Retatrutide

FDA APPROVAL PENDING

Extensively Studied

Weight

Metabolic

Retatrutide

Triple GLP-1/GIP/Glucagon Agonist | Weight Loss & Diabetes

Learn more

Weight

Retatrutide

Metabolic

Amino acid sequence

40

Amino acids

4da

Molecular weight

Peptide

Type

Novel triple hormone receptor agonist targeting GLP-1, GIP, and glucagon receptors. Phase II trials demonstrated 24.2% weight loss at 48 weeks—the highest recorded for obesity medications.

Top researched benefits

Overview of Retatrutide

Activates GLP-1 for appetite suppression, GIP for insulin sensitivity, and glucagon for increased energy expenditure and hepatic fat oxidation.

weight loss

  • Clinical trials show 17.5% weight loss at 24 weeks and 24.2% at 48 weeks.
  • Continuous weight loss with no plateau at 48 weeks suggests greater long-term potential.
  • Addresses obesity through appetite suppression, energy expenditure, and metabolic efficiency.

type 2 diabetes

  • HbA1c reductions up to 2.16% with 82% achieving target levels below 6.5%.
  • Balanced glycemic control with minimal hypoglycemia risk.
  • Marked improvements in sensitivity with potential for reduced exogenous insulin requirements.

cardiovascularmetabolic

  • Non-HDL cholesterol reductions up to 26.9%, triglyceride reductions up to 40.6%.
  • Consistent decreases in systolic and diastolic blood pressure across trials.
  • Up to 82% reduction in liver fat with normalization in 90% of participants.

Typical Dose

0.25mg starting, titrate up weekly or until effects are noticeable, then maintain dose. Do not exceed 8mgs weekly.

Frequency

Once weekly (same day each week) 0r every other day if following microdosing schedule

Cycle Duration

Continuous therapy as prescribed

Storage

Reconstituted: 2-8°C, use within 28 days

Chemical Makeup

Key benefits

Superior weight loss (24.2% at 48 weeks)

Improved glycemic control (HbA1c reduction up to 2.16%)

Enhanced cardiovascular benefits

Hepatic fat reduction (up to 82%)

Triple mechanism addresses obesity through multiple pathways

Community interest

This peptide is still gaining traction in the community.

Triple GLP-1/GIP/Glucagon Agonist | Weight Loss & Diabetes

This overview is informational and based on aggregated descriptions from studies and user reports.

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Retatrutide Molecular Information

View the scientifc details of Retatrutide.

