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Retatrutide, Triple incretin receptor agonist
A once weekly triple agonist of the GLP-1, GIP, and glucagon receptors, the glucagon arm distinguishing it from dual agonists by raising energy expenditure.
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A single molecule hitting three metabolic receptors at once. The added glucagon arm raises energy burn on top of the appetite control of GLP-1/GIP, driving the largest trial weight losses yet.
Weight reduction
Glycemic control
Hepatic fat
Bars indicate how far the evidence has progressed (in vitro to animal to human), not the size of any effect.
Jastreboff AM, et al.
In a Phase 2 trial (338 adults), once weekly retatrutide produced up to ~24% mean body weight reduction at 48 weeks, among the largest losses reported for a pharmacotherapy.
The best evidenced compound on the storefront by a wide margin. Eli Lilly's Phase 3 TRIUMPH (obesity) and TRANSCEND (diabetes) programs are large and double blind. TRANSCEND-T2D-1 (537 adults, The Lancet 2026) met its primary endpoint with HbA1c reductions up to ~2.0%; TRIUMPH-1 (obesity, reported May 2026) reported average weight loss ~28% at 12 mg. Still investigational.
AE profile consistent with the GLP-1 class, predominantly dose dependent GI (nausea, vomiting, diarrhea, constipation). A retatrutide specific dysesthesia (altered skin sensation) signal is worth watching. The glucagon arm warrants glycemic and heart rate monitoring. Gray market use without titration or monitoring is especially hazardous, this is an investigational pharmaceutical with drug level effects, not a 'wellness peptide.'
Personal/family history of medullary thyroid carcinoma or MEN2; pregnancy; history of pancreatitis; caution with other glucose lowering agents.
Not yet FDA approved as of mid-2026, investigational, Phase 3 ongoing. Any retatrutide sold now is pre approval (gray market or compounded), with full quality risk. WADA: prohibited (S0 + GLP-1 class).
Source: Fnx Performance Peptide Research Database, a synthesis of the scientific and regulatory literature, not medical advice. For medical questions, consult a qualified physician.