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Retatrutide dosage per week
Retatrutide was given once weekly in the major obesity trials. TRIUMPH-1 began with 2 mg per week and studied maintenance amounts of 4 mg, 9 mg or 12 mg. Participants reached their assigned amount through four-week steps; the 12 mg group did not start at 12 mg. [1]
Human trial schedules, with trial-manufactured medication and clinical supervision. Retatrutide remains investigational; these amounts are not a prescription or authorization to inject the research products shown on this site. [2]
| Trial period | 4 mg target arm | 9 mg target arm | 12 mg target arm |
|---|---|---|---|
| Weeks 1–4 | 2 mg weekly | 2 mg weekly | 2 mg weekly |
| Weeks 5–8 | 4 mg weekly | 4 mg weekly | 4 mg weekly |
| Weeks 9–12 | 4 mg weekly | 6 mg weekly | 6 mg weekly |
| Weeks 13–16 | 4 mg weekly | 9 mg weekly | 9 mg weekly |
| Week 17 onward | 4 mg weekly | 9 mg weekly | 12 mg weekly |
These are separate study arms, not a requirement for everyone to progress to the largest amount. A participant assigned to 4 mg stayed on that target. The table expresses the published four-week steps as numbered treatment weeks. [1]
The earlier 48-week Phase 2 trial also tested 1 mg weekly, alongside 4 mg, 8 mg and 12 mg groups. Some higher-dose groups started at 2 mg and others at 4 mg. Digestive side effects were partly reduced by the lower starting amount. That difference helps explain why an amount described as a maintenance dose should not be read as a first dose. [3]
A 30 mg or 60 mg vial label describes the whole vial. It is not the amount at one administration. Likewise, the 15 mg pen contains a total supply of peptide, not a verified 15 mg single-dose setting. The Retatrutide peptide guide connects the studied amounts with their weight-loss results.
Reconstitution: 30 mg and 60 mg vials
30 mg in a final volume of 3 mL equals 10 mg/mL; 60 mg in 3 mL equals 20 mg/mL. The larger vial therefore requires half the draw volume for the same entered amount when both final volumes are identical.
The supplied powder instructions call for a method-specified diluent, slow addition against the vial wall and gentle handling without shaking. They do not name a validated diluent or prescribe a universal mixing volume. The 2 mL and 3 mL examples here are concentration calculations, not a verified clinical preparation recipe. [4]
Confirm the vial
Check 30 mg versus 60 mg and its matching lot. Both are dry powder; a container marked 3 mL does not already contain 3 mL of solution.
Follow the actual method
Let the sealed vial reach room temperature before opening. Use the diluent specified by the validated preparation method; its identity is not established by these documents.
Add slowly; do not shake
The product handling instructions specify slow addition down the vial wall. Record the resulting final volume and concentration, rather than borrowing another vial's syringe markings.
Separate storage limits
Prepared solution: 2–8°C, protected from light, within the preparation method's established use period. No validated universal number of usable days is supplied. [4]
Unopened powder has different storage instructions: −20°C (−4°F), dry and protected from light. The documents allow refrigerated storage for short periods but do not define how long. Neither that statement nor the sealed-powder retest date establishes the life of an opened solution. [4]
| Vial amount | Final volume | Concentration | Volume for 2 mg | U-100 units |
|---|---|---|---|---|
| 30 mg | 2 mL | 15 mg/mL | 0.1333 mL | 13.33 |
| 30 mg | 3 mL | 10 mg/mL | 0.2 mL | 20 |
| 60 mg | 2 mL | 30 mg/mL | 0.0667 mL | 6.67 |
| 60 mg | 3 mL | 20 mg/mL | 0.1 mL | 10 |
Rounded arithmetic. A fractional marking may be smaller than a syringe can measure reliably. These examples do not establish container capacity, solvent compatibility, sterility or a preparation's usable life.
