CommunityDosing & Titration

Is anyone doing a Reta + Tirz?

26 replies15 peopleMar 1, 2026☆ Follow
Summary

experiences stacking retatrutide and tirzepatide doses and schedules

Users report various combinations of the two peptides with mixed results on appetite control and weight loss. Some split doses across the week while others alternate days or maintain separate weekly shots. Several note that adding the second compound helps when one alone leaves residual hunger, though others question the logic of overlapping receptor targets. Surgery timing and nutrient intake during recovery remain open concerns for multiple participants.

What this discussion establishesWhere people disagree

Whether overlapping the two peptides is useful or simply raises side-effect risk without added benefit

Still open

How long to pause these medications around surgery and whether they impair soft-tissue or bone healing

Nothing here is advice.

26 replies · 15 people
PatientQuill76archiveopening postMar 1

Curious here, currently using Reta but thinking about adding Tirz as well. Anyone combining the two, and if so how do you time the shots across the week?

NorthCinder84archiveMar 4

Same question from me. Reta leaves too much food noise still.

WarmFenwick20archiveMar 4

Why combine one peptide hitting GLP-1, GIP and glucagon receptors with another that hits GLP-1 and GIP? Seems like an easy way to pile on side effects instead of just raising the reta dose.

ClearBeacon24archiveMar 4
↳ replying to @PatientQuill76 (opening post)

Reta every three days, then on the sixth day I add the tirz along with the reta.

IronBramble31archiveMar 4

Pretty much everyone I know is. I paused while waiting for surgery next week, but when I was actively losing and then maintaining I stacked both. On maintenance I used roughly 1 mg of each, spaced 72 hours apart, and it kept weight steady with minimal cravings.

ClearBeacon24archiveMar 4
↳ replying to @NorthCinder84

Been running this for over six months now. Reta at 8 mg split into two doses, plus 6 mg tirz added on the sixth day.

WarmAlder42archiveMar 4

Reta 5 mg on Monday and tirz 8 mg on Thursday. Planning to switch the days again at the end of the month.

QuietThistle43archiveMar 4

Started tirz last October and worked up to 7.5 mg. Picked up a 60 mg kit of reta during a sale but only started it late January, planning to raise reta slowly while lowering tirz. So far tirz is down to 6 mg and reta has been at 6 mg for weeks. Fat loss continues and muscle holds steady on DEXA scans. Will finish the vial then reassess, possibly nearing maintenance by then.

CopperSignal27archiveMar 5

Currently at 15.75 mg tirz plus 5 mg reta. Still had some hunger at 15 mg tirz but almost no side effects, so added a little reta rather than risk changing the tirz dose. Trying to hold onto a 54 % total loss. See little reason to run both unless already at max of one, and even then higher dose of the single one might be better. Tirz’s stronger GIP action could offset some reta nausea. If sides are fine then higher doses or adding cagri probably make more sense.

AmberCompass48archiveMar 5

Also stacking, recently lowered doses after a three-week break because appetite vanished completely at first. Down 95-plus pounds and haven’t felt actual hunger in months, though I still want food. Using 6 mg tirz and 5 mg reta spaced three days apart keeps the weight dropping while still allowing fruit, vegetables and protein.

CopperSignal27archiveMar 5

Can see mixing low amounts for people who have tried each separately to balance hunger control against sides. The two are similar but not identical, yet figuring out the separate effects takes time and is nearly impossible if started together. Low-dose mixing seems common but the reason is unclear. Also puzzled by claims that reta gives weaker appetite suppression than tirz, since the metabolic boost from reta does not appear large enough to explain greater weight loss if intake were truly higher.

WrySparrow78archiveMar 6
↳ replying to @IronBramble31

How long do you expect to be off before and after surgery? Been looking into this because solid info is scarce and my surgeon would prescribe monjourno but won’t due to missing data on soft tissue or bone healing. Any thoughts would help.

CopperBeacon44archiveMar 6

Doing it too. Started with reta 2 mg on day one then tirz 2 mg on day four. Reta increased eating and sweet cravings, so now run reta 2 mg and add a little tirz every other week for appetite and inflammation control. Tried cagri but it did nothing for me.

CopperSignal27archiveMar 6
↳ replying to @WrySparrow78

Plenty of ongoing studies on GLP-1 use before surgery and its impact on complications and healing. Outcomes vary but overall post-op issues tend to be lower, sometimes markedly so. Would need the exact procedure to check specific papers, or search scholar directly for GLP-1 plus the surgery type.

