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ForumsRetatrutide & Triple AgonistsRetatrutide cholesterol effects — 6 month update

Retatrutide cholesterol effects — 6 month update

DerekSJ_a1c Wed, Jan 24, 2024 at 2:20 AM 11 replies 2,153 viewsPage 1 of 3
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DerekSJ_a1c
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Aug 2024
San Jose, CA
Jan 24, 2024 at 2:20 AM#1

Triglycerides dropped by half, HDL barely moved, and my calculated LDL is almost exactly where it started, which is not the outcome I had been promised.

The narrow version of the question is whether an unchanged LDL-C alongside a large triglyceride fall is a good result or a bad one, because ApoB and LDL-C seem to be telling different stories.

If the honest answer is that nobody knows, that is a useful answer and I would rather have it.

19 14adam_van, Dr.SurgeonPGH, rachel_ABQ and 16 others
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LabKate
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Oregon
Jan 24, 2024 at 2:28 AM#2

Taking the question as asked, rather than the general version of it. 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. A curve that has not flattened is a real finding, but it also means the true plateau is unknown, and phase 2 populations are small and selected.

Last edited: Jan 24, 2024 at 5:28 AM
18 13laura_annarbor, JenMemphis, pat_auckland and 15 others
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BenResearch_OR
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Dec 2023
Oregon
Jan 24, 2024 at 2:36 AM#3
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.

Fair, but phase 2 tolerability figures rarely survive contact with phase 3 scale. Triple agonism means three receptor systems generating adverse events, and the dropout column is the one I would read first when the larger trials report.

17 12Dr.NateNeph, PharmD_Rodriguez, julia.endo and 14 others
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kevin_tulsa
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Tulsa, OK
Jan 24, 2024 at 2:44 AM#4
DerekSJ_a1c said:
Triglycerides dropped by half, HDL barely moved, and my calculated LDL is almost exactly where it started, which is not the outcome I had been…

Same experience, arrived at from the opposite direction.

Last edited: Jan 24, 2024 at 4:44 AM
16 11quinn_sf, NurseLeah_Nash, gary_naperville and 13 others
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roxy_nash
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Nashville, TN
Jan 24, 2024 at 3:27 AM#5

From the other side of the consultation, briefly.

Before/after bloodwork compilation for the lipid panel — everything in one place for those who want comprehensive data:

CategoryMarkerBeforeAfter 15moChange
MetabolicA1C8.0%5.7%⬇️ 1.2%
MetabolicFasting Glucose11592⬇️ 30
LipidsLDL15397⬇️ 55
LipidsTriglycerides255105⬇️ 105
InflammationhsCRP8.50.8⬇️ 6.0

Every single metabolic marker improved. This is why I'm a believer in this therapy.

15 10kim_atl_prep, sarah_TO, wendy_avl and 12 others
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