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ForumsRetatrutide & Triple AgonistsTriple agonist side effect profile — what worked for you?

Triple agonist side effect profile — what worked for you?

Dr.BariatricHTX Tue, Nov 25, 2025 at 6:51 PM 12 replies 1,209 viewsPage 1 of 3
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Dr.BariatricHTX
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Nov 25, 2025 at 6:51 PM#1

Sceptical rather than excited about the triple agonist, and I would like somebody to talk me out of the scepticism with data rather than enthusiasm.

What I am after is what the phase 2 dropout pattern implies about how the phase 3 tolerability will read.

Not looking for reassurance. Looking for the part I have got wrong.

36 6CarlaRPh_TPA, steph_laguna, fiona_glasgow and 33 others
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JennaRN
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Nov 25, 2025 at 7:08 PM#2

Short answer first, then the reasoning. Worth answering the question that was asked rather than the one behind it. The narrow version usually has an answer; the broad version usually does not, and answering the broad one is how a thread stops being useful.

Last edited: Nov 25, 2025 at 8:08 PM
35 5PeptideSynthNJ, Dr.KarenChen, Dr.NateNeph and 32 others
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SleepFixSam
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Nov 25, 2025 at 7:25 PM#3
JennaRN said:
Worth answering the question that was asked rather than the one behind it.

JennaRN has the substance of this right. The condition it depends on is worth stating. The glucagon component looks paradoxical and is not. Glucagon receptor agonism raises energy expenditure and drives hepatic fatty-acid oxidation, and its hyperglycaemic tendency is offset by the GLP-1 arm's insulin secretagogue effect. Net result: intake down from GLP-1/GIP, expenditure up from glucagon, glycaemia neutral or improved. It is a balancing act, and it is why the liver-fat results are the most interesting part of the dataset.

34 4raj_cambridge, ingrid_STO, pete_nash and 31 others
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alex_tucson
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Nov 25, 2025 at 7:42 PM#4
Dr.BariatricHTX said:
Sceptical rather than excited about the triple agonist, and I would like somebody to talk me out of the scepticism with data rather than enthusiasm.

This is my experience too, for whatever a second data point is worth.

Last edited: Nov 25, 2025 at 9:42 PM
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SleepDoc_PDX
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Nov 25, 2025 at 9:15 PM#5

Adding the clinical framing, because it changes how the question reads. It is worth asking what the claim would look like if it were false. If nothing would look different, it is not a claim about the world and no amount of discussion will settle it.

32 2mel_PDX, Dr.AddMedPHL, newstart_MO and 29 others
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