Retatrutide
Triple agonist (GLP-1 + GIP + glucagon) from Eli Lilly. In trials it outperforms Tirzepatide for weight loss.
Retatrutide is the newest weight-loss compound in development at Eli Lilly. It's a stronger cousin of Tirzepatide (Mounjaro / Zepbound) and pulls bigger weight loss in trials, often 20%+ of body weight. One injection per week. Side effects are real, especially in the first few weeks.
Investigational. In Phase 3 trials with Eli Lilly. Not yet approved.
Not yet available by prescription. Trial-only access through Lilly's clinical program.
Who it's for
- →People plateaued on Tirzepatide
- →Users targeting >15% body weight loss
- →Metabolic-syndrome adults under provider guidance
What to expect
- Week 1
Appetite drops sharply. Nausea common days 2-4.
- Week 4
First titration step. ~3-6lb down for most users.
- Week 8
Steady-state approaching. Cumulative loss 6-12lb depending on dose.
Dosing protocol
Start 2mg sub-q weekly. Titrate by 2mg every 4 weeks based on tolerance. Trials went up to 12mg; most users plateau benefit at 8-12mg.
Stacks well with
Side effects
When NOT to use
- ⚠History of medullary thyroid carcinoma or MEN-2
- ⚠Pancreatitis history
- ⚠Pregnancy / nursing
Bloodwork to monitor
- • Lipid panel
- • Liver enzymes (ALT/AST baseline + every 3 mo)
- • A1C if metabolic context
Common mistakes
- • Titrating too fast — stick to 4-week steps
- • Not eating enough protein during the cut (lean mass loss)
- • Stopping abruptly with no maintenance plan (rebound common)
Owner notes
Personally on 4mg weekly. Nausea profile was rougher than Tirzepatide for me, eased by week 3. Splitting the weekly dose into 2 doesn't help, just spikes side effects.
Educational only. User-specific dosing is between you and a qualified provider.