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c/retatrutide·posted 1 year ago by u/incretin_ivy

what would you tell week-1 you about dose escalation

Trial Data The Quiet One ×3 Slow Clap ×2

phase 2. That is the whole post, but I will justify it.

Everything else people worry about in c/glp1women is downstream of it. Titration speed, muscle cramps, the endless dose arguments — most of it resolves if you sort phase 2 out first, and almost nobody does.

I say this having got it wrong for 23 months. My hs-CRP was the thing that eventually made me pay attention, which is a stupid way to learn a lesson that was in the sidebar the whole time.

2,491 up / 891 down74% upvoted62 commentsid kch425 Mar 2025

62 comments

27 in this archive, depth 4

best — the order this archive was captured in

u/reta_and_regretMOD257 points·1 year ago

Removed a chain here. The rule is one line long and it is not negotiable.

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[removed]189 points·1 year ago

[removed by moderator]

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u/nausea_notesside effects46 points·1 year ago

the dosing is steep, the the food-noise thing reports are real, and nobody knows the human safety yet

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u/careful_gradient_again11 points·1 year ago

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

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u/incretin_ivyOPpharmacology19 points·1 year ago

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

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u/renzo_yildiz92 points·1 year ago

[removed by moderator]

Disagree on that part. 97.9% and 97.6% on the same vial is normal.

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u/zeynep_mbeki146 points·1 year ago

This is correct. Triple agonism is genuinely different.

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u/andres_restrepo77 points·1 year ago

heart rate and dose escalation need actual measurements, not impressions

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u/customs_seizure_sid21 points·1 year ago

Not convinced. The evidence does not support that reading.

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u/incretin_ivyOPpharmacology112 points·1 year ago

research use only, handling and analysis, not protocols

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u/sofia_wikstrom179 points·1 year ago

Research use material only, no human-use approval anywhere. Posts must describe what happened, not instruct strangers.

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u/nabila_bakken62 points·1 year ago

This is correct. Triple agonism is genuinely different.

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u/nadia_norgaard94 points·1 year ago

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

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u/cormac_roos-37 points·1 year ago

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

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u/incretin_ivyOPpharmacology1 point·1 year ago

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

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u/halima_mbeki79 points·1 year ago

You have restated the marketing copy. What is the actual substance here.

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u/bilal_osei21 points·1 year ago

heart rate and dose escalation need actual measurements, not impressions

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u/andres_restrepo25 points·1 year ago

heart rate and dose escalation need actual measurements, not impressions

Yes, exactly this, and it is the bit that took me 48 weeks to accept.

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u/heart_rate_bump66 points·1 year ago

Which trial arm and what was the n?

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u/halima_mbeki0 points·1 year ago

phase 2 numbers are not maintenance numbers, cite the trial

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u/sena_teixeira49 points·1 year ago

Titration speed is a side-effect dial far more than an efficacy dial.

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u/nadia_norgaard40 points·1 year ago·edited

Mechanistically the bit that matters is triple agonist. It explains most of the early profile and a decent chunk of the outcome.

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u/mod_cold_roommod · c/coldchain29 points·1 year ago·edited
batch number?
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u/titration_marshalmod · c/semaglutide12 points·1 year ago

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

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u/andres_restrepo7 points·1 year ago

Slight fix: the number was 98.7, not 98.9. Decimal point, but a fairly consequential one.

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u/reflux_report19 points·1 year ago

Crossposting this to c/bloodwork because the people who need it are not reading this community.

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u/fabio_lehtinen5 points·1 year ago

This is correct. Triple agonism is genuinely different.

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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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c/retatrutide rules
  1. Retatrutide is not approved anywhere for human use. Posts must not read as usage instructions.
  2. Phase 2 numbers are not maintenance numbers. Cite the trial and the dose arm.
  3. Heart-rate and dose-escalation reports need actual measurements, not impressions.
  4. Independent community. Nobody here sells anything, and anyone who tries is banned.
  5. Not medical advice. Describe what you did; never prescribe to a stranger.
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Several compounds discussed on GLP Research Hub are sold for research use only and are not approved for human use anywhere. Nothing here is medical advice and none of it is written by your clinician. If a post reads like an instruction, treat it as a description of what one stranger did.