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GLP-1

Retatrutide Dosage, Protocol & Research Guide

Evidence grade Human clinical trialBy Sam, MBA

  • MW 4,731 g/mol
Dosage, protocol, reconstitution and storage reference for Retatrutide, with a reconstitution calculator, vial sizes and cited research.

Dose overview

Every range below is taken from the cited source and carries its evidence grade.

Human data and community reports

Human data and community reports
SourcePopulationDoseFrequencyRouteDurationEvidence
Phase 2 obesity trial (N Engl J Med 2023, doi 10.1056/NEJMoa2301972; 338 adults)[2]human338 adults with obesity (BMI 30 or higher) or overweight (BMI 27 to under 30) plus at least one weight-related condition, phase 2 trial1–12 mg[2]subcutaneous, trial dose arms 1, 4, 8 and 12 mg once weekly (some arms started at 2 or 4 mg); 1 mg is the lowest armonce weeklysubcutaneous— Human clinical trialStudy details from the source: Phase 2 obesity trial (N Engl J Med 2023, doi 10.1056/NEJMoa2301972; 338 adults): subcutaneous once weekly for 48 weeks at 1 mg, 4 mg (initial dose 2 mg or 4 mg), 8 mg (initial dose 2 mg or 4 mg), or 12 mg (initial dose 2 mg), versus placebo
TRIUMPH-2 phase 3 trial (Lancet 2026, doi 10.1016/S0140-6736(26)01861-1; NCT05929079; adults with obesity and type 2 diabetes)[3]humanadults with BMI 27 or higher and type 2 diabetes, phase 3 trial4–12 mg[3]subcutaneous, trial dose arms 4, 9 and 12 mg once weekly; 4 mg is the lowest armonce weeklysubcutaneous— Human clinical trialStudy details from the source: TRIUMPH-2 phase 3 trial (Lancet 2026, doi 10.1016/S0140-6736(26)01861-1; NCT05929079; adults with obesity and type 2 diabetes): self-administered subcutaneous injections once weekly of retatrutide 4 mg, 9 mg or 12 mg, or placebo; primary timepoint week 80

Evidence grades: A approved label, B human trial, C observational, D animal study, E community-reported.

Reconstitution calculator

Sizes in the Pepcore catalogue10 mg20 mg30 mg
Concentration
5 mg/mL
Volume to draw
0.05 mL
Units on a U-100 syringe
5 units
Draws per vial
40

0102030405060708090100

Properties

CAS
Not yet recorded
Molecular weight
4,731 g/mol
Formula
Not yet recorded
Sequence
Not yet recorded
Aliases
LY3437943
Vial sizes (mg)
10, 20, 30, 60

Study duration

48 weeks[2] Human trial

Duration of the cited study. It describes the source and is not a recommended cycle; no off period is stated. Source

Storage notes

Lyophilized
Not yet recorded from a cited source
Reconstituted stability (days)
Not yet recorded from a cited source

Side effects, contraindications and regulatory status

Reported side effects

  • Phase 2 trial (NEJM 2023, 48 weeks): the most common adverse events were gastrointestinal, dose-related, mostly mild to moderate, and partly mitigated by a 2 mg rather than 4 mg starting dose.[2] Human trial
  • Phase 2 trial: dose-dependent increases in heart rate peaked at 24 weeks and declined thereafter.[2] Human trial
  • TRIUMPH-2 phase 3 (Lancet 2026, type 2 diabetes): diarrhoea 27%, 34%, 34% at 4, 9, 12 mg vs 13% placebo; nausea 14%, 21%, 28% vs 8%.[3] Human trial
  • TRIUMPH-2: dysesthesia 4%, 6%, 7% at 4, 9, 12 mg vs 1% placebo; hypotension 1%, 5%, 6% vs under 1% placebo.[3] Human trial
  • TRIUMPH-2: permanent discontinuation for adverse events or death was 4% (4 mg), 12% (9 mg), 8% (12 mg) vs 5% placebo; 7 deaths in total, all judged unrelated to study drug by investigators.[3] Human trial

