Retatrutide: The triple agonist that could redefine contest prep

How the rules of fat loss are being rewritten

By Gary Chappell

FOR decades bodybuilding prep has been a brutal balancing act between getting stage ready and holding on to every ounce of hard-earned muscle. Traditionally, that has meant manipulating food, cardio and, in many cases, anabolic steroids and fat burners. Now, in this study by frontdouble, a new class of drugs – originally designed for diabetics and the clinically obese – are rewriting the rules of fat loss.

You will likely have heard of semaglutide (Ozempic/Wegovy) and tirzepatide (Mounjaro). Both have been hailed as miracle drugs in the mainstream for their ability to slash appetite and drive huge weight loss, despite some stories of adverse side effects at higher doses. Now, however, there is a new kid on the block: retatrutide.

Still in "clinical trials", retatrutide is showing the most dramatic results yet – with patients in phase two studies losing up to 24% of bodyweight in under a year. For competitive bodybuilders, the implications are enormous.

What exactly is retatrutide?

Retatrutide is what is called a triple agonist, meaning it works on three different hormonal pathways, as follows:

1. GLP-1 agonism: suppresses appetite, slows gastric emptying, improves insulin sensitivity.
2. GIP agonism: enhances insulin release, improves carb handling, may improve fat metabolism.
3. Glucagon agonism: increases energy expenditure and fat oxidation.

That third piece – glucagon receptor activation – is what makes retatrutide unique. Whereas semaglutide and tirzepatide mostly just help you eat less, retatrutide may also help you burn more calories at rest. That is a potential game-changer.

Some bodybuilders have no doubt already experimented with semaglutide and tirzepatide and the pros and cons are becoming clearer:

• Pros: Appetite suppression makes sticking to a prep diet relatively easy compared to white-knuckling through 12–16 weeks of cravings. Improved blood sugar control also helps with stable energy.
• Cons: Flatness. Many athletes find they simply cannot eat enough carbs to load properly, especially in peak week. Slower digestion and nausea can sabotage the carb-up process and leave them stringy on stage. Muscle retention also becomes an issue if protein intake is not protected.

Retatrutide promises even more fat loss power, but that also means these risks are magnified if the drug is not managed correctly.

How could retatrutide fit into prep?

1. Appetite control

No question: this is the biggest benefit. At six weeks out, hunger can often begin to feel like torture. Retatrutide, much like its predecessors, could make dieting far smoother, leading to fewer binges, fewer slip-ups and more compliance.

2. Metabolic output

The glucagon pathway may help keep energy expenditure higher even as food intake drops. In practice, that could mean less cardio needed to peel off the final fat – or at least less of the “metabolic crash” that leaves athletes flat and tired.

3. Conditioning the stubborn areas

Every competitor knows the last fat to go is glutes, hamstrings, and lower back. Data so far suggests retatrutide strips both visceral and subcutaneous fat efficiently. In theory, it could help achieve that paper-thin look that separates “lean” from “stage-ready".

But here are some caveats

Muscle Retention

GLP-1/GIP/glucagon agonists do not target fat specifically, they just reduce energy intake and increase burn. If you do not deliberately program high protein, the body will use muscle tissue as fuel. In prep, where muscle preservation is everything, that is a major concern.

Flatness and carbohydrate handling

Many athletes already struggle to carb load properly on semaglutide or tirzepatide due to slower gastric emptying and suppressed hunger. Retatrutide may amplify this issue. Imagine peak week when you need 600–800g carbs per day to fill – and your client physically cannot stomach it.

Digestive side effects

The nausea, reflux and bloating commonly seen with GLP-1s are more than an inconvenience in bodybuilding. A distended gut or inability to process food quickly enough can wreck your stage look and your pump.

Unknowns in lean athletes

The trials so far have been in obese and type 2 diabetic populations. We do not know yet how retatrutide behaves in a 200lb bodybuilder at five per cent body fat, also running PEDs such as Tren, Mast, and GH. The interactions are uncharted territory.

Bodybuilders are no strangers to pharmacological “help” in prep. So how does retatrutide stack up?

• Clenbuterol: Raises energy expenditure but does not suppress appetite. Retatrutide may do both, without the same cardiac risks – though clen works in days, not months.
• T3 (thyroid hormone): Cranks metabolism but risks muscle loss. Retatrutide raises expenditure more subtly, but also risks muscle if protein is not managed.
• GH (Growth Hormone): Mobilises fat and helps preserve muscle. Retatrutide does not preserve muscle directly, it is purely metabolic/appetite-driven.

So retatrutide is not a replacement, but a different kind of weapon: it makes the diet easier to follow and may boost fat burn slightly.

Here’s where it might fit:

• Off-season: Probably not. You need appetite to grow, and retatrutide kills it.
• 12–16 weeks out: Useful in competitors who struggle with cravings and compliance.
• Last four-six weeks: Riskier. By then you want controlled fullness, glycogen loading and digestive predictability. Retatrutide may interfere with that.

The smarter play might be using it in the first half of prep to get an athlete leaner, sooner. Then tapering it off before the final stage run-in.

Retatrutide's profile is hard to ignore. For mainstream patients, it looks like the most powerful fat-loss drug ever tested. For bodybuilders, it could mean:

• Easier diet adherence.
• Higher metabolic output in prep.
• Potential for sharper conditioning in stubborn areas.

But it also comes with big risks: flatness, muscle loss, digestive unpredictability and unknown interactions with PEDs. Retatrutide is not about revving the engine, it is about cutting hunger and nudging metabolism. Used wisely, it could smooth the prep journey.

Retatrutide might be the next big tool in the prep coach’s kit but, as always, no drug replaces the work.