PlainPill

Retatrutide vs Tirzepatide for weight loss

Short answer: For weight loss, users rate them about the same: 91% report improvement with Retatrutide (222 reports) and 93% with Tirzepatide (195 reports).

Retatrutide has 22 meta-analyses and 6 randomized trials on PubMed; Tirzepatide has 214 and 132.

Based on 446 reports about Retatrutide and 408 about Tirzepatide. Not medical advice.

Retatrutide
Peptide
Tirzepatide
Medication
User score7168
Verdict
Mostly positive
Mostly positive
Positive
of reports that state an outcome
76%76%
Reports446408
ResearchBResearch: ModerateAResearch: Strong
Meta-analyses / RCTs22 / 6214 / 132
Mainly used for
Weight loss
% reporting improvement
91% (222)93% (195)
Appetite
% reporting improvement
73% (84)86% (71)
Focus
% reporting improvement
83% (6)67% (3)
Energy
% reporting improvement
69% (75)45% (31)
Sleep
% reporting improvement
31% (26)56% (9)
Anxiety
% reporting improvement
40% (5)—
Mood
% reporting improvement
66% (32)68% (25)
Performance
% reporting improvement
82% (33)83% (12)
Recovery
% reporting improvement
100% (8)—
Pain & inflammation
% reporting improvement
78% (9)86% (7)
Digestion
% reporting improvement
46% (13)20% (5)
Libido
% reporting improvement
25% (12)33% (6)
Hormones
% reporting improvement
100% (13)50% (2)
Blood sugar
% reporting improvement
75% (4)80% (10)
Heart & lipids
% reporting improvement
37% (19)88% (8)
Skin & hair
% reporting improvement
—0% (2)
Common side effectsnausea, fatigue, stomach issues, insomniafatigue, nausea, constipation, stomach issues
Typical dose reportedNot listed7.5 mg
Retatrutide
Latest review conclusion

This systematic review identifies the state and mechanism of action of emerging pharmacotherapies undergoing or having completed phase 2 and phase 3 clinical trials. The information provided herein furthers the understanding of obesity management, implying direct clinical implications and stimulating research initiatives.

Pharmacol Rev, 2025 ↗
What a user said
“Drastically reduced appetite: At 5mg, I experienced near-total suppression of hunger and cravings. Steady, effortless fat loss: I didn't have to track macros obsessively or do extreme cardio.”
Full Retatrutide profile →
Tirzepatide
Latest review conclusion

This study shows that new anti-diabetic drugs, particularly GLP1-RA and Tirzepatide, are the most effective in inducing weight loss in patients with type 2 diabetes. Interestingly, exenatide appears to be the only GLP1-RA that induces a mild weight loss.

Pharmacol Res, 2021 ↗
What a user said
“Tirzepatide works so well! Do some research in the r/peptides subreddit and the r/tirzepatide subreddit. It's the most effective thing I've ever seen for appetite suppressant.”
Full Tirzepatide profile →

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Percentages come from first-hand user reports and are not clinical outcomes. Talk to a doctor before starting, stopping or combining anything. How we rate