Retatrutide dose range

The amounts people commonly use, from the low end to the high end, with syringe units, schedule and half-life. The 7 published studies are one click away.

Human trials Metabolic Also called LY3437943

Common use ranges

Mostly from the official drug label or its main trials, plus clinic protocols. Trial sources agree on a 2 mg start and 4 week steps. The 1 mg start is community practice only.

Half-life
about 6 days
How it is taken
subcutaneous injection
How long people use it
Ongoing weekly use. The phase 2 trial ran 48 weeks. Phase 3 trials ran longer with a blinded extension.
Mixing used for the units
15 mg vial + 1 mL water. 1 unit on a U-100 insulin syringe = 150 mcg.
Total amount per week, by tier
Lower start (community)1 mg / weekStep 12 mg / weekStep 24 mg / weekStep 36 mg / weekStep 49 mg / weekMax12 mg / week
TierEach doseSyringe units15 mg vial + 1 mL waterHow oftenScheduleVial lastsat this tier
Lower start (community) [1]1 mg6.7 units 0.07 mLonce a weekSome people start at 1 mg once a week before the 2 mg step. 1 mg was a fixed arm in phase 2, not a trial start dose.6+ weeks
Step 1 [2]2 mg13.3 units 0.13 mLonce a weekWeeks 1 to 4, once a week6+ weeks
Step 2 [3]4 mg26.7 units 0.27 mLonce a weekWeeks 5 to 8, once a week. Also a maintenance dose in trials.about 4 weeks
Step 3 [4]6 mg40 units 0.40 mLonce a weekWeeks 9 to 12, once a week. A step only, not a studied maintenance dose.17 days
Step 4 [5]9 mg60 units 0.60 mLonce a weekWeeks 13 to 16, once a week. Also a maintenance dose in trials.11 days
Max [6]12 mg80 units 0.80 mLonce a weekWeek 17 on, once a week. Highest dose studied.8 days

Good to know

  • Not approved anywhere. The ladder is the phase 3 trial schedule.
  • Step up every 4 weeks.
  • Phase 3 kept people at 4, 9 or 12 mg as their final dose.
  • Stomach side effects came mostly during step-ups. Starting at 2 mg instead of 4 mg cut them in phase 2.
  • Phase 2 went 2, 4, 8, 12 mg. Phase 3 swapped 8 mg for 6 and 9 mg steps.

Sources for these amounts

  1. Lower start (community): Peptide Dossier, retatrutide starting dose · Jastreboff et al., NEJM 2023 phase 2 (PDF copy)
  2. Step 1: HCPLive, TRIUMPH-1 phase 3 results (May 2026) · Ro, retatrutide dosing
  3. Step 2: Ro, retatrutide dosing · HCPLive, TRIUMPH-1 phase 3 results (May 2026)
  4. Step 3: Ro, retatrutide dosing
  5. Step 4: Ro, retatrutide dosing · HCPLive, TRIUMPH-1 phase 3 results (May 2026)
  6. Max: Ro, retatrutide dosing · HCPLive, TRIUMPH-1 phase 3 results (May 2026)

How long people use it: Jastreboff et al., NEJM 2023 phase 2 (PDF copy) · HCPLive, TRIUMPH-1 phase 3 results (May 2026)

Half-life: Urva et al 2022, Lancet, phase 1b trial of LY3437943 (retatrutide)

This page shows what labels, clinics and users report, and what studies gave. It is not medical advice and not a recommendation for anyone. Many of these compounds are not approved for human use. Check your own medicines and lab work with a licensed clinician before using anything.

See the science: 7 published studies

Amounts given to people in studies

Lowest0.5 mg weekly
Most used4 to 12 mg weekly
Highest12 mg weekly

How it was given: Under the skin (SC)

Phase 2 and phase 3 trials started low and stepped up over weeks.

Every study used for this page

Proof grade: Human trials. Tested in randomized human trials. Amounts are quoted as each study reported them. Where the abstract does not state an amount, the row says so.

