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Week-by-Week Protocol Week 1: First Reta Dose Inject your starting dose (see table above) Note: food noise may temporarily return This is normalthe GIP ratio is different in retatrutide Week 2: Assessment If no new side effects: Bump by 0.5mg (if starting dose was under 2mg) Bump by 1mg (if starting dose was 2mg+) If experiencing glucagon-related effects (jitteriness, different hunger pattern, mild nausea): Stay at current dose another week Weeks 36: Find Your Effective Dose Continue titrating every 12 weeks Target: find the dose where satiety + energy feel stable Most people land between 36mg weekly for maintenance Week 6+: Maintenance Lock in your effective dose Adjust only if plateau lasts 3+ weeks What to Expect During Transition The First Two Weeks Food noise may return temporarily
Journal of Clinical Endocrinology & Metabolism, 91(3), 799-805
These conversations are easier to have before a pregnancy is underway than after, and they ensure that both the benefits and risks of tirzepatide are managed thoughtfully across the full reproductive picture
