on GUTS.
Potential upside factors
+Growth opportunities may come from revenue expansion, margin improvement, new products, market-share gains, and stronger cash flow.
+Proprietary Revita and Rejuva technology platforms.
Potential downside factors
−Key risks may include competition, margin pressure, debt levels, valuation risk, and changes in demand within the Biotechnology industry.
−History of operating losses and expectation of future losses.
−Dependence on clinical trial success and regulatory approval.
−Diluted weighted-average shares increased 217.8% year over year.
These research factors come from saved company research and financial data, not community votes. They are starting points to verify against filings, not buy or sell recommendations.
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Scores
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Debt
—
Debt Cost—
Debt Reduction YoY1.4%
Debt / Equity6.52x
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Revenue
—
Revenue YoY—
Revenue CAGR—
Net Margin—
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Asset
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Asset Growth YoY12.3%
Liquidation/Share-$0.01
Net Assets/MCap0.25x
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Capital
—
Earnings Yield-122.3%
Buyback Yield0.0%
Debt Cost—
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Management
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ROIC-811.5%
ROE6345.3%
ROA-128.9%
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Moat
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EPS Growth—
FCF/Share Growth—
Rev/Share Growth—
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Valuation
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Intrinsic Value—
Value Reference—
MOS—
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Buffett
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Revenue—
Moat—
Valuation—
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MOS
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MOS %—
Value Reference—
Deep Discount Reference—
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Financial
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Interest Coverage—
ROIC-811.5%
FCF Yield-105.2%
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Master
—
Financial—
Valuation—
Debt—
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Resilience
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Survival Years0.9 yrs
Current Ratio4.78x
FCF Margin—
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Score Changes
Score changes will appear once more historical records are available.
Price vs. Value
Valuation unavailable
Current Price
$0.89
Model Intrinsic Value
—
Difference
—
Margin of Safety
—
Value Reference: —
Deep Discount Reference: —
Intrinsic value is not currently available for this stock, so valuation can't be calculated.
Monetary values in USD. Share counts in raw units.
Income StatementBalance SheetCash Flow
AnnualQuarterlyTTM + Annual
All rows
Free includes 3 annual periods plus available TTM; Premium includes up to 10 annual periods. History depends on available company filings. Swipe the table horizontally to see older periods. A dash means unavailable, not zero.
Line Item
TTM
2025
2024
2023
2022
2021
2020
2019
Revenue
$0.00
$0.00
$93K
$120K
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Cost of Revenue
$0.00
$0.00
$50K
$77K
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Gross Profit
$0.00
$0.00
$43K
$43K
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····
····
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Research & Development
$63.4M
$74.5M
$70.5M
$38.0M
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····
····
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SG&A Expenses
$22.5M
$22.3M
$0.00
$0.00
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····
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Operating Expenses
$85.9M
$96.8M
$93.6M
$50.9M
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····
····
····
EBITDA
-$104.2M
-$139.8M
-$68.0M
-$76.8M
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····
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Operating Income
-$85.9M
-$96.8M
-$93.5M
-$50.8M
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····
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Interest Expense
$0.00
$0.00
$0.00
$0.00
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Income Before Tax
-$105.7M
-$141.0M
-$68.7M
-$77.1M
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Income Tax Expense
$0.00
$0.00
$0.00
$0.00
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Net Income
-$105.7M
-$141.0M
-$68.7M
-$77.1M
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Basic EPS
$-1.10
$-0.92
$-1.62
$-1.98
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Basic Shares
159M
153M
43.54M
47.61M
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Diluted Shares
159M
153M
43.54M
47.61M
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Debt and cash show percentage changes versus the comparison period; margin shows the change in percentage points (pp). These are company-wide changes, not per-share amounts.
Financial Changes Since Prior Period
What Improved
Cash position grew
Debt reduced
Potential Score Impact
Positive indicators included cash levels, debt levels. Pressure indicators included EPS growth. These factors may support or pressure the Revenue, Management, Financial, and Debt categories; this summary does not claim that the stored scores changed.
Stored Earnings Analysis
EPS declined 71.4%. Cash increased 111.5%. Total debt declined 1.6%.
Earnings-Call Transcript
Earnings-call transcript analysis is not currently available.
These results may influence future scores when the next evaluation is completed.
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Government disclosed trading activity is available on the Smart Money directory. Filings may be delayed and may not represent complete current holdings.
Dividend HistoryShare
Dividend History
Dividend data is not available yet. Missing data does not mean this company pays no dividend.
Predictions & Historical PerformanceShare
Conservative Projected Values
3 Years
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5 Years
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10 Years
$———.——
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Conservative Projection Rate
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Conservative Projected Values — price projections derived from actual 10-year adjusted historical returns, conservatively adjusted and capped at 8% annually. These are distinct from the Outperformance Model Score and WallStreetScore.
Conservative Projected Values
Premium unlocks the 3-year, 5-year, and 10-year conservative projected values with full calculation breakdowns based on actual historical returns.
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