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Weight Loss / MetabolicInjectableResearch Protocol

Retatrutide Dosage Chart

Retatrutide is a once-weekly triple agonist targeting GLP-1, GIP, and glucagon receptors. The Jastreboff Phase 2 trial (NEJM 2023) reported up to 24.2% mean body-weight reduction at 48 weeks with the 12mg dose, and Lilly's TRIUMPH-4 Phase 3 readout (Dec 11, 2025) confirmed 12mg as the lead dose.

AI-built tool. Cross-check critical values against authoritative sources before use.

Half-life

~6 days

Format

Injectable

Purity

≥99%

Protocols

5 variants

Research Protocols

Dosage Protocols

Each row reflects a common research protocol variant. These are reference ranges derived from published literature and community research — not medical guidance.

Protocol 1

Titration Phase 1 (Weeks 1-4)

4 weeks

Dose

2mg subcutaneous once weekly

Duration

4 weeks

Starting dose used in the Jastreboff 2023 Phase 2 trial (PMID 37366315). Tri-agonist activity makes early GI adaptation noticeable; do not skip this step.

Protocol 2

Titration Phase 2 (Weeks 5-8)

4 weeks

Dose

4mg once weekly

Duration

4 weeks

Second titration step from the published Phase 2 protocol. Hold here for an extra 2-4 weeks if appetite suppression or nausea is meaningful.

Protocol 3

Titration Phase 3 (Weeks 9-12)

4 weeks

Dose

8mg once weekly

Duration

4 weeks

Third titration step. Phase 2 reported the 8mg group at 22.8% mean body-weight reduction by week 48 (Jastreboff 2023).

Protocol 4

Standard Maintenance Protocol

Ongoing (re-evaluated quarterly)

Dose

12mg once weekly

Duration

Ongoing (re-evaluated quarterly)

Lead dose in TRIUMPH-4 Phase 3 (Lilly press release, Dec 11, 2025). The 12mg arm in Phase 2 produced 24.2% mean body-weight loss at 48 weeks. Reach only after stepwise titration.

Protocol 5

Conservative Research Variant

16-24 weeks

Dose

4-8mg once weekly

Duration

16-24 weeks

Lower-ceiling protocol used by researchers prioritizing tolerability over peak effect. Phase 2 showed strong response curves at both doses.

Mixing Math

Reconstitution

Reference values for preparing a research vial. Adjust the syringe reading if you change the water volume.

Vial size

10mg vial

BAC water

2ml bacteriostatic water

Concentration

5mg/ml

Dose / ml

2mg = 0.4ml · 4mg = 0.8ml · 8mg = 1.6ml

Syringe units

40 IU (2mg) · 80 IU (4mg) · 160 IU (8mg) on U-100

Need help converting different vial sizes? Use our reconstitution calculator to generate protocol-specific numbers instantly.

Storage

Handling Notes

Lyophilized: -20°C long-term, 2-8°C for short-term. Reconstituted: refrigerate at 2-8°C and use within 28 days. Do not shake; swirl gently to mix.

Research Considerations

Cautions

  • Retatrutide is investigational. As of April 2026 it is not FDA approved for any indication. No approval timeline is implied.
  • Triple-agonist activity (GLP-1 + GIP + glucagon) can elevate heart rate and shift glucose metabolism. Baseline labs and ongoing monitoring are essential.
  • Pairing with cagrilintide is preliminary and not validated in published Phase 3 data. Most published research uses retatrutide as a standalone.
  • Slow titration is non-negotiable. Skipping steps amplifies GI adaptation and tachycardia risk.

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Research use only. Not medical advice. Browse all dosage charts