StudyWho was studiedAmount given, as reportedRouteHow oftenHow longWhat the authors reported
PMID 363540402022Human, T2D, phase 1b (72 safety pop: 15 placebo, 5 dulaglutide, 9 at 0.5 mg, 9 at 1.5 mg, 11 at 3 mg, 11 at 3/6 mg, 12 at 3/6/9/12 mg)0.5, 1.5, 3, 3/6, 3/6/9/12 mg (LY3437943 = retatrutide; top doses by stepwise escalation)SCOnce weekly12 weeksDose-proportional PK, half-life ~6 days; weight loss up to -8.96 kg vs placebo at 3/6/9/12 mg
PMID 359853402022Human phase 1 single ascending dose + obese miceNot stated in the abstractNot in abstractSingle dose (human SAD)Weight reduction persisted to day 43 after one doseMouse weight loss and improved glycemia; human SAD safe, supports weekly dosing
PMID 373852802023Human, T2D, phase 2 (n=281 randomized)0.5, 4 (start 2), 4 (no escalation), 8 (start 2), 8 (start 4), 12 mg (start 2)SCOnce weekly36 weeks (primary HbA1c at 24 wk)HbA1c -2.02% at 12 mg (24 wk) vs -0.01% placebo; weight -16.94% at 12 mg (36 wk); 0.5 mg HbA1c -0.43%
PMID 373663152023Human, obesity, phase 2 (n=338)1 mg; 4 mg (start 2 mg or 4 mg); 8 mg (start 2 or 4 mg); 12 mg (start 2 mg)SCOnce weekly48 weeksWeight at 48 wk: -8.7% (1 mg), -17.1% (4 mg), -22.8% (8 mg), -24.2% (12 mg) vs -2.1% placebo
PMID 388585232024Human, obesity + MASLD, phase 2a substudy (n=98)1, 4, 8, 12 mgSCOnce weekly48 weeks (liver fat read at 24 wk)Liver fat -42.9% (1 mg) to -82.4% (12 mg) at 24 wk vs +0.3% placebo
PMID 428103722026Human, obesity + T2D, phase 3 TRIUMPH-2 (n=1152)4 mg (n=292), 9 mg (n=284), 12 mg (n=287) vs placebo (n=289)SCOnce weekly80 weeksWeight -11.9% (4 mg), -16.8% (9 mg), -18.8% (12 mg) vs -5.1% placebo
PMID 428149542026Human, obesity, phase 3 TRIUMPH-1 (n=2339)4, 9, 12 mgSCOnce weekly80 weeksWeight -17.6% (4 mg), -23.7% (9 mg), -25.0% (12 mg) vs -3.9% placebo; also knee OA pain and sleep apnea benefit

How to read the study numbers

  • One study, one group. Each figure is what one team chose for its own participants or animals.
  • Route matters. An amount given into a vein (IV) is not the same as the same amount under the skin, in the nose or by mouth.
  • Animals are not small people. An animal amount is shown as the study gave it. It is not a human amount.
  • Short studies. Many studies ran days or weeks. They do not show what happens over longer use.

Common questions

What amounts of Retatrutide were used in human studies?

In the studies listed here, people were given from 0.5 mg weekly up to 12 mg weekly. The amount used most often was 4 to 12 mg weekly. These are what study teams chose for their participants under supervision.

Where do these Retatrutide numbers come from?

From 7 published studies, each linked to its PubMed or ClinicalTrials.gov record. Every figure was checked against the study abstract or its open full text. Proof grade: Human trials.

How long does Retatrutide stay in the body?

Its half-life is about 6 days in people. Half-life is how long it takes for half of a dose to leave the blood. The effect can last longer than that.

Is this a recommendation for how much Retatrutide to use?

No. This page shows the amounts reported by drug labels, clinics and users, next to what researchers gave in studies. It is not medical advice and not a recommendation for anyone. Talk to a licensed clinician before using any of it.

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