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ForumsRetatrutide & Triple AgonistsRetatrutide cholesterol effects — looking for input

Retatrutide cholesterol effects — looking for input

jennifer_SEA Mon, Dec 22, 2025 at 4:43 PM 15 replies 1,091 viewsPage 1 of 3
jennifer_SEA
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Dec 22, 2025 at 4:43 PM#1

Trying to work out whether my panel improved or merely rearranged itself, because two of the numbers went the wrong way.

So the question, as narrowly as I can put it: whether an unchanged LDL-C alongside a large triglyceride fall is a good result or a bad one, because ApoB and LDL-C seem to be telling different stories.

Happy to be told the question itself is wrong.

24 19lucas_SP_BR, lisa_labSD, adam_van and 21 others
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InsuranceTom
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Dec 22, 2025 at 6:12 PM#2

Short answer first, then the reasoning. 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.

I would rather be corrected than agreed with, if it comes to it.

23 18lucas_SP_BR, lisa_labSD, adam_van and 20 others
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PharmHunterJen
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Illinois
Dec 22, 2025 at 7:41 PM#3
InsuranceTom said:
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.

Fair, but phase 2 tolerability figures rarely survive contact with phase 3 scale. Triple agonism means three receptor systems generating adverse events, and the dropout column is the one I would read first when the larger trials report.

22 17kevin_tulsa, Dr.PainCLE, mike_mealprep and 19 others
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RickReta_CO
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Dec 22, 2025 at 9:10 PM#4
jennifer_SEA said:
Trying to work out whether my panel improved or merely rearranged itself, because two of the numbers went the wrong way.

Same pattern here, and in the same order.

21 16tommy_boulder, hyun_seoul, jim_asheville and 18 others
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Dr.LeslieOBGYN
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Dec 23, 2025 at 5:49 AM#5

From the other side of the consultation, briefly.

Comprehensive lipid panel update relevant to the lipid panel:

MarkerBaseline6 Months12 MonthsReference
Total Cholesterol247202192<200
LDL152127112<100
HDL454659>40
Triglycerides267182102<150
LDL-P14871237887<1000

The triglyceride drop is the most impressive. My cardiologist reduced my statin dose based on these results.

20 15mike_mealprep, NicoleRaleigh, james_edin and 17 others
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