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Retatrutide results: every published trial number in one table. | Reddit

In the 48-week phase 2 obesity trial, retatrutide produced mean weight reductions of 22.8% at 8 mg and 24.2% at 12 mg, versus 2.1% with placebo. In type 2 diabetes, the 40-week phase 3 trial reported weight reductions up to 15.3% and HbA1c reductions up to 1.94 percentage points. A liver substudy reported liver-fat reductions above 80% at the top doses. Retatrutide remains investigational and is not FDA-approved.

Editorial note: Retatrutide is an investigational drug in phase 3 trials. It has not received FDA approval and is available only through a clinical trial. Every number on this page is a trial-reported group mean with its study named; none is a promise about any individual. If you are interested in clinician-supervised GLP-1 weight management support today, see our semaglutide and tirzepatide pages.

What results have the retatrutide trials published?

Five human studies with published outcomes make up the record: the phase 2 obesity trial, the phase 2 type 2 diabetes trial, a liver-fat substudy, a body-composition substudy, and one phase 3 readout. The table below holds every headline number, each tied to its study, population, duration and arm. The sections after it unpack each row, and a separate list covers what the results do not show yet.

StudyPopulationDurationArmReported mean outcome
Phase 2 obesity, NEJM 2023338 adults, BMI 30 or higher, or 27 to under 30 plus a weight-related condition48 weeks1 mgBodyweight reduced 8.7% (placebo 2.1%)
Phase 2 obesity, NEJM 2023Same trial48 weeks4 mg (combined)Bodyweight reduced 17.1%
Phase 2 obesity, NEJM 2023Same trial48 weeks8 mg (combined)Bodyweight reduced 22.8%
Phase 2 obesity, NEJM 2023Same trial48 weeks12 mgBodyweight reduced 24.2%
Phase 2 type 2 diabetes, Lancet 2023281 adults with type 2 diabetes24 weeks12 mgHbA1c reduced 2.02 percentage points (placebo 0.01)
Phase 2 type 2 diabetes, Lancet 2023Same trial36 weeks12 mgBodyweight reduced 16.94% (placebo 3.00%)
Liver-fat substudy, Nature Medicine 202498 participants with fatty liver disease24 weeks8 mgLiver fat reduced 81.4% (placebo up 0.3%)
Liver-fat substudy, Nature Medicine 2024Same substudy24 weeks12 mgLiver fat reduced 82.4%; 86% reached normal liver fat
Body-composition substudy, Lancet D&E 2025189 adults with type 2 diabetes36 weeks8 mg (pooled)Total body fat mass reduced 26.1%
Body-composition substudy, Lancet D&E 2025Same substudy36 weeks12 mgTotal body fat mass reduced 23.2%
Phase 3 TRANSCEND-T2D-1, Lancet 2026537 adults with type 2 diabetes on diet and exercise alone40 weeks4 mgHbA1c reduced 1.69 points; bodyweight reduced 11.5%
Phase 3 TRANSCEND-T2D-1, Lancet 2026Same trial40 weeks9 mgHbA1c reduced 1.86 points; bodyweight reduced 13.9%
Phase 3 TRANSCEND-T2D-1, Lancet 2026Same trial40 weeks12 mgHbA1c reduced 1.94 points; bodyweight reduced 15.3% (placebo 0.81 points and 2.6%)
TRIUMPH program, DOM 2026Obesity, obstructive sleep apnea, knee osteoarthritisPhase 3, ongoingFour studiesDesign paper only; results not yet reported

How much weight did people lose on retatrutide?

The 48-week phase 2 obesity trial in the New England Journal of Medicine is the source of the numbers that made the compound famous. It randomised 338 adults to once-weekly retatrutide or placebo, with the dosing arms described in our companion piece on how the retatrutide injection was dosed and titrated.

The dose response was visible at both published timepoints. At 24 weeks the 8 mg and 12 mg arms were nearly level, at 17.3% and 17.5% mean reduction. By 48 weeks they had separated to 22.8% and 24.2%, which is the pattern of an effect still accumulating late in the trial rather than one that plateaued early.

Phase 2 obesity weight results (NEJM 2023, human)

  • At 24 weeks: 7.2% (1 mg), 12.9% (4 mg combined), 17.3% (8 mg combined), 17.5% (12 mg) mean reduction, versus 1.6% with placebo.
  • At 48 weeks: 8.7% (1 mg), 17.1% (4 mg combined), 22.8% (8 mg combined), 24.2% (12 mg) mean reduction, versus 2.1% with placebo.
  • Population: adults with BMI 30 or higher, or 27 to under 30 plus at least one weight-related condition.
  • These are least-squares group means from a randomised, double-blind, placebo-controlled trial.
  • A 2025 systematic review and meta-analysis pooled the randomised trials versus placebo and is listed in the references.

