Retatrutide
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.
Initiation
1 mg
Once weekly
4 weeks
Starting dose
Titration
2-8 mg
Once weekly
4 weeks per step
Gradual escalation
Maintenance
12 mg
Once weekly
Ongoing
Target dose in trials
Stacking Recommendations
Peptides that may be combined based on complementary mechanisms in research settings.
Research Areas
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
- 1Retatrutide, a GIP, GLP-1 and glucagon receptor agonist, for people with type 2 diabetes
Rosenstock J, et al.
Lancet, 2023