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Evidence-based GLP-1 & peptide discussion since 2023
ForumsRetatrutide & Triple AgonistsRetatrutide cholesterol effects — 6 month update Page 2

Retatrutide cholesterol effects — 6 month update

DerekSJ_a1c Wed, Jan 24, 2024 at 2:20 AM 11 replies 2,153 viewsPage 2 of 3
FDA_TrackerJim
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Rockville, MD
Jan 24, 2024 at 4:10 AM#6
LabKate 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.

Careful with treating an unchanged LDL-C as a failure. If ApoB and triglycerides both fell, the particle picture improved regardless of what the calculated LDL says.

That is the short version; the long version is somebody else's post.

14 9Dr.Martinez, mike_mod, SarahChen_PharmD and 11 others
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TrialTracker_MD
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Jan 2024
Maryland
Jan 24, 2024 at 4:53 AM#7

One concrete data point for the thread. For anyone tracking the class: GLP-1 alone gets you appetite, GLP-1 plus GIP adds tolerability and lipid handling, and adding glucagon adds expenditure and liver-fat reduction. Each addition also adds a receptor system that can generate side effects.

13 8stefan_berlin, Dr.EM_Chicago, pete_RVA and 10 others
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MASHdoc_SA
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San Antonio, TX
Jan 24, 2024 at 5:36 AM#8
FDA_TrackerJim said:
Careful with treating an unchanged LDL-C as a failure.

Tracking labs for the lipid panel — here's the panel I get every 3 months and why:

  • CMP: glucose, electrolytes, kidney function, liver enzymes
  • Lipid panel: total cholesterol, LDL, HDL, triglycerides
  • A1C: 3-month glucose average
  • hsCRP: inflammatory marker
  • CBC: blood counts, anemia screening
  • B12, folate, iron: nutritional deficiency screening
  • TSH, free T4: thyroid monitoring
  • Lipase: pancreatic safety check

Total cost with insurance: about $40 copay. Without insurance, request cash-pay pricing from Quest/Labcorp — usually $195.

12 7JennaRN, LabKate, kate.chem and 9 others
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JenMemphis
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Memphis, TN
Jan 24, 2024 at 6:19 AM#9

One thing that is still open after BenResearch_OR’s answer:

What the phase 2 dropout pattern implies about how the phase 3 tolerability will read?

11 6wanda_boise, NurseAsh_DET, BenResearch_OR and 8 others
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DerekSJ_a1c
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San Jose, CA
Jan 24, 2024 at 9:45 AM#10

Closing the loop on my own question.

Rereading it with the dropout table open changed my view. I still think it is the most interesting molecule in the pipeline; I no longer think the 24% is the number that will end up on a label.

Last edited: Jan 24, 2024 at 2:45 PM
7 5AttorneyGrant, DebRD_ATL, KristenIndy and 4 others
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