What did retatrutide do in type 2 diabetes?

The 2023 Lancet phase 2 trial randomised 281 adults with type 2 diabetes across placebo, dulaglutide 1.5 mg and six retatrutide arms. At 24 weeks, HbA1c fell by 0.43 percentage points in the lowest retatrutide arm (0.5 mg) and by 2.02 points in the 12 mg arm, against 0.01 points with placebo and 1.41 points with dulaglutide. The abstract notes the findings were consistent at 36 weeks.

Bodyweight decreased dose dependently at 36 weeks, reaching 16.94% in the 12 mg arm versus 3.00% with placebo and 2.02% with dulaglutide. The trial reported no severe hypoglycaemia and no deaths during the study.

Phase 2 diabetes results (Lancet 2023, human)

  • HbA1c at 24 weeks: reduced 0.43 (0.5 mg) to 2.02 (12 mg) percentage points across retatrutide arms.
  • Comparators: 1.41 points with dulaglutide 1.5 mg; 0.01 points with placebo.
  • Bodyweight at 36 weeks: reduced 3.19% (0.5 mg) to 16.94% (12 mg) across retatrutide arms.
  • Safety line as published: no severe hypoglycaemia and no deaths during the study.
  • GI adverse events: 35% of retatrutide participants overall, ranging 13% to 50% by arm.

What happened to liver fat in the retatrutide trials?

A phase 2a substudy published in Nature Medicine in 2024 followed 98 participants with metabolic dysfunction-associated steatotic liver disease, drawn from the obesity trial, with liver fat measured by imaging. At 24 weeks, mean relative liver fat changed by -42.9% at 1 mg, -57.0% at 4 mg, -81.4% at 8 mg and -82.4% at 12 mg, versus +0.3% with placebo.

The substudy also reported how many participants reached normal liver fat, defined as under 5%: 27% at 1 mg, 52% at 4 mg, 79% at 8 mg and 86% at 12 mg, versus 0% with placebo, all at 24 weeks. The abstract does not state 48-week liver-fat figures, so none are given here.

Liver-fat substudy results (Nature Medicine 2024, human)

  • Mean relative liver-fat change at 24 weeks: -42.9% (1 mg), -57.0% (4 mg), -81.4% (8 mg), -82.4% (12 mg), +0.3% (placebo).
  • Normal liver fat (under 5%) at 24 weeks: 27% (1 mg), 52% (4 mg), 79% (8 mg), 86% (12 mg), 0% (placebo).
  • Population: 98 participants with fatty liver disease, randomised within the obesity program.
  • Measurement: imaging-based liver-fat quantification at fixed timepoints, not symptoms.

What did the body-composition substudy show?

A substudy of the diabetes trial, published in The Lancet Diabetes & Endocrinology in 2025, enrolled 189 participants and used DXA scans to ask what the lost weight was made of. At week 36, total body fat mass was reduced 26.1% in the pooled 8 mg group and 23.2% in the 12 mg group; the 8 mg difference versus placebo was a least-squares mean of -21.6 (95% CI -27.1 to -16.1).

On the question most searchers bring to this page, the abstract offers one sentence: the proportion of lean mass loss to weight loss was similar to other obesity treatments.

Body-composition results (Lancet D&E 2025, human)

  • Total body fat mass at week 36: reduced 26.1% (8 mg pooled) and 23.2% (12 mg).
  • The 8 mg reduction versus placebo: least-squares mean -21.6 (95% CI -27.1 to -16.1).
  • Lean mass: the proportion of lean mass loss to weight loss was similar to other obesity treatments, per the abstract.
  • Method: DXA scans at baseline and week 36, against both placebo and dulaglutide.

What did the phase 3 TRANSCEND-T2D-1 trial report?

This is the first registrational readout, published in The Lancet in 2026: a 40-week, randomised, double-blind, placebo-controlled trial at 48 sites in the USA, Mexico and India, in 537 adults whose type 2 diabetes was not controlled by diet and exercise alone. Retatrutide ran as monotherapy at 4, 9 or 12 mg once weekly.

HbA1c fell 1.69, 1.86 and 1.94 percentage points across the three doses, versus 0.81 with placebo. Bodyweight fell 11.5%, 13.9% and 15.3%, versus 2.6% with placebo. The abstract describes mostly mild-to-moderate gastrointestinal adverse events that subsided over time, discontinuations due to adverse events of 2 to 5% versus 0% with placebo, no severe hypoglycaemia, and two deaths in the 4 mg group described as unrelated to the study drug.

