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

why does nobody talk about dose escalation

Question Clean Column ×4 Sourced ×3 Long Haul ×2

Quick one. Canada here.

glucagon works very differently where I live than in the threads that dominate the front page, and I keep seeing people confidently given advice that simply does not apply outside the US.

Specifics: the route I used took 6 weeks and cost roughly what I expected. The admin was worse than the cost. The thing that would have saved me the most time was knowing which document to ask for at the start.

Happy to answer questions from anyone in the same jurisdiction.

9,695 up / 3,680 down72% upvoted68 commentsid 1eicxz25 Apr 2025

68 comments

30 in this archive, depth 5

best — the order this archive was captured in

u/niels_lindqvist930 points·1 year ago

the weight curves are unusually steep, which makes predicting individual response harder

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u/tired_ledger_notes504 points·1 year ago

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

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u/hassan_nilsen421 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/lina_bruun335 points·1 year ago

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

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u/zeynep_mbeki206 points·1 year ago

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

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u/farid_molnar238 points·1 year ago

nobody should be giving this to anyone without extensive monitoring

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u/crosspost_bot_no61 points·1 year ago

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

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u/hugo_pires165 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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[deleted]121 points·1 year ago

[deleted]

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u/blunt_coldbox_202427 points·1 year ago

[deleted]

Disagree on that part. 99.2% and 96.2% on the same vial is normal.

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u/cold_chromatogram_only192 points·1 year ago

Research use material only, no human-use approval anywhere.

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

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u/honest_syringe33158 points·1 year ago

This is correct. Triple agonism is genuinely different.

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u/reflux_report79 points·1 year ago

phase 2 numbers are not maintenance numbers, cite the trial

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u/placebo_arm_pam123 points·1 year ago

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

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u/trialwatch_theoMOD50 points·1 year ago

This is an urgent-care question wearing a forum question's clothes. Please contact a clinician rather than waiting for replies.

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u/yannick_salinas59 points·1 year ago

Half-life is about 168 hours, so steady state lands around week 18–5. Practical consequence: what you feel in week 1 is not what that dose does.

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u/niels_lindqvist40 points·1 year ago

Disagree. What you are describing is consistent with glucagon, not with what you concluded.

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u/viktor_laurentOP22 points·1 year ago

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

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u/renzo_yildiz56 points·1 year ago

Every time this gets posted it hits the front page and every time someone has to re-explain it.

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u/solene_ilunga34 points·1 year ago

Which trial arm and what was the n?

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u/ewan_zielinski12 points·1 year ago

heart rate and dose escalation need actual measurements, not impressions

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u/viktor_laurentOP10 points·1 year ago·edited

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

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u/marta_vanhecke28 points·1 year ago·edited

Which trial arm and what was the n?

Counter-anecdote: opposite result, same dose. Which mostly tells us the variance is huge.

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u/quiet_moderatormod15 points·1 year ago

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

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u/aa_analysis_andy15 points·1 year ago

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

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u/endotoxin_elliemicro11 points·1 year ago

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

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u/nadia_norgaard5 points·1 year ago

the dosing is steep, the constipation reports are real, and nobody knows the human safety yet

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u/fabio_lehtinen3 points·1 year ago

Yeah, phase 2 retatrutide is interesting but it is not comparable to phase 3 compounds.

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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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