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Retatrutide (Retatrutide (Triple Agonist GIP/GLP-1/Glucagon))

Category: Weight Management. Status: Phase 3 Clinical Trial.

A novel triple hormone receptor agonist targeting GIP, GLP-1, and glucagon receptors. Phase 2 shows unprecedented 24% body weight loss at 48 weeks.

How it works

Triple agonism creates synergistic metabolic effects. Glucagon activation increases energy expenditure and hepatic fat oxidation while GLP-1/GIP reduce appetite and improve insulin sensitivity.

Key facts

  • Molecular weight: 5,200 Da (approximate)
  • Half-life: 6 days
  • Bioavailability: High (SubQ)
  • Storage: Refrigerated 2-8°C.

Dosing overview

  • Typical dose: 1-2 mg → titrate up to 12 mg
  • Frequency: Once weekly
  • Duration: Ongoing (investigational)
  • Route: Subcutaneous injection

Protocol notes

  • Trials start around 1-2 mg weekly and escalate monthly.
  • Step up gradually toward 4, 8, then 12 mg; 12 mg showed maximum weight loss in Phase 2.
  • Hold at the lowest dose giving the desired appetite/weight response.

Reported benefits

  • Unprecedented weight loss (~24%)
  • Significant liver fat reduction
  • Improved cardiovascular markers
  • Enhanced energy expenditure
  • Superior glycemic control

Possible side effects

  • GI effects (nausea, diarrhea, vomiting)
  • Decreased appetite
  • Heart rate increase

Research

  • Phase 2 trial of retatrutide for obesity (2023): At 48 weeks, retatrutide 12mg achieved 24.2% mean weight loss with 26% losing 30%+ body weight.
  • Retatrutide effects on hepatic steatosis (2023): Reduced liver fat by 81-86% with complete resolution of steatosis in up to 90% of participants.

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Research and educational reference only. Not medical advice.