Phase 3 results (TRANSCEND-T2D-1, Lancet 2026, human)

  • HbA1c at 40 weeks: reduced 1.69 (4 mg), 1.86 (9 mg), 1.94 (12 mg) percentage points, versus 0.81 with placebo.
  • Bodyweight at 40 weeks: reduced 11.5% (4 mg), 13.9% (9 mg), 15.3% (12 mg), versus 2.6% with placebo.
  • Discontinuations due to adverse events: 2 to 5% with retatrutide, 0% with placebo.
  • No severe hypoglycaemia reported; adverse event profile consistent with GLP-1 agonist activity, per the abstract.
  • This is one trial in one indication; the phase 3 obesity program has not reported.

Why are the diabetes weight numbers lower than the obesity numbers?

The 24.2% figure and the 15.3% figure come from different trials that differ in almost every dimension: population (obesity without diabetes versus type 2 diabetes), duration (48 versus 40 weeks), phase, sites and arms. The published reports do not explain the gap, and this page will not supply a mechanism they do not.

What the record supports saying is narrower: quoting the 24.2% obesity figure as the expected result in a diabetes population contradicts the published phase 3 data, and quoting either as a personal projection contradicts what a group mean is.

Differences between the two headline trials

  • Population: obesity without diabetes (NEJM 2023) versus type 2 diabetes (Lancet 2026).
  • Duration: 48 weeks versus 40 weeks.
  • Phase and scale: phase 2 in 338 adults versus phase 3 in 537 adults.
  • Arms: 1 to 12 mg with escalation variants, versus 4, 9 and 12 mg.
  • Top-dose mean weight reduction: 24.2% versus 15.3%.

What do the circulating videos claim about retatrutide results?

Most people searching this query have already watched a video. Two widely shared ones, with a combined audience in the hundreds of thousands, call retatrutide the “god molecule” and “the 24% weight loss drug,” describe the liver effect as power washing the organ from the inside out, and attach numbers to claims the published abstracts do not carry. The claims are listed below against the record, labelled as claims.

Creator claims, checked against the published abstracts

  • Claim: 24% weight loss. Record: 24.2% was the 48-week mean in the 12 mg phase 2 obesity arm, in adults without diabetes.
  • Claim: liver fat dropped over 80% in the high-dose group, and nine in ten returned to normal. Record: close to the published 24-week figures of 81.4% and 82.4%, with 79% and 86% reaching normal liver fat; the video attributes them to the wrong trials.
  • Claim: nausea in up to 60% of patients. Record: not stated in the abstracts cited here; the phase 2 diabetes trial reported GI events in 35% of retatrutide participants, with 50% in its worst arm.
  • Claim: up to 40% of weight lost is muscle. Record: not stated in the abstracts cited here; the body-composition substudy reports lean-mass loss proportional to other obesity treatments.
  • Claim: results come from TRIUMPH 1 and TRIUMPH 2. Record: TRIUMPH has published a design paper only; no results exist to cite.
  • Claim: retatrutide dampens dopamine and flattens enjoyment. Record: no cited trial measured reward-system endpoints; this is an untested hypothesis.
  • Claim: proven safe in a controlled clinical setting. Record: the registrational safety program is still running; publication of interim trials is not a safety verdict.

Does retatrutide cause muscle loss, per the results?

The published answer is thinner than the online debate. The body-composition substudy is the only retatrutide trial to publish a lean-mass finding, and its abstract says the proportion of lean mass loss to weight loss was similar to other obesity treatments. It does not state the 40% figure that circulates in videos, and neither does any other abstract cited here.

The class-level context comes from a 2024 narrative review in Diabetes Care, which examines lean-mass loss across incretin-based weight-loss drugs, names retatrutide among them, and argues for resistance exercise as the practical countermeasure during treatment.

What do the retatrutide results not show yet?

A results page is honest only if it states the edges of the record. Everything below is absent from the trial reports cited on this page, which is different from being disproven: these are the questions the ongoing registrational program and future studies exist to answer.

Not yet shown in the cited published record

  • No phase 3 obesity results: the TRIUMPH program has published its design, not its outcomes.
  • No FDA review of any of these results; trial publication is not approval.
  • No head-to-head trial against semaglutide or tirzepatide; the only in-trial active comparator so far is dulaglutide 1.5 mg.
  • No outcomes beyond 48 weeks in any published report.
  • No published data on weight regain or maintenance after stopping.
  • No cardiovascular-outcomes trial results.
  • No published liver-fat figures beyond the 24-week timepoint in the substudy abstract.
  • No results in people excluded by trial eligibility criteria.
  • No dosing intervals other than once weekly.
  • No data of any kind on material sold online under the name.

