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Retatrutide

Also known as: LY3437943, Triple G

At a glance

PeptiGuide dataset · reviewed Aug 2026

What it is

An investigational three-receptor peptide in Phase 3 obesity research.

Status

Clinical Trials

Typical dose

4–12mg

Researched for

Weight loss, metabolic syndrome, liver fat reduction

Trial progress

  1. PrePreclinical
  2. IPhase I
  3. IIPhase II
  4. IIIPhase III
  5. IVPhase IV
  6. FDAFDA approved

Phase III - Emerging human evidence with important limitations

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Get updates on Retatrutide

New studies, regulatory decisions and data corrections - delivered when they land.

  • Retatrutide is a once-weekly injectable with GIP, , and glucagon receptor activity; the source labels it a triple-G .
  • The source reports Phase 2 mean weight reduction near 24 percent of body weight at 12 mg and lists Phase 3 development.
  • A May 2026 TRIUMPH-1 update reports 28.3 % at 80 week on 12 mg; 45 % reached 30 % or more body-weight loss.
  • The source identifies Eli Lilly as developer, calls the molecule investigational, and states it is not FDA approved.
  • Listed research areas include weight loss, metabolic syndrome, and liver fat reduction.

Retatrutide is described as an at GIP, , and glucagon receptors. The source links GLP-1 signaling to lower appetite and delayed stomach emptying, GIP to insulin response and nutrient handling by fat tissue, and glucagon receptor activity to hepatic energy expenditure and fat burning. It emphasizes that the individual contribution of each receptor in humans is still uncertain.

Where the research stands

According to the source summary, Jastreboff and colleagues reported a 2023 NEJM Phase 2 randomized trial involving 338 adults with obesity but no type 2 diabetes. The 48 week trial reported a mean reduction close to 24 percent at 12 mg, with no clear plateau by that endpoint. It also reports that a large majority of participants with baseline prediabetes had normal blood sugar at follow-up. Nausea, vomiting, and diarrhea predominated and were described as dose-dependent. The summary says larger, longer Phase 3 work was intended to examine durability and safety.

What it shows

Human studies

Emerging human evidence with important limitations

Limitations

Study protocols describe research and are not dosing recommendations.

Bottom line: Source-reported Phase 3 TRIUMPH-1 pivotal trial update (May 2026): 28.3 % mean weight loss at 80 week with 12 mg, and 45 % of patients lost 30 % or more. It calls this the largest Phase 3 obesity-drug loss result and expects an NDA submission late 2026–Q1 2027. Not FDA Approved

Typical dosing

Community

4–12 mg

weekly

1 mg12 mg

The community record also names 1-2 mg as a starting amount and identifies gastrointestinal effects as dose-related.

Research dosing

Study-specific protocols

Doses observed in studies

0.5mg weekly (starting)

Phase 2 T2D Trial, Lancet 2023 - 0.5mg maintenance arm with no escalation

Study protocols describe research and are not dosing recommendations.

Duration
Long-term use expected
Administration
Subcutaneous injection weekly

Best time to take

Morning, same day each week

Once weekly, same day and time

Food recommendation

With or without food

Why this timing?

The source suggests morning timing so tolerability can be observed and emphasizes keeping the weekly schedule consistent.

Not everyone experiences these. Individual responses vary with dose, duration, and personal factors.

  • Nausea (dose-related)
  • Diarrhea
  • Vomiting
  • Constipation
  • Heart rate increases
  • Hypersensitivity reactions
  • Dysesthesia - skin sensitivity/tingling (~21% at highest dose, TRIUMPH-4 data)
  • Pancreatitis (rare)
  • Currently in Phase 3 trials

Not everyone experiences side effects, and severity can vary by context, purity, route, and individual health factors.

Tyr-Aib-Gln-Gly-Thr-Phe-Thr-Ser-Asp-Tyr-Ser-Ile-alpha-Me-Leu-Leu-Asp-Lys-[C20-diacid-gamma-Glu-AEEA-Lys]-Ala-Gln-Aib-Ala-Phe-Ile-Glu-Tyr-Leu-Leu-Glu-Gly-Gly-Pro-Ser-Ser-Gly-Ala-Pro-Pro-Pro-Ser-NH2

One open dataset

Every fact on this page - doses, side effects, references - comes from the same PeptiGuide dataset that powers the Tracker, Compare, and the Lab.

Browse the dataset

Educational resource, not medical advice. Talk to your clinician before acting on anything here.

Community discussion

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