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Retatrutide belongs to a new class of medicines called multi-agonist peptides. Unlike older therapies that target one or two receptors, Retatrutide activates three receptors: GLP-1, GIP, and glucagon. Early research suggests it could deliver greater weight loss than currently approved medications such as Wegovy and Mounjaro.
The fact that it targets three separate pathways means Retatrutide doesn’t just reduce food intake, it also helps the body burn more calories. For people living with obesity and related conditions such as type 2 diabetes, Retatrutide could be a potentially promising candidate.
The price of Retatrutide isn’t yet known and will be set when the medication becomes available in the UK. Since Retatrutide is likely to compete with weight loss injections such as Mounjaro and Wegovy, the cost should be similar to those treatments. Currently, Wegovy is considered the most cost-effective treatment compared to Mounjaro.
At Prescription Doctor, the starting price for Wegovy is £129.99, while Mounjaro is £179.99.
Retatrutide is a synthetic peptide developed by the same company behind Mounjaro
(tirzepatide). Peptides are small chains of amino acids that can mimic natural hormones in the body. These hormones are normally released in the gut after eating and play an important role in appetite regulation and energy balance. By mimicking them, Retatrutide helps the body feel fuller, process food more effectively and use stored fat as fuel.
The fact that Retatrutide impacts GLP-1, GIP, and glucagon has earned it the nickname “Triple G”. When it’s released, the treatment will be the first of its kind on the market, making it a promising alternative to available medications.
Retatrutide works in harmony with existing biological pathways to enhance natural signals that influence hunger and metabolism. This makes it a targeted and physiologically familiar way to support weight loss.
Retatrutide works by targeting three different receptors:
By combining these three actions, Retatrutide addresses multiple aspects of weight control at once. Patients eat less, feel fuller for longer and burn more energy, which may explain the promising results seen in trials. In addition to these benefits, clinical trials have shown that the medication may improve cardiovascular risk factors and non-alcoholic fatty liver disease.
In a 48-week Phase 2 trial published in 2023, Retatrutide produced some dramatic weight loss results. At higher doses, patients lost an average of nearly a quarter of their body weight, exceeding outcomes typically reported with current licensed treatments such as Wegovy (~15%) or Mounjaro (~20%).
Key findings from the study:
Improvements extended beyond weight: participants also experienced improved blood sugar control, lower cholesterol levels, reduced blood pressure, and a smaller waist measurement.
If these findings are confirmed in larger Phase 3 trials, Retatrutide could emerge as a highly effective weight loss injection. That said, it remains in development, and further research is essential to fully establish its long-term safety and efficacy before it is brought to market.
In clinical trials, patients reported feeling less hungry and fuller sooner, typically within the first few weeks, with weight loss often starting in the first month. The most significant reductions developed gradually over several months and continued throughout the 48-week study, showing that Retatrutide is not a short-term fix but a long-term treatment where consistency is crucial.
The Phase 2 clinical trial shows that Retatrutide will be a serious contender against Wegovy and Mounjaro, with “Triple G’s” unique mechanism of action setting it apart from the rest. In comparison, Wegovy only works on one hormone receptor, while Mounjaro targets two.
The table below outlines some direct comparisons between Retatrutide, Mounjaro, and Wegovy:
Retatrutide | Mounjaro | Wegovy | |
|---|---|---|---|
Active Ingredient | Retatrutide | Tirzepatide | Semaglutide |
Approved in the UK? | No | Yes | Yes |
Average Weight Loss | 23-24% (48 weeks) | 22.5% (72 weeks) | 15% (68 weeks) |
Hormones Targeted | GLP-1, GIP, Glucagon (Triple G) | GLP-1, GIP | GLP-1 |
Dosage Schedule | Once weekly | Once weekly | Once weekly |
When it becomes available in the UK, Retatrutide is likely to follow a similar set of prescribing criteria to other weight loss injections such as Wegovy, Mounjaro, and Nevolat. However, the medication may not be suitable for everyone, as it may interact with other treatments or medical conditions.