Do the trial results predict your results?

No. Every figure on this page is a group mean from a selected population: screened adults who met eligibility criteria, received a verified product, titrated on a protocol and attended monitoring visits. A mean says nothing about the spread around it, and the abstracts cited here do not publish responder-level distributions.

That cuts in both directions. Some participants lost more than the mean, some lost less, and the numbers say nothing at all about someone outside the eligibility criteria, on a different schedule, or injecting material no trial tested.

Can you get these results outside a trial today?

The results were produced inside trials, with a defined product and monitoring, and retatrutide remains investigational: the lawful way to receive it is enrolment in the registrational program, as our retatrutide overview explains in detail. Nothing about the trial numbers transfers to an unverified vial from an unregulated seller.

If the underlying goal is weight and metabolic health support now, semaglutide and tirzepatide have approved products behind them and an established prescribing route, and a clinician decides whether either fits your history. Every dose PepScribe dispenses is compounded in the USA by licensed 503A pharmacies. No hidden overseas supply chain. The online visit is free, and you pay only if a clinician prescribes.

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  • A free online visit reviewing your history, medications and goals.
  • A licensed clinician deciding whether any therapy is appropriate for you.
  • If prescribed, a compound prepared in the USA by a licensed 503A pharmacy.
  • A dose set for you and adjusted over time, rather than copied from a forum.
  • Ongoing access to your care team rather than a one-time purchase.

Common questions about retatrutide results

How much weight did people lose on retatrutide in the trials?

In the 48-week phase 2 obesity trial, mean weight reductions were 8.7% at 1 mg, 17.1% at 4 mg, 22.8% at 8 mg and 24.2% at 12 mg, versus 2.1% with placebo. These are group means from a randomised trial, not a projection for any individual.

What are the phase 3 retatrutide results so far?

One phase 3 trial has published: TRANSCEND-T2D-1, a 40-week study in 537 adults with type 2 diabetes. It reported HbA1c reductions of 1.69 to 1.94 percentage points and bodyweight reductions of 11.5% to 15.3% across the 4, 9 and 12 mg arms, versus 0.81 points and 2.6% with placebo.

Did retatrutide reduce liver fat?

A phase 2a substudy in 98 participants reported mean relative liver-fat reductions at 24 weeks of 42.9% at 1 mg, 57.0% at 4 mg, 81.4% at 8 mg and 82.4% at 12 mg, versus a 0.3% increase with placebo. At 24 weeks, 86% of the 12 mg group reached normal liver fat, defined as under 5%.

Are the retatrutide results FDA-reviewed?

No. Retatrutide is investigational and has not received FDA approval. The published results come from peer-reviewed trial reports, and the registrational program that a regulator would review, including the TRIUMPH phase 3 studies in obesity, has not finished reporting.

Do the trial results apply to retatrutide bought online?

No trial studied material sold online under the name. The published results were produced with a defined product of known identity, concentration and sterility, given under monitoring. Nothing about the trial numbers transfers to an unverified vial.

References

  1. Triple-Hormone-Receptor Agonist Retatrutide for Obesity - A Phase 2 Trial.. The New England Journal of Medicine (PubMed) (2023).
  2. 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 Lancet (PubMed) (2023).
  3. Triple hormone receptor agonist retatrutide for metabolic dysfunction-associated steatotic liver disease: a randomized phase 2a trial.. Nature Medicine (PubMed) (2024).
  4. 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.. The Lancet Diabetes & Endocrinology (PubMed) (2025).
  5. Efficacy and safety of retatrutide, a GIP, GLP-1, and glucagon receptor agonist, in people with type 2 diabetes and inadequate glycaemic control with diet and exercise (TRANSCEND-T2D-1): a double-blind, randomised, phase 3 trial.. The Lancet (PubMed) (2026).
  6. Retatrutide for the treatment of obesity, obstructive sleep apnea and knee osteoarthritis: Rationale and design of the TRIUMPH registrational clinical trials.. Diabetes, Obesity & Metabolism (PubMed) (2026).
  7. Incretin-Based Weight Loss Pharmacotherapy: Can Resistance Exercise Optimize Changes in Body Composition?. Diabetes Care (PubMed) (2024).
  8. Efficacy and safety of retatrutide, a novel GLP-1, GIP, and glucagon receptor agonist for obesity treatment: a systematic review and meta-analysis of randomized controlled trials.. Proceedings (Baylor University Medical Center) (PubMed) (2025).

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Written by B.A. Utterback.

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