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c/retatrutide·posted 2 years ago by u/incretin_ivy

12 months in and triple agonist is still the thing I get wrong

Trial Data Clean Column ×1 Well Actually ×3 Slow Clap ×2

Long-ish post, sorry. tl;dr at the bottom.

I have been tracking retatrutide against triglycerides for 9 weeks because I could not find anyone who had. The correlation is weaker than I expected, which is itself mildly interesting given how confidently people link the two in here.

Caveats up front: one person, one lab, one assay, no control, and I changed my training in the middle of it, which was stupid.

tl;dr: probably real, definitely smaller than the threads imply, and not worth reorganising your week around.

9,560 up / 1,212 down89% upvoted41 commentsid 1b1svc6 Nov 2023

41 comments

30 in this archive, depth 5

best — the order this archive was captured in

u/incretin_ivyMOD1.7k points·2 years ago

Retitled to remove editorialising. Put the evidence in the body.

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u/bastian_ekstrom379 points·2 years ago

Retitled to remove editorialising.

Adding to this: TRIUMPH is doing more work than the comment implies.

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u/rosa_almeida254 points·2 years ago

Strongly agree. Heart rate escalation needs the actual data, not impressions.

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u/employer_carveout-10 points·2 years ago

the glucagon component changes the side effect profile, not just the efficacy

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u/kavya_kravchenko112 points·2 years ago

Not to be pedantic but dose escalation and phase 2 are being used interchangeably and they are not interchangeable in real life.

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u/yara_lindholm1.2k points·2 years ago

Half-life is about 168 hours, so steady state lands around week 16–5. Practical consequence: what you feel in week 1 is not what that dose does.

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u/ewan_zielinski563 points·2 years ago
this deserves more than 19 upvotes
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u/lurker_for_years341 points·2 years ago

triple agonism is phase 2, do not generalise

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u/sena_teixeira286 points·2 years ago

That is net peptide content, not purity. Different number, different meaning.

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u/elodie_grimaldi89 points·2 years ago

the glucagon component changes the side effect profile, not just the efficacy

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u/incretin_ivyOPpharmacology36 points·2 years ago

What was the dosing schedule in that arm?

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u/lurker_for_years218 points·2 years ago

Which trial arm and what was the n?

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u/bastian_ekstrom69 points·2 years ago·edited

heart rate and dose escalation need actual measurements, not impressions

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u/incretin_ivyOPpharmacology94 points·2 years ago

Dose escalation on retatrutide is steeper and faster than on semaglutide. Do not assume the titration patterns transfer.

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u/two_mil_or_one131 points·2 years ago

The heart rate signal in TRIUMPH is real and concerning. Higher doses had higher mean HR changes.

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u/liver_enzyme_liz155 points·2 years ago

triple agonism plus glucagon is a different physiological state than GIP/GLP-1 dual

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u/rui_only_ro109 points·2 years ago

Strongly agree. Heart rate escalation needs the actual data, not impressions.

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u/source_or_silence55 points·2 years ago

the glucagon component changes the side effect profile, not just the efficacy

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u/marta_vanhecke420 points·2 years ago·edited

Dead space in the needle hub holds a small but non-trivial volume. On low-volume draws that can be several units.

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u/injection_site_iris100 points·2 years ago

Dead space in the needle hub holds a small but non-trivial volume.

Yes, exactly this, and it is the bit that took me 53 weeks to accept.

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u/isabela_nilsen56 points·2 years ago

nobody should be giving this to anyone without extensive monitoring

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u/lina_bruun309 points·2 years ago

This is correct. Triple agonism is genuinely different.

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u/incretin_ivyOPpharmacology217 points·2 years ago

This is correct. Triple agonism is genuinely different.

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u/emil_wojcik126 points·2 years ago

retatrutide is not approved anywhere for human use, posts must not read as instructions

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u/bilal_osei134 points·2 years ago

Slight fix: the number was 99.1, not 93.7. Decimal point, but a fairly consequential one.

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u/signe_villalobos308 points·2 years ago

This is correct.

Adding to this: triple agonist is doing more work than the comment implies.

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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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