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Awesome progress, but... am I going too fast?

22 replies17 peopleMar 18, 2026☆ Follow
Summary

Is rapid weight loss on retatrutide too risky for my body?

A user who dropped 67 pounds in roughly 4.5 months on retatrutide worries the pace may be excessive and asks whether to stay at 6 mg. Most replies confirm the rate is fast and urge immediate strength work, higher protein, and a quality multivitamin to limit muscle loss. Additional cautions cover gallbladder strain and possible loose skin, though several note that being young offers some buffer. A minority see no need to slow down if energy and labs remain acceptable.

What this discussion establishesWhere people disagree

Whether to deliberately slow the dose even without negative effects, and how much emphasis to place on building lasting nutrition habits versus staying on the medication

Still open

What maintenance dose or taper schedule will best preserve results long term

Nothing here is advice.

22 replies · 17 people
AmberSparrow61archiveopening postMar 18

Started retatrutide last Halloween at 260 pounds and now sit at 192 after four and a half months. The results feel great, yet the speed makes me wonder if my body is taking too much stress. I bumped up to 6 mg a few weeks ago after a single week with no scale movement, which was a weak reason, and I plan to stay here rather than keep increasing. The main obstacle is that I cannot really cook; my roommates control the kitchen and there is almost no room or time for ingredients.

LevelCinder55archiveMar 18

Just my take as some random person online. You are fortunate to be young with skin that can still bounce back. Begin some form of exercise or join a gym right away instead of waiting until you hit your target. Grab a solid multivitamin from a health-food place rather than a big-box store and ask staff for guidance. Add five grams of protein to your evening meal or use it as the meal itself if appetite is low. Do not overthink the minor details.

PlainAnchor84archiveMar 18
↳ replying to @AmberSparrow61 (opening post)

Congrats on the 67-pound drop, that is impressive. I began another GLP-1 last October and have lost 46 pounds so far. I am slowly switching over to retatrutide to finish the job and give my liver a break. It is good you noticed at 26 that extra weight was becoming an issue. I agree it is smart to get into the gym now to hold on to muscle instead of rebuilding later, and a decent multivitamin from a specialty shop beats the grocery-store kind.

RustKettle37archiveMar 19

Could you fit liquid protein shakes in the fridge? They cost more but give an easy way to protect muscle if you also get to the gym. Liquids may go down easier than solid food when appetite is low. At your age the speed itself is probably acceptable if skin is keeping up, but the bigger worry is muscle loss that you might not recover from as easily later.

ClearSparrow55archiveMar 19
↳ replying to @AmberSparrow61 (opening post)

I pushed just as hard and fast while keeping protein and calories low during my own 230-pound drop over 18 months and have no regrets. Health markers improved dramatically. If I repeated it I would still move quickly but would add more protein and exercise earlier. After the first 16 months of mostly just losing weight I began regular training, raised calories and protein, and have been able to add noticeable muscle since then.

WarmMarble75archiveMar 19

Your body is clearly reacting strongly to the medication. Several people here are right that it is better to begin working out now rather than after you reach goal weight. Even without a gym you can do body-weight moves or resistance-band work; plenty of basic videos exist online.

BlueAlder28archiveMar 19

No direct experience with this medication, but dropping weight quickly can leave loose skin, as you mentioned. After losing 40 pounds in three months I was surprised by how my neck looked. On average these drugs produce about 60 percent fat loss and 40 percent muscle loss, so check protein targets for your size and add training.

LevelLedger10archiveMar 19

Fast loss stresses the gallbladder. If you still have yours, bile salts or extra fiber might help lower the chance of trouble, but slowing the pace is probably wise anyway. Once you near goal weight you will likely be looking for a maintenance dose soon, so shifting focus to strength, nutrition, and body recomposition makes sense for the long run.

WarmWillow50archiveMar 19
↳ replying to @LevelLedger10

Exactly. I lost my gallbladder after bariatric surgery because of how fast the weight came off. You are younger with more elastic skin so you may tolerate the speed better than older people, yet gallbladder problems can still occur at any age. Watch for pain in the upper right abdomen.

GreenAnchor23archiveMar 19

I have lost 16 percent of my starting weight over the last three months. Began at 2 mg, moved to 3 mg, and have now plateaued for two weeks. I think this dose is enough and will stay here for maintenance.

