CommunityDosing & Titration

Switching from Mounjaro to Retatrutide Dosage Advice

30 replies11 peopleMar 14, 2026☆ Follow
Summary

How should someone switch from tirzepatide or semaglutide to retatrutide and adjust the dose to lose another 10 kg while managing appetite and side effects?

Users report that 1 mg retatrutide often produces little appetite suppression after prior GLP-1 exposure, so slow upward titration with split dosing is commonly suggested. Several participants reached better control at 1.5–5 mg weekly, sometimes split every 3.5 days, while others saw no benefit and considered returning to tirzepatide. Stacking is mentioned but generally discouraged unless maximum doses are reached. Individual side-effect sensitivity varies and slow increases are advised.

What this discussion establishesWhere people disagree

Whether to stay on reta and keep increasing or switch back to tirzepatide once appetite returns; also whether stacking is worth trying before maxing out reta.

Still open

The ideal final dose and long-term choice between reta and tirzepatide for this user’s remaining 10 kg goal.

Nothing here is advice.

30 replies · 11 people
AmberBeacon38archiveopening postMar 14

Hi everyone, I need some advice. I used sema for a year with good results and lost 30 kg. Then I moved to MJ with some breaks. I don’t recall my highest sema dose but it wasn’t the top amount because side effects were strong. I tried 5 mg of MJ once but never repeated it. At 2.5 mg of MJ the effects were mild yet still helped me stay in control. Now I’m on 1 mg of reta in week two and feel almost nothing except a strong pulse after caffeine like coffee or energy drinks. Is that normal? I read about combining things like cagri for appetite control. I’m going to get more soon and don’t know what to do next.

NorthCinder24archiveMar 14

1 mg of reta is quite low. I didn’t notice much until I reached 1.5 mg. What’s your goal, big weight loss or mostly body recomp? I’d try going up slowly first, maybe a week at 1.25 then 1.5. If you still need to drop a lot of weight then adding cagri could help, but reta works well by itself once you hit the right level. At 2 mg now I already feel full most of the day. If you’re hitting a high daily protein target I wouldn’t add cagri.

AmberBeacon38archiveMar 14

I want to lose another 10 kg. That’s the goal. I began at 1 mg just to test the effect but my appetite is still very strong.

QuietAnchor73archiveMar 14

Since you’ve already used other GLP-1s it makes sense to raise reta gradually. The usual starting clinical dose is 2 mg. New users sometimes respond at lower amounts but you clearly aren’t one of them. A concentration tracker can help you find the right level as you go up. It takes four weeks to reach peak concentration. Are you dosing every seven days? I’ve found splitting the dose keeps appetite down better and lowers side effects. A 3.5-day cycle might work well. I’m nine weeks in as a first-timer, very responsive, and now at 1.5 mg weekly split into two 0.75 mg shots. Appetite is well controlled and I’m losing about two pounds a week. You could try 2 mg split as 1 mg every 3.5 days for a couple of weeks.

AmberBeacon38archiveMar 14
↳ replying to @QuietAnchor73

Thanks for the reply. How would you split a 2 mg dose? I’m currently on a seven-day schedule. Should I move to 2 mg in week three or wait the full four weeks? Do you think I should stay with reta or go back to increasing Mounjaro since my highest there was only 5 mg?

PlainAlder11archiveMar 14

I’ve done four-week cycles at 2 mg, then 4 mg, and just started 5 mg. I was going to try 6 mg but I’m already losing 2.5 lb a week on average. I’ll check the scale after four weeks at 5 mg. I’m not mixing anything else, just reta.

QuietAnchor73archiveMar 15
↳ replying to @AmberBeacon38

You might as well increase now since you’re not getting enough from the current dose. Just ease into it. You’re at 1 mg every seven days, so you could do 0.75 mg on the next injection day and another 0.75 mg 3.5 days later. That raises your weekly total by 0.5 mg to 1.5 mg. Run that for a couple of weeks and reassess. I’m not a fan of mixing different drugs because it complicates things. I’d only consider it after maxing out and hitting a long stall. At two weeks you’re still not at peak concentration yet. Splitting also reduces big swings between peaks and valleys so there’s less stress on your system.

