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
- PrePreclinical
- IPhase I
- IIPhase II
- IIIPhase III
- IVPhase IV
- FDAFDA approved
Phase III - Emerging human evidence with important limitations
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In plain language
- 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.
How it's thought to work
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.
What the research shows
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
CommunityCommunity dataset4–12 mg
weekly
The community record also names 1-2 mg as a starting amount and identifies gastrointestinal effects as dose-related.
Research dosing
Study-specific protocolsHuman trials under way - protocols are study-specific
Timing & administration
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.
Possible side effects
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.
Sources
Frequently asked questions
Sequence
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 datasetEducational resource, not medical advice. Talk to your clinician before acting on anything here.
Community discussion
Comments are moderated before they appear. Keep it evidence-focused.