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Retatrutide (LY3437943): The Triple Agonist Explained

A research overview of retatrutide, a GLP-1/GIP/glucagon triple-receptor agonist — how it works, what the phase 2 obesity, diabetes, and liver-fat trials showed, and how it's handled.

Dynamite Research Team · July 7, 2026

Retatrutide (Eli Lilly code LY3437943) is a single peptide that hits three metabolic receptors at once: GLP-1, GIP, and glucagon. That third target — glucagon — is what sets it apart from earlier incretin drugs and is why researchers often call it a "triple G" agonist. It's one of the most-watched compounds in metabolic research right now, largely because its phase 2 weight-loss numbers were the largest reported for any drug in this class to date.

Research Background

Retatrutide came out of Eli Lilly's incretin program as a follow-on to tirzepatide, the GIP/GLP-1 dual agonist. The idea was straightforward: if adding GIP to GLP-1 improved results, would adding glucagon-receptor activity on top do more? The discovery-to-proof-of-concept work was published by Coskun and colleagues in Cell Metabolism in 2022, which laid out the molecule's balanced three-receptor pharmacology and once-weekly profile. From there it moved into phase 2 trials across obesity, type 2 diabetes, and steatotic liver disease.

How It Works

Each receptor contributes something. The GLP-1 and GIP arms drive glucose-dependent insulin secretion and suppress appetite — the same appetite and glycemic effects seen with other incretin agents. The glucagon arm is the addition: glucagon-receptor signaling raises energy expenditure and pushes the liver toward fat oxidation and mobilization. In other words, GLP-1 and GIP pull intake down while glucagon nudges energy use up. Balancing glucagon's activity is the tricky part, because glucagon on its own can raise blood sugar — retatrutide is tuned so the GLP-1 component keeps glycemic control intact.

What the Research Shows

The trials to date are in humans and have been published in major journals:

  • In the phase 2 obesity trial (Jastreboff et al., NEJM, 2023), participants on the 12 mg dose had a mean body-weight reduction of about 24% at 48 weeks, versus roughly 2% for placebo. At the top dose, around 83% of participants lost at least 15% of their body weight.
  • In the phase 2 type 2 diabetes trial (Rosenstock et al., The Lancet, 2023), retatrutide produced substantial HbA1c reductions alongside meaningful weight loss over 24 weeks, with a safety profile consistent with the GLP-1/GIP incretin class.
  • In a phase 2a trial in MASLD (metabolic dysfunction-associated steatotic liver disease; Sanyal et al., Nature Medicine, 2024), higher doses cut liver fat by roughly 80% or more at 24 weeks, with most participants reaching normal liver-fat levels by 48 weeks.
The most common adverse effects across these studies were gastrointestinal — nausea, diarrhea, vomiting — typical of the drug class and generally dose-related. All full citations are in the References section below. Retatrutide is now in phase 3 (the TRANSCEND program).

Storage & Handling

Retatrutide is supplied in lyophilized (freeze-dried) form. Store it at -20°C or below, protected from light and moisture. Reconstitute immediately before use with a sterile solvent appropriate to your protocol, and avoid repeated freeze-thaw cycles, which degrade the peptide.

Frequently Asked Questions

What makes retatrutide different from tirzepatide or semaglutide?
Semaglutide targets one receptor (GLP-1); tirzepatide targets two (GIP and GLP-1); retatrutide targets three by adding glucagon-receptor activity, which brings in an energy-expenditure and hepatic-fat angle the others don't have.

Is retatrutide approved?
As of this writing it is investigational — it has completed phase 2 and is in phase 3 trials. It is sold here strictly for research use only.

What purity does Dynamite Research Peptides provide?
Our retatrutide is 99%+ purity with a Certificate of Analysis available for every batch, verified by HPLC and mass spectrometry.

All products are for research use only — not for human or animal consumption.

References

Peer-reviewed studies referenced in this article. Links open the published source on PubMed / PubMed Central.

  1. 1. Triple-Hormone-Receptor Agonist Retatrutide for Obesity - A Phase 2 Trial New England Journal of Medicine, 2023.
  2. 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 The Lancet, 2023.
  3. 3. Triple hormone receptor agonist retatrutide for metabolic dysfunction-associated steatotic liver disease: a randomized phase 2a trial Nature Medicine, 2024.
  4. 4. LY3437943, a novel triple glucagon, GIP, and GLP-1 receptor agonist for glycemic control and weight loss: From discovery to clinical proof of concept Cell Metabolism, 2022.
  5. 5. LY3437943, a novel triple GIP, GLP-1, and glucagon receptor agonist in people with type 2 diabetes: a phase 1b, multiple-ascending dose trial The Lancet, 2022.

⚠ Research Use Only

All information on this page is for informational and research purposes only. This content does not constitute medical advice. All products sold by Dynamite Research Peptides are strictly for in-vitro laboratory research and are not approved, intended, or suitable for human or animal consumption. Not FDA-approved for any medical use.

© 2026 Dynamite Research Peptides. All content for research purposes only.