Is 4lbs in 2 months not good?

It depends on your starting weight. If you are carrying extra weight you should target half to one percent loss each week. If you are not hitting that target you need to cut calories further. Use the loseit app, set activity to sedentary, and do not eat back exercise calories. The medication reduces how unpleasant a deficit feels but you can still eat more than it offsets.

I am not using retatrutide myself but several people I know who are say four milligrams tends to be the point where weight loss becomes noticeable, though it varies person to person.

The amount you have lost matches the low doses you have used so far. Most trials begin at two milligrams and some even start participants at four. If you want faster loss you will need to raise the dose; if slower loss is fine then stay lower.

Just keep in mind the amounts you have taken remain small. Trials begin participants at two milligrams so you are still under that level. Move up to two milligrams and continue from there. Once you reach three or four milligrams and still see no change then it may be time to look at other options. Also how active are you? Without exercise four pounds could be reasonable at these low amounts.

Responses differ from person to person. Are you experiencing any unwanted effects? As others noted your starting weight matters and your BMI may play a role. You began very cautiously which could be slowing progress. The usual approach is to pick a dose that produces loss while keeping side effects low, so you may simply need to move up. The TRIUMPH-1 trial compared retatrutide doses of four, nine, and twelve milligrams against placebo in adults with obesity or overweight.

I weighed 229 lb on May 1 and reached 207 lb this morning. Four pounds would not satisfy me, but I switched from tirzepatide to retatrutide and took the same seven milligrams per week split across six shots that you spread over two and a half months, so adjust your expectations accordingly.

I also lost roughly four pounds in the first two months yet I am not concerned because my body has changed noticeably. My waist is smaller, strength stayed the same or improved, and my dose has been higher than yours. Retatrutide mainly helped me stay inside my calorie needs and pay attention to food choices instead of eating mindlessly. If your goals differ you might want to increase the dose more quickly. Research indicates the glucagon component does not fully activate until four milligrams, so at present you are essentially on a low-dose version of tirzepatide.

You need a larger calorie deficit. I would also raise the dose. I am in week four and just reached 2.6 mg per week, yet I only have twenty to twenty-five pounds to lose even though I currently weigh 275 lb. If I had more to lose I would increase faster.

A physician who uses these medications posted a video covering this topic. Below four milligrams retatrutide mainly activates GIP and GLP-1 receptors and acts like costly tirzepatide. The glucagon receptor that aids fat burning activates near the four-milligram mark. Signs such as skin tingling, a modest heart-rate rise, and reduced liver fat appear around that dose. Dropout rates due to side effects at four milligrams stayed very low in trials, close to placebo levels.

Four pounds can feel disappointing when others report much larger losses in the same period. Still, gradual progress often avoids hormonal and metabolic issues that come with rapid drops. Would those four pounds have come off without the medication? I realized that even when the scale did not move for six months on retatrutide I at least stopped gaining, which had been happening before. As others said you remain at a modest dose. Move up carefully, perhaps to two milligrams for four weeks as the trials did, then reassess.

A better question might be whether your body has changed, whether eating habits have improved, whether you are training, eating clean, tracking protein, and watching calories. I stay on a low dose myself and focus on mirror photos and measurements rather than the scale. I log everything in ChatGPT to track sleep, food, workouts, and injections, which helps keep progress visible.

Everyone keeps saying slow and steady is best. Your weekly amounts have stayed low. Two milligrams is often treated as a starting level yet beginning lower to let the body adjust was the correct choice. I personally find two milligrams high for an initial dose and prefer smaller amounts early on. Because retatrutide has a six-to-seven-day half-life the drug builds quickly in the system. I currently use 2.5 mg weekly and lose about 1.5 lb per week, which suits me, so I am not planning large increases. Have you noticed lower appetite or better food choices? Continue as you are; a modest dose increase for a few weeks will show what is possible. The goal is the lowest effective dose, not the highest possible one.

I have said this many times about these very small doses. I understand wanting to limit side effects, but the Lilly trials never tested or mentioned such low amounts. I lost the same four pounds in water weight during the first week at two milligrams.

