Same question. Also looking for a plain-English explanation of how glucagon agonism produces weight loss. I follow the GLP-1 and GIP parts but the glucagon piece is still a black box to me.
Lilly published serum glucagon levels right after the first retatrutide dose. In the chart, glucagon went up at the 0.1 mg dose but dropped at every higher dose tested. I have not found matching first-dose data for semaglutide, tirzepatide or similar drugs. Most published glucagon numbers come after weeks or months of treatment, by which point weight loss has already occurred, so it is hard to tell how much of the drop is from the drug itself versus the weight change.