More liquid makes the same milligram amount occupy more volume. It does not reduce the amount when the draw is adjusted to match. At the other extreme, a more concentrated solution can create tiny fractional measurements. A convenient-looking number is not enough to validate a formulation.
Aseptic preparation and fresh sterile equipment are essential for injectable medicines. A used needle or syringe must not re-enter a vial. Adding bacteriostatic water does not itself prove that an unverified research material is a sterile medicine. [5]
Where was retatrutide injected?
The trials used the subcutaneous route: into the fatty layer beneath the skin. General medication sites include the abdomen, outer upper thighs and side or back of the upper arms. Abdominal sites should be at least 2 inches (about 5 cm) from the navel. Rotate sites and avoid bruised, swollen, scarred or damaged skin. [3] [6]
Abdominal fatty tissue
Below the ribs and above the hips. Stay at least 2 inches (about 5 cm) from the belly button.
Outer upper thighs
Use the outer upper thigh and healthy skin.
Side / back of upper arms
Keep 3 inches (7.6 cm) clear of the shoulder and elbow. Ask for a technique demonstration.
The illustration shows general subcutaneous medication anatomy. The abdomen is not a special spot-reduction target: choosing a belly site does not establish that fat will disappear specifically around that needle mark. Route, solution and device instructions must all match the prescribed or trial medication.
Morning or evening, food and missed doses
The evidence supports a weekly interval; it does not establish a best hour for weight loss. Morning versus evening has not been established as a superior retatrutide schedule by the cited obesity trials. Nor do those reports establish a mandatory fasting window around each injection.
Weekly interval
Retatrutide's approximately six-day half-life supported once-weekly trial dosing. It remains in the body between administrations. [7]
Meal timing
A smaller appetite does not create a need to fast before a dose. Feeling sick after large meals is a tolerability question; meal timing has not been proven to amplify retatrutide's fat loss.
Missed week
Use the study team's restart instructions. A missed amount is not a reason to double the next one or copy another drug's missed-dose window.
Half-life describes how drug exposure declines, not how long a single person will feel appetite suppression. A hungrier day does not measure the remaining blood level. It also does not justify an early extra dose or splitting a weekly amount into daily injections.
After several missed weeks, the question includes tolerability as well as timing. The prior maintenance amount cannot simply be assumed to remain an appropriate restart amount. A vial calculator cannot make that clinical decision.
Retatrutide dosage calculator: mg to syringe units
Enter the desired amount first, then the vial amount and final solution volume. The loaded example uses 2 mg, a 30 mg vial and 3 mL final volume. It calculates 0.2 mL and 20 U-100 units, with the marker at 20 on the live syringe graphic.
Loaded with 30 mg vial / 3 mL
Retatrutide per calculation. Enter the amount in mg or mcg; 1 mg = 1,000 mcg.
Use the final mixed volume if it differs from the water added. The loaded values are a calculation example; confirm the compatible diluent from the product's preparation instructions.
on a U-100 syringe
Vial arithmetic only. Not a dose recommendation.
Calculation ready.
Portions exclude transfer losses, priming and discard limits.
Draw volume = target mg ÷ concentration. U-100 units = draw mL × 100.
For the loaded example: 30 ÷ 3 = 10 mg/mL, then 2 ÷ 10 = 0.2 mL. One U-100 unit is 0.01 mL, so 0.2 mL equals 20 units. 2 mg and 2,000 mcg are the same amount. Switching the selector should preserve that amount, not change it a thousandfold.
| Entered amount | Equivalent mcg | Liquid volume | U-100 units |
|---|---|---|---|
| 1 mg | 1,000 mcg | 0.1 mL | 10 |
| 2 mg | 2,000 mcg | 0.2 mL | 20 |
| 4 mg | 4,000 mcg | 0.4 mL | 40 |
| 6 mg | 6,000 mcg | 0.6 mL | 60 |
| 9 mg | 9,000 mcg | 0.9 mL | 90 |
| 12 mg | 12,000 mcg | 1.2 mL | 120: beyond a 1 mL scale |
Measurement examples, not a dosing recommendation. The calculated volume does not establish that a particular syringe, pen or injection method can deliver it.
