CommunityMind & Motivation

Mental health and reta in particular

28 replies17 peopleJul 10, 2026☆ Follow
Summary

Does retatrutide cause anhedonia, emotional flatness or fatigue compared to semaglutide, and how do users experience or manage it?

Multiple users report increased flatness, tiredness, dry skin, emotional blunting and anhedonia after switching to reta that they did not have on sema. Some describe reduced reward from hobbies, food or daily events while others view the same blunting as helpful for curbing anxiety, overthinking or addictive patterns. Lifestyle steps such as sunlight, walks, protein-rich foods, and hobbies are mentioned as partial helps; a few lowered their dose or stopped entirely when symptoms grew severe. Hormone testing and certain supplements are also discussed as possible factors.

What this discussion establishesWhere people disagree

Whether the emotional blunting is mainly a drawback to be fixed or a useful reduction in over-reactivity and bad habits

Still open

How long the effect typically lasts, whether it resolves with time or dose adjustment for most people, and the role of individual hormone status

Nothing here is advice.

28 replies · 17 people
QuietCinder90archiveopening postJul 10

Hi everyone. I've been feeling more flat, tired, worn out, extremely fatigued, with very dry skin and a sense of emptiness lately. I'm already working with a therapist and doctor, but these issues have grown stronger since starting reta after being fine on sema. Has anyone else noticed anything similar? When did it begin for you, how intense was it, and what helped you manage it? Only share if you want to.

BrightSparrow36archiveJul 10

Look up reta anhedonia. It comes up a lot.

QuietCinder90archiveJul 10
↳ replying to @BrightSparrow36

I already searched but wanted real experiences from people here. Are you familiar with that issue? What do you make of it?

SlowLantern46archiveJul 10

I have noticed some of that flat feeling too. It hasn't been a big problem, but my emotional reactions and general feelings are definitely different. I'm probably getting used to it.

QuietCinder90archiveJul 10
↳ replying to @SlowLantern46

Can you explain what you mean by changes in emotional response and feelings?

SlowLantern46archiveJul 10
↳ replying to @QuietCinder90

Things that normally would make me happy or sad just don't land the same way. I feel somewhat indifferent even when I know I should care more. I can still recognize it should matter. I'm on a low dose of 1.8 mg that I started in April. The flatness isn't severe and doesn't change how I behave much, but it does shift how strongly I feel certain things.

AmberCinder46archiveJul 10

A bit of dopamine adjustment doesn't bother me. It actually helps limit some of my old habits. I don't feel down from it. The symptoms you listed could come from many other sources, like eating too little or not sleeping enough.

GreyWillow31archiveJul 13

Reta can reduce dopamine signaling more broadly than just around food. That is part of why appetite drops and why some people also cut back on drinking, smoking or other habits. The downside can be exactly the flat feeling you describe from weaker reward signals. Anhedonia does occur, though maybe not as often as some say. One approach is to build new sources of dopamine through morning walks, sunlight, hydration, exercise and healthy eating. Leaning into hobbies or things you care about like reading or art can also help, even if they feel muted at first. Your system might adapt over time.

SlowLantern29archiveJul 14
↳ replying to @BrightSparrow36

If you are open to older threads, searching the forum for reta anhedonia brings up at least ten discussions with various opinions.

SlowLedger31archiveJul 14

I got it right away during testing. Sometimes emotions just cloud judgment and create more trouble than they solve. The anhedonia actually felt like a benefit after some rough periods. I still knew things were bad but they stopped weighing me down. It depends how you look at it. I have goals to reach and nothing will stop me. Heavy regret, inadequacy and overthinking just fell away. They were dead weight anyway.

AmberMarble84archiveJul 14

I have a sensitive brain and probably undiagnosed ADHD. Sema never did much for me. On tirz at higher doses around 10-11 mg I became very flat and anhedonic, so I had to stop because everything felt grey. Switching to reta with cagri worked at first, but after a few months at 8 mg the same flat feeling returned. Sugar cravings also increased on reta. Lowering to 4-6 mg helped for a while but the low mood slowly came back, so I stopped three weeks ago. Energy and mood improved after that. Supplements did not change anything. Weight loss, exercise and sleep did not help either. I was mostly in a who cares state. Now on cagri while waiting for something else. Some people seem fine at lower doses.

SlowBeacon59archiveJul 16

I started reta in November 2025 and have had some clear side effects. I have CPTSD and occasional depression. Motivation itself is not the issue, but the dopamine reward side is definitely blunted. Reading, audiobooks or watching shows no longer feel rewarding the way they used to. My focus drifts and I often start and stop projects, sometimes taking weeks or months to finish things friends finish in days.

IronLantern24archiveJul 17

Anhedonia can be useful because I stop caring about things that used to annoy or worry me. It also removes the urge to eat the junk I once wanted. There are downsides though. I have become more of a recluse and no longer enjoy activities like before. Motivation has slipped further in recent weeks. The whole point of losing weight was to gain energy for tasks, yet I feel worse. Eating more might help but I already have to push myself not to undereat. It has turned into a difficult cycle and I probably need to look into it more.

KeenFenwick79archiveJul 17
↳ replying to @QuietCinder90 (opening post)

I had the exact same symptoms two months ago. I had been on reta since March when it hit hard. I felt depressed, exhausted, irritable and my anxiety spiked. Someone suggested trying a certain peptide and it helped a lot. I felt like myself again.

