Retatrutide

Retatrutide (LY3437943)

A triple agonist targeting GIP, GLP-1, and glucagon receptors — showing up to 24.2% weight loss in Phase II trials.
100% 50% · t½ Time → Serum level
Molecular Weight 4941.5 Da
Half-Life ~6 days
Typical Dose 1–12 mg weekly
Cycle Length Ongoing

Description

Retatrutide (LY3437943) is an investigational triple agonist developed by Eli Lilly that simultaneously activates GIP, GLP-1, and glucagon receptors. It represents the next frontier in incretin-based obesity pharmacotherapy. In Phase II trials (TRIUMPH-1), retatrutide demonstrated up to 24.2% mean body weight reduction at 48 weeks — the highest weight loss ever reported for a pharmacological agent in a controlled trial. This surpasses both semaglutide and tirzepatide, establishing retatrutide as a potential best-in-class agent. The addition of glucagon receptor agonism to the dual GIP/GLP-1 mechanism is believed to drive additional energy expenditure through thermogenesis and hepatic glucose regulation, contributing to the superior weight loss outcomes.

Key Characteristics

Molecular Formula

C228H352N50O70

Molecular Formula

4941.5 Da

Half-Life

~6 days

Administration Routes

Subcutaneous injection (weekly)

Typical Dose

1–12 mg weekly

Frequency

Once weekly

Investigated Benefits

* Benefits based on preclinical/animal research unless otherwise noted.

Mechanism of Action

“A triple agonist targeting GIP, GLP-1, and glucagon receptors — showing up to 24.2% weight loss in Phase II trials.”

Retatrutide’s triple receptor mechanism operates through three complementary pathways. GLP-1 receptor activation (shared with semaglutide) provides appetite suppression through hypothalamic circuits, slows gastric emptying, and stimulates glucose-dependent insulin secretion. GIP receptor activation (shared with tirzepatide) enhances the incretin effect, improves insulin sensitivity, and has direct effects on adipose tissue metabolism. The addition of glucagon receptor agonism is the key differentiator: glucagon receptor activation in the liver increases hepatic glucose output (counterbalanced by the insulin-stimulating effects), promotes lipolysis in adipose tissue, and — most importantly — stimulates thermogenesis by activating brown adipose tissue (BAT) and promoting uncoupled mitochondrial respiration. This thermogenic effect increases basal energy expenditure, which combined with the appetite suppression from GLP-1R and GIPR activation, produces the exceptional weight loss observed in trials. Phase III trials (TRIUMPH program) are ongoing.

Administration Routes

Subcutaneous injection (weekly)

Key Characteristics

Typical Dose

1–12 mg weekly

Frequency

Once weekly

Cycle Length

Ongoing (Phase III trials)

Administration

Subcutaneous injection (weekly)

Protocol Notes

Currently in Phase III clinical trials. Requires physician supervision. Titrate slowly to minimize GI side effects. Not yet commercially available.

Reconstitution Guide

Per compounding pharmacy instructions

Storage Information

Refrigerate (2–8°C). Do not freeze.

Quality & Sourcing Standards

When sourcing Retatrutide for research purposes, the following quality benchmarks should be verified before use.

Purity:

>98% (verified by HPLC)

Certificate of Analysis (COA):

Must be provided by supplier

Endotoxin Testing:

<0.1 EU/mg (prevents bacterial contamination)

GMP Compliance:

Manufactured in cGMP-certified facility

Third-Party Testing:

Independent lab verification preferred

Storage Information

Refrigerate (2–8°C). Do not freeze.

FDA Disclaimer

The statements made within this website have not been evaluated by the US Food and Drug Administration. The products and information provided are not intended to diagnose, treat, cure, or prevent any disease. This website is intended for educational and research purposes only. Many peptides described on this site are not approved by the FDA for human therapeutic use and are classified as research chemicals. Nothing on this site constitutes medical advice.

Research Highlights

1

Phase II: 24.2% weight loss at 48 weeks (highest ever in pharmacological trials)

2

Significant HbA1c reduction in T2DM

3

Phase III trials (TRIUMPH program) ongoing

Evidence Level

Multiple randomized controlled trials with high confidence in efficacy and safety data.

 

No specific stacking recommendations for Retatrutide.

Quick Reference

Category

Metabolic & Weight
 

Status

Research Only
 

Dose

1–12 mg weekly
 

Frequency

Once weekly
 

Cycle

Ongoing (Phase III trials)