Changing vial strength changes the draw. Keeping 3 mL while changing 30 mg to 60 mg halves the volume for every amount above. For example, 4 mg moves from 0.4 mL to 0.2 mL. Copying the old 40-unit marking would deliver 8 mg from the stronger concentration.
A result of 120 units cannot be represented by a 100-unit syringe. Do not interpret the end of the graphic as a capped dose or automatically divide the amount into injections. Resolve the intended formulation and measuring device with the clinician or study team.
A decimal matters just as much as the unit. At 10 mg/mL, 0.2 mL contains 2 mg, while 2 mL contains 20 mg. Read milligrams, millilitres and the scale together; “20” alone does not describe an amount.
Daily dosage versus weekly dosage
A 4 mg weekly schedule totals 4 mg in seven days, not 4 mg each day. Taking the same number daily would total 28 mg per week. The studies above did not divide the weekly amount into seven daily administrations.
| Amount each week | Four administrations / 28 days | Eight administrations / 56 days |
|---|---|---|
| 2 mg | 8 mg | 16 mg |
| 4 mg | 16 mg | 32 mg |
| 9 mg | 36 mg | 72 mg |
| 12 mg | 48 mg | 96 mg |
Four weeks means 28 days. A calendar month may contain four or five scheduled weekly administrations, depending on the dates. Counting actual administrations avoids mistaking a four-dose quantity for a guaranteed supply through every month.
Cycle length: 12 weeks, 48 weeks and longer
Retatrutide's main weight-loss results come from treatment lasting many months. The Phase 2 obesity study ran for 48 weeks, with its first major weight endpoint at 24 weeks. TRIUMPH-1 ran for 80 weeks, with a selected group continuing to 104 weeks. An eight- or twelve-week supply is not the same thing as a completed course proven to maintain the weight loss afterward. [3] [1]
In the 12 mg Phase 3 arm, the first sixteen weeks were spent moving through lower amounts. A twelve-week account therefore cannot be compared directly with the 80-week trial result, which includes escalation. The before-and-after results keep duration, amount and starting population attached to each figure.
Stopping and continued treatment have different evidence. The liver-fat substudy observed some weight regain at its safety visit four weeks after treatment ended. That short observation does not establish a long-term regain percentage, an effective taper or a schedule of repeated on/off cycles. [8]
A planned break should not be described as a proven “receptor reset.” Neither a short break nor a lower maintenance amount has been established by these sources as a universal way to keep the full loss. The relevant decision is an ongoing treatment and maintenance plan, including what replaces treatment if it stops.
15 mg pen: concentration and measurement
The prefilled pen contains 15 mg in 3 mL: 5 mg/mL. Its solution includes water and 0.9% benzyl alcohol. It is already prepared; adding water is not part of the documented pen instructions. [4]
A 2 mg amount occupies 0.2 mL.
The same 2 mg occupies 0.4 mL.
The pen is half as concentrated as the calculator's loaded vial example. At its stated concentration, 4 mg is mathematically 0.8 mL. Those conversions do not identify a dial setting: the volume per marked unit or mechanical click is unconfirmed. A U-100 syringe marking must not be relabelled as a pen click.
Keep the pen at 2–8°C in its original carton, protected from light, and do not freeze it. The documents do not establish an opened-pen use period. The vial and pen comparison includes the photographs, preparation differences and the two redacted powder COAs. [4]
Total milligrams and quantities for an example course
Add each stage separately when the weekly amount changes. For the first twelve weeks of the 9 mg or 12 mg TRIUMPH-1 schedule, the planned exposure was 4 × 2 mg, then 4 × 4 mg, then 4 × 6 mg: 8 + 16 + 24 = 48 mg. Using 12 × the final target would substantially overstate that initial quantity. [1]
| Period | Weekly amount | Amount in that period | Cumulative amount |
|---|---|---|---|
| Weeks 1–4 | 2 mg | 8 mg | 8 mg |
| Weeks 5–8 | 4 mg | 16 mg | 24 mg |
| Weeks 9–12 | 6 mg | 24 mg | 48 mg |
| Weeks 13–16 | 9 mg | 36 mg | 84 mg |
| Weeks 17–20 | 12 mg | 48 mg | 132 mg |
For a constant amount, multiply the weekly milligrams by the number of administrations. Twelve administrations at 4 mg total 48 mg; twelve at 9 mg total 108 mg. These are supply calculations, not suggested course lengths.