PlainHarbour73archiveJul 17

I suspect the anhedonia and flatness may relate to dopamine production happening in the gut. GLPs slow digestion and reduce overall food intake, which could affect mood. I try to eat foods high in l-tyrosine such as chicken, salmon, eggs and yogurt because they can support dopamine. Walking, sunlight, talking with friends and time with pets also seem to help as others mentioned. Hope you find a workable balance soon.

QuietCinder90archiveJul 17
↳ replying to @KeenFenwick79

I have seen mixed feedback on that peptide but I have some coming to try. Feeling this bad is not helpful. Sending positive thoughts your way.

QuietCinder90archiveJul 17
↳ replying to @PlainHarbour73

Thanks for the practical suggestions. I am putting them into practice right now. I also have a feeling things will improve.

QuietCinder90archiveJul 17
↳ replying to @IronLantern24

That does sound rough. I also spend most of my time at home and away from others. It might take time to reconnect with ourselves after the old pattern with food. What do you think?

QuietCinder90archiveJul 17
↳ replying to @SlowBeacon59

Is there anything at all that still feels rewarding, or is it fully blunted? If you are also on antidepressants they might be adding to it.

QuietCinder90archiveJul 17
↳ replying to @SlowLedger31

That is great to hear. I hope those heavy thoughts stay gone and you keep moving forward positively.

SlowBeacon59archiveJul 17
↳ replying to @QuietCinder90

Cats and working on art projects still give some response, though not as strong. I have other complications that make life interesting or difficult. No antidepressants for me. My doctor started some but my therapist recommended stopping once the blunting became noticeable.

IronCompass33archiveJul 17
↳ replying to @QuietCinder90 (opening post)

I have dealt with anhedonia for years and it has worsened since starting tirz early this year. After trying many approaches, here are my suggestions. Get hormone levels checked. For women who still menstruate, request a full panel because perimenopause can begin in the 30s or earlier with any hormone disruption, and obesity can contribute. Post-menopausal women may want to discuss hormone replacement including testosterone. Men can also have hormone disruption from obesity, and testosterone support can make a big difference. The main lifestyle step that helps anhedonia is savoring. Actively notice things that feel good or should feel good, then deliberately do them and really focus on the positive sensation. Tell yourself you are enjoying it.

IronLantern24archiveJul 17
↳ replying to @QuietCinder90

I am not sure there was ever a time when my relationship with food was not problematic.

QuietSignal61archiveJul 17

As someone with a history of addiction and depressive bipolar, my mental state before reta was already very poor, so the anhedonia from reta has actually been an improvement. Feeling flat is better than constant suffering. I have been on it about four months and stayed around 5 mg weekly. The effect can be stronger at higher doses. Managing it requires a full supplement routine including various B vitamins, trace minerals like boron, copper and zinc, high-dose magnesium, potassium, sodium, D3/K2, taurine, glycine, TMG, phosphatidylcholine, fish oil and lithium orotate among others.

QuietSignal61archiveJul 17
↳ replying to @IronCompass33

From a male view, obesity already shifts hormones toward estrogen dominance, and a calorie deficit especially low in healthy fats can lower testosterone further. Losing more than two pounds a week often puts levels into hypogonadal range. Once weight stabilizes, testosterone usually recovers. In the meantime, boron, zinc, selenium, copper, healthy fats and L-carnitine may offer support. Both menopausal women and men can pursue their own testing and consider HRT options. Certain forums have useful experiences from women. Avoid pellets. The earlier advice on GABA is good too. I added pregnenolone and noticed less anxiety, especially combined with lithium orotate. Pregnenolone acts somewhat like a progesterone support for men.

ClearAnchor99archiveJul 18
↳ replying to @QuietSignal61

These posts feel like my own story. Food was my first addiction, then drugs. After losing weight I leaned hard into substances until I became non-functional. After a serious mental health crisis I quit drugs with help, but immediately returned to food and gained it all back. Now down 9 kg in 4.5 weeks on reta. The anhedonia has been somewhat relieving because I have bad ADHD and it has brought some mental calm and better concentration. Feeling positive feels new.

GreyFenwick31archiveJul 19
↳ replying to @IronCompass33

Would a regular doctor handle hormone testing or do I need a specialist? I need to schedule a checkup. I am post-menopausal and feel I could use some support. The post was very helpful. If a woman needs testosterone, is it the same form discussed in forums or something different? I do not want unwanted hair growth.

GreyFenwick31archiveJul 19
↳ replying to @ClearAnchor99

I would be enormous if I lived in Ireland. Certain local sandwiches with good butter on that bread would be my weakness.

NorthKettle13archiveJul 22
↳ replying to @QuietCinder90 (opening post)

Hi. I am fairly new but this happened to me from very hot weather combined with mounjaro. I do not enjoy summer much anyway. I lowered mounjaro from 2.5 to 1.25 and added a small amount of reta at 0.5 because training became impossible. Is there something you truly love? For me it is music, dancing and my dog. Do those things more even when you do not feel like starting. Give it a try. I am no expert but I have dealt with severe depression and know how it feels. Please do not give up yet. Eat your protein, consider BCAAs, and even if you do not want carbs try some fruit or potato. Walking and staying present also helps me. Sunlight helps reset rhythms. It sounds basic but I want to encourage you. Sending good energy.

Add your experience

If you have tried it, this topic is still open. Sign in to reply — it takes a minute.