Retatrutide

GIP/GLP-1/glucagon triple agonist
appetite
glycemic control
body recomposition
fat distribution
metabolic health
cardiovascular health
keeping the result
healthspan
One molecule on three metabolic receptors. Phase 3 put mean loss at 28.3% over 80 weeks — the largest figure any drug has produced short of surgery. Still investigational.
Goal profile
WEIGHT
5/5 axes
LONGEVITY
3/7 axes
PERFORMANCE
1/4 axes

Evidence

2022
first described
168
indexed studies
How strong the evidence is
Controlled human trials
Phase 2 reported the largest weight reduction ever seen for a drug. Confirmatory trials are still running and only a few thousand people have taken it.
Highest study design
randomised human trials
Human studies
11
Replication
independent international
Regulatory status
not approved anywhere
Last reviewed
2026-08-14
The bar is derived from these five facts, not set by hand. Human study counts follow the weekly PubMed refresh; the rest change only when a trial is published or a regulator acts.
How strong the effect is
strength 5 of 5 · weight 0.89
Changes the outcome
Around 24% in a year — the best figure any drug in this class has posted.
What's unique
The glucagon arm is the difference — it raises energy expenditure rather than only suppressing appetite.
Unexpected positive evidence
Liver-fat clearance in trial subgroups outran what the weight loss alone could explain.

Benefits

triple GIP, GLP-1, and glucagon agonism — the most aggressive metabolic profile available
Appetite · immediate
the glucagon arm raises energy expenditure rather than only cutting intake
Cardiovascular health · from week 8
weight reduction approaching 24% over a year
Fat distribution · from week 2
pronounced liver-fat clearance beyond what weight loss alone gives
Glycemic control · from week 4
glycaemic and lipid markers improve in parallel
Appetite · immediate
appetite control that holds through long protocols
Appetite · immediate

Timeline

Weeks 1–4
Appetite falls sharply. Nausea and constipation are dose-dependent and worst during escalation; heart rate rises slightly and stays up.
Weeks 4–12
Rapid, consistent loss — faster than either single or dual agonists at matched doses. Energy expenditure rises because of the glucagon arm, so warmth and thirst increase too.
Weeks 12–48
The phase 3 window. Mean loss reached 24.2% at 48 weeks and continued past it. Liver fat clears faster than the weight loss alone explains.
Post-cycle
Appetite returns within weeks. Still investigational — there is no long-term data on what happens after stopping.

Risks

Short-term
Nausea, vomiting, constipation — dose-dependent and worst during escalation.
Long-term
Still investigational. Heart-rate elevation, and the same muscle-loss question as every incretin.
Tolerance & withdrawal
None described. Escalation is scheduled, not adaptive.

Dosing

Dose
1–12 mg per week
4–8 mg is where trial responders sat; start at the bottom, it is still investigational.
Route
Subcutaneous — abdomen
Rotate sites; the doses are large enough that repeated spots get sore.
Timing
Any time of day, same day each week
Pick the day and never move it — the effect is flat across the week.
Frequency
Once a week
One shot covers the week. People who split it are managing nausea, not chasing better results.
Cycle
Titrate every 4 weeks, then hold
Slow titration matters more here than with the others — nausea is the limiting factor.
Duration
Open-ended, cautiously
Long-running in trials, but the human record is the thinnest of the three — that is the real limit.

Forms

injectable
~100%
+ Full dose delivered; nothing lost to first-pass
− Daily needles, sites, sharps disposal
Refrigerate 2–8 °C after reconstitution

Sources

168 indexed papers in the source catalog snapshot; not a live PubMed count
Catalog evidence category: known. This is an editorial classification, not a clinical review.
Community anecdotes do not establish safety or efficacy.
Primary regulatory sources are linked below; clinical literature has not been independently reviewed for this FAQ.
FAQ

Retatrutide (GIP/GLP-1/glucagon triple agonist) is a triple hormone receptor agonist. The HEIVE catalog describes it as: One molecule on three metabolic receptors. Phase 3 put mean loss at 28.3% over 80 weeks — the largest figure any drug has produced short of surgery. Still investigational. It is also known as LY3437943.

Regulatory sources checked: . Source verification only; no clinician review is claimed.

Goals

Protocols with this peptide

Educational reference. Figures are illustrative and not a prescription, protocol, or medical advice.

Open in HEIVE