40

Amino Acids

Retatrutide

His

His

Position 1

Sec

Sec

Position 2

Glu

Glu

Position 3

Gly

Gly

Position 4

Thr

Thr

Position 5

Phe

Phe

Position 6

Thr

Thr

Position 7

Ser

Ser

Position 8

Asp

Asp

Position 9

Val

Val

Position 10

Ser

Ser

Position 11

Ser

Ser

Position 12

Tyr

Tyr

Position 13

Leu

Leu

Position 14

Glu

Glu

Position 15

Gly

Gly

Position 16

Gln

Gln

Position 17

Ala

Ala

Position 18

Ala

Ala

Position 19

Lys

Lys

Position 20

Glu

Glu

Position 21

Phe

Phe

Position 22

Ile

Ile

Position 23

Ala

Ala

Position 24

Trp

Trp

Position 25

Leu

Leu

Position 26

Val

Val

Position 27

Arg

Arg

Position 28

Gly

Gly

Position 29

Arg

Arg

Position 30

Gly

Gly

Position 31

Pro

Pro

Position 32

Ser

Ser

Position 33

Ser

Ser

Position 34

Gly

Gly

Position 35

Ala

Ala

Position 36

Pro

Pro

Position 37

Pro

Pro

Position 38

Pro

Pro

Position 39

Ser

Ser

Position 40

Amino acid sequence
HistidinePosition 1
SelenocysteinePosition 2
Glutamic acidPosition 3
GlycinePosition 4
ThreoninePosition 5
PhenylalaninePosition 6
ThreoninePosition 7
SerinePosition 8
Aspartic acidPosition 9
ValinePosition 10
SerinePosition 11
SerinePosition 12
TyrosinePosition 13
LeucinePosition 14
Glutamic acidPosition 15
GlycinePosition 16
GlutaminePosition 17
AlaninePosition 18
AlaninePosition 19
LysinePosition 20
Glutamic acidPosition 21
PhenylalaninePosition 22
IsoleucinePosition 23
AlaninePosition 24
TryptophanPosition 25
LeucinePosition 26
ValinePosition 27
ArgininePosition 28
GlycinePosition 29
ArgininePosition 30
GlycinePosition 31
ProlinePosition 32
SerinePosition 33
SerinePosition 34
GlycinePosition 35
AlaninePosition 36
ProlinePosition 37
ProlinePosition 38
ProlinePosition 39
SerinePosition 40

Molecular Weight

4Da

Chain Length

40Amino Acids

Type

Peptide

Retatrutide Protocols

Weekly subcutaneous injection into abdomen, thigh, or upper arm with site rotation.

GoalDosageFrequencyRoute
Starting Dose (Week 1-4)0.51 week rangeSubQ
Low Maintenance (Week 4-8)11 week rangeSubQ
Escalation (Week 8-12)21 week rangeSubQ
Moderate (Week 12-16)41 week rangeSubQ
Advanced (Week 16-20)81 week rangeSubQ
Maximum Efficacy (Week 20+)121 week rangeSubQ

Reconstitution Instructions

Materials needed:

Sterile bacteriostatic water for injectionLyophilized Retatrutide vialInsulin syringes (0.3-1mL capacity)Alcohol swabsSharps disposal container

Steps to reconstitute

  1. Allow vial to reach room temperature (15-20 minutes)
  2. Clean vial top with alcohol swab and air dry completely
  3. Add calculated bacteriostatic water slowly down vial side
  4. Gently swirl in circular motions—avoid vigorous shaking
  5. Allow full dissolution (2-3 minutes); solution should be clear and colorless
  6. Store reconstituted solution refrigerated at 2-8°C for up to 28 days
  7. Inject subcutaneously; rotate sites weekly

Retatrutide Cycle

The Retatrutide Cycle section explains how long a typical cycle lasts and what to expect during each phase. Over time, your body can become less responsive with continuous use.

Taking breaks between cycles may help maintain effectiveness and support better overall results.

Week 1-2
Initial appetite suppression and mild GI effects as body adapts to triple hormone activation
Week 2-4
Noticeable food cravings reduction and portion size decrease; early weight loss (2-5%)
Week 4-8
Significant appetite control and steady weight loss (5-10%); improved glucose control
Week 8-16
Substantial weight reduction (10-18%) with enhanced energy expenditure
Week 16-24
Major weight loss milestone (15-22%) with cardiovascular benefits and liver fat reduction
Week 24-48
Maximum clinical efficacy (20-24.2%) with comprehensive metabolic improvements

Dosing tools

Retatrutide Peptide Dosage Calculator

Calculate peptide doses with our visual syringe guide.

mg

Enter the total amount of peptide in the vial in milligrams (as stated on the label).

The dose you want to inject per administration, in mcg or mg.

1,000 mcg = 1 mg

1 mL

2 mL

3 mL

5 mL

Custom

Volume of bacteriostatic water you add to reconstitute the powder. Use BAC water for preservation.

Injection Results

Based on your vial and dilution inputs.

Retatrutide

SINGLE COMPOUND

Volume per injection

0.05

mL

Concentration

10.00

mg/mL

Doses per vial

20

doses

Total injections per vial

20 injections

How it works

Based on a 10 mg Retatrutide vial diluted with 1 mL of bacteriostatic water, each 500 mcg injection equals 0.05 mL.

1mL / 100 units

5 units

0.050 mL

Reference Guide

Dosing Cycle

Peptide
Retatrutide
Dosing
0.25mg starting, titrate up weekly or until effects are noticeable, then maintain dose. Do not exceed 8mgs weekly.
Dosing Frequency
Once weekly (same day each week) 0r every other day if following microdosing schedule
Cycle Duration
Continuous therapy as prescribed
Storage
Reconstituted: 2-8°C, use within 28 days

Note: Triple agonist; microdose for fewer side effects

Reconstitution Tips

  • Use bacteriostatic water (BAC)contains 0.9% benzyl alcohol for preservation
  • Inject water slowlyaim down the vial wall, not directly onto powder
  • Never shakegently swirl or roll the vial until dissolved
  • Store properlyrefrigerate at 2-8°C after reconstitution
  • Use within 28 daysmost reconstituted peptides remain stable for about 4 weeks
  • Keep sterilealways clean vial tops with alcohol before drawing

Peptide Interactions

Research suggestions of Retatrutide interactions with other common peptides and substances.

