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Home/Guides & Tips/Weight loss/

Retatrutide dosage

Retatrutide dosage guide for weight loss

Retatrutide is a weekly weight loss injection currently in clinical trials. Here's what we know about the dosing schedules being tested and what to expect if it gets approved.

clinician image

Medically reviewed by

Dr Earim Chaudry (MBBS), Chief Medical Officer

iconUpdated 12th December 2025
Research-Based Guide

Retatrutide might be the most effective weight loss medication we've seen yet. In clinical trials, people lost up to 28.7% of their body weight after 68 weeks. That's significantly more than typically seen with current treatments like Wegovy or Mounjaro.

But here's the catch: retatrutide isn't approved yet. It's still undergoing clinical trials, which means we don't know exactly what doses it'll be available in once it reaches the market, or what the official dosing schedule will be.

That said, clinical research gives us a fairly clear picture of how retatrutide dosing works. Here's everything we know so far.

Key takeaways

  • Retatrutide isn't approved yet and isn't expected to launch in the UK until at least mid-2026
  • In clinical trials, target doses ranged from 0.5mg to 12mg weekly, with the most common being 4mg, 8mg, 9mg and 12mg
  • Different dosing schedules were tested, with most people starting at 2mg and escalating every 4 weeks
  • The 12mg dose produced the most weight loss (up to 28.7% after 68 weeks)
  • Starting at 2mg rather than 4mg helped reduce side effects during escalation

What is retatrutide?

Retatrutide is an investigational weight loss injection given once weekly. Like Wegovy and Mounjaro, it works by making you feel fuller for longer, so you naturally eat less.

What makes retatrutide different is how it works. Wegovy mimics a single hunger hormone called GLP-1, whilst Mounjaro mimics two hormones: GLP-1 and GIP. Retatrutide takes this a step further by activating three hormones: GLP-1, GIP, and glucagon.

This triple action appears to make it more potent than existing treatments, though we're yet to see head-to-head comparison studies.

FYI: Retatrutide is also being studied as a type 2 diabetes treatment, where it's shown impressive results for both blood sugar control and weight loss.

Want to know more? Check out our guide to retatrutide, tirzepatide, and semaglutide.

Retatrutide dosage chart

Based on clinical trials, here's how retatrutide dosing typically works

Target doseStarting doseEscalation scheduleTime to target dose
0.5mg*
0.5mg
No escalation
0 weeks
1mg*
1mg
No escalation
0 weeks
4mg*
4mg
No escalation
0 weeks
4mg
2mg
2mg → 4mg
4 weeks
8mg
2mg
2mg → 4mg → 8mg
8 weeks
8mg
4mg
4mg → 8mg
4 weeks
9mg
2mg
2mg → 4mg → 6mg → 9mg
12 weeks
12mg
2mg
2mg → 4mg → 8mg → 12mg
12 weeks
12mg
2mg
2mg → 4mg → 6mg → 9mg → 12mg
16 weeks

*Fixed doses with no escalation. These lower, non-escalated doses produced modest weight loss with fewer side effects but were less effective than the escalated doses.

Important: This chart shows the dosing schedules used in research. Because retatrutide isn't approved yet, we don't know which doses will be available or what the official dosing protocol will be. Your clinician will determine your dosing schedule based on how you respond to treatment and your tolerability once retatrutide has been approved.

Retatrutide starting dose

In clinical trials, people started retatrutide at different doses depending on their assigned treatment group.

The most common starting doses were:

2mg weekly: This was the most frequent starting point, particularly for people assigned to higher target doses (8mg or 12mg). Starting at 2mg gives your body more time to adjust before moving up to stronger doses, which helps minimise side effects.

4mg weekly: Some trial participants started at 4mg. This was used either as a fixed dose (staying at 4mg throughout) or as a faster escalation route to 8mg. Getting to a higher dose quicker leads to quicker weight loss, but may increase the risk of gastrointestinal side effects initially.

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Lower starting doses tested:

1mg weekly: Tested in the phase 2 obesity trials as a fixed dose with no escalation. This produced modest weight loss with minimal side effects.

0.5mg weekly: Tested in the type 2 diabetes trial as a fixed dose. This very low dose was well tolerated but produced less weight loss than higher doses.

The official starting dose won't be confirmed until approval, but 2mg is most likely based on trial data, as it balances effectiveness with tolerability.

How is retatrutide dose increased?

In clinical trials, retatrutide doses were increased every 4 weeks, as shown in the dosage chart above. However, this isn't set in stone.

Your clinician may adjust the pace based on how you're responding. If you're experiencing troublesome side effects, they might keep you at your current dose for longer, or even step back to a lower dose temporarily. If you're tolerating treatment well, the escalation can proceed as planned.

Once retatrutide is approved, the official protocol may differ from what was tested in trials. Your prescriber will follow the licensed guidance whilst tailoring the approach to suit you.

Why do I need to follow a retatrutide dosing schedule?

Think about training for a marathon. You wouldn't attempt 42km on your first run. You'd gradually build up your distance over weeks and months.

Retatrutide works the same way. Following a gradual dosing schedule helps your body adapt to the medication, which significantly reduces your risk of side effects. The most common side effects when starting or increasing doses include nausea, vomiting, diarrhoea, and constipation.

This gradual approach is especially important with retatrutide because it's more potent than current weight loss medications. The triple-hormone mechanism (GLP-1, GIP, and glucagon) means it has a stronger effect on your appetite and digestive system than single or dual-hormone treatments like Wegovy or Mounjaro.

Starting on a low dose and increasing slowly gives your body time to adjust, making the side effects more manageable and treatment more tolerable overall.

What is the retatrutide maintenance dose?

During treatment: In clinical trials, people reached target doses ranging from 0.5mg to 12mg weekly, depending on their assigned group. The 12mg dose is the highest tested in trials and produced the most weight loss (up to 28.7% of body weight). Your target dose is the strength that works best for you whilst remaining tolerable.

After reaching your goal weight: We don't yet know what the maintenance strategy will be once you've achieved your weight loss goals. With currently approved medications like Wegovy and Mounjaro, some people stay on their current dose to maintain results, whilst others can reduce to a lower dose.

The approach with retatrutide will likely be similar, but we won't have official guidance until it's approved. Your clinician will work with you to find the right dose for both achieving and maintaining your weight loss.

Can you change your retatrutide dose?

In clinical trials, participants were assigned to specific dose groups and followed set escalation schedules. But in reality, once retatrutide is approved, dosing will be much more flexible.

With currently approved weight loss medications, dose adjustments are completely normal. You'll likely increase gradually as long as you're tolerating treatment well. If you're experiencing troublesome side effects, your clinician will likely suggest:

  • Staying at your current dose longer before increasing
  • Stepping back down to a lower dose temporarily
  • Slowing down the escalation schedule

The goal is to find the highest dose you can tolerate comfortably whilst still achieving meaningful weight loss. That balance looks different for everyone.

When will retatrutide be available?

Retatrutide isn't expected to launch in the UK until at least mid-2026. Phase 3 trials are still ongoing, and the medication will need regulatory approval from the MHRA (Medicines and Healthcare products Regulatory Agency) before it can be prescribed.

Once approved, we'll have clarity on:

  • Which doses will be available
  • The official dosing schedule and escalation protocol
  • Prescribing guidelines and eligibility criteria
  • NHS availability and private prescription options

Until then, the information in this guide is based on clinical trial data and may differ from the final approved product.

Your weight loss journey

Whilst retatrutide isn't available yet, there are proven weight loss medications you can access right now that could help you reach your goals, including semaglutide (Wegovy) and tirzepatide (Mounjaro).

At Voy, we offer a comprehensive weight loss programme that includes:

  • Monthly medication delivery to your door
  • Ongoing support from specialist prescribers
  • One-to-one health coaching
  • Personalised lifestyle guidance

Our team will work with you to find the right treatment and dose for your needs, supporting you every step of the way.

Take our short quiz to see if you're eligible.

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FAQ

FAQs about retatrutide dosage

Dr Earim Chaudry, MBBS

Continue reading

  • Retatrutide results
  • Is Retatrutide safe?
  • Retatrutide vs Ozempic
  • Retatrutide vs Wegovy
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  • Retatrutide and PCOS
  • Retatrutide vs Mounjaro
  • Retatrutide vs Mazdutide
  • Retatrutide and bodybuilding
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  • Taking Retatrutide with other weight loss injection
DisclaimerAt Voy, we ensure that everything you read in our blog is medically reviewed and approved. However, the information provided is not meant to replace professional medical advice, diagnosis, or treatment. It should not be relied upon for specific medical advice.
References
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Aronne, Louis J et al. “Continued Treatment With Tirzepatide for Maintenance of Weight Reduction in Adults With Obesity: The SURMOUNT-4 Randomized Clinical Trial.” JAMAscribble-underline vol. 331,1 (2024): 38-48. doi:10.1001/jama.2023.24945Aronne, Louis J, et al. “Continued Treatment With Tirzepatide For Maintenance Of Weight Reduction In Adults With Obesity: The SURMOUNT-4 Randomised Clinical Trial.” JAMAscribble-underline, vol. 331, no. 1, 2024:38-48. https://jamanetwork.com/journals/jama/fullarticle/2812936.

icon²

Doggrell, Sheila A. “Retatrutide Showing Promise In Obesity (And Type 2 Diabetes).” Expert Opinion on Investigational Drugsscribble-underline, vol. 32, issue 11, 2023:997-1001 https://www.tandfonline.com/doi/10.1080/13543784.2023.2283020.

icon³

Jastreboff, Ania M., et al. “Triple-hormone-receptor Agonist Retatrutide For Obesity—A Phase 2 Trial.” The New England Journal of Medicinescribble-underline, vol. 389, no. 6, 2023:514-526 https://www.nejm.org/doi/full/10.1056/NEJMoa2301972.

icon⁴

Naeem, Muhammad, et al. “Unleashing The Power Of Retatrutide: A Possible Triumph Over Obesity And Overweight: A Correspondence.” Health Science Reportsscribble-underline, vol. 7, no. 2, 2024:e1864 https://pmc.ncbi.nlm.nih.gov/articles/PMC10844714/.

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Pasqualotto, Eric, et al. “Effects of Once-weekly Subcutaneous Retatrutide On Weight And Metabolic Markers: A Systematic Review And Meta-analysis of Randomized Controlled Trials.” Metabolism Openscribble-underline, vol. 24, 2024:100321 https://www.sciencedirect.com/science/article/pii/S2589936824000537?via%3Dihub.

icon⁶

Rosenstock, Julio, et al. "Retatrutide, a GIP, GLP-1 and glucagon receptor agonist, for people with type 2 diabetes: a randomised, double-blind, placebo and active-controlled, parallel-group, phase 2 trial conducted in the USA." The Lancetscribble-underline, vol. 402, no. 10401, 2023, pp. 529-544, https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(23)01053-X/abstract.

icon⁷

Eli Lilly and Company. "Lilly's triple agonist, retatrutide, delivered weight loss of up to an average of 71.2 lbs along with substantial relief from osteoarthritis pain in first successful Phase 3 trial." Eli Lilly and Companyscribble-underline, 11 Dec. 2025, https://investor.lilly.com/news-releases/news-release-details/lillys-triple-agonist-retatrutide-delivered-weight-loss-average.

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