How Does Retatrutide Compare With Tirzepatide?
How does retatrutide compare with tirzepatide?
Reviewed by Taylor Anderson, RN
Aesthetic Registered Nurse
Taylor Anderson is an aesthetic registered nurse and a reviewer for Get Hot or Die.
Updated September 8, 2026
Quick answer
Retatrutide showed higher average weight loss in its trials than tirzepatide showed in its own trials, and the added glucagon action is thought to help explain the difference. They have not been tested head to head in the same people, and only tirzepatide is FDA approved and available by prescription now.
In this guide
Key takeaways
- Tirzepatide copies GIP and GLP-1 to curb appetite and steady blood sugar, while retatrutide adds glucagon to support fat release and higher energy use.
- On the highest studied doses, averages were up to 28.7 percent at 68 weeks for 12 mg retatrutide and up to 20.9 percent at 72 weeks for 15 mg tirzepatide in separate trials.
- Tirzepatide is prescribed now as Zepbound or Mounjaro through a licensed pharmacy, while retatrutide is trial only with approval estimates pointing to late 2026 to 2027.
Retatrutide showed higher average weight loss in its trials than tirzepatide showed in its own, and researchers think the extra glucagon action helps explain the gap. The two drugs were tested in separate studies with different people and timelines. Tirzepatide is FDA approved and available by prescription now while retatrutide remains trial only.
How do they work differently?
Tirzepatide copies two gut hormones, GIP and GLP-1. They slow digestion and tell your brain you feel full, so you eat less and your blood sugar stays steadier. Retatrutide copies those same two hormones and adds glucagon, a hormone that prompts your body to release and burn stored fat. The idea is appetite control plus higher energy use (GoodRx comparison).
How much weight have people lost on each?
On the highest studied doses, people taking 12 mg retatrutide lost up to 28.7% of body weight on average at 68 weeks. People taking 15 mg tirzepatide lost up to 20.9% on average at 72 weeks in SURMOUNT-1 (Ro comparison). Researchers ran these as separate trials, so the gap does not show what would happen for the same person choosing between them.
Which one can you get today?
You can get tirzepatide now as Zepbound or Mounjaro with a prescription filled at a licensed pharmacy (Drugs.com comparison). Retatrutide is available only in clinical trials, with approval estimates pointing to late 2026 to 2027 (Midi explainer). Any website offering to ship retatrutide now is not a safe source. If you want weight loss support now, you can check whether a tirzepatide plan fits through /quiz.
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How do retatrutide and tirzepatide work differently?
Tirzepatide copies two gut hormones, GIP and GLP-1, which slow digestion and help you feel full so you eat less. Retatrutide copies those same two hormones and adds glucagon, which prompts the body to release and burn stored fat for appetite control plus higher energy use.
How much weight did people lose on each in trials?
On the highest studied doses, people taking 12 mg retatrutide lost up to 28.7 percent on average at 68 weeks, and people taking 15 mg tirzepatide lost up to 20.9 percent on average at 72 weeks in SURMOUNT-1. The trials were separate, so the gap does not show what would happen for the same person.
Can I get retatrutide prescribed now?
No. Tirzepatide is FDA approved and available now as Zepbound or Mounjaro with a prescription filled at a licensed pharmacy. Retatrutide is available only in clinical trials, with approval estimates pointing to late 2026 to 2027, and websites offering to ship it now are not a safe source.
Why can't the trial results be compared directly?
Researchers ran separate studies with different people and timelines. That difference means the percentage gap does not show what would happen for the same person choosing between them.
Keep reading
Sources (10)
- How does retatrutide compare to tirzepatide? · drugs.com · captured September 8, 2026
- Retatrutide vs. Tirzepatide: The Next-Gen GLP-1 Showdown · drsobo.com · captured September 8, 2026
- Retatrutide vs. Tirzepatide: How Do They Compare? - GoodRx · goodrx.com · captured September 8, 2026
- Tirzepatide vs. Retatrutide: Key Differences Explained · joinmidi.com · captured September 8, 2026
- Tirzepatide vs Retatrutide: The Clinician's Essential Comparison · freemedicaljournals.com · captured September 8, 2026
- Tirzepatide Versus Intensified Conventional Care After 2 Years of Treatment in Early Type 2 Diabetes : A Randomized Clinical Trial. · pubmed.ncbi.nlm.nih.gov · captured September 8, 2026
- Triple Agonism Based Therapies for Obesity | Current Cardiovascular Risk Reports | Springer Nature Link · link.springer.com · captured September 8, 2026
- Retatrutide vs. Tirzepatide: Which Is Better for Weight Control? | Ro · ro.co · captured September 8, 2026
- Retatrutide: Triple GLP-1/GIP/Glucagon Receptor Agonist — Superpower · superpower.com · captured September 8, 2026
- Retatrutide vs Tirzepatide: Best Triple Agonist Guide 2026 · pspeptides.com · captured September 8, 2026
