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Evidence-based GLP-1 & peptide discussion since 2023
ForumsRetatrutide & Triple AgonistsRetatrutide cholesterol effects — looking for input Page 2

Retatrutide cholesterol effects — looking for input

jennifer_SEA Mon, Dec 22, 2025 at 4:43 PM 15 replies 1,091 viewsPage 2 of 3
PurityPaulOR
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Dec 23, 2025 at 2:28 PM#6
Dr.GutHealth said:
The phase 2 numbers were about 24% mean weight loss at 48 weeks on the top dose, with the curve still descending at the end of the study.

Careful with treating an unchanged LDL-C as a failure. If ApoB and triglycerides both fell, the particle picture improved regardless of what the calculated LDL says.

19 14Dr.LeslieOBGYN, MikeNYC_runner and 16 others
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PharmacoVig_BOS
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Dec 23, 2025 at 11:07 PM#7

One concrete data point for the thread. For anyone tracking the class: GLP-1 alone gets you appetite, GLP-1 plus GIP adds tolerability and lipid handling, and adding glucagon adds expenditure and liver-fat reduction. Each addition also adds a receptor system that can generate side effects.

I would rather be corrected than agreed with, if it comes to it.

18 13Dr.GutHealth, amsterdam_pete, LondonLisa and 15 others
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LibrarianMeg
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Dec 24, 2025 at 7:46 AM#8
PurityPaulOR said:
Careful with treating an unchanged LDL-C as a failure.

Omega-3 index improvement on the lipid panel: often overlooked but my omega-3 index went from 3.7% to 8.7% over 8 months. I supplemented with 2g EPA+DHA daily.

This matters because omega-3s are anti-inflammatory and cardioprotective, complementing the GLP-1 benefits. Target omega-3 index is >8%. Combined with the triglyceride reduction from the medication, my lipid profile is the best it's been in decades.

Last edited: Dec 24, 2025 at 9:46 AM
17 12julia.endo, JessicaM_2024, TomFromTexas and 14 others
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wei_SG
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Dec 24, 2025 at 4:26 PM#9

One thing that is still open after LabKate’s answer:

What the phase 2 dropout pattern implies about how the phase 3 tolerability will read?

Last edited: Dec 24, 2025 at 5:26 PM
16 11RetaRick_CA, JenPlateau, SallyK_inj and 13 others
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jennifer_SEA
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Dec 26, 2025 at 10:01 AM#10

Reporting back.

Rereading it with the dropout table open changed my view. I still think it is the most interesting molecule in the pipeline; I no longer think the 24% is the number that will end up on a label.

Last edited: Dec 26, 2025 at 4:01 PM
32 5hyun_seoul, jim_asheville, matt_MKE and 29 others
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