WrySparrow78archiveMar 6
↳ replying to @CopperSignal27

Thanks, that matches what I found. Wife’s doctor stopped her Ozempic two weeks before and after her gallbladder surgery because of diabetes. I had a compound fracture above the ankle in June 2025, tibia shattered and protruding, fibula snapped, tibial nerve sheared. Went from 275 lb gym regular to 340 lb after 16 weeks non-weight-bearing, then another surgery yesterday for a larger bolt and bone graft with another 8-12 weeks non-weight-bearing. Have university access to articles and want to check whether these meds slow healing before restarting weight loss.

SlowCinder73archiveMar 6
↳ replying to @CopperBeacon44

Was on tirz 15 mg, now trying reta 1 mg every three days. Want to bring tirz back because reta alone has produced no real change except eating an entire bag of chips between shots.

IronBramble31archiveMar 6
↳ replying to @WrySparrow78

Third surgery since starting a GLP-1. No fancy medical answer, but the main worry seems to be whether reduced intake leaves enough protein, calcium and other nutrients for tissue repair. Some people on these meds have developed scurvy from vitamin C shortage. Surgeon concern is probably that eating far less without diet changes or supplements could impair bone and soft-tissue healing. Data on this exact scenario may not exist yet, similar to worries about starting teens on them.

GreyPebble50archiveMar 6

ENT and neurosurgeon had me stop reta two weeks before surgery and wait at least two weeks after. Did not need it anyway because hospital diet was very restricted and I lost 8 lb in the ICU week, though fluid limits made it miserable. Even after discharge fluid was capped at 8 oz daily including water in food for two weeks. A cup of grapes equals 2 oz fluid, learned that the hard way but still dropped more weight.

WrySparrow78archiveMar 6
↳ replying to @IronBramble31

Appreciate the straight talk. Don’t mind pausing a bit but another three or four months on top of the eight since the accident feels too long. Good luck with the shoulder work, had labrum repairs myself and know it’s rough.

CopperSignal27archiveMar 6
↳ replying to @WrySparrow78

Quick scan of recent papers shows mixed findings. One study links GLP-1 use to higher non-union rates after lower-leg fracture repair, which fits the current situation, so pausing until initial healing makes sense. Other large studies show fewer complications and readmissions after elective knee or hernia surgery, and better outcomes in diabetics on these meds. Reduced painkiller addiction after bariatric procedures is also noted. Still best to follow the surgeon’s view to avoid friction. The fracture description with bone out four inches sounds brutal.

LevelThistle44archiveMar 6
↳ replying to @SlowCinder73

Went from 15 mg tirz straight to roughly 2 mg reta. Have you thought about raising the reta dose? Dropping from a max dose to below a starting dose is unlikely to produce comparable results.

CopperSignal27archiveMar 6

From 15 mg tirz you could probably move directly to at least 5-6 mg reta with caution. No official swap guidelines exist, but 15 mg tirz roughly matches 8-10 mg reta for GI side-effect risk. After stopping high-dose tirz hunger will likely spike, so a tiny reta dose may not hold it. Without heart disease or diabetes, 6 mg reta is a reasonable starting point; side effects worse than 15 mg tirz would be unlucky. Slow titration is safest if time allows, but if binge risk is high then jump to 6 mg and add 2 mg every couple of days if tolerated, reaching 10 mg within a week.

LevelThistle44archiveMar 6

Daily micro-dosing while titrating lets you spot sides sooner and avoid long clearance waits. Tried 7 mg the first week that way, now two months later at 8-10 mg weekly split with no issues.

SlowCinder73archiveMar 6
↳ replying to @CopperSignal27

Thanks for the detailed reply. Lost 80 lb on tirz in about a year with zero sides. Insurance dropped coverage once BMI went under 30. Spouse is micro-dosing reta so I tried the small amount on hand until a new order arrives. Ordered both reta and tirz and now deciding between alternating days or just a higher reta dose. The earlier posts give plenty to consider.

SlowCinder73archiveMar 6
↳ replying to @LevelThistle44

Actually closer to 3 mg per week across two weeks. Still only seeing more carb intake at that level. Waiting on the new order so cannot raise yet, and yes the prime-number week length makes math annoying.

WarmAnchor49archiveMar 6
↳ replying to @WrySparrow78

If you are on Peppy’s or Discord the Roundtable group might have more on this. Not well studied, but main worry is appetite loss leading to poor nutrition that could slow bone healing. Working with a nutritionist might help offset that. Robust fracture-healing data is probably still lacking.

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