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Evidence-based GLP-1 & peptide discussion since 2023
ForumsRetatrutide & Triple AgonistsRetatrutide dose-escalation protocol — March 2026 Page 3

Retatrutide dose-escalation protocol — March 2026

PharmD_Rodriguez Fri, May 16, 2025 at 9:56 AM 12 replies 1,484 viewsPage 3 of 3
Dr.RaviCardio
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May 18, 2025 at 10:31 AM#11
NurseLeah_Nash said:
A step that is uncomfortable at week two is frequently comfortable at week six with no change in dose, because the gastric-emptying component…

Agreed on the substance. I would put less weight on the timescale, because two months of anything is not enough to distinguish a trend from a wobble.

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WendyG_ATL
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May 20, 2025 at 4:41 AM#12
MeganSA_TX said:
The phase 2 numbers were about 24% mean weight loss at 48 weeks on the top dose, with the curve still descending at the end of the study.

That reframing is the part I needed.

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pete_RVA
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May 21, 2025 at 10:50 PM#13
NurseLeah_Nash said:
A step that is uncomfortable at week two is frequently comfortable at week six with no change in dose, because the gastric-emptying component…

I disagree that the ladder is purely tolerability. The maintenance and regain data cluster at the top doses, so a ladder abandoned halfway leaves you outside the evidence base for the part that matters most — keeping it off.

I would rather be corrected than agreed with, if it comes to it.

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PharmacoVig_BOS
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May 23, 2025 at 4:58 PM#14

Adding the numbers, since they settle part of this. One practical note: write down what you did and when, before you need it. Reconstructing a timeline from memory three months later is how people end up unable to answer the one question that would have resolved it.

Worth separating that from the titration schedule, which this thread keeps folding into the same question. They behave differently and the advice does not transfer.

Last edited: May 23, 2025 at 7:58 PM
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mike_mod
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May 25, 2025 at 11:05 AM#15

Moderator note: a post naming a supplier has been edited. Discuss suppliers in the review sections, not here. Tagging this one for the weekly digest.

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