I would also note the slow and cautious dosing. If you are training and eating properly those four pounds could still be meaningful, for example if four pounds of fat were replaced by four pounds of muscle. Without weight training and adequate protein the result is on the lower side.

Same situation here. My husband and son started at the same time. My husband has lost ten to fifteen pounds and my twenty-one-year-old son has lost twenty-five. We began at 0.6 mg twice weekly to limit side effects, moved to 0.8 mg twice weekly after four weeks, and recently reached one milligram twice weekly. The scale only began moving once I reached two milligrams total per week, but I still plan to increase to 2.5 mg total at the next four-week point. At least I have not gained and I can eat normally without obsessing over every carb.

That seems excessive to me, though I do not know your full situation.

I appreciate that you started low and increased slowly. Several people including myself have seen solid results on these smaller doses, though the losses were larger than four pounds over two months. Given your limited progress I would increase the dose, assuming the product is genuine.

It may not feel like much but it is hard to expect more when you have not yet reached two milligrams, the level used to start participants in the clinical trials.

Have you been taking body measurements? Those often give a clearer picture than the scale alone.

A few people asked about your target weight and current weight but I have not seen an answer. Also, where the retatrutide came from and whether it was tested for actual content matters. You are still on a fairly low dose. I have only a modest amount to lose and am using retatrutide more for body recomposition than pure fat loss. I dropped some weight early, mostly water, then leveled off. During that time my belt size decreased two notches and I look leaner. Do not focus only on the scale if clothes fit better or other positives appear. These medications are tools; exercise and proper eating are still required.

I considered adding 0.5 mg of semaglutide split into two weekly doses on top of my retatrutide. After the first 0.25 mg dose plus my usual retatrutide the next day I felt worse than I ever have from these medications. I delayed the next retatrutide shot and reduced the following semaglutide doses to 0.125 mg. I have now taken ten semaglutide doses and seem to have settled on 0.125 mg twice weekly.

Of all the GLP medications I have tried only semaglutide produced that general low-grade unwell feeling, similar to a mild virus. I do not get it from retatrutide, tirzepatide, or cagrilintide.

With such low starting doses the small loss is not surprising. I am doing the same on purpose because I have only about twenty pounds to lose and am focused on recomposition. After two months with four doses at 0.5 mg and four at one milligram I have lost about five pounds and see clear body changes. I had never used anything similar and wanted to confirm tolerance, so I will move to two milligrams next. I train four or five times weekly and am satisfied with the results so far.

I do not understand why the dose has not been raised if results are lacking. You are seven weeks in and have not yet reached my own starting dose of two milligrams. Four pounds in seven weeks would have made me stop. My training partner began at two milligrams for two weeks, three milligrams for two weeks, four milligrams for nearly three months, and recently moved to five milligrams. I came from Ozempic and increased weekly from two to five milligrams. Five milligrams currently works best for me, though I am starting to notice hunger returning on day five and may try six milligrams. I still lost four kilograms last month.

Sorry the slow progress is discouraging. Four pounds in two months can feel minimal when faster results are hoped for. Your doses are still on the lower side; many people see larger changes only after reaching higher amounts. Some respond slowly at first then accelerate once settled at a higher dose. Spending more time at 1.5 to two milligrams before deciding to switch could be reasonable, but everyone differs. How has appetite and energy been? Those can be earlier indicators than the scale. Keep going.

For your body higher dosing may produce faster loss. Four pounds itself is neither good nor bad; it is simply data from your experiment. Is rapid loss the main goal? Do you prefer reaching an effective dose or avoiding unpleasant side effects? Starting slowly was sensible. For my body the jump from two to four milligrams caused major problems. For your body moving to three then four milligrams might work well depending on goals. For me one milligram of tirzepatide plus two milligrams of retatrutide gives steady comfortable loss. Not everyone shares the same target. Good luck finding what suits you.

What is your current weight, daily calorie intake, and exercise routine? To lose more you need to eat less. Use a calorie calculator to estimate needs for maintenance, loss, or gain.