Cautions from reviews and trials

  • Trial exclusions, not labelled contraindications (no label exists): the phase 2 trial excluded personal or first-degree family history of MEN 2 or medullary thyroid carcinoma (registry NCT04881760).[4] Human trial
  • Trial exclusions, not contraindications: the phase 2 trial excluded diabetes, acute or chronic pancreatitis, symptomatic gallbladder disease, and eGFR below 45 mL/min/1.73 m2 (registry NCT04881760).[4] Human trial
  • Trial exclusions, not contraindications: the phase 2 trial excluded pregnancy, breast-feeding or intent to conceive, uncontrolled high blood pressure, and recent heart attack, stroke or heart failure hospitalization (NCT04881760).[4] Human trial
  • Trial exclusions, not contraindications: TRIUMPH-2 excluded type 1 diabetes, personal or family history of MTC or MEN 2, and prior pancreatitis (registry NCT05929079).[5] Human trial

Regulatory status

Investigational: Lilly Q2 2026 results (2026-08-05) state plans to submit a Biologics License Application to FDA in Q1 2027; the source states no approval[1] Source

Report any adverse reaction to a qualified healthcare professional.

What the research says

Summaries of the cited studies, each with its evidence grade.

  • Phase 2 obesity trial (N Engl J Med 2023, doi 10.1056/NEJMoa2301972; 338 adults)[2]

    Human trial human

    Phase 2 obesity trial (N Engl J Med 2023, doi 10.1056/NEJMoa2301972; 338 adults): subcutaneous once weekly for 48 weeks at 1 mg, 4 mg (initial dose 2 mg or 4 mg), 8 mg (initial dose 2 mg or 4 mg), or 12 mg (initial dose 2 mg), versus placebo

    Human clinical trial

  • TRIUMPH-2 phase 3 trial (Lancet 2026, doi 10.1016/S0140-6736(26)01861-1; NCT05929079; adults with obesity and type 2 diabetes)[3]

    Human trial human

    TRIUMPH-2 phase 3 trial (Lancet 2026, doi 10.1016/S0140-6736(26)01861-1; NCT05929079; adults with obesity and type 2 diabetes): self-administered subcutaneous injections once weekly of retatrutide 4 mg, 9 mg or 12 mg, or placebo; primary timepoint week 80

    Human clinical trial

Compare vial sizes

Compare vial sizes
SizePriceDoses available from the vial CalculatedCost per dose Calculated
10 mg$89.9910$9.00
20 mg$114.9920$5.75
30 mg$229.9930$7.67

Cost per dose uses the listed partner price and the reference dose cited on this page. Prices change; check the product page.

Calculated from a default of 2 mL water (adjustable).

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Frequently asked questions

What dose figures are published for Retatrutide?

Cited figures on this page: 1-12 mg once weekly, subcutaneous, trial dose arms 1, 4, 8 and 12 mg once weekly (some arms started at 2 or 4 mg); 1 mg is the lowest arm [2] (Human clinical trial, evidence grade B); 4-12 mg once weekly, subcutaneous, trial dose arms 4, 9 and 12 mg once weekly; 4 mg is the lowest arm [3] (Human clinical trial, evidence grade B). These are summaries of published sources, not medical advice. Each figure links to its source in the references.

What study duration is cited for Retatrutide?

The cited duration is 48 weeks, with no off period stated (Human clinical trial). It describes the source, not a recommendation.

What is the regulatory status of Retatrutide?

Investigational: Lilly Q2 2026 results (2026-08-05) state plans to submit a Biologics License Application to FDA in Q1 2027; the source states no approval

Compound facts

Recorded molecular weight: 4,731 g/mol.
Not yet recorded.
Not yet recorded from a cited source.

Sources

PubMed IDs
35985340, 37366315

References

Numbered sources used on this page. Markers in the text link here.

  1. sec.gov
  2. Phase 2 obesity trial (N Engl J Med 2023, doi 10.1056/NEJMoa2301972; 338 adults) pubmed.ncbi.nlm.nih.gov Human trial
  3. TRIUMPH-2 phase 3 trial (Lancet 2026, doi 10.1016/S0140-6736(26)01861-1; NCT05929079; adults with obesity and type 2 diabetes) pubmed.ncbi.nlm.nih.gov Human trial
  4. clinicaltrials.gov Human trial
  5. clinicaltrials.gov Human trial

Vial sizes and protocols

  • 10 mgPartner size

    Doses per vial
    10
  • 20 mgPartner size

    Doses per vial
    20
  • 30 mgPartner size

    Doses per vial
    30

Calculated from a default of 2 mL water (adjustable).

Available from Pepcore

Supplied as research material for laboratory use only.

PeptideCheck may earn a commission when you use Pepcore links, at no extra cost to you. Read the disclosure.