Retatrutide vs Tirzepatide for Weight Loss in 2026: Results, Side Effects & Safety
Last updated: October 13, 2026 | Evidence reviewed by OneDayMD editorial research team Retatrutide vs tirzepatide is one of the most important emerging comparisons in obesity medicine. Both medications act on hormone pathways involved in appetite, food intake and glucose metabolism, but retatrutide activates three receptors instead of two. The clinical results are promising. In the Phase 3 TRIUMPH-1 trial published in The New England Journal of Medicine on September 29, 2026, retatrutide produced an average weight reduction of 25.0% at 80 weeks at the 12 mg dose when analyzed using the treatment-regimen estimand. In the separate SURMOUNT-1 trial, tirzepatide produced an average reduction of 20.9% at 72 weeks at the 15 mg dose under a comparable treatment-regimen approach. However, these are results from separate clinical trials, not a direct head-to-head comparison. Retatrutide also remains investigational and is not approved for routine prescribing. Key takeaway: ...