Obesity, Type 2 Diabetes, Fatty liver disease (MASLD)
Not FDA-approved
Prohibited (S0)
SC Injection (clinical)
Overview
Retatrutide (LY3437943) is a synthetic 39-amino acid peptide developed by Eli Lilly and Company as a next-generation incretin-based metabolic therapy [1]. It is conjugated to a C20 fatty diacid moiety, which prolongs its plasma half-life and enables once-weekly subcutaneous dosing. As a first-in-class "triple G" or "tri-agonist," retatrutide is specifically engineered to simultaneously activate three distinct metabolic receptors: GLP-1, GIP, and the glucagon receptor (GCGR) [1].
Retatrutide is currently an investigational compound. It is not approved by the FDA for any commercial use. Phase 3 registrational trials (the TRIUMPH program) are actively ongoing as of early 2026.
Research Areas and Claims
In Phase 2 clinical trials, retatrutide has demonstrated significant effects across several metabolic disease areas:
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Obesity & Weight Loss: At 48 weeks, the 12 mg dose produced a mean body weight reduction of 24.2% — among the highest ever recorded in a clinical obesity trial [2].
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Type 2 Diabetes (Glycemic Control): HbA1c reduced by up to 2.16 percentage points at 36 weeks, significantly outperforming placebo and an active comparator (dulaglutide 1.5 mg) [3].
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Fatty Liver Disease (MASLD/NAFLD): Liver fat reduced by up to 82.4% in 24 weeks; 86% of participants on the 12 mg dose achieved completely normal liver fat levels (<5%) [4].
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Body Composition: DEXA substudy confirmed significant reductions in total fat mass; lean mass loss was proportionally similar to other obesity treatments [5].
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Appetite Suppression: Higher doses significantly reduced overall appetite, hunger, and tendency to overeat; these behavioral changes correlated strongly with weight lost [6].
Mechanism of Action
Retatrutide activates three distinct hormone receptors simultaneously — a key distinction from dual-agonists like tirzepatide (GLP-1 + GIP only).
- GLP-1 Receptor Agonism: Slows gastric emptying, increases glucose-dependent insulin secretion, and signals the brain to reduce appetite and increase satiety [1].
- GIP Receptor Agonism: Synergizes with GLP-1 to enhance insulin secretion and further suppress appetite, while also regulating energy storage [1].
- Glucagon Receptor (GCGR) Agonism: The unique addition compared to dual-agonists. GCGR activation directly increases hepatic lipid metabolism (clearing liver fat) and raises systemic energy expenditure — effectively increasing the body's basal metabolic rate [1][2].
Dosing Schedule (Clinical Context)
Important: Retatrutide is an investigational drug. It is not currently FDA-approved for commercial use, and there is no approved commercial dosing guideline. The following reflects Phase 2 clinical trial parameters only.
Clinical Trials
The following Phase 2 trials are published in PubMed. Phase 3 registrational trials (the TRIUMPH program — TRIUMPH-1, 2, 3, 4) are currently ongoing; no primary Phase 3 efficacy results are published as of early 2026.
Phase 2 Obesity Trial (2023)
Phase 2 Type 2 Diabetes Trial (2023)
Phase 2a MASLD/NAFLD Trial (2024)
Phase 2 Body Composition Substudy (2025)
Phase 2 Appetite Substudy (2025)
| Study | Phase | Subjects / Duration | Key Finding | Ref |
|---|---|---|---|---|
| Obesity (Jastreboff 2023) | Phase 2 | 338 adults with obesity · 48 wks · SC | 24.2% mean weight reduction at 12 mg; 100% lost ≥5% at 8 & 12 mg | [2] |
| Type 2 Diabetes (Rosenstock 2023) | Phase 2 | 281 with T2D · 36 wks · SC | HbA1c −2.16%; weight −16.9%; outperformed dulaglutide | [3] |
| MASLD/NAFLD (Sanyal 2024) | Phase 2a | 98 with MASLD · 24 wks · SC | Liver fat −82.4%; 86% achieved normal fat (<5%) at 12 mg | [4] |
| Body Composition (Frias 2025) | Phase 2 substudy | 189 with T2D · 36 wks · SC | Significant fat mass reduction (DEXA); lean mass loss proportionally comparable to other treatments | [5] |
| Appetite (Wharton 2025) | Phase 2 substudy | Adults with T2D · 36 wks · SC | Higher doses significantly reduced appetite, hunger, and overeating | [6] |
Phase 3 (TRIUMPH): Four large-scale registrational trials are actively enrolling as of early 2026, evaluating retatrutide for weight management, obesity with obstructive sleep apnea, cardiovascular outcomes, and knee osteoarthritis. No primary Phase 3 results are published yet.
Regulatory Status & Limitations
- FDA Status: Not FDA-Approved. Retatrutide is an investigational drug with no approved commercial formulation, indication, or dosing guideline as of March 2026.
- Sports Compliance: Prohibited. As a non-approved peptide, retatrutide falls under WADA's S0 (Non-approved substances) category and is prohibited in sport.
- Research-Chemical Market: Current grey-market availability is sold strictly as research chemicals. Purity, authenticity, and long-term safety are not independently verified.