Healing

bpc

Longevity

BPC-157

COMPATIBLE

Safe combination; BPC-157 may provide GI protective benefits during retatrutide use.

COMPATIBLE

Weight

cag

Metabolic

Cagrilintide

MONITOR

Both cause significant GI effects. Not recommended without specialist supervision.

MONITOR

Weight

sem

Metabolic

Semaglutide

AVOID

Do not combine—overlapping GLP-1 agonist mechanisms increase severe hypoglycemia risk.

AVOID

Side effects

Avoid: Do not take Retatrutide with Semaglutide.

Monitor: Be careful when combining Retatrutide with Cagrilintide.

Contraindications

Personal or family history of medullary thyroid carcinoma

MEN2 syndrome

Severe renal impairment

Stop signs

Severe persistent nausea or vomiting preventing adequate nutrition

Signs of pancreatitis: severe abdominal pain radiating to back

Severe hypoglycemia symptoms: confusion, dizziness, sweating

Excessive weight loss (>3 lbs per week consistently or >25% total body weight)

Gallbladder problems: severe right upper abdominal pain

Bad signs

Rapid tolerance or effectiveness loss suggests degraded or counterfeit productUnusual side effect profile may indicate contamination
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Frequently asked questions

What is a peptide dosage calculator?

A peptide dosage calculator is a free tool that converts your vial size, bacteriostatic water volume, and target dose into an exact syringe draw volume. Instead of doing the reconstitution math by hand, you enter three inputs and instantly get the concentration of your solution and how many milliliters or syringeunits to draw. This calculator works for single peptide compounds and multi-peptide blends.

How do I calculate peptide dosage from a vial?

To calculate your peptide dose, divide the total peptide content of your vial in micrograms by the volume of bacteriostatic water you added in milliliters. This gives you your solution concentration in mcg/mL. Then divide your target dose by that concentration to get your draw volume. For example, a 5mg (5,000 mcg) vial reconstituted with 2mL of BAC water gives a concentration of 2,500 mcg/mL. A 250 mcg dose would require drawing 0.1mL. This calculator automates all of those steps instantly.

How much Bacteriostatic water should I add to a peptide vial?

Most people add 2mL to 3mL of bacteriostatic water per vial, but the right amount depends on the dose you want to draw and the syringe size you are using. Adding 1mL to a 5mg vial gives you a concentration of 5,000 mcg/mL, making each dose very small in volume. Adding 2mL gives you 2,500 mcg/mL, which is easier to measure on a standard insulin syringe. A general guideline is to choose a volume that puts your typical dose somewhere between 10 and 30 units on a U-100 syringe. Use the calculator above to test different water volumes and find what works for your dose.

How are peptides different from proteins?

Both are made of amino acids, but peptides are much smaller than proteins. Because of their tiny size, peptides can act like tiny messengers in the body, sending specific signals to your cells to tell them exactly what to do.​

RetatrutideResearch References

Retatrutide is an extensively studied compound

4Research references

Retatrutide

Retatrutide is an extensively studied compound

Phase II Obesity Trial

Landmark RCT in 338 participants showing dose-dependent weight loss; 12mg dose achieved 24.2% reduction—highest recorded for any obesity medication. NEJM.

2023

Phase II Type 2 Diabetes Study

Trial in 281 participants with type 2 diabetes: 16.9% weight loss and HbA1c reductions up to 2.16%. The Lancet.

2023

MASLD Substudy

Metabolic dysfunction-associated steatotic liver disease study: 82% liver fat reduction with normalization in >90% at highest doses. Nature Medicine.

2024

Structural Insights into Triple Agonism

Cryo-EM structures reveal simultaneous activation of GLP-1R, GIPR, and GCGR, explaining superior clinical efficacy. Cell Discovery.

2024