Dosing & Titration Guide
A structured protocol for safe, steady weight loss with consistent dosing every 5 days.
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The goal is safe, steady weight loss. Increasing the dose slowly reduces side effects, protects muscle mass, and prevents the kind of rapid weight loss that leads to fatigue, weakness, and nutritional deficits.
02
Inject once every 5 days and keep the spacing consistent.
Injecting every 5 days instead of once a week keeps the medication steadier in your system. This means more consistent appetite control, fewer side effects, and less of that "wearing off" feeling before your next shot.
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Begin at 10 units (1 mg) for your first two injections.
Switching from Tirzepatide?
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After the first 10 days, increase the dose every third injection (every 15 days). Each increase adds 10 units (1 mg).
| Day | Units | Dose | Notes |
|---|---|---|---|
| 0 | 10 | 1.0 mg | Start |
| 5 | 10 | 1.0 mg | Hold |
| 10 | 10 | 1.0 mg | Hold |
| 15 | 20 | 2.0 mg | First increase |
| 20 | 20 | 2.0 mg | Hold |
| 25 | 20 | 2.0 mg | Hold |
| 30 | 30 | 3.0 mg | Increase |
| 35 | 30 | 3.0 mg | Hold |
| 40 | 30 | 3.0 mg | Hold |
| 45 | 40 | 4.0 mg | Increase |
| 50 | 40 | 4.0 mg | Hold |
| 55 | 40 | 4.0 mg | Hold |
| 60 | 50 | 5.0 mg | Increase |
Continue this pattern until you reach the dose that delivers steady results.
Maximum Dose — Titration
05
If you are currently on tirzepatide, multiply your current weekly dose by 0.6 to find your retatrutide dose every 5 days.
| Tirzepatide (weekly) | R3TA (every 5 days) | Pen Units |
|---|---|---|
| 2.5 mg | 1.5 mg | 15 units |
| 5 mg | 3.0 mg | 30 units |
| 7.5 mg | 4.5 mg | 45 units |
| 10 mg | 6.0 mg | 60 units |
| 12.5 mg | 7.5 mg | 75 units |
| 15 mg | 9.0 mg | 90 units |
Start at your equivalent dose from day one. No titration needed. Your body has already adjusted to this type of medication.
06
Weigh yourself every 7 days and use this to guide dose changes. In the first two weeks, weight loss of 3 to 5 lbs is common due to water and glycogen changes — this is not a reason to delay your first escalation.
< 1 lb
Increase dose at the next scheduled interval.
1 – 2 lbs
Ideal range. Continue or hold at this dose.
> 2 lbs
Hold 15+ days. If rapid loss continues, reduce by 10 units.
07
Weight loss medications reduce appetite, which can lead to inadequate protein intake and muscle loss. Two things protect against this:
Non-Negotiable
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Stay at the dose that controls hunger, holds weight loss at 1 to 2 lbs per week, and avoids side effects. If weight loss becomes too fast or symptoms develop, reduce by 10 units and reassess after 15 days.
If you miss a dose, take it as soon as possible and resume the 5-day spacing from that point. Do not double a dose.
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