RustTimber30archiveMar 19

Have you thought about a sous-vide setup? You can season a couple chicken breasts, drop them in a bag, set the temperature, and walk away for an hour. Minimal active time and almost no kitchen space needed.

NorthFenwick22archiveMar 19

It really depends on what you ultimately want. Seventy pounds in 18 weeks is fast compared with the usual 1-2 pounds per week guideline. Research shows many people regain weight once they stop these medications, so learning better eating patterns now matters. How much movement have you been doing? If appetite suppression is doing most of the work, you still need enough protein and micronutrients. At your age building habits now supports long-term health. Easy high-protein drinks or filtered milk with powder can help.

LevelPebble88archiveMar 20

If you are even wondering about it, the answer is probably yes.

PlainQuill53archiveMar 20

At minimum add a multivitamin. Full meal-replacement shakes supply more vitamins and minerals than plain protein shakes if overall nutrition is the worry. As a new lifter you are in a great spot to recomp quickly, so there is no reason to delay training. Just make sure protein intake is adequate. Most gym-goers notice they look more muscular once body fat drops, even before the scale moves much further. Unless major deficiencies develop you are unlikely to cause lasting harm that cannot be fixed later.

PlainQuill53archiveMar 20
↳ replying to @NorthFenwick22

I learned the hard way in another thread that this forum prefers not to discuss lifestyle changes for keeping weight off. The common view seems to be that the medication is inexpensive so just stay on it or raise the dose if progress stalls. Gym-style suggestions about habits are apparently not welcome.

SteadyQuill55archiveMar 20
↳ replying to @NorthFenwick22

Many people already understand nutrition yet still could not control portions before these medications. The drugs reduce the constant drive to eat, something you cannot simply learn around. I take thyroid medication for the same reason I cannot simply learn to make the right amount of hormone; the medication corrects what the body will not do on its own.

CopperSignal27archiveMar 20

Seven kilos a month is quick; I was losing six but started from a higher weight. The main risks at that pace are gallstones, which affect 5-10 percent of people with large losses, plus general fatigue or light-headedness. Aiming for roughly one kilo per week is safer. Keeping protein around 1.5 g per kg of body weight helps protect muscle, and a multivitamin is useful when food intake is low. If you feel fine the speed may be tolerable, but easing off a little is probably smarter, especially near your target. Any regular movement helps overall health even if it does not drive the scale much.

CopperSignal27archiveMar 20

Once you reach goal weight the decision on whether to continue depends on your history. If you have been overweight for a long time the odds favor staying on the medication. If the gain was recent and tied to specific habits, improved eating and activity might hold the weight off. Given a starting BMI of 36.5, long-term health risks are real either way. If staying on feels wrong, reduce very slowly and watch what happens, and be ready to go back up if weight rebounds.

NorthFenwick22archiveMar 20
↳ replying to @PlainQuill53

For real. I was only trying to offer practical thoughts, not start an argument. Everyone online has an opinion; take it or leave it and move on. No need to turn it into drama.

AmberSparrow61archiveMar 20

I wish I could answer everyone separately but time is short, so here are the main points. Thanks to those who confirmed the pace is fast; that matches what I suspected. I am getting close to 160 pounds, though whether that is the healthiest target is still open. Hearing that feeling okay probably means I am physically fine is reassuring. The main downside so far is tiredness outside work hours and some lack of motivation, neither of which feels severe. Lots of people suggested starting exercise and improving protein intake, which I am looking into.

NorthFenwick22archiveMar 20
↳ replying to @SteadyQuill55

You pulled one phrase from my whole comment and turned it into a lecture. Research on these medications consistently pairs them with lifestyle improvements; that is not an assumption. Your thyroid example does not really map to the original post. The selective reading and the drama are unnecessary.

NorthFenwick22archiveMar 20
↳ replying to @AmberSparrow61

Enjoy the progress you have made; it is a real achievement. A couple of 20-pound dumbbells or some resistance bands give plenty of options without a full gym. Simple meal-prep ideas like frozen vegetables, whole-grain carbs, and ground meat can be done in under 20 minutes. Some of the fatigue may come from low calories or missing nutrients, and adding training often brings energy back while helping body composition. Most of us face the same heavily marketed food environment, so do not be too hard on yourself.

SteadyLedger61archiveMar 20

Nothing wrong with lowering the dose if that feels right. A lot of loose skin can become its own problem and sometimes leads to surgery. I am deliberately aiming for a slower pace to reduce that chance.

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