Protocol library
SingleInvestigationalPhase 3Moderate confidenceSourced

Retatrutide

A triple GIP, GLP-1 and glucagon receptor agonist in phase 3 development. Explore the TRIUMPH schedule and vial-aware calculation examples.

Peppys Retatrutide research vial on a neutral background
Product image to help confirm the vial size. Research use only.

Evidence context, not a personal protocol

Quantities below reproduce their stated source context—label, human study, laboratory work or educational guide. They do not assess suitability, product equivalence or individual risk.

TRIUMPH phase 3 design

Weekly research schedule

The default line reconstructs the 12 mg TRIUMPH phase 3 arm, starting at 2 mg and changing every four weeks through 4 mg, 6 mg and 9 mg.

Evidence source
Maximum study quantityChoose the maximum shown by the evidence line. Any earlier point can be selected below for its arithmetic.

Assigned weekly quantities

Select a point for its calculation examples
  1. Weeks 1 to 4
    2 mg
  2. Weeks 5 to 8
    4 mg
    +2 mg after 4 weeks
  3. Weeks 9 to 12
    6 mg
    +2 mg after 4 weeks
  4. Weeks 13 to 16
    9 mg
    +3 mg after 4 weeks
  5. Weeks 17 to 80
    12 mg
    +3 mg after 4 weeks

Vial-aware arithmetic

Reconstitution examples, up to 3 mL

Choose the vial quantity and BAC water first. The diagram and results below update for the selected 2 mg study quantity. Higher-strength vials may naturally land outside the 20-30 unit band.

Vial quantity

Choose the quantity printed on the vial.

BAC water added

Use 1, 2 or 3 mL, or enter a custom volume up to 3 mL.

Open the full reverse calculator
Three millilitre research vial, diluent vial and capped U-100 syringe on an ink-blue surface
One small vial, one measured diluent volume and one U-100 scale. The arithmetic connects all three.
BAC water selected
1 mL

Basic example limit: 3 mL maximum. Check the actual vial and product-specific limits.

2 mL BAC
40 units

resulting U-100 draw

Concentration
5 mg/mL
BAC added
2 mL
3 mL BAC
60 units

resulting U-100 draw

Concentration
3.333 mg/mL
BAC added
3 mL

Formula: draw units = selected mg × BAC mL ÷ vial mg × 100. The 20-30 unit band is a measurement reference, not a recommendation. Results are mathematical examples, not preparation instructions.

Dosage and protocol evidence

Each card states what the quantities are based on. A third-party or animal schedule is not a validated human dose.

Human StudySubcutaneousOnce weekly
Adults with obesity or overweight without diabetes

Once-weekly phase 3 trial arms targeting 4 mg, 9 mg or 12 mg after a 2 mg start and four-week escalation steps

TRIUMPH-1 used the sequence 2 mg, 4 mg, 6 mg, 9 mg and 12 mg for the highest target arm. These were assigned research schedules, not prescribing instructions.

View source
Human StudySubcutaneousOnce weekly
Adults with obesity or overweight without diabetes

Once-weekly subcutaneous trial arms targeting 1 mg, 4 mg, 8 mg or 12 mg, with lower starting-dose groups and dose escalation

Phase 2 randomised controlled study over 48 weeks; these were research arms rather than prescribing instructions.

View source
Community GuideSubcutaneous in reportsUsually once weekly; nonweekly schedules are experimental
online research community reports

Weekly use dominates, commonly beginning around 2 mg and clustering at 8-12 mg weekly during reported loss phases; maintenance reports span 0.5 mg weekly to 9-10 mg weekly

Split, every-three-to-five-day and daily schedules are fringe experiments, not trial conversions. The archive also contains a corrected 10 mg-every-five-days example that a refined file mistranscribed as 2 mg; raw/stacking-glp1s-a-contrarian-view.md:399 and dosing-summaries/01-retatrutide.md:18-53.

View source
Community GuideSubcutaneous in reportsUsually once weekly; every 5-6 days is a common variant
authenticated research-forum (Peppys) weight-loss reports

Subcutaneous weekly use dominates, commonly beginning around 2 mg and titrating stepwise (for example 2-4-6-8-9-10-12 mg, roughly four weeks per step) toward 8-12 mg, with 12 mg the reported maximum and effects said to "feel" around 6-8 mg; some run every 5-6 days tracking the ~6-day half-life, and low-dose responders report 1-2 mg weekly

Forum provenance from an authenticated archive with usernames omitted. Split, every-three-to-five-day and daily schedules are described as fringe experiments rather than trial conversions; the archive notes effects build over about eight weeks with weight loss starting near week twelve. Quantities conflict and are community provenance, not controlled dose finding.

View source

Evidence summary

Retatrutide activates three metabolic hormone receptors and remains an investigational medicine. Phase 3 topline results are available from the sponsor, while peer-reviewed phase 2 data remain important context.

How to read the studied regimen

The default line describes the assigned 12 mg target arm in TRIUMPH-1. Participants started at 2 mg and moved through 4 mg, 6 mg and 9 mg at four-week intervals before reaching 12 mg. Select a point to see the corresponding arithmetic, not to choose a personal quantity.

What the vial examples mean

The examples hold BAC water at 1 mL, 2 mL or 3 mL and show the resulting U-100 draw for the selected study quantity. No basic example exceeds a 3 mL vial. They do not verify solubility, headspace, sterility, stability or whether the labelled vial quantity is accurate.

Safety context

The phase 3 sponsor report and phase 2 paper should be read with their study populations, adverse events and discontinuations. Trial monitoring cannot be reproduced by a calculator.

Community provenance (Peppys)

A well-populated authenticated research-forum archive records subcutaneous retatrutide as a weekly compound, most often begun around 2 mg and titrated in roughly four-week steps toward 8-12 mg, with 12 mg described as the maximum and noticeable effects reported around 6-8 mg. A common variant doses every five to six days to track the roughly six-day half-life, while split, every-three-to-five-day and daily schedules are treated as fringe experiments. Low-dose responders and cagrilintide or tirzepatide stacking also appear. The same archive notes that effects build over about eight weeks with weight loss starting near week twelve, and records conflicting quantities. Usernames are omitted and figures are logged as community provenance without endorsement; these reports do not convert the trial schedule above.

Warnings and contraindications

Retatrutide is investigational and is not authorised for routine clinical use.
Gastrointestinal adverse events and heart-rate changes were reported in trials.
FDA states that retatrutide has not been found safe and effective for any condition and cannot be used in compounding under US federal law.
Organised research bench with labelled storage tray, vial rack, notebook and thermometer
A clean workspace supports traceability. It does not establish sterility.

Shared across protocols

Supplies and general handling

Keep the universal checklist short. Product-specific labelling and source documentation always take priority over a general guide.

Research vial

Select the labelled vial quantity used in the calculation.

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Bacteriostatic water

Use only a diluent appropriate to the research method and formulation.

View Peppys BAC water

U-100 measuring syringe

Use a new sterile device for every entry. Source locally.

Source locally

Wipes and sharps container

Plan clean handling and immediate sharps disposal. Source locally.

Source locally

Storage follows the label

Do not apply a universal refrigerator rule. Follow the product, diluent and study documentation for temperature, light and expiry.

Use sterile equipment once

CDC injection-safety guidance calls for a new sterile needle and syringe for each injection and entry into a medication container.

Stability is formulation-specific

Do not infer a post-mixing lifetime from BAC water alone. Discard material when identity, integrity or sterility is in doubt.