Trial data · checked 2026-08-07

Retatrutide side effects and dosing schedule

This is what the TRIUMPH phase 3 trials actually recorded for retatrutide's side effects and dose-escalation protocol — not personal dosing advice, and not a guide to using any unlicensed product. Retatrutide is not licensed in the UK; see the main status page for what that means and why.

Checked2026-08-07
Review typeEditorial evidence check
Reviewed byEditorial team
Triggered reviewNew TRIUMPH readout or MHRA/FDA update

The TRIUMPH dose-escalation protocol

All TRIUMPH phase 3 participants started at the same low dose and stepped up on a fixed schedule, reaching the highest tested dose at around four months. This is the published trial protocol, not a recommendation — there is no licensed UK retatrutide product for anyone to actually follow this schedule with.

0mg3mg6mg9mg12mg 2mg4mg6mg9mg12mg Wk 1Wk 5Wk 9Wk 13Wk 17 maintenance→
TRIUMPH phase 3 dose-escalation schedule: 2mg (weeks 1–4) → 4mg (weeks 5–8) → 6mg (weeks 9–12) → 9mg (weeks 13–16) → 12mg maintenance (from week 17). Phase 2 data showed a 2mg starting dose reduced early gastrointestinal side effects compared with starting at 4mg, without changing long-term weight-loss results.

Side effects reported in the TRIUMPH trials

Figures below are trial-reported rates at the highest tested dose (12mg) unless stated otherwise. These are results from controlled trials with medical monitoring, not a safety profile for an unsupervised, unlicensed product bought online.

EffectRate at 12mg (TRIUMPH-1)Pattern
Nausea42.4%Most common single effect; concentrated in the escalation period
Diarrhoea32.0%Also reported at 30.1% (9mg) and 24.4% (12mg) in TRIUMPH-2/3
Constipation26.1%Reported alongside diarrhoea in the same participants at different points
Vomiting25.3%Generally tracks with nausea severity
Dysesthesia (skin tingling)12.5%A less common effect flagged as notable because it is not typically seen with dual GLP-1/GIP agonists

Discontinuation by dose

Higher doses produced both stronger results and higher drop-out rates due to side effects — the trials themselves show this trade-off directly.

4mg (TRIUMPH-1)

4.1%

Below the 4.9% placebo discontinuation rate
9mg (TRIUMPH-1)

6.9%

12mg (TRIUMPH-1)

11.3%

12mg (TRIUMPH-2/3)

13.5%

vs 4.8% on placebo

What this page will not do

Retatrutide is not licensed in the UK. The only lawful way to receive it is as a participant in an authorised clinical trial, under medical supervision that includes exactly this kind of side-effect monitoring.

No reconstitution or injection-volume calculatorThis page will not tell you how to mix or measure an unlicensed product. That is a grey-market use case this network does not support — see the UK status page for why.
Trial monitoring ≠ self-monitoringTRIUMPH's side-effect data comes from participants seen regularly by trial clinicians. It does not describe what happens using an unsupervised product of unverified content and purity.
What this page is forUnderstanding what the published trial evidence actually says, so headlines about retatrutide can be read accurately.
TRIUMPH-1 safety dataAJMC coverage
TRIUMPH-2 & TRIUMPH-3 safety dataPharmExec coverage
Dose-escalation rationaleHCPLive coverage