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Stacking Tirz & Reta: do you plan to stack long term?

39 replies20 peopleOct 24, 2026☆ Follow
Summary

Should I stack Tirzepatide and Retatrutide long-term or transition between them for ongoing weight loss?

People describe starting Tirz then adding Reta to chase glucagon effects after hitting a plateau, with some rotating the two or dropping one once near goal. Most keep Tirz as the base for appetite control and bring Reta in only when needed, while a few plan to switch fully. Cagri is mentioned as an alternative but often causes fatigue. Long-term stacking is viewed as temporary by most, with maintenance usually on a single agent.

What this discussion establishesWhere people disagree

Whether two GLP-1 agonists plus glucagon provide meaningful extra benefit or simply overlap without clear advantage.

Still open

How long any individual should continue a stack versus dropping one peptide entirely.

Nothing here is advice.

39 replies · 20 people
CopperSignal15archiveopening postOct 24

Been on Tirz for eighteen months after a year on sema and down eighty pounds with thirty still to go. Maxed out at fifteen milligrams of Tirz then added Reta ten weeks ago hoping to switch over because it felt like Tirz had stopped working. Only three pounds lost since starting the add-on. Right now at ten milligrams Tirz and four milligrams Reta, planning to move to seven point five and eight this week. Logging food is tough past a week because I hate it after thirty years of doing it. Hoping the extra Reta makes staying in a deficit easier without constant tracking, but now wondering how long the stack should last and whether dropping Tirz completely makes sense.

GreyLedger42archiveOct 24

Currently on five milligrams Tirz with five milligrams Reta and one point five milligrams Cagri. Still get some noise but it stays manageable and I can hit calories and nutrients. Not in a deficit anymore since the focus is building muscle, yet the combination works well so far. Stacking Tirz and Reta for about eight weeks, four of those with Cagri added. Started at fifteen milligrams Tirz and lowered it each week while raising Reta, aiming for at least four milligrams of Reta to get the glucagon effects.

RustMarble79archiveOct 24

Would rather add an amylin agonist like cagri or elora if the main goal is keeping hunger and food noise down once high-dose tirze or reta effects fade. Knowing calorie intake roughly is still important for holding a steady deficit, though after a while it should become second nature since most people eat the same combinations regularly.

SlowLedger99archiveOct 24
↳ replying to @CopperSignal15 (opening post)

Tirz stays as the main compound for maintenance and I bring reta in only when needed. Reta took time to ramp up but once it did it handled the final twenty pounds easily.

CopperSignal15archiveOct 24
↳ replying to @RustMarble79

Tried Cagri for eight weeks and it only left me exhausted with no other benefit. Track food about once a month now, though it still feels tedious because the meals are basically the same every day.

AmberCinder46archiveOct 24

Still thirty pounds from goal and for now plan to run Tirz, adding Elo if needed, for maintenance and bring in some Reta only if a few more pounds need to come off. No telling what the next weight-loss option will be in a year.

BrightSparrow36archiveOct 24

Yes, because right now both give extra health benefits beyond weight loss. When newer options appear I will probably try those as well.

SlowLedger99archiveOct 24
↳ replying to @CopperSignal15

Cagri did the same to me. The fatigue was too strong so now it only gets used once in a while.

SlowLedger99archiveOct 24
↳ replying to @GreyLedger42

Building muscle is the step most people skip and later regret. Good call.

GreyLedger42archiveOct 24

Never been able to add much muscle before. Hoping this time it works so metabolism can rise.

LevelTimber12archiveOct 24

At seven point five milligrams Tirz per week now. Instead of going up to ten, thinking of adding Reta instead to get the glucagon benefits sooner. Saw someone say four milligrams Reta is when glucagon starts, so stopping the Tirz increase and reaching four milligrams Reta might keep the stronger appetite control from Tirz while adding glucagon. Anyone tried this exact approach?