CopperSignal27archiveMar 15

The advice above seems reasonable. If you raise doses faster than every four weeks, smaller and more frequent shots can reduce long-lasting side effects. It would help to know what side effects you had on semaglutide. You said 2.5 mg of tirzepatide didn’t do much but 5 mg was never repeated, which is confusing. What exactly happened at 5 mg of tirzepatide? That matters because if it caused problems you’re probably sensitive and should increase more carefully and slowly. Jumping straight to 2 mg of reta is unlikely to be an issue, but after that I wouldn’t go from 2 mg to 4 mg; I’d go to 3 mg and then up by 1 mg at a time. The most common side effects are gut related, mainly nausea, and they usually improve slowly over months.

AmberBeacon38archiveMar 15
↳ replying to @QuietAnchor73

Thank you, I’ll try that. Would you suggest staying on reta or going back to Mounjaro and raising the dose? My appetite is still very strong. Yesterday was my third 1 mg reta injection.

CopperSignal27archiveMar 16

I have to guess a lot without basics like starting BMI, weight, age, or sema dose. You’ve already lost 30 kg and want 10 more, so roughly 40 % total loss, which is better than average even on full-dose reta. Responses vary but you seem to respond well. Reta is the strongest for weight loss, about 5 % better than tirz, while tirz tends to have the fewest side effects. Either one should probably get you to goal given your history. The current reta dose is still too low to judge side effects. So keep going with reta since you’ve started or switch back to tirz. Without age and medical history it’s hard to say for sure, but long-term you might do best on the highest doses of either.

NorthCinder50archiveMar 17

My first week on 2.5 mg reta was rough. Sleep problems and no appetite control. For the first time in six clean months I binged and then vomited badly. I had to pin 2.5 TR to stop it. That helped a bit. My highest dose was 5 mg of MJ and I’m now maintaining at 55 kg after losing 30 kg. I eat over 100 g protein and about 1400 kcal daily plus 17 000 steps. Weight has been stable for almost a month.

AmberBeacon38archiveMar 18
↳ replying to @NorthCinder50

Because of the side effects, are you suggesting Mounjaro instead of reta?

WryBramble37archiveMar 18
↳ replying to @AmberBeacon38 (opening post)

Beginning fresh using this option my plan would involve starting at a low amount to drop or hold steady on body mass then raising it bit by bit over weeks. Pursuing intense hunger pangs by mixing in extra compounds holds no appeal for me. I avoid seeking the lack of eating cues as though it were some kind of rush. After moving across to this choice my meals increased just a touch yet the scale kept moving downward and that outcome suited me fine. Taking things slow while raising the level gradually paid off.

NorthCinder50archiveMar 18
↳ replying to @AmberBeacon38

I’ve only been on reta a couple of weeks so it might be too soon to judge, or maybe the quality isn’t great. Even at 5 mg per week I still don’t see appetite suppression. Tirz 5 mg worked well from day one, but that wasn’t the gray version.

PlainAlder11archiveMar 18
↳ replying to @NorthCinder50

You’re at 5 mg after only a couple of weeks? How many weeks exactly?

NorthCinder50archiveMar 19
↳ replying to @PlainAlder11

Started at 2.5 mg the first week and went up to 5 mg the second week because hunger returned. So literally two weeks. What about you? Are you planning to start reta or tirz?

PlainAlder11archiveMar 19
↳ replying to @NorthCinder50

I’ve been on reta since early January: 2 mg for four weeks, 4 mg for five weeks, and now on 5 mg with the second pin tomorrow.

QuietLedger57archiveMar 20

Started at 296 lb on 2.5 mg tirz in Oct 2024. Dropped to 216 lb after going up to 15 mg over a year until Nov 2025 when I stalled for two months. Switched to reta in Jan at 2 mg for four weeks then 4 mg for four weeks. Lost 3 lb to 213 but stalled again. Was about to go to 6 mg but read about micro-dosing so I started 3 mg every other day two weeks ago and dropped another 4 lb quickly. I also take 0.5 mg cagri once a week mid-week. Now at 209 lb from 296 lb starting weight. Goal is 190 lb, which I think I can reach by summer.

