Retatrutide

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Also known as: LY3437943, Triple G

A novel triple agonist targeting GIP, GLP-1, and glucagon receptors for unprecedented metabolic effects.

Overview

Retatrutide is an investigational triple hormone receptor agonist that activates GIP, GLP-1, and glucagon receptors. This first-in-class triple agonist represents a significant advancement in incretin-based therapies, showing the highest weight loss observed in clinical trials to date.

Mechanism of Action

Retatrutide uniquely activates three receptors: GLP-1R for appetite suppression and glucose control, GIPR for enhanced lipid metabolism, and glucagon receptor for increased energy expenditure and hepatic lipid oxidation. The glucagon component drives thermogenesis and fat oxidation.

Pharmacokinetics

Weekly dosing with sustained receptor engagement. Peak concentration achieved within 24-72 hours post-injection.

Dosing Protocols

Note: These are research protocols from literature. This is not medical advice.

1

Initiation

Dose

1 mg

Frequency

Once weekly

Duration

4 weeks

Starting dose

2

Titration

Dose

2-8 mg

Frequency

Once weekly

Duration

4 weeks per step

Gradual escalation

3

Maintenance

Dose

12 mg

Frequency

Once weekly

Duration

Ongoing

Target dose in trials

Stacking Recommendations

Peptides that may be combined based on complementary mechanisms in research settings.

Rationale: GI support

Synergy: Gastroprotective during titration

Research Areas

ObesityType 2 DiabetesNASHMetabolic SyndromeCardiovascular Disease

Key Research Findings

  • 1Phase 2 trials showed up to 24.2% body weight reduction at 48 weeks with 12mg dose
  • 2Superior weight loss compared to tirzepatide and semaglutide in head-to-head analyses
  • 3Significant improvements in liver fat content (up to 86% reduction)
  • 4Favorable effects on lipid profiles and blood pressure

Side Effects & Contraindications

Reported Side Effects

  • Nausea
  • Diarrhea
  • Vomiting
  • Decreased appetite

Contraindications

  • MTC/MEN2 history
  • Pregnancy
  • Active malignancy

Safety Considerations

GI side effects similar to other incretin therapies. Theoretical concerns about glucagon-mediated hyperglycemia appear mitigated by GLP-1 component.

Storage Requirements

Refrigerate at 2-8C

Scientific References

Quick Reference

Sequence
Proprietary modified peptide sequence
Molecular Weight
~5000 g/mol
Half-Life
~6 days
Bioavailability
Not fully characterized
Research Stage
clinical phase 3
Administration
Subcutaneous injection (weekly)