Metabolic Research

Retatrutide

5.6/10

BioHarmony verdict

Neutral

Retatrutide is Lilly's investigational once-weekly GLP-1/GIP/glucagon triple agonist. Jastreboff 2023 reported up to 24.2% body-weight loss at 48 weeks, but FDA says retatrutide is not approved and cannot legally be compounded.

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What is Retatrutide?

Retatrutide is an investigational once-weekly peptide drug from Eli Lilly that activates three metabolic hormone receptors at once: GLP-1R, GIPR, and glucagon receptor. In practice, that means appetite suppression, improved insulin signaling, and a glucagon-driven push toward hepatic fat oxidation and thermogenesis in the same molecule. This is why retatrutide sits beyond semaglutide and tirzepatide in pharmacological ambition.

From the BioHarmony report, reviewed 2026-09-08.

How it is thought to work

Simultaneous agonism of GLP-1, GIP, and glucagon receptors; the glucagon arm is intended to raise hepatic fat oxidation and energy expenditure while GLP-1/GIP constrain appetite and improve glycemia.

Safety watch-outs

  • Persistent vomiting or dehydration
  • Severe abdominal pain
  • Blood in stool or black stool
  • Symptoms of pancreatitis: severe upper abdominal pain radiating to back

Full risk profile in the BioHarmony report.

Dosing as published

No approved-label or study protocol is recorded for Retatrutide yet.

More reported protocols

Members

Members can compare additional reported doses, schedules, and preparation notes.

Educator coverage (3)

Attributed viewpoints, separate from primary research.

Trust & sourcing

US approvalInvestigational
CompoundingCannot be used in compounding under US federal law
Last checked2026-09-02
Next review2026-10-02 (overdue, details paused)

Primary sources

Sources are still being reviewed for this compound.

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