PepBloom

Retatrutide vs tirzepatide

What the research says about each, side by side. Every row comes from the studies and drug labels in the last row. More on each: Retatrutide and Tirzepatide.

RetatrutideTirzepatide
CategoryGLP-1 and metabolicGLP-1 and metabolic
EvidenceOngoing clinical researchExtensive clinical research
FDA statusInvestigational. Not FDA-approved.FDA-approved as Mounjaro (2022, type 2 diabetes) and Zepbound (2023, weight management; 2024, sleep apnea with obesity). Compounded copies aren't FDA-approved.
How it worksThe GLP-1 and GIP parts curb appetite and help insulin release. The glucagon part raises the body's energy use and pushes the liver to burn more fat.The GLP-1 part lowers appetite, slows the stomach and helps insulin release. GIP is a second gut hormone that also boosts insulin after meals and seems to add to the effect on appetite and fat tissue. Hitting both receptors with one molecule gives more weight loss than GLP-1 alone in head-to-head trials.
Half-lifeAbout 6 days in early human studies, which supports weekly shots.About 5 days. Levels peak 8–72 hours after a shot and reach a steady level after about 4 weeks of weekly shots.
Studied for
  • Obesity
  • Type 2 diabetes
  • Fatty liver disease
  • Knee osteoarthritis pain
  • Heart and kidney outcomes
  • Type 2 diabetes
  • Weight management
  • Obstructive sleep apnea
  • Heart failure with preserved ejection fraction
  • Fatty liver disease (MASH)
Reported side effects
  • Nausea, diarrhea, vomiting, constipation (mostly when the dose goes up)
  • Higher resting heart rate, dose-related
  • Nausea, diarrhea, vomiting, constipation, indigestion, lower appetite
  • Can make birth-control pills less reliable for 4 weeks after starting and after each dose increase
  • Gallbladder problems and pancreatitis (rare)
  • Boxed warning: thyroid C-cell tumors seen in rodents. Not for people with a personal or family history of medullary thyroid cancer or MEN 2.
Sources
  1. Triple-Hormone-Receptor Agonist Retatrutide for Obesity: A Phase 2 Trial. N Engl J Med, 2023 PubMed
  2. Retatrutide for people with type 2 diabetes: a phase 2 trial. Lancet, 2023 PubMed
  3. LY3437943 in people with type 2 diabetes: a phase 1b trial. Lancet, 2022 PubMed
  1. Tirzepatide Once Weekly for the Treatment of Obesity (SURMOUNT-1). N Engl J Med, 2022 PubMed
  2. Tirzepatide monotherapy in type 2 diabetes (SURPASS-1). Lancet, 2021 PubMed
  3. Zepbound (tirzepatide) prescribing information. DailyMed DailyMed
  4. Mounjaro (tirzepatide) prescribing information. DailyMed DailyMed

Track your doses and estimated level in PepBloom

Free syringe-units converter →
Coming soon on the App Store