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c/retatrutide·submitted 1 year ago by u/nikhil_asante

triple agonist: the version I wish someone had shown me in week 1

Discussionbranch of 11 comments

triple agonist: the version I wish someone had shown me in week 1. Numbers below. Ask me the boring questions, they are the useful ones. It is a triple agonist at the GLP-1, GIP and glucagon receptors. The glucagon arm is the genuinely novel component and it is the one with the least human outcome data behind it.…

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11 comments, started 1 year ago
u/nordic_pricing0 points·1 year ago

Careful with the rankings. A phase 2 result and a phase 3 result are not on the same evidential footing and cannot be listed in one table.

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u/careful_gradient_notes1 point·1 year ago

Careful with the rankings.

Agreed, and the glucagon arm is exactly why the comparison threads do not work.

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u/customs_seizure_sid1 point·1 year ago

Agreed, and the glucagon arm is exactly why the comparison threads do not work.

Adding the standing caveat: none of this is approved anywhere and research material is not for human use.

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u/bastian_ekstrom1 point·1 year ago

Push back: quoting the phase 2 headline as an expected outcome is not a fair reading of a small trial with wide intervals.

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u/discount_math_dm1 point·1 year ago

What the glucagon arm is doing, as best anyone can say from public data.

GLP-1 and GIP agonism cover appetite and insulin secretion in ways that are now reasonably well characterised. Glucagon receptor agonism is the third leg and it is associated with increased energy expenditure and with effects on hepatic fat.

Mechanistically that is why this compound reads as a different proposition rather than a stronger version of a dual agonist. Clinically, the size and durability of that difference in humans is precisely what is not yet established, and anyone telling you otherwise is filling a gap with confidence.

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u/priya_weiss1 point·1 year ago

small trial, big effect, wide error bars

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u/honest_syringe_20251 point·1 year ago

What the glucagon arm is doing, as best anyone can say from public data.

discount_math_dm is right about the escalation being the variable. It explains most of the difficult reports here.

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u/helga_vermeulen1 point·1 year ago

Read the phase 2 paper twice before ordering anything. Recommend that to anyone in this board: the error bars are the interesting part.

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u/burned_once_twice1 point·1 year ago

Read the phase 2 paper twice before ordering anything.

This is the sentence the rest of the board should read first. Phase 2 is not a label.

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u/crosspost_bot_no1 point·1 year ago

What is the source for that figure — the published paper or a summary of it?

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u/halima_mbeki1 point·1 year ago

Not convinced. You are attributing a week of food noise to the glucagon arm when the escalation rate alone would explain it.

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About c/retatrutide

Retatrutide: GIP/GLP-1/glucagon triple agonism, the TRIUMPH programme, and the fact that most people discussing it are handling research-grade material with no human-use approval anywhere. Dose-response, heart-rate signal, and the unusually steep phase-2 weight curves get argued about here weekly.

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