Retatrutide vs Tirzepatide

Side-by-side comparison of mechanisms, dosing, interactions, and stacking potential.

RetatrutideTirzepatide
CategoryPharmaceuticalsPharmaceuticals
Standard Dose
Timing
Cycle Duration
Evidence LevelEmerging (Phase 3 ongoing)Strong (FDA-approved)
A

Retatrutide

Pharmaceuticals

Mechanism

Triple incretin agonist (GIP/GLP-1/glucagon receptor). Combines appetite suppression and insulin sensitization of GLP-1 with the thermogenic and lipolytic effects of glucagon receptor activation. Produced the greatest weight loss of any anti-obesity agent in Phase 2 trials (~24% at 48 weeks).

Contraindications

  • Not FDA-approved
  • Presumed similar to GLP-1 class — MTC, pancreatitis, severe GI disease
B

Tirzepatide

Pharmaceuticals

Mechanism

Dual GIP/GLP-1 receptor agonist. Enhances insulin secretion, reduces glucagon, slows gastric emptying, and acts on hypothalamic appetite centers. Produces greater weight loss than semaglutide in head-to-head trials. Also improves cardiovascular risk markers.

Contraindications

  • Personal/family history of medullary thyroid carcinoma
  • MEN2 syndrome
  • Pancreatitis history
  • Severe GI disease

Not sure which is right for you?

Take our free assessment to get personalized recommendations based on your health goals, current stack, and biomarkers.

Get Your Free Protocol →or take the assessment →