GUTS

Strong SellSinker

Fractyl Health, Inc. · Healthcare · United States · $77M cap · $830K/day traded

$1.07 -0.9% · close 26 Oct · scored 27 Oct

Sinker: Weak, expensive and falling. Nothing here to keep it afloat.

2
StockRank
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Quality
19
Value
25
Momentum
16

As of 27 Oct 2026, MoatMap's StockRank for Fractyl Health, Inc. (GUTS) is 2/100, ranked against 24,000+ stocks in 35 markets (Quality 19, Value 25, Momentum 16, each scored against its sector).

Does StockRank work? Each month we publish how every decile did, whichever way it went. See the record →

P/E (TTM)
—
peers 27.2x
ROE
-1490.3%
peers -30.1%
D/E
6.5x
peers 0.2x
Dividend %
—
trailing yield

ABOUT FRACTYL HEALTH, INC.

Read

Fractyl Health, Inc. is a clinical-stage biotechnology company developing disease-modifying therapies for metabolic diseases, including type 2 diabetes and obesity. The company's competitive moat is centered on its proprietary Revita system, a duodenal mucosal resurfacing procedure, and its Rejuva gene therapy platform. It operates as an innovative niche player aiming to transform the treatment paradigm for chronic metabolic conditions.

FINANCIAL SUMMARY (USD)

Year2022202320242025CAGRTTM2027EFwd CAGR
Revenue00.1M93.0K0-22.5%—1.3M140.9%
EPS-0.40-0.60-0.50-0.92————
Shares158.6M158.6M158.6M153.4M-3.3%———
Debt19.5M86.4M62.5M61.6M46.8%60.7M——
Equity-252.3M-325.1M28.4M9.5M-66.7%———
Op CF-46.2M-42.8M-65.5M-90.3M—-82.4M——
Inv CF-56.0K-0.4M-1.8M-0.6M————
Fin CF4.3M27.4M101.2M105.0M————
Loading 1Y...
PRICE (1Y) · USD-84.2%
1.12.64.15.77.215 Sep6 Oct26 Oct
SMA 50SMA 200

Price checkStill fallingExperimental

Made a new 52-week low in the latest session, 96% below its 52-week high. The fall has not stopped yet.

SwingsVery bumpy

Swung more than 98% of stocks we rank over the past year (131% a year).

How this is worked out

StockRank judges the business. The price check reads only the chart: it is the price side of the Momentum score, in words.

The rules: Still falling is a new 52-week low in the last two weeks, at least 25% below the high. Finding a floor is no new low since. Turning up is 20 or more trading days without a new low, at least 10% off it, and back above a rising 50-day average. In an uptrend is above the 200-day average and within 15% of the high.

In 2,112 US drawdowns since 2001, buying while the price was still falling was followed by a further 20% drop 42% of the time. Waiting for a turn like this one cut that to 33%, at about 7% higher prices and with no better returns. Part of that cut is simply not buying: 13% of falls never turned, and waiting kept those out. Among turns that were bought, 38% still fell another 20%, and 33% of turns were followed by a new low within six months. The benefit was largest in crashes such as 2008 and 2020.

What it measures: day-to-day price moves over the past year, as a yearly figure, ranked against every stock we cover. Very calm under 20% a year, Calm 20 to 30%, Average 30 to 40%, Bumpy 40 to 55%, Very bumpy above that.

What we found: across about 13,500 stocks in 34 markets (2002 to 2025), past swings were a good guide to the next year's, and bumpier stocks fell further. How much further changed too much between eras to put a number on it.

Calm is not safe: a calm stock can still slide steadily.

Rules fixed before any data was fetched. Describes the chart, not a recommendation.

