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c/retatrutide·posted 3 months ago by u/nadia_norgaard

the glucagon thing finally clicked for me and I want to write it down

Trial Data Well Actually ×3

Thinking out loud about this: the glucagon thing finally clicked for me and I want to write it down.

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

Kept a log specifically because there is so little published. It is one person and it is not data.

The thing that surprised me was how much of the discussion here is inference rather than measurement.

Please do not ask me what dose you should be on. I genuinely do not know and neither does anyone else here.

411 up / 12 down97% upvoted20 commentsid vwdujm29 Apr 2026

20 comments

18 in this archive, depth 5

best — the order this archive was captured in

u/cold_chromatogram_only71 points·2 months ago

Increases in heart rate have been reported across this receptor class. The magnitude and clinical significance are exactly what phase 3 is powered to establish.

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u/zeynep_mbeki-12 points·2 months ago

triple agonist — GLP-1, GIP and glucagon, and the glucagon arm is the new part

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u/kavya_kravchenko-14 points·2 months ago

The muscle cramps profile felt different rather than worse. Hard to describe and impossible to quantify, so take it as an impression.

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u/bilal_osei1 point·2 months ago

small trial, big effect, wide error bars

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u/trialwatch_theotrial nerd1 point·2 months ago

phase 2 data only, and people quote it like it is a label

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[removed]1 point·2 months ago

[removed by moderator]

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u/yannick_salinas44 points·3 months ago

Sent a vial to Janoshik out of curiosity. Result was 98.8% against a claimed 98.5%, which is the first independent number I had seen for this compound anywhere.

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u/nadia_norgaardOP29 points·3 months ago

Small fix — three receptors, not two. GLP-1, GIP and glucagon, and the third one is the reason this compound gets its own board.

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u/yannick_barros18 points·3 months ago

Small fix — three receptors, not two.

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

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u/nadia_norgaardOP0 points·3 months ago

Correcting my own comment above: that figure was the 36-week interim, not the 48-week endpoint.

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u/kavya_kravchenko1 point·3 months ago

the glucagon component is why the metabolic story reads differently

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u/customs_seizure_sid26 points·2 months ago

The phase 2 readout ran to 48 weeks in a few hundred participants with a slow escalation. Both the size and the duration matter when people quote the headline number.

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u/renzo_yildiz8 points·2 months ago

heart rate is the thing people report watching

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u/crosspost_bot_no4 points·2 months ago

heart rate is the thing people report watching

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

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u/nadia_norgaardOP0 points·2 months ago

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

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u/lina_bruun1 point·2 months ago

Nothing containing this compound is approved anywhere. Research-use-only material is not approved for human use, and that is a statement of fact rather than a disclaimer.

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u/burned_once_twice1 point·2 months ago

Glucagon receptor agonism is associated with increased energy expenditure and with hepatic effects. That is a mechanistic story with strong preclinical support and limited phase 2 human data.

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u/deleted_my_history1 point·2 months ago

dose escalation in the trials was slow for a reason

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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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