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Fat LossLimited human evidence FDA-approved label on file

Retatrutide

Eli Lilly's triple agonist (GLP-1 / GIP / glucagon receptor). Currently the most potent weight-management investigational drug — Phase 2 trials reported ~24% body weight reduction at the highest dose. Phase 3 TRIUMPH program ongoing. Not yet FDA-approved.

Educational only — not medical advice. SmartPeptide does not prescribe, diagnose, or treat. Always consult a licensed healthcare provider before using any peptide, supplement, medication, or protocol.

What the research shows

Phase 2 trial (n≈338, 48 weeks): ~24.2% mean body weight reduction at 12 mg weekly vs. ~2.1% placebo. Type 2 diabetes Phase 2 showed superior HbA1c reduction vs. dulaglutide. Phase 3 TRIUMPH program is ongoing across weight management, T2D, MASH, and cardiovascular outcomes.

What's still experimental

All commercial availability — Retatrutide is investigational and NOT FDA-approved as of mid-2026. Long-term cardiovascular and oncologic safety, durability after stopping, and pediatric use are all open questions awaiting Phase 3 read-outs (expected 2026-2027).

Anecdotal / community reports

Grey-market research-chemical supplies have appeared online. Quality and identity verification of these supplies is essentially impossible without lab analysis. Anecdotal self-experimentation logs are circulating but do not represent vetted human-trial data.

Anecdotal reports are NOT scientific evidence. They reflect personal experience and may not generalize.

FDA approval status

Source: openFDA + DailyMed (NIH/NLM)
2 FDA-approved labels on file· 10 on DailyMed
  • Esokalli Slimming microcrystalline patch
    (ESOKALLI SLIMMING MICROCRYSTALLINE PATCH) · Guangzhou Yixin Cross-border E-commerce Co., Ltd.
    Full label on DailyMed
    Indications & usage

    Uses To support weight management To improve glycemic control in adults with type 2 diabetes mellitus Provides long-acting sustained-release delivery via soluble microneedle patch

    Dosage & administration

    Dosage and administration For external use only.

    Warnings

    Warnings For external use only

  • Esokalli Slimming microcrystalline patch
    (ESOKALLI SLIMMING MICROCRYSTALLINE PATCH) · Guangzhou Yixin Cross-border E-commerce Co., Ltd.
    Full label on DailyMed
    Indications & usage

    Uses To support weight management To improve glycemic control in adults with type 2 diabetes mellitus Provides long-acting sustained-release delivery via soluble microneedle patch

    Dosage & administration

    Dosage and administration • Apply one transdermal patch containing 20 mg Retatrutide to the wrist or the back of the hand. • Leave the patch in place for 30 to 60 minutes, then remove. • Administer once every 3 to 7 days. • Do not reuse a patch. • Use only as directed.

    Warnings

    Warnings For external use only

FDA enforcement & recalls

Live · openFDA Drug Enforcement API
Total actions
1
recalls + withdrawals
Ongoing
1
not yet completed
Class I (serious)
0
health hazard / death risk
  • Class IIOngoing· Voluntary: Firm initiated
    FDA record

    Retatrutide for Injection, 60mg / 10mL vial, all presentations, GenoGenix, LLC, 2840 NW 2nd Ave Ste 204 Boca Raton, FL 33431-6692

    Reason: Lack of Assurance of Sterility

    Jul 30, 2025·GenoGenix LLC
FDA classifications: Class I = reasonable probability of serious adverse health consequences or death. Class II = temporary or medically reversible adverse consequences. Class III = unlikely to cause adverse health consequences.

Mechanism & targets

ChEMBL · UniProt · Open Targets

Molecule (ChEMBL)

View on ChEMBL
Known mechanisms of action
  • CHEMBL1985
    agonistGlucagon receptor agonist
  • CHEMBL1784
    agonistGlucagon-like peptide 1 receptor agonist
  • CHEMBL4383
    agonistGastric inhibitory polypeptide receptor agonist

Live research

PubMed · ClinicalTrials.gov · Europe PMC · OpenAlex
PubMed papers
150
total
Human studies
0
MeSH: humans
Clinical trials
0
published
Active trials
6
33 total registered

Clinical trials (ClinicalTrials.gov)

All trials for "retatrutide"

Europe PMC — 710 additional records

Includes EU/UK studies and PubMed Central full-text articles. Often surfaces research weeks before PubMed indexes it.

Research volume (OpenAlex topic graph)

Total works
1,256
all years
Last 5 years
1,250
recent activity
Open access
1,130
freely readable
OA share
90%
of all works

Human clinical evidence

Semantic Scholar · AI TLDRs · influence-ranked
Semantic Scholar API is currently rate-limited.

Human-study summaries for “retatrutide OR LY3437943” are available on Semantic Scholar but the shared free-tier API quota is exhausted right now. Try refreshing in a few minutes, or check the PubMed and Europe PMC panels above for the same literature.

Research funding & verification

NIH RePORTER · CrossRef DOI registry

Publication landscape

CrossRef · DOI registry
Indexed works (CrossRef)
155
all DOIs registered
Retracted papers
0
no retractions on record
Top funders of indexed research
  • Eli Lilly and Company14 works
  • National Cancer Institute2 works
  • Martin-Luther-Universität Halle-Wittenberg2 works
  • Foundation for the National Institutes of Health1 works
  • Emory University1 works
  • Development Fund of the Affiliated Hospital of Xuzhou Medical University1 works

Funder diversity is a credibility signal. Research concentrated in a single drug company's funding warrants more scrutiny than research funded across NIH, charities, and academic grants.

Preprints — cutting edge

bioRxiv · medRxiv · via Europe PMC

Preprints have NOT been peer-reviewed. They are early research shared by authors before formal validation. Treat findings as preliminary.

Showing 6 of 6 preprints indexed by Europe PMC.

Known risks

GI side effects (nausea, vomiting, diarrhea) — class-typical for incretin agonists, often dose-limiting. Theoretical concerns about glucagon receptor activation effects on glucose regulation, lipid metabolism, and liver function are being evaluated in Phase 3. Not yet approved — long-term safety unknown.

Reported side effects

Nausea (most common), vomiting, diarrhea, constipation, decreased appetite, injection-site reactions. Some studies note slightly elevated heart rate vs. semaglutide.

FDA adverse event reports (FAERS)

Updated quarterly by FDA
Reports filed
27
FAERS, all years
Serious reports
22
81% of reports
Top reporting countries
  • US4

Most-reported reactions

  • Vomiting
    5
  • Nausea
    4
  • Fatigue
    3
  • Abdominal Pain
    2
  • Burning Sensation
    2
  • Dehydration
    2
  • Headache
    2
  • Heart Rate Increased
    2
  • Illness
    2
  • Intentional Product Misuse
    2

Counts from FDA Adverse Event Reporting System (FAERS). Voluntary reports — they show what was reported, not whether the drug caused the event. Many reports lack confirmation. FAERS docs

What requires medical supervision

Available ONLY through approved clinical trials. Any non-trial source is unverified and unsafe. Patients wanting to access GLP-1-class treatment should pursue FDA-approved options (Semaglutide, Tirzepatide) under licensed prescriber care while awaiting Retatrutide approval.

Questions for your clinician

  • Am I a candidate for an active Retatrutide trial in my area?
  • While we wait for approval, what's the best FDA-approved alternative for my situation?
  • What's your view on long-term metabolic adaptation with triple-agonist treatment?

Editorially curated references

Discussions about Retatrutide

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