Reta - No Effect

Maybe you won't respond until the higher doses 8-12 mg. Increase your dose, but not too fast.
It's not that uncommon to not respond to the lower doses. You are not at non-responder on the lower dose 4 mg.

Also consider if something else is going on, - did you have a full blood test panel before you started ? It's a good idea to have a baseline. If you have some metabolic issues, the drugs often need to be in higher doses to loose weight. You are only on 4 mg now. The medicine needs time to work.

And you don't say how much you need to loose, how high are you and what weight ?
At 310 lbs I started super low and slow at .5 mg for two weeks before moving up. Oct 4 310 lbs and december 17th 280lbs at 5 mg
Therapeutic levels are commonly described at a steady state of 6-8mg/week dosing for ~4-5 weeks. It doesn't take a month to get a concentration level commiserate with the average exposure of 6-8mg/week dosing, which is 7.4mg-9.9mg. It can take time for the body to adjust to the signaling, even if the average exposure is reached more quickly through different dosing schedules.

The 4-5 weeks is because our current exposure is culmination of your current dose, plus the doses taken over the last ~24-30 days (Reta has a 6 day half life, 4-5 half lives until it's eliminated).

1mg is .5mg in 6 days.
.5mg is .25mg in 6 days
.25mg is .125mg in 6 days
.125mg is .0625 in 6 days
.0625mg is .03125mg in 6 days <<< eliminated

Simplified math explanation, assuming instant absorption and a 6 day dose schedule.
Day 0: 1mg
Day 6: .5mg (Day 0) + 1mg (Day 6)= 1.5mg cumulative.
Day 12: .13mg (Day 0) + .5 (Day 6) + 1mg= 1.63mg
Day 18: .06mg (0) + .25mg (6) + .5mg (12) +1mg= 1.81mg
Day 24: .03mg (0) + .13mg (6) + .25mg (12) + .5mg (18)+1mg= 1.91mg
Day 30: .0 (0) + .03mg (6) + .13mg (12) + .25mg (18) + .5mg (24) +1mg= 1.91mg <<<steady state peak


Sema and tirz's main strength being appetite suppression or control resulting in calorie reduction. Reta's unique strength is glucagon signaling, which increases base metabolic maybe around 10% while still offering appetite control resulting in less calorie input. That's presumptively why the GLP and GIP signaling is reduced per mg exposure compared to Sema or Tirz ( Reta has maybe 1/10th the GLP expression of Sema) so the dosage can be high enough to meaningfully utilize the glucagon signaling to have the metabolic rate bump without overdoing the GLP/GIP signaling.


The half lives are shown here by the long gradual tails after the peaks (doses). Their cumulative stacking affect is shown by the 5.7mg current level when my 9 shots have only been 1-2.5mg each.
View attachment 14399
nice post …
Half life is important to understand and this shows it clearly.
I personally started at 308lbs and starting dose of .5mg. Clear results from the start.. December 17th 280lbs at 5mg.

Not perfect experience though…i popped 10 lbs over Christmas and flatlined loss for about a month.

Three things happened that I can point to.
-Christmas I cheated for a week (I assume that was the weight gain)
-ipamorelin started dec 23
-Reta supplier changed dec 23

Now Jan 23 sitting at 283 and at 8 mg for second week straight.

I get the weight gain but that resulting “stall” still has me a little puzzled


Thanks for your info
 
At 310 lbs I started super low and slow at .5 mg for two weeks before moving up. Oct 4 310 lbs and december 17th 280lbs at 5 mg

nice post …
Half life is important to understand and this shows it clearly.
I personally started at 308lbs and starting dose of .5mg. Clear results from the start.. December 17th 280lbs at 5mg.

Not perfect experience though…i popped 10 lbs over Christmas and flatlined loss for about a month.

Three things happened that I can point to.
-Christmas I cheated for a week (I assume that was the weight gain)
-ipamorelin started dec 23
-Reta supplier changed dec 23

Now Jan 23 sitting at 283 and at 8 mg for second week straight.

I get the weight gain but that resulting “stall” still has me a little puzzled


Thanks for your info
10lbs is only ~9 bottles of water.

To gain 10lbs of fat in a week you'd have to eat an extra 5000 calories a day... that seems unlikely. Ipamorelin can cause glycogen stores to increase (water weight), appetite increase, and lean mass increase. Enjoying the holidays plus less exercise plus a 'morelin could explain the weight stall without much effort.

Was it a stall, or getting back on track, adapting to ipamorelin, and getting the 10lb off more likely? Are you accurately tracking calories, macros, weight, medications, and exercise?