Close
$1.07
RSI (14)
7.8
52-Week Range-96.4% from high
Low $1.02High $29.34

SCORE BREAKDOWN

Quality
19
ROIC
-83.3%8.6
ROE
-1490.3%25.0
GP/Assets
0.0%9.5
Op. Margin
0.0%38.6
FCF/Assets
-74.9%3.9
Piotroski
438.6
Int. Cover
—N/A
D/E Ratio
6.52x1.5
Current Ratio
3.15x57.9
Value
25
P/E (TTM)
—N/A
EV/EBITDA
n/mN/A
P/FCF
n/mN/A
P/B
-8.6x25.0
P/S
—N/A
Div Yield
—N/A
Momentum
16
52W High %
4%0.6
RS 6M
-93%0.6
SMA 50/200
0.72x9.2
EPS Rev 4W
—N/A
EPS Rev 12W
—N/A
EPS Improve
+65%63.3
Q Growth
—N/A

FUNDAMENTALS

Market Cap
$77M
P/E (Forward)
-0.3x
Gross Margin
—

SECTOR PEERS

Closest peers in Healthcare, ranked by industry match, size, and score similarity. Cross-listings of GUTS are excluded.

TickerCompanyMkt CapStockRankSignal
GUTSFractyl Health, Inc.(you)$77M2Strong Sell
IBIOiBio, Inc.$80M3Strong Sell
CNTBConnect Biopharma Holdings Limited$67M3Strong Sell
NMRANeumora Therapeutics, Inc.$71M4Strong Sell
GNLXGenelux Corporation$90M3Strong Sell
ESLAEstrella Immunopharma, Inc.$62M2Strong Sell
CRDFCardiff Oncology, Inc.$71M4Strong Sell
INOInovio Pharmaceuticals, Inc.$93M3Strong Sell
NTHINeOnc Technologies Holdings, Inc.$94M0Strong Sell
CRBPCorbus Pharmaceuticals Holdings, Inc.$78M7Strong Sell

Peer medians: ROE -30.1% · P/E 27.2x · Gross margin 63.3%

Company Deep Dive

Business segments breakdown, earnings transcript analysis, management credibility scoring, competitive landscape, and scenario modelling.

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Fractyl Health, Inc. (GUTS): Stock Score Summary

Fractyl Health, Inc. (GUTS) has a MoatMap StockRank of 2/100 based on Quality (19/100), Value (25/100), and Momentum (16/100) factor scores. The current signal is STRONG SELL.

Fractyl Health, Inc. is a clinical-stage biotechnology company developing disease-modifying therapies for metabolic diseases, including type 2 diabetes and obesity. The company's competitive moat is centered on its proprietary Revita system, a duodenal mucosal resurfacing procedure, and its Rejuva gene therapy platform. It operates as an innovative niche player aiming to transform the treatment paradigm for chronic metabolic conditions.

Key Financial Metrics

Price$1.07
Market Cap$77M
P/E (Forward)-0.29
Price/Book-8.57
Return on Equity-1490.3%
Return on Invested Capital-83.3%
Debt/Equity6.52x
Operating Margin0.0%
Free Cash Flow$-91M

Fractyl Health, Inc. operates in the Biotechnology industry, part of the Healthcare sector (United States).

Frequently Asked Questions

What is Fractyl Health, Inc.’s (GUTS) StockRank?
MoatMap’s StockRank for Fractyl Health, Inc. (GUTS) is 2/100, with a Strong Sell signal. It is a composite of Quality (19), Value (25), and Momentum (16), each scored against its sector. The composite is then ranked across MoatMap’s universe of 24,000+ stocks.
Does Fractyl Health, Inc. have an economic moat?
Fractyl Health, Inc. (GUTS) has a Quality factor score of 19/100. The Quality factor combines ROIC, Piotroski F-Score, and leverage: the financial fingerprints of a durable competitive advantage. A Quality score above 70 typically indicates a company with the characteristics of a moated business.
Is Fractyl Health, Inc. a buy, hold, or sell?
MoatMap’s current signal for Fractyl Health, Inc. (GUTS) is Strong Sell, based on a StockRank of 2/100. Signals are derived mechanically from the StockRank composite and should be one input among many; combine with your own thesis on management, competitive position, and valuation.
What sector is Fractyl Health, Inc. in?
Fractyl Health, Inc. (GUTS) operates in the Healthcare sector, specifically the Biotechnology industry (United States).