CopperSignal27archiveMar 20
↳ replying to @QuietLedger57

That’s interesting. You went from 4 mg weekly straight to 3 mg every other day, which is 10.5 mg per week. I’ve also used every-other-day dosing to cut side effects, but jumping from 4 mg to 10.5 mg in one step is a big increase even when split. You’re not reporting bad side effects so it’s clearly working for you.

QuietLedger57archiveMar 23
↳ replying to @CopperSignal27

Honestly, no negative reactions have shown up for me at all. I had planned on reducing to a lower amount on alternating days, yet things are going smoothly so far. The truth is minor reactions only showed up initially when I first began using it. My system appears to manage it quite effectively.

NorthAnchor76archiveMar 29

Previously I took the five milligram amount of that medication without any trouble at all. Then I tried the initial one milligram amount of this new compound starting from the evening after and lasting until the third day afterward I dealt with constant stomach and intestinal discomfort. It caught me off guard that this occurred even with the smaller quantity. My plan was to use the next one the following Friday but now I can't decide if I should return to the previous medication or stick with this same small amount for one more week.

QuietAnchor73archiveMar 29
↳ replying to @NorthAnchor76

You could drop back to 0.5 mg for a few weeks to see if that helps your system adjust. My wife and I started at 0.5 mg for the first four weeks to avoid harsh side effects and then doubled every four weeks with good weight loss and fewer sides. It takes a few weeks for the GI tract to adapt to the new metabolism rate.

QuietAnchor73archiveMar 30

I forgot to add that the GI symptoms have been fairly easy to manage with fiber and magnesium for constipation plus plenty of fluids.

NorthAnchor76archiveMar 30
↳ replying to @QuietAnchor73

I switched to address fatty liver because of the glucagon part in reta. I’m hoping to see improvement over time.

QuietAnchor73archiveMar 30

I’ve heard people say the glucagon effect doesn’t start until 4 mg, stated like fact. I’m pretty sure that’s just gym-bro logic and can be ignored.

NorthAnchor76archiveMar 30
↳ replying to @QuietAnchor73

I've managed to keep my blood sugar under good control using only a small quantity of tirzepatide. Now I want to see if a small amount of retatrutide can help my fatty liver in the same way, and I'll verify that later on with more scans after a few months.

ClearKettle41archiveMar 30
↳ replying to @QuietAnchor73

I thought the trials showed glucagon activation gets better closer to 8 mg, meaning reta has a therapeutic threshold. If that’s true, micro-dosing mainly helps with side effects, which can be avoided by starting low and going up 0.5 mg at a time. I’m not sure what results people get with smaller split doses. From experience, if I hit extreme side effects like food aversion, lowering the next dose fixes it quickly. Dose low and slow seems key. If you’re on lower doses but want faster results or you’re stalled because of sides, stacking with MOT-c and Tesa or CJC-1295/Ipamorelin has helped me.

SharpAlder88archiveMar 30
↳ replying to @NorthAnchor76

For what it’s worth, my fatty liver resolved completely while on brand-name tirz before I switched to gray and added reta.

NorthAnchor76archiveMar 30
↳ replying to @SharpAlder88

Curious to hear how soon liver fat started decreasing for people on this medication and the exact steps they followed when increasing their dosage.

SharpAlder88archiveMar 30

I maintained five milligrams weekly through most of that stretch. Over the past several months I raised it to ten. Within eight months I reached the total weight reduction I had set as my goal, equal to a quarter of my original body mass. Later blood work showed standard liver values, so the physician removed the fatty liver note from my file.

AmberBeacon38archiveApr 1

Quick question. I injected 1 mg yesterday by mistake when I meant to do 1.5 mg for the first time. Can I inject another 0.5 mg today, one day later? Or should I just do another full 1 mg for a 2 mg total?

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Switching from Mounjaro to Retatrutide Dosage Advice · ZyraTrack Community