Retatrutide
Evidence: ★★★★☆ · Status: Not Approved
In plain English
Three metabolic switches in one molecule — two cut hunger, the third turns up calorie-burning. In the Phase 3 TRIUMPH-4 trial (Dec 2025) it produced 28.7% weight loss at 68 weeks — the largest ever for a drug. Not yet approved.
How it works
First-in-class triple agonist — GLP1R + GIPR + glucagon receptor (GCGR). Adding glucagon-receptor agonism raises energy expenditure and hepatic fat oxidation on top of the twin appetite pathways.
Molecular target & official sources
GCGR glucagon receptor (NCBI Gene) · GIPR (NCBI Gene) · GLP1R (NCBI Gene)
Watch out
GI effects; glucagon arm can nudge glucose/heart rate up. Long-term safety pending.
Bottom line
The likely next leader once approved. *Source: [Lilly TRIUMPH-4 release](https://investor.lilly.com/news-releases/news-release-details/lillys-triple-agonist-retatrutide-delivered-weight-loss-average).*
Helps with: Lose Fat
Stacks with
Shares a pathway — often paired with: Caffeine, Semaglutide (Ozempic / Wegovy / Rybelsus), Tirzepatide (Mounjaro / Zepbound), Liraglutide (Saxenda / Victoza).
Availability & where to buy
Not widely approved. Not approved for general sale in most markets (Singapore included). Grey-market only — dose, purity and legality uncertain.
How it works: the GPCR → cAMP pathway →
Compare Retatrutide
Common questions
Does Retatrutide actually work?
Human-evidence rating: 4 of 5. The likely next leader once approved. Source: Lilly TRIUMPH-4 release.
What are the risks or side effects of Retatrutide?
GI effects; glucagon arm can nudge glucose/heart rate up. Long-term safety pending.
Is Retatrutide legal or approved?
Regulatory status: Not Approved.