Anyone stack Reta, Cagri, and Tirz?

I run 5 mg tirzepatide, 2 mg retatrutide, and 0.25 mg cagrilintide as needed, sometimes stretching the last one to 14 days. Everything goes in on the same day with no issues. Adding the extra two broke a month-long stall I hit at 10 mg tirzepatide alone and dropped 15 lb in the first 30 days. I know the pace is risky but plan to keep going a couple more weeks; if it stays this fast I’ll ease back and try eating more.

I reached 10 mg tirzepatide and 6 mg retatrutide before side-effects like tinnitus and prickly skin showed up, so I stopped increasing. I added retatrutide at 1 mg then 2 mg and cagrilintide at 0.5 mg then 1 mg, dosing them two days apart. That gave another 5 lb but then I stalled for weeks. I’m down over 50 lb total yet still obese; goal is another 7–10 lb to reach the overweight/obese cutoff. BMI went from 40 to 31, target 30. Once supplies arrive I’ll move to 12/4/2 but I’m at a remote site for two months with no shipping address so titration planning got complicated.

I inject 4 mg retatrutide Sunday, 1 mg semaglutide Wednesday, and 4 mg tirzepatide Friday. Retatrutide ended my stall. I might raise it slightly; semaglutide quiets food noise and tirzepatide reduces inflammation. After more than four years on GLP-1s and maxing semaglutide two years ago I switched to tirzepatide but food noise persisted so I brought semaglutide back. When retatrutide appeared I dropped tirzepatide and added it, but hand pain returned even with the usual support so I reintroduced tirzepatide. Surgeries last year forced a 3–4 month break and restart, which is how I learned what each compound does for me. It sounds extreme and isn’t for everyone, yet it works.

I’m on 6 mg retatrutide split twice a week, 0.6 mg cagrilintide split twice a week, and want to add tirzepatide. Standard advice starts tirzepatide at 2.5 mg weekly, but with the other two already in place I wonder if starting a bit lower and titrating slowly would be smarter.

I lost 70 kg three years ago. Two years ago I started semaglutide but had many side-effects even at low doses for a year, then switched to 15 mg tirzepatide a year ago and preferred the milder side-effects. Hunger was lower but still present so I added 5 mg retatrutide; skin sensory issues prevent raising either dose. That produced another 14 kg over a year. Now I’m testing 0.25 mg cagrilintide every four days to see if it helps reach a sustainable point where I can eat when hungry, avoid regaining weight, and keep side-effects low at 64 kg and BMI 23.