
Retatrutide
GIP / GLP-1 / glucagon triple agonist
Triple agonist across GLP-1, GIP and glucagon receptors. Phase 2 results have been published.
Still investigational. The glucagon arm raises heart rate in the trial data, which is the thing to read about first.
General profile
- Class
- Incretin / GLP-1 class
- Evidence
- Mixed or moderate evidence
- Studied dose range
- 1 mg titrating upward in trials
- Frequency in protocols
- Weekly
- Route
- Subcutaneous
- Half life
- ~6 days
- Reconstitution
- 2 mL bacteriostatic water per 10 mg vial
- Storage
- Refrigerated, ~30 days
Timing and cycling in the literature
Usually dosed in the morning window
Once weekly, same day each week
Long acting, so timing is about consistency. The glucagon arm raises resting heart rate, which is easier to monitor on a fixed schedule.
Reported cycle: 24 weeks on, run continuously in trials
Trial design mirrors the other incretins: slow titration held over months.
Watch for: Resting heart rate. The glucagon arm raised it consistently in the trial data.
What it conflicts with
Three separate questions, kept separate. A hard stop means the mechanisms must not run together at all and timing does not fix it. A syringe rule means the same day is fine but one barrel is not. Redundancy is not dangerous, it is paying twice to hit one target.
- Hard stopTiming
Retatrutide + GLP-1 analogs
Never run two incretin agonists together
Overlapping GLP-1 signalling with an added glucagon arm. The combined gastrointestinal and heart rate effects are additive and untitratable.
- Hard stopTiming
Retatrutide + Tirzepatide
Never run two incretin agonists together
Same receptor family, same side effect profile, no additional studied benefit. Choose one and titrate it slowly.
- Separate syringesSame day fine, same syringe not
Retatrutide + Anything else, including another incretin
Solo in the barrel, always
Every incretin gets its own syringe and its own draw, including alongside another incretin. Protocol stacking is a real thing and is not a hard stop, but co-drawing is never part of it.
- Pick oneSame day fine, same syringe not
Retatrutide + Another incretin in a designed protocol
Stacking is a protocol decision, not redundancy
Multi-incretin work uses different receptor balances, so it is not the same button pressed twice. It only makes sense with the job named first, each dose lowered against solo use, titration on response, protein defence and side effect monitoring. Insulin or sulfonylureas are physician territory.
Most syringe compatibility claims here are practice and expert consensus, not peer reviewed mixing studies. A clear liquid after mixing does not prove the compounds are still active, and cloudiness, particles or gelling means discard. Active cancer, pregnancy, major cardiac care and heavy immunosuppression override every stack preference on this page.
See how Retatrutide fits your week
The injection scheduler spaces doses using the clinical timing data, flags the pairs above before you draw them, and tells you why.
Model this in the injection schedulerThe studies
Human trials: Phase 2 complete, phase 3 ongoing. Not approved.
Open questions: Resting heart rate rise of roughly 5 to 10 bpm is reported, and no long-term outcome data exists yet.
Published papers
Indexed from Europe PMC and refreshed weekly. Each link opens the paper itself.
- Advances in pharmacological interventions for hepatic fibrosis: from pathogenic mechanisms to novel therapeutic targets
Ann Med · 2026 · Review. Zhang W, Shao T, Wang C, Wang S, An L.
- Beyond weight loss: multisystem benefits of obesity medications
Lancet Diabetes Endocrinol · 2026 · Review. Savas M, Kuckuck S, Boon MR, van Rossum EFC.
- Nanomaterial-driven modulation of lipid metabolism: Novel strategies toward precision obesity treatment
Bioact Mater · 2026 · Review. Zhang S, Fan R, Chen H, Gong H, Mu M, Han B, Guo G.
- Medical Treatments for Obesity: What Does the Future Have in Store?
J Clin Endocrinol Metab · 2026. Bassatne A, Rizo I.
- Comparative effects of drugs for adults with overweight or obesity: systematic review and network meta-analysis
BMJ · 2026 · Review. Nong K, Shi Q, Xie X, Wang Y, Agarwal A, Guyatt GH, Zhang H, Gao Y, Khunti K, Le Roux CW, Widyahening IS, Fan Q, Liu T, Mao Y, Florez ID, Du H, Pan X, Zou X, Wang C, Sun X, Li J, Hao Q, Jia Q, Sun F, Zhu Z, Agoritsas T, Tian H, Vandvik PO, Li S.
- Effects of retatrutide on learning and memory in streptozotocin-induced male diabetic rats
Behav Brain Res · 2026. Keskin U, Altın E, Kara MK, Tekin B, Çakırçoban KN, Özatik FY, Arı NS, Sezgin AK, Güngor E.
- Novel Therapeutic Strategies for Patients With CKD and Diabetes Mellitus
Kidney Int Rep · 2026 · Review. Kugathasan L, Katz A, Muskiet MHA, Sridhar VS, Scott J, Yi TW, Cherney DZI.
- Modulation of the tumor microenvironment by incretins and glucagon: Metabolic and immune mechanisms (Review)
Exp Ther Med · 2026 · Review. Hu M, Jiang CJ, Yi C.
- Efficacy and Safety of Dual and Triple Glucagon-Like Peptide-1-Based Polyagonists in Metabolic Dysfunction-Associated Steatotic Liver Disease and Steatohepatitis: A Systematic Review and Meta-Analysis
Cureus · 2026 · Review. Santos Solis R, Baeza-Zapata AA, Negrete-Najar JP.
- Effect of Retatrutide, a Novel Triple Receptor Agonist, on Blood Pressure and Lipid Levels: A Systematic Review and Meta-analysis of Randomized Controlled Trials
High Blood Press Cardiovasc Prev · 2026 · Review. Simental-Mendía LE, Barragán-Zúñiga LJ, Reyes-Avitia V.
Search the full literature
- PubMed: all indexed papers
Every indexed paper, newest first. Filter to Clinical Trial or Review in the sidebar.
- PubMed: human clinical trials only
The honest test of an evidence claim. An empty result is itself an answer.
- ClinicalTrials.gov registrations
Registered, ongoing and completed trials, including ones that never published.
- Europe PMC full text
Often surfaces open-access full text that PubMed only abstracts.