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Retatrutide effects on resting heart rate blood pressure and sleep

70 replies50 peopleMay 2, 2026☆ Follow
Summary

How does retatrutide affect resting heart rate, blood pressure, sleep, HRV, and workout recovery across users?

Users report resting heart rate increases of 5-12 bpm at doses from 1-9 mg, with some experiencing partial or full return toward baseline after months and others seeing persistent elevation. Blood pressure improvements are frequently noted as a net benefit that offsets the heart rate change. Sleep disruption occurs in multiple reports, sometimes tied to elevated rates, with inconsistent relief from magnesium or pre-bed carbs. A minority report no heart rate changes at all, while isolated cases led to discontinuation or switching medications due to sustained high rates or HRV drops; workout recovery feels altered for some because of faster heart rate spikes.

What this discussion establishesWhere people disagree

Some users observe heart rate returning toward baseline over time while others report sustained elevation; a subset experiences no change whatsoever.

Still open

Long-term implications for athletes and individuals with prior heart concerns

Nothing here is advice.

70 replies · 50 people · page 1 of 2
NorthBramble37archiveopening postMay 2

From what I've seen on the internet, this stuff might boost heart rate quite a bit and make it feel off. Wondering what experiences others have had with it.

RustKettle12archiveMay 2

Been using it for 5.5 weeks now, started at 1mg a week split in two doses for the first 4.5 weeks then went to 1.4mg last Tuesday, and my heart rate hasn't really moved. I lift heavy four days a week plus one long hike, same as the last ten years, and resting rate sits around 48-52 normally but has been 54-55 lately while max during activity went from 165 up to 169-170.

PlainAlder11archiveMay 2

Sixth 1. It changes from person to person. Mine normally runs 70-72 but sits 76-80 on this. During sleep it's 53-65.

ClearAnchor21archiveMay 2

Two months in, now at 5mg. Resting rate went up 10 bpm on average from 72 to 82 and has stayed there.

LevelThistle44archiveMay 2

Haven't felt anything different but the numbers show a change. Started tirz in December then reta in January with fast increases. Five-year Apple Watch average was 63 bpm. Unless you already have heart problems or a resting baseline over about 80, this gets talked about more than it needs to.

PatientLedger69archiveMay 2

Started on March 24 and you can see the upward trend clearly since then, though I don't notice it in daily life.

SharpHarbour71archiveMay 2

Yeah it pushed my resting rate up around 15 bpm even at 4.5mg a week so I switched over to tirz instead.

IronLantern24archiveMay 2

Never noticed any rise in my rate so I guess I'm one of the lucky ones.

QuietBramble77archiveMay 2

Yeah it pushes it too high.

CopperAlder51archiveMay 2

Mine sits 10 higher than my old resting rate but the benefits make it worth it for me.

WarmAlder80archiveMay 2
↳ replying to @PatientLedger69

Your resting rate looks low. Are you an athlete or was that reading taken while sleeping? Seems like reta just moved you into a normal range now.

PatientLedger69archiveMay 2
↳ replying to @WarmAlder80

My rate has always been slow. The watch used to alert me constantly for dropping under 40 at night but that stopped once I began reta. I like to think of myself as an athlete.

BlueSignal52archiveMay 2
↳ replying to @PatientLedger69

Had the same alerts and ended up turning them off because they got annoying. Mine still stays between 40 and 50 for resting even after almost six weeks on reta at 2mg a week.

ClearBeacon24archiveMay 3
↳ replying to @NorthBramble37 (opening post)

My rate has stayed a steady 8 bpm higher since I began.

CopperSignal27archiveMay 3

Most don't feel obvious changes but measurements show a bigger rise on this than with the other glps. It only becomes an issue if the increase is large, say over 15, which isn't common but can happen if you already have heart disease, in which case tirz might be safer until more data comes out. If you get anxious easily and notice palpitations with that anxiety then it could matter. The rise usually eases back toward normal over months. You can always lower the dose or switch if it feels unpleasant. With diagnosed panic disorder I'd lean toward tirz since a couple people here reported panic episodes though it's not documented in studies.

CopperWillow44archiveMay 8

Yes it did and by a fair amount. Three months in I went from 58-60 at rest to 71-73 using the Oura ring. Worried about stressing my heart so thinking about switching.

RustTimber30archiveMay 8

Titrated from 2mg up to 4 for a few months and now at 6 for the last few weeks with nothing noticeable for me.

PlainBramble74archiveMay 8

No rise in resting rate at all on reta, currently at 2mg every five days and planning to move to 3mg a week since that schedule works out to 2.8mg weekly.

BlueCinder96archiveMay 8

Came across this interesting video about the heart rate increase on reta.

PlainAlder11archiveMay 8
↳ replying to @RustTimber30

See below. Are you all just guessing or actually measuring with a device?

LevelThistle44archiveMay 8

My guess is most aren't using a continuous tracker like a watch or ring. Glad I have years of baseline data from mine. Wouldn't notice the bump just by feel.

PlainAlder11archiveMay 8
↳ replying to @LevelThistle44

Same here, started tracking 3.5 years ago after three weeks in hospital with pneumonia. Checking O2 and rate with a finger sensor plus BP with a cuff.

WryAlder28archiveMay 8
↳ replying to @NorthBramble37 (opening post)

Only two weeks in at 1mg and no difference for me. Walk five miles regularly and lift four times a week. Resting rate still at 62.

RustTimber30archiveMay 8
↳ replying to @PlainAlder11

I wear an Apple Watch almost all the time.

ClearWillow37archiveMay 8

It made me tachycardic even while sleeping though it never felt uncomfortable. Discomfort often comes down to how much attention you pay to body signals. If you're very tuned in or anxious you might read too much into it. I treated it as data and ran an ECG plus 24-hour Holter to check nothing was damaged. Figure my heart's glucagon receptors are either more plentiful or just respond more to the cyclic AMP signalling glucagon sets off.

PlainAlder11archiveMay 8
↳ replying to @RustTimber30

Lucky. I was seeing 6-8 bpm above normal but the last few days it's back to 70-72 like usual with 100% O2.

PlainAnchor17archiveMay 8

Back when I took just two milligrams weekly my resting pulse climbed from the usual sixty up toward seventy. These days on over four milligrams per week during cycle two it has dropped again into the low sixties. Workouts still make my heart rate climb quicker than it used to.

PlainBramble74archiveMay 9
↳ replying to @PlainAlder11

Both my fitness trackers sit on my wrist at the moment.

CopperSparrow52archiveMay 16

After mild activity on my way into the office my heart rate jumped three separate times so I quit. I'd already worn a fitness tracker for three years by then and it had never flagged anything either before or after I dropped that medication. My time on it was short just a few weeks at the starting level. I'm thinking about going back on if the pounds creep up again or maybe switching to something else like it.

IronLantern24archiveMay 16

Hasn't affected my heart rate in any way I've noticed the whole time I've been on it.

PlainAlder11archiveMay 16

Mine has actually moved closer to normal when I check in the mornings lately.

QuietSignal61archiveMay 17
↳ replying to @SharpHarbour71

Question for the three of you: do you take potassium and magnesium daily? What other supplements are you on and do any target heart support? You're not putting your heart under serious stress. A few extra beats a minute is fine for the months it takes to lose the weight. Once that's down you can lower the dose and try other glps but no rush. Ten extra bpm isn't a big deal unless you have serious heart issues.

SharpHarbour71archiveMay 17
↳ replying to @QuietSignal61

Yes I take potassium and mag every day. No effect on resting rate from reta though.

PatientFenwick91archiveMay 17

No change at all according to my apple watch.

QuietSignal61archiveMay 17
↳ replying to @SharpHarbour71

Thanks. I have a theory that the ones with serious episodes aren't supplementing potassium and magnesium. The resting rate bump is noticeable but should be harmless. Mine is at 65 now, the lowest in years, so once off reta I'll probably settle around 50-55. Used to do a lot of drugs and had resting rates of 70-80 with hours above 200.

SharpHarbour71archiveMay 17
↳ replying to @QuietSignal61

Yeah never had any other cardio problems on reta, just the resting rate increase of about 14-15 bpm at 4.5mg every six days.

ClearLedger54archiveMay 21

Really want to try reta since loss has slowed on tirz and I'm still 45 lbs from goal. Have borderline high BP and a beta blocker script. Wonder if the blocker would stop my rate from climbing too much on reta.

KeenQuill92archiveMay 22

Week one of reta at 2mg but I've been on tirz for about 2.5 years so not new to glps. Apple watch hasn't shown any change yet.

PlainAlder11archiveMay 22

8mg. Just checked mine at 72 bpm with 100% O2 level.

PlainKettle23archiveMay 27

On reta since September last year starting at 2mg a week up to 10mg by January then down to 5mg now. Resting rate won't drop below about 78 unless I get at least 6.5 hours sleep, don't eat within two hours of bed, and finish workouts 2.5 hours before bed. If I don't stick to that the rate stays higher. Before reta it averaged around 63 at night. Thinking of dropping closer to 3mg split since loss is basically done and I'm looking at maintenance but still want the hunger control and other benefits. Not sure yet what the lowest effective dose is for me.

SharpLedger37archiveMay 27

My average resting rate went up by around 5 bpm. Not a major issue overall. I tracked it well before starting reta so the baseline was already solid.

SlowSparrow49archiveMay 27

My resting heart rate moved from the 63-67 range up to 72-73 after beginning reta. Nothing felt off and the only sign was what my fitbit showed.

KeenCompass89archiveMay 27

On 4 mg weekly. No change at the moment.

BrightSparrow36archiveMay 27

Over the first eight weeks my heart rate rose about 10 beats per minute, but this past week it has started dropping again. That is good to see. Starting from the low 60s and moving into the low 70s was not really a problem.

PatientQuill20archiveMay 27

I used to sit right around 65 bpm and now I am around 72. My blood pressure started at 145/85 and after two months it is down to 130/78. The bpm rise seems like a worthwhile trade-off.

NorthSignal43archiveMay 27

My resting heart rate climbed about 10 bpm. During workouts my heart rate now reaches max much quicker than before reta, so I need longer rests between sets or more walk breaks while running or else I start to feel off.

CopperMarble29archiveMay 27
↳ replying to @NorthBramble37 (opening post)

While I was on it for a couple months my resting heart rate rose about 6 bpm over time. Dosing went from 500 mg weekly down to 2 mg weekly.

PlainAlder11archiveMay 27

Mornings right after waking it sits at 70-72, afternoons 76-78. While sleeping it ranges from 53-58 depending on how well I actually sleep.

KeenHarbour69archiveMay 27

Reta raised my resting heart rate by roughly 10-12 bpm on average and dropped my HRV from around 80 down into the 30s. That is one reason I am moving over to tirz instead. Long-distance running is my main activity so I am not comfortable with that big a shift in heart metrics. Happened at 5-7 mg weekly. Sleep, supplements, and hydration were all good, leaving reta as the only variable.

WryLedger77archiveMay 27

Eleven weeks on reta, now at 3 mg. No change in heart rate. Mid-day reading today was 106/63 with pulse at 57.

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Retatrutide effects on resting heart rate blood pressure and sleep · ZyraTrack Community