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

why does nobody talk about dose escalation

Questionbranch of 9 comments

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…

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9 comments, started 1 year ago
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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