BrightSparrow36archiveOct 24
↳ replying to @LevelTimber12

The idea that four milligrams is required for Reta to work is not accurate. It starts working from the first dose. Begin at whatever level feels right and adjust based on goals.

PlainAlder11archiveOct 24

Recently added two point five milligrams Tirz to a ten-milligram Reta dose. It seemed to restart progress after a long stall. Doubt the stack will continue once goal weight is reached. Maintenance will be on a Reta dose only.

SteadySparrow75archiveOct 24
↳ replying to @SlowLedger99

Try Semaglutide instead. It can also reduce food noise.

SteadySparrow75archiveOct 24
↳ replying to @PlainAlder11

You can try quitting Tirz, but many who do end up going back.

SlowLedger99archiveOct 24
↳ replying to @LevelTimber12

That is basically the path taken here: Tirz first, then Reta added later instead of raising Tirz further. Logging how each week feels helps show what each compound is contributing.

PlainAlder11archiveOct 24
↳ replying to @SteadySparrow75

No issues on my end. The other person might be different. It appears to be working; a pound came off even though weigh-in was not on the usual day. Food and alcohol choices are not perfect either.

SteadySparrow75archiveOct 24
↳ replying to @PlainAlder11

Doing regular weigh-ins will change things for the better.

QuietThistle70archiveOct 24

Moved from full Tirz to full Reta across eight weeks starting in June, going from five milligrams Tirz down to four milligrams Reta. They cover the same area for me with only minor differences in how they feel. Slight preference remains for Tirz after trying each alone. Reta might have an edge while still losing. Several years worth of both on hand so alternating or stacking will happen eventually. Staying on Reta alone for the next year at least.

BlueHarbour15archiveOct 24
↳ replying to @GreyLedger42

As someone new and interested in trying Reta, why combine it with Tirz when the two do similar things?

SlowLedger99archiveOct 25
↳ replying to @QuietThistle70

Same approach for maintenance here. Tirz is the main one and Reta gets rotated in when extra help is needed. Reta worked better for the actual loss phase once it was built up.

RustMeadow90archiveOct 25
↳ replying to @BlueHarbour15

From what has been read in various places, the reason is wanting the glucagon effect from Reta together with the stronger appetite and noise control that Tirz provides, which feels weaker on Reta alone.

GreyKettle68archiveOct 25

Need to look into this more. From a biochemical view it is not clear what two compounds hitting the same receptors really achieve. Maybe partial agonism lets them complement instead of compete.

NorthWillow72archiveOct 25
↳ replying to @GreyKettle68

Anecdotally Sema appears strongest on appetite. Since all three act on GLP-1, the stronger Sema effect seems tied to that receptor. Stacking Sema with Tirz or Reta happens. For Tirz plus Reta the combination adds glucagon on top of GLP-1 and GIP. These are distinct agonists, not duplicates, so the chart of relative strengths suggests stacking can help in some cases. Not everyone needs it though. Goal was reached on Tirz alone as a good responder. Others add an amylin agonist like Cagri or Elora instead.

PatientThistle19archiveOct 25

I began with Tirz, then added Reta mainly from curiosity, but I'm returning fully to Tirz. Reta gave me stronger side effects and the sleep issues were wearing me down. Besides, Tirz by itself should get me to my target, so no point making things more complex.

CopperSignal27archiveOct 25

Reta and tirz differ in how they balance GLP-1 and GIP activity, and only reta engages glucagon receptors. Using both at moderate levels can create a mix that captures advantages from each while possibly reducing sides. Someone who sees heart rate spikes or anhedonia above 6 mg of reta but still feels hungry might add tirz instead of switching outright. In my situation I was already at 15 mg tirz yet still hungry after dropping 70 kg, so I added roughly 6 mg reta and it helped. Now at 15 mg tirz plus 8 mg reta, though higher amounts trigger bad skin pain that reta seems to worsen for me, and this level is near weight neutral.

