ForumDosing & Titration

Can i not be affected ?

16 replies10 peopleMay 31, 2026☆ Follow
Summary

Why am I not getting appetite suppression from retatrutide and cagrilintide and should I raise the doses?

Users report that low doses of reta produce little appetite control even after prior use, and adding low-dose cagri does not reliably cancel food noise. Several suggest titrating reta upward first to at least 4 mg before adjusting cagri, while others note that clean eating and consistent dosing matter more than higher amounts. Some participants describe losing suppression over months regardless of dose increases.

What this discussion establishesWhere people disagree

Some emphasize raising doses steadily while others argue that poor food choices or low calories undermine any dose and that reta alone is weak for appetite control.

Still open

Whether splitting reta doses or adding sema/tirz would restore suppression for non-responders.

Nothing here is advice.

16 replies · 10 people
ClearSignal26archiveopening postMay 31

I took retatrutide for roughly six months until even big dose increases stopped having much effect. I then tried tirzepatide and cagri as well, but they did nothing either. After stopping everything for about nine weeks I restarted reta three weeks ago at 1 mg. That still left too much appetite so I added 500 mcg of cagrilintide. The combination yesterday did not reduce food noise at all. Should I raise the cagri amount next time or keep it steady and increase reta instead? Is it common for cagri to leave food noise untouched when searches called it powerful?

AmberCinder46archiveMay 31

What dose and schedule were you using with retatrutide? 1 mg is quite low.

ClearSignal26archiveMay 31

I was taking 3 mg reta and 2 mg tirzepatide each week.

ClearAnchor21archiveMay 31
↳ replying to @ClearSignal26

I would raise the reta dose before concluding it is not working. 3 mg is still a fairly low amount.

NorthBramble68archiveMay 31

Recent trials tested reta at 4 mg, 8 mg and 12 mg. Increase reta to at least 4 mg, allow four weeks for levels to build, then raise cagri if needed.

AmberCinder46archiveMay 31
↳ replying to @ClearSignal26

That would explain the lack of strong response. You should look at increasing the dose.

PatientFenwick91archiveMay 31

Just noting I am in a similar spot. After the first month reta gave almost no appetite suppression for me, though I still felt full faster for a while. Now at month six I am hungrier than ever and it worsens as the dose goes up. I am at 6 mg per week while waiting for cagri to arrive because side effects prevent further increases. In your case you could try raising reta if you were at 3 mg. Stay at whatever new dose for a few weeks before changing cagri. It is frustrating that responses differ so much.

PatientFenwick39archiveMay 31
↳ replying to @ClearSignal26 (opening post)

How has your diet been in terms of food types and daily calories?

LevelThistle44archiveMay 31
↳ replying to @PatientFenwick39

He had already reached 3 mg of reta after six months.

PatientFenwick39archiveMay 31
↳ replying to @LevelThistle44

And 2 mg of tirz. I am currently on 4 mg of reta and it controls hunger well enough when I eat clean with enough fiber and protein. Once I eat pizza the effect disappears and I keep going. Tirz makes that only slightly harder. On either compound you should be able to stay in control unless calories are too low or food choices are poor. A higher dose might help briefly but probably not for long.

LevelThistle44archiveMay 31
↳ replying to @PatientFenwick39

Suppress hunger enough for what? I am about to warm up leftover pizza and have chocolate cake with milk for dessert. Might need to stop later if I get full.

QuietSignal61archiveMay 31
↳ replying to @PatientFenwick39

Split the dose. Reta stops helping with appetite four days after the injection. Also eat clean. The goal is weight loss, not enjoyment.

LevelThistle44archiveMay 31
↳ replying to @PatientFenwick39

Interesting. We seem to have different approaches and maybe different goals. Nothing wrong with that. I will wait on the cake since I was not very hungry before and feel full now. Speak for yourself though, my plan is to have the cake and eat it too.

QuietAlder25archiveMay 31

2 mg of tirz is not even a starting dose. Increase the amounts.

SharpTimber40archiveMay 31

Reta will not deliver strong suppression. I am on 7.5 mg tirz and 3 mg reta plus 0.8 mg cagri. I would raise cagri and bring back either sema or tirz for better control. If you stay at starter doses you will keep stalling and feeling hungry.

LevelThistle44archiveMay 31
↳ replying to @LevelThistle44

Started on tirz then switched to reta four weeks later. I think reta combined with my eating is working for me.

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