| Amount per portion | 30 mg vial | 60 mg vial | 15 mg pen* |
|---|---|---|---|
| 2 mg | 15 | 30 | 7, with 1 mg left |
| 4 mg | 7, with 2 mg left | 15 | 3, with 3 mg left |
| 9 mg | 3, with 3 mg left | 6, with 6 mg left | 1, with 6 mg left |
| 12 mg | 2, with 6 mg left | 5 | 1, with 3 mg left |
*Pen column describes mass only; its deliverable settings and priming loss are unconfirmed. A fractional remainder is not a complete next portion, and the table does not instruct combining leftovers.
Nominal yield is not usable shelf life. Thirty 2 mg portions in a 60 mg vial do not establish thirty weeks of safe use after mixing. Container limits, actual content, measuring losses and a valid discard period can all reduce usable quantity. The powder certificates do not validate a clinical treatment plan or the stability of a mixed preparation.
Questions & answers.
Is retatrutide taken daily or weekly?
The major obesity trials used one subcutaneous administration each week. A weekly amount must not be repeated daily; 4 mg daily would total 28 mg per week rather than 4 mg.
What starting amount did TRIUMPH-1 use?
Participants began with 2 mg weekly for four weeks. The 4 mg arm then stayed at 4 mg; higher target arms moved through 4 mg and 6 mg, then 9 mg, with the 12 mg arm reaching 12 mg after sixteen weeks. These are research schedules, not a personal prescription.
How many units is 2 mg of retatrutide?
At 30 mg in a final volume of 3 mL, 2 mg equals 0.2 mL or 20 U-100 units. At 60 mg in 3 mL, the same amount is 0.1 mL or 10 units. The concentration is essential to the answer.
How much water goes into a 60 mg vial?
The supplied instructions do not validate one diluent or mixing volume. For arithmetic, 60 mg in a final 2 mL is 30 mg/mL, while 60 mg in a final 3 mL is 20 mg/mL. A preparation method and container capacity must be established separately.
How many pen clicks equal 2 mg?
The pen contains 15 mg in 3 mL, so 2 mg is mathematically 0.4 mL. No verified click-to-volume or marked-unit calibration was supplied, so an exact click count cannot be calculated from the total strength alone.
Does a 60 mg vial last thirty weeks at 2 mg per week?
It contains thirty nominal 2 mg portions. That is a mass calculation, not a thirty-week storage approval. The actual preparation has its own usable-life and discard requirements.
Sources & batch documents8 references · expand to read
- TRIUMPH-1 sponsor report, May 21, 2026: initiation, escalation, 80-week treatment and adverse-event data ↗
- FDA: retatrutide remains unapproved, cannot be compounded, and online research products have unknown quality ↗
- Jastreboff et al., NEJM 2023: 48-week retatrutide obesity trial, dose groups and safety ↗
- Verified supplied product specifications: 30 mg and 60 mg powder vials, 15 mg/3 mL pen, preparation and storage ↗
- CDC: aseptic preparation, single-use needles and syringes, and compromised sterility ↗
- MedlinePlus: general subcutaneous medication sites, rotation and signs of infection ↗
- Urva et al., Lancet 2022: phase 1b retatrutide study and approximately six-day half-life ↗
- Sanyal et al., Nature Medicine 2024: MASLD substudy, including four-week post-treatment follow-up ↗