Weight Loss Metabolic GLP-1 GIP Glucagon Triple Agonist

Retatrutide

Also known as: LY3437943 Β· Triple agonist GLP-1/GIP/Glucagon Β· Eli Lilly LY3437943

Retatrutide simultaneously activates three receptors: GLP-1R (glucagon-like peptide-1 receptor) for appetite suppression and insulin secretion, GIPR (glucose-dependent insulinotropic polypeptide receptor) for potentiation of GLP-1 effects and direct adipocyte lipolysis, and GcgR (glucagon receptor) for increased energy expenditure, hepatic glycogenolysis, and...

Half-life ~6-7 days (due to fatty acid acylation enabling albumin binding, similar to semaglutide)
Mol. weight ~4800 Da (estimated from MW of similar acylated GLP-1 analogs)
Typical cycle 26-52 weeks
Legal (US) In Phase 3 clinical...
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What It Is

Retatrutide simultaneously activates three receptors: GLP-1R (glucagon-like peptide-1 receptor) for appetite suppression and insulin secretion, GIPR (glucose-dependent insulinotropic polypeptide receptor) for potentiation of GLP-1 effects and direct adipocyte lipolysis, and GcgR (glucagon receptor) for increased energy expenditure, hepatic glycogenolysis, and additional fat oxidation. The triple agonism produces additive and synergistic metabolic effects including greater appetite reduction, increased thermogenesis from glucagon signaling, and enhanced lipid oxidation compared to dual or single agonists. It is administered once weekly via subcutaneous injection.

Supplies Needed

Bacteriostatic Water (30 mL)

Reconstitution solvent

1 mL insulin syringes (U-100)

Subcutaneous injection

Alcohol swabs

Sterilization

Storage

Lyophilized (powder)

Store at -20C for up to 2 years. Protect from light.

Reconstituted (liquid)

Refrigerate at 2-8C; use within 30 days.

⚠ Disclaimer

This information is provided for educational and research purposes only. Not approved for human consumption by the FDA or any regulatory body. Always consult a qualified medical professional.

Dosing Protocols

Dose2 mg
FrequencyOnce weekly
Cycle Length12 weeks (titration phase)
RouteSubcutaneous

Timing: Same day each week; any time of day. Titrate up slowly to minimize GI side effects; start at 2 mg for 4 weeks before increasing

↓ Apply these values to the reconstitution calculator
Dose4-8 mg
FrequencyOnce weekly
Cycle Length26-52 weeks
RouteSubcutaneous

Timing: Same day each week. Titrate from 2 mg to 4 mg to 8 mg at 4-week intervals; 8 mg produced the highest weight loss in Phase 2

↓ Apply these values to the reconstitution calculator
Dose12 mg
FrequencyOnce weekly
Cycle Length52+ weeks
RouteSubcutaneous

Timing: Same day each week. Maximum dose studied in Phase 2; 24% average body weight loss at 48 weeks in clinical trials

↓ Apply these values to the reconstitution calculator

Weekly Timeline

Week Expected Effects
Week 4 Significant appetite reduction; early weight loss of 2-4 kg
Week 12 Substantial weight loss (8-12% body weight); improved glycemic control
Week 24 Major weight loss milestone (~15-20% body weight at therapeutic doses)
Week 48 Maximum weight loss achieved (up to 24% at highest doses); significant metabolic improvements

Reconstitution Calculator

Concentration β€”
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Draw to (mL) β€”

1 unit on U-100 syringe = 0.01 mL  Β·  Always label your vial after reconstitution

Injection Technique & Reconstitution

  1. Remove flip-top cap from the vial
  2. Swab rubber stopper with alcohol swab
  3. Draw appropriate volume of bacteriostatic water
  4. Inject slowly down the vial wall
  5. Gently swirl until dissolved
  6. Label with date; refrigerate at 2-8C
Calculate your Retatrutide dose

Use our free dosing calculator to get the exact syringe units for your vial size and dose.

Dosing calculator →

Mechanism of Action

Retatrutide simultaneously activates three receptors: GLP-1R (glucagon-like peptide-1 receptor) for appetite suppression and insulin secretion, GIPR (glucose-dependent insulinotropic polypeptide receptor) for potentiation of GLP-1 effects and direct adipocyte lipolysis, and GcgR (glucagon receptor) for increased energy expenditure, hepatic glycogenolysis, and additional fat oxidation. The triple agonism produces additive and synergistic metabolic effects including greater appetite reduction, increased thermogenesis from glucagon signaling, and enhanced lipid oxidation compared to dual or single agonists. It is administered once weekly via subcutaneous injection.

Key Research Papers

Retatrutide phase 2 trial for obesity: 24% body weight reduction at highest dose 2023

Phase 2 randomized trial showing 24.2% body weight reduction at 12 mg weekly dose over 48 weeks - the largest weight loss ever reported in a randomized obesity drug trial.

View on PubMed →

Stacks Well With

5-Amino-1MQ

Add NNMT inhibition and NAD+ elevation to Retatrutide's appetite suppression and metabolic effects for comprehensive fat loss from multiple pathways.

BPC-157

BPC-157 helps manage GI side effects common with GLP-1 agonists by protecting gut mucosa and reducing nausea.

Frequently Asked Questions