Retatrutide
Also known as: LY3437943, Triple G
Key Facts: Retatrutide
- Category
- Weight Loss
- FDA Status
- Not FDA Approved
- Clinical Status
- Phase 3 Clinical Trials
- Administration
- Subcutaneous injection weekly
- Typical Dose
- 4-12 mg weekly
- Frequency
- Once weekly, same day each week
- Evidence Level
- Human Trials
- Duration
- Long-term use expected
What to Expect
A triple agonist targeting GLP-1, GIP, and glucagon receptors. Represents the next evolution beyond dual agonists like tirzepatide, showing unprecedented weight loss in trials.
Mechanism of Action
Retatrutide activates three receptors: GLP-1 for appetite suppression and glucose control, GIP for enhanced insulin response and metabolic effects, and glucagon for increased energy expenditure and fat oxidation. The triple mechanism provides synergistic effects.
Research Summary
Phase 2 trials showed up to 24% weight loss at 48 weeks, the highest seen in any obesity drug trial. Studies demonstrate significant improvements in metabolic markers, liver fat reduction, and glycemic control. Phase 3 trials underway.
Dosing Information
Typical Dosingⓘ
Community experience
4-12 mg weekly
1-12 mg weekly (titrate up slowly)
Once weekly, same day each week
Triple agonist (GLP-1/GIP/glucagon). Start low (1-2 mg) and titrate up to minimize GI side effects. Not yet FDA approved but available through compounding.
Research Dosingⓘ
Scientific studies
Doses from clinical trials
Doses from Studies
0.5mg weekly (starting)
Phase 2 T2D Trial, Lancet 2023 - 0.5mg maintenance arm with no escalation ↗
4mg weekly (maintenance)
8mg weekly (maintenance)
12mg weekly (highest studied)
Phase 2 Obesity Trial, NEJM 2023 - Maximum dose showing 24% weight loss ↗
Duration
Long-term use expected
Administration
Subcutaneous injection weekly
Timing & Administration
Best Time to Take
Morning, same day each week
Once weekly, same day and time
Food Recommendation
With or without food
Why This Timing?
As a triple agonist, consistent weekly timing is important. Morning allows for side effect monitoring.
Possible Side Effects
Not everyone experiences these effects. Individual responses vary based on dosage, duration, and personal factors.
- ●Nausea (dose-related)
- ●Diarrhea
- ●Vomiting
- ●Constipation
- ●Heart rate increases
- ●Hypersensitivity reactions
- ●Pancreatitis (rare)
- ●Currently in Phase 3 trials
References
Related Peptides
Peptides commonly compared with Retatrutide or used in similar applications.
Semaglutide
FDAA GLP-1 receptor agonist FDA-approved for type 2 diabetes and chronic weight management. One of the most effective pharmaceutical weight loss interventions available.
Weight LossTirzepatide
FDAA dual GIP/GLP-1 receptor agonist representing the next generation of incretin-based therapies. Shows superior weight loss compared to semaglutide in head-to-head trials.
Weight LossOrforglipron
Clinical TrialsAn oral non-peptide GLP-1 receptor agonist. Could provide injection-free alternative to semaglutide and tirzepatide.
Weight LossCagriSema
Clinical TrialsA combination of semaglutide and cagrilintide (amylin analog) in development. Aims to provide superior weight loss through dual mechanisms.
Weight LossSurvodutide
Clinical TrialsA dual GLP-1/glucagon receptor agonist in development for obesity and NASH. Combines appetite suppression with increased energy expenditure.
Weight LossCagrilintide
Clinical TrialsA long-acting amylin analog developed by Novo Nordisk for obesity treatment. Works through a different mechanism than GLP-1 agonists, targeting amylin receptors in the brain to reduce appetite and slow gastric emptying. Shows enhanced weight loss when combined with semaglutide (CagriSema).
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Educational Information Only
This information is provided for educational purposes only and is not intended as medical advice. Always consult with qualified healthcare providers before making any decisions about peptides or other substances. The protocols listed reflect doses observed in research studies, not recommendations.