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Retatrutide vs. tirzepatide: how they’re different

Retatrutide and tirzepatide (also known as Mounjaro) are two weight loss medications making waves. While tirzepatide is already available on prescription in the UK, retatrutide is still in clinical trials. 

In this article, we’ll explore the key differences between these two medications and explain how Oviva can connect you with weight loss injections through the NHS.

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Key Takeaways

  • Tirzepatide (Mounjaro) is approved for weight loss in the UK, while retatrutide is still in clinical trials and not yet available.
  • Tirzepatide targets two hormones to control appetite and blood glucose, while retatrutide targets three, potentially helping with fat burning.
  • Early research suggests retatrutide may lead to faster weight loss than tirzepatide.
  • Both can cause nausea and vomiting. Retatrutide’s side effects aren’t fully understood, but it may also cause sleep issues and an increased heart rate.

What are retatrutide and tirzepatide?

Tirzepatide is a medication used for weight loss and to treat type 2 diabetes.

Retatrutide, still being studied, is also being explored for its potential to treat weight loss and type 2 diabetes.

Retatrutide works by targeting three hormones: GLP-1, GIP, and glucagon. This helps reduce appetite, control blood sugar, and support fat burning.

Tirzepatide targets two hormones: GLP-1 and GIP, which help suppress appetite and regulate blood sugar levels.

How do they work in the body?

Retatrutide and tirzepatide both work by copying natural hormones produced by your body, sending signals to your brain and digestive system. 

Tirzepatide targets GLP-1 and GIP hormones to reduce food cravings and suppress your appetite so you eat fewer calories and lose weight.

Retatrutide targets GLP-1 and GIP hormones too, but it also mimics the glucagon hormone. This is still being studied, but it’s believed to boost your metabolism and help you burn more fat.

Is retatrutide or tirzepatide more effective for weight loss?

Retatrutide and tirzepatide work differently and have different dosing schedules, so comparing them directly is difficult. 

However, both medications have shown much better weight loss results than a placebo in clinical testing.

In early clinical trials, people taking the maximum dose of retatrutide lost up to 24% of their body weight after 48 weeks

In clinical trials for tirzepatide, people taking the highest dose lost up to 22.5% of their body weight after 72 weeks.

Both are effective for weight loss, but retatrutide may offer faster results. That said, long-term data is needed to confirm this.

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What I love about Oviva is that I can eat what I want — it was a completely new experience for me not to count calories. I lost 5 kg in the first 12 weeks, and my blood pressure normalised.

What about semaglutide?

Semaglutide is another medication used for weight loss and type 2 diabetes

It works by mimicking the GLP-1 hormone, which is naturally released after eating. This helps suppress your appetite, so you eat fewer calories and lose weight.

When used for weight loss, semaglutide is available under the brand name Wegovy. It’s available on prescription through the NHS and, like tirzepatide, should only be taken under medical supervision if you meet the eligibility criteria.

For diabetes, semaglutide comes in a lower dose and is prescribed under the brand name Ozempic.

Read more: Mounjaro vs. Wegovy

Retatrutide vs. tirzepatide vs. semaglutide: Key differences

Here’s a simple comparison of the key differences between retatrutide, tirzepatide, and semaglutide:

Feature Retatrutide Tirzepatide Semaglutide
Type of medication Targets 3 hormones (GLP-1, GIP, and glucagon) Targets two hormones (GLP-1 and GIP) Targets one hormone ( GLP-1)
Brand name Not yet branded (still in clinical trials) Mounjaro  Wegovy (weight loss), Ozempic (diabetes)
Approval status (UK) Not yet approved (expected post-2026 if trials succeed) Approved for type 2 diabetes and weight loss Approved for type 2 diabetes and weight loss
Weight loss (highest dose) Up to 24.2% after 48 weeks  Up to 22.5% after 72 weeks  Up to 14.9% after 68 weeks
How it works Reduces hunger, regulates blood sugar and burns fat Reduces hunger and regulates blood sugar Reduces hunger, increases fullness and regulates blood sugar 
Availability Clinical trial only Very limited access via NHS or private providers Available via NHS and NHS providers like Oviva 

Am I eligible for Oviva?

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What side effects might you experience?

Like all medications, retatrutide and tirzepatide can cause side effects. Most are mild and tend to improve as your body adjusts. The most common include:

  • Nausea
  • Vomiting
  • Diarrhoea
  • Constipation
  • Bloating

You may also notice:

  • Changes in food preferences 
  • Fatigue 
  • Loss of appetite – appetite suppression is expected with both medications. However, some people report a complete loss of appetite

As tirzepatide targets two hormones and retatrutide targets three, it may mean that tirzepatide is easier to tolerate at low doses, but more testing and data is needed.

Retatrutide is still undoing clinical trials, so the full range of side effects may not be fully understood. Early studies suggest that a small number of people may experience side effects like difficulty sleeping or a faster heart rate, especially at higher doses.

Because tirzepatide (Mounjaro) is already approved for use, its side effects are better understood.

Both medications should be taken under medical supervision to monitor side effects and safety.

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Which one is available in the UK?

The NHS approved tirzepatide (Mounjaro) as a weight loss medication in December 2024. However, availability is still very limited. 

Retatrutide is still being tested in clinical trials and isn’t approved yet. It’s expected to be available by 2026, though this could change.

Can you switch between them?

Retatrutide isn’t approved yet, so we don’t know when it might be appropriate to switch from tirzepatide.

In general, switching between tirzepatide and retatrutide, or any weight loss medications, is not recommended unless you’re experiencing side effects or facing supply issues.

Always follow clinical guidelines and make changes to your treatment only with approval from your healthcare team.

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Could weight loss medication be right for you?

Oviva offers a personalised weight loss programme designed just for you, fully funded by the NHS.

If you have a BMI over 35 and a weight-related health condition, you can access:

  • A personalised weight loss plan
  • Flexible, remote support from doctors, dietitians, and coaches
  • Easy tracking for meals, goals, activities, and more with the Oviva app
  • Potential access to NHS-funded weight loss medication, delivered directly to your door

With Oviva, it’s not about counting calories or hours in the gym. It’s about realistic changes for long-lasting impact. 

Am I eligible for Oviva?