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ForumsRetatrutide & Triple AgonistsEnergy expenditure increase from GCG component — what worked for you?

Energy expenditure increase from GCG component — what worked for you?

SaraMom3 Mon, Jul 21, 2025 at 5:36 AM 12 replies 1,380 viewsPage 1 of 3
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SaraMom3
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Jul 21, 2025 at 5:36 AM#1

Reading the retatrutide phase 2 data properly rather than the headline, and the 24% figure is doing a lot of work that the confidence interval does not support as firmly as people think.

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.

The narrow version of the question is what the phase 2 dropout pattern implies about how the phase 3 tolerability will read.

Numbers rather than impressions, if you have them.

27 22BethLabQueen, ChrisMacros, KetoKyle and 24 others
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VendorMark
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Jul 21, 2025 at 6:29 AM#2

Answering the narrow version, because the broad one does not have a single answer. Order of operations matters more than any single choice here: establish a baseline, change one thing, wait long enough for it to express itself, then measure again under the same conditions.

That is the short version; the long version is somebody else's post.

26 21KristenIndy, MarkLI_maint, Dr.PeteFamMed and 23 others
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jim_asheville
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Jul 21, 2025 at 7:22 AM#3
VendorMark said:
Order of operations matters more than any single choice here: establish a baseline, change one thing, wait long enough for it to express itself, then…

That is correct as far as it goes, and here is where it stops going. 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. A curve that has not flattened is a real finding, but it also means the true plateau is unknown, and phase 2 populations are small and selected.

25 20NurseAsh_DET, BenResearch_OR, MikeKY_noInsulin and 22 others
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kim_atl_prep
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Jul 21, 2025 at 8:15 AM#4
SaraMom3 said:
Reading the retatrutide phase 2 data properly rather than the headline, and the 24% figure is doing a lot of work that the confidence interval does…

Same pattern here, and in the same order.

24 19SleepDoc_PDX, RegAffairsDC, BiostatsBrad and 21 others
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sophie_paris
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Jul 21, 2025 at 1:18 PM#5

Clinical perspective, offered as context rather than as advice. The mechanism and the magnitude are separate questions. Agreeing that something happens says nothing about whether it happens enough to act on.

Last edited: Jul 21, 2025 at 6:18 PM
23 18BethLabQueen, ChrisMacros, KetoKyle and 20 others
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