The typical prescription criteria for GLP-1 agonists are:
Retatrutide is given as a once-weekly injection under the skin (subcutaneous). The injection is usually administered into the abdomen, thigh or upper arm. Like other weight loss injections, the medication will be supplied in a pre-filled pen designed for self-administration.
Key points for use:
Most people find the pens quick and straightforward once they’ve tried them. Because the injection is only once a week, it soon becomes part of the routine.
Because Retatrutide hasn’t yet been released in the UK, there’s no official dosing schedule for the medication. However, existing clinical research has suggested that you would begin on a lower strength and gradually titrate up every four weeks. The treatment would also be injected once per week. This is similar to the dosage charts of Mounjaro and Wegovy.
The Phase 2 trial for Retatrutide tested the following strengths:
Like all medicines, Retatrutide can cause side effects, though not everyone will experience them. The most common are digestive issues (stomach-related), particularly when first starting treatment or after increasing the dose. These are very similar to what patients report with other weight loss injections such as Mounjaro and Wegovy.
Reported side effects include:
Other side effects reported include reduced appetite (also a side effect of the drug), tiredness, and skin sensitivity.
For most people, these symptoms are temporary. Some people find that eating smaller, lighter meals and avoiding very fatty/rich foods in the early weeks helps reduce nausea. Drinking water steadily through the day can also ease digestion.
Most digestive side effects tend to appear in the first few weeks of treatment, particularly while the dose is being gradually increased. They are usually mild to moderate in severity and typically ease after the initial weeks. Since side effects are often linked to dose strength, starting on a lower dose helps the body adjust and can reduce their impact. If side effects persist, speak to your clinician.
No, it’s not possible to buy licensed Retatrutide in the UK. This is because the medication is still undergoing further trials to ensure its safety and suitability for long-term use. While there’s no official guidance on when Retatrutide will become available, it’s expected to happen in 2026.
To gain approval in the UK, the Retatrutide trial data must be reviewed by the Medicines and Healthcare products Regulatory Agency (MHRA). Once this has been done, the medication will become available privately. Further steps will need to be taken for it to be on the NHS.
Retratrudide will be a prescription-only medication, meaning it will not be available for purchase over the counter once it is released.
Early trial results suggest Retatrutide is generally safe and well-tolerated. Like other weight loss injections, the most common side effects are stomach-related, including nausea and diarrhoea. Long-term safety data are still being collected in ongoing Phase 3 trials; however, results have been reassuring and consistent with what doctors expect from similar treatments.
Direct head-to-head studies have not yet been conducted to compare Retatrutide and tirzepatide (Mounjaro). However, early findings suggest that Retatrutide may offer slightly greater weight loss on average, with up to 24% of body weight lost compared to around 20% with Mounjaro. Until Retatrutide is fully licensed, Mounjaro remains the only available option; however, Retatrutide may be an effective alternative once more data is released.
Yes. Retatrutide helps the body reduce calorie intake by lowering appetite and cravings, but it also stimulates fat metabolism through its glucagon activity. This dual effect means that weight loss is not only due to eating less but also burning more stored fat. Clinical trials have demonstrated significant weight reductions, indicating a corresponding decrease in fat mass.
No, Retatrutide is not a steroid. It’s a peptide medicine which mimics natural hormones released in the gut after eating. These hormones influence appetite and metabolism, but they do not directly affect muscle growth or hormones such as testosterone or cortisol. Retatrutide should not be confused with anabolic steroids, which are completely different substances.
Semaglutide (Wegovy) is currently licensed and available in the UK, with an average weight loss of around 15%. Retatrutide, while showing even greater potential in early studies (up to 24% weight loss), is still in clinical trials and not yet available. For now, semaglutide is the practical option, while Retatrutide may become an alternative once larger trials confirm its safety and effectiveness.
Retatrutide should be stored in the fridge between 2–8°C. Do not freeze. Once a pen has been opened or taken out for use, it can be stored at room temperature for a short period, as instructed by the manufacturer. More detailed storage instructions will be available once the medication becomes available in the UK.
There are no known direct interactions between Retatrutide and alcohol. However, alcohol can make side effects such as nausea, dizziness, or indigestion worse, particularly when starting treatment. Patients are therefore advised to drink alcohol in moderation.
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