- Product Name Obfuscation: Due to regulatory and marketing sensitivities, most vendors list retatrutide under alternate names (GLP-RT, GLP-3 Retatrutide, R3tatrutide, LY3437943, Reta 10mg GLP-3). Always verify the CAS number: 2381089-83-2.
- What We Don't Know: No Phase 3 efficacy results are published. Long-term safety, optimal dosing, and durability of effects beyond 48 weeks in humans remain under investigation.
Market Overview
Please note: The following data is based on March 2026 pricing from Finnrick A-rated vendors only. All products are strictly sold as research chemicals. Prices fluctuate based on volume, batch, purity, and presentation. Retatrutide is not yet commercially approved.
Injectable
SCLyophilized powder vials for subcutaneous research use. Kit pricing available from select vendors.
- Price Range: $2.67 – $37.02 per mg
- Typical Sizes: 5mg – 480mg (kits available)
- Vendors with pricing: 7
Vendor Directory
Data collected March 2026. Finnrick A-rated vendors only. Tables sorted by $/mg ascending.
SC Injection — Lyophilized Powder
Peptide Haven
Peptide Partners Finnrick #2
Paradigm Peptide Finnrick #1
NuScience Peptides
NUPEPS Peptides
Loti Labs
Pure Rawz
| Vendor | Sizes (mg) | $/mg | Listed As | Website |
|---|---|---|---|---|
| Peptide Haven | 10 / 30 / 60 / 100† / 300† | $2.67 – $8.00 | GLP-RT | thepeptidehaven.com |
| Peptide Partners #2 | 48† / 120† / 240† / 480† | $3.50 – $5.69 | GLP-3 Retatrutide | peptide.partners |
| Paradigm Peptide #1 | 20 / 50 | $9.00 – $10.00 | R3tatrutide | paradigm-peptide.com |
| NuScience Peptides | 5 / 10 / 20 / 25† / 30 / 40 / 50† / 100† / 150† | $9.66 – $17.80 | GLP-3 RT | nusciencepeptides.com |
| NUPEPS Peptides | 10 | $13.00 | Retatrutide | nupeps.com |
| Loti Labs | 10 | $16.00 – $20.00 † | Reta 10mg (GLP-3) | lotilabs.com |
| Pure Rawz | 5 / 8 / 10 / 12 | $33.90 – $37.02 | LY3437943 | purerawz.co |
† Kit / multi-pack pricing. Best $/mg at Peptide Haven 300mg kit ($2.67/mg). Loti Labs tiers: single $20.00/mg → 6+ vials $16.00/mg.
No Public Price / Not Available
20 Finnrick A-rated vendors have no public pricing for retatrutide as of March 2026.
| Vendor | Reason |
|---|---|
| Orbitrex Peptides (#3) | Website "Coming Soon" as of Mar 2026 |
| Atomik Labz | Gated website; all pages redirect to login |
| Peptide Crafters | Gated website (login required) |
| NuLife Peptides | Gated website; redirects to guest login |
| Bulk Peptide Wholesale | Perfect Finnrick score (10.0); no retatrutide product found on site |
| NextechLabs | Domain for sale ($19,995); defunct as of Mar 2026 |
| SubQ Society | Private membership community; not a public retail site |
| 9 Reddit/direct vendors | Operate exclusively via r/saferpeptides; no public retail website (Lipeptides, Shandong Shengyuan, Huaian Hanyou, GYC, YB Peptide, Lisa Biopeptide, Zhang TY, Lux Synth Aminos, OmegAmino) |
| Zenith Jove / Risynth Bio / PurePeptides | China-based direct only, private/restricted, or no website found |
References
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[1]
Coskun T, et al. "LY3437943, a novel triple glucagon, GIP, and GLP-1 receptor agonist for glycemic control and weight loss." Cell Metab. 2022. pubmed.ncbi.nlm.nih.gov/36001968
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[2]
Jastreboff AM, et al. "Triple-Hormone-Receptor Agonist Retatrutide for Obesity — A Phase 2 Trial." N Engl J Med. 2023. pubmed.ncbi.nlm.nih.gov/37366315
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[3]
Rosenstock J, 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." Lancet. 2023. pubmed.ncbi.nlm.nih.gov/37385280
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[4]
Sanyal AJ, et al. "Triple hormone receptor agonist retatrutide for metabolic dysfunction-associated steatotic liver disease: a randomized phase 2a trial." Nat Med. 2024. pubmed.ncbi.nlm.nih.gov/38858523
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[5]
Frias JP, et al. "Effects of retatrutide on body composition in people with type 2 diabetes: a substudy of a phase 2, double-blind, parallel-group, placebo-controlled, randomised trial." Lancet Diabetes Endocrinol. 2025. pubmed.ncbi.nlm.nih.gov/40609566
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[6]
Wharton S, et al. "Appetite, eating attitudes, and eating behaviours during treatment with retatrutide in adults with type 2 diabetes: Results of a phase 2 study." Diabetes Obes Metab. 2025. pubmed.ncbi.nlm.nih.gov/40916752