GreyKettle68archiveOct 25

I get that they are distinct molecules, yet they are related and hit the same receptors biochemically. In other fields of medicine two drugs aimed at identical receptors are usually avoided because they tend to compete for binding rather than enhance each other. For blood pressure, two different ACE inhibitors or two calcium channel blockers are not combined; instead one of each class is used if needed. The chart suggests some possible benefit from pairing sema with tirz since tirz is only a partial GLP-1 agonist, but adding tirz or sema to reta should not help because reta is already a full agonist at all three targets. Any receptor occupied by the other drug would simply be unavailable to reta. That is why I want to look into it further; the basic receptor science of stacking does not line up for me.

PatientPebble79archiveOct 25

I have used both together since March or April. During that time I tried higher amounts of just one or the other as well as the pair. The two together work better for me. I cannot tell whether I am getting glucagon effects because I stay below 4 mg of reta, or whether the mix itself is additive. What I do notice is that something feels different and improved when both are in play. I have always gone by real results rather than theory when choosing doses.

LevelWillow62archiveOct 25

I am using both Reta and Tirz but favoring Tirz more because of the heart rate increase that has not gone away. I began at 6 mg Reta and 3 mg Tirz and expect to settle near 4 mg Reta with 5 to 5.5 mg Tirz. I would move entirely to Tirz except that Reta has lowered my triglycerides well and I want to retain some glucagon activity even at a reduced level.

GreyLedger42archiveOct 25

Manufacturer studies show full glucagon activity begins at 4 mg and higher. Lower amounts may give partial benefit but the complete effect requires more than 4 mg.

PlainAlder11archiveOct 25

Tirz does help with appetite control. My wife had been stuck at 12 mg Reta for a couple of months with no further loss. After I added 2.5 mg on Tuesdays two weeks ago her appetite dropped and the scale started moving again. I also lowered her Friday Reta dose to 10 mg for now. The same pattern shows up in other accounts once people have used these for a while.

GreyLedger42archiveOct 25

They act on the same two receptors but with different strengths, and Reta brings in the third. Tirz affects GLP-1 and GIP more strongly, giving better appetite control, slower gastric emptying, and steadier blood sugar. Once Reta reaches 4 mg or more the glucagon part kicks in fully, raising metabolism and helping preserve muscle. Using both at moderate levels gives the strongest overall result.

BrightSparrow36archiveOct 25
↳ replying to @GreyLedger42

Thanks for repeating what I already said, which is that it clearly begins to work below 4 mg.

PatientThistle19archiveOct 25
↳ replying to @GreyLedger42

The GIP part is actually more than twice as strong in Reta. The receptor binding numbers show lower values mean tighter binding, so a smaller Ki indicates the drug activates the receptor at lower concentrations.

SlowLedger99archiveOct 25

I stayed at 4 mg and did not need to raise it. The final 20 came off once the dose had time to accumulate.

IronKettle95archiveOct 25

I like discussing how these affect food noise because I use both and see the pattern in my own case. That is just one person's experience and may not apply broadly. Research suggests Reta could be the strongest for weight loss overall, which is why I chose it. At 7.5 mg Tirz gives me stronger appetite control than Reta does. Charts and comments aside, when I inject Tirz the next two or three days show clear suppression. Adding Reta the following day does not increase that suppression further; it simply maintains what is already there. A higher Reta dose might change this. Cagrilintide adds more suppression for me but fades faster at 1.75 mg.

BrightSparrow36archiveOct 25
↳ replying to @SlowLedger99

The GIP activity in reta is mainly countering the hunger that comes from its glucagon part, which is why adding the other drug improves results.

SlowLedger99archiveOct 25
↳ replying to @BrightSparrow36

That is an interesting angle and it explains why quite a few people end up combining them rather than simply raising one higher.

ClearKettle29archiveOct 25

I began adding tirz to my schedule a couple of weeks ago. I have been using 4 mg Reta weekly split into 2 mg Monday and 2 mg Thursday. I added 1.5 mg tirz and may raise it after another couple of weeks, but it is working so far. Weight is coming down while muscle is increasing, with visible changes recently.

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