Weight Loss
Phase 3 (NDA expected late 2026)
Evidence: High Quality

Retatrutide

Also known as: LY3437943

Brand names: LY3437943

Overview
Obesity and weight management

Retatrutide is a novel triple-receptor agonist developed by Eli Lilly currently in Phase 3 clinical trials. It has demonstrated unprecedented weight loss results, with patients losing an average of 28.7% of body weight in 48-week trials. The peptide works by simultaneously activating three metabolic pathways: GIP (glucose-dependent insulinotropic polypeptide), GLP-1 (glucagon-like peptide-1), and glucagon receptors. This multi-pronged approach appears to produce superior weight loss compared to existing FDA-approved medications. In the Phase 3 TRIUMPH-4 trial (December 2025), patients on the 12mg dose lost an average of 28.7% of body weight over 68 weeks, with 39.4% of participants achieving 30% or greater weight loss. An NDA submission to the FDA is expected in late 2026.

Mechanism of Action

Triple agonist targeting GIP, GLP-1, and glucagon receptors to enhance insulin secretion, reduce appetite, and increase energy expenditure

Dosage Information
ParameterDetail
AdministrationSubcutaneous injection
Typical Dose12mg weekly (dose escalated from 2mg)
FrequencyWeekly
Side Effects
Reported adverse effects from clinical data and post-market surveillance

Common Side Effects

Nausea
Diarrhea
Vomiting
Constipation
Injection site reactions
Fatigue
Dysesthesia

Serious Side Effects

Pancreatitis
Gallbladder disease
Severe gastrointestinal reactions
Hypoglycemia (if combined with insulin)
!Contraindications
Do not use this peptide if any of the following apply
  • Personal or family history of medullary thyroid carcinoma
  • Multiple endocrine neoplasia syndrome type 2
  • Pregnancy
Clinical Evidence

Evidence Quality

High Quality

Clinical Trial Phase

Phase 3

Average Weight Loss in Trials

28.7%

Cost Comparison
Estimated monthly costs compared to similar peptides
PeptideMonthly CostFDA Status
Retatrutide$1200 - $1500/mo
Phase 3 (NDA expected late 2026)
Semaglutide$1000 - $1400/mo
FDA Approved
Tirzepatide$1100 - $1100/mo
FDA Approved
AOD-9604$30 - $60/mo
Phase 2 (failed; reclassification pending)
Compare Retatrutide
See how Retatrutide stacks up against similar peptides

Medical Disclaimer

The information provided on this page is for educational and informational purposes only and does not constitute medical advice. Always consult a qualified healthcare provider before starting, stopping, or modifying any peptide therapy or medication. PeptideVS does not endorse, recommend, or promote the use of any specific peptide for medical treatment. Clinical data cited may be from ongoing trials and is subject to change. Individual results may vary.