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    Semaglutide vs Retatrutide

    Neutral RUO comparison of Semaglutide and Retatrutide using public protocol-library fields: vial size, research class, mechanism, evidence level and references.
    Public fields onlyReferences included

    This page compares only public, research-context fields from the AllPeptides protocol library. It is not a ranking, recommendation, safety comparison or human-use guide.

    Public research comparison fields

    FieldSemaglutideRetatrutide
    NameSemaglutideRetatrutide
    Representative vial size2.5mg5mg
    Research classMetabolic researchMetabolic research
    Mechanism contextSemaglutide mimics GLP-1, enhancing glucose-dependent insulin secretion, reducing glucagon, slowing gastric emptying and reducing appetite through central mechanisms.Retatrutide is the first triple agonist that simultaneously activates three key metabolic hormone receptors: GLP-1, GIP and glucagon. This triple mechanism produces synergistic effects on appetite suppression, energy expenditure and glucose metabolism. The GLP-1 component reduces appetite and slows gastric emptying; GIP enhances insulin secretion and supports fat metabolism; glucagon receptor activation increases energy expenditure and promotes fat oxidation. In clinical trials, participants receiving 12 mg weekly recorded a mean change of 24% in their body weight over 48 weeks.
    Evidence level
    Not specified in profile
    Not specified in profile

    Combined references

    1. NEJM — STEP 1 — Semaglutide 2.4mg for obesity
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    2. NEJM — SELECT — Semaglutide cardiovascular benefits
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    3. New England Journal of Medicine (2023) — Triple-Hormone-Receptor Agonist Retatrutide for Obesity — Phase 2, 48 weeks
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    4. JAMA Network (2023) — Retatrutide Phase 2: 24% weight change at 12 mg weekly
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    5. The Lancet (2023) — Retatrutide in type 2 diabetes: Phase 2 (weight change and glycemic outcomes)
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    6. Katsi V et al. Biomolecules 2025 — Retatrutide-A Game Changer in Obesity Pharmacotherapy.
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    7. Abdrabou Abouelmagd A et al. Proc (Bayl Univ Med Cent) 2025 — Efficacy and safety of retatrutide in obesity: systematic review and meta-analysis.
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    8. Nature Reviews Endocrinology (2024) — Triple agonists for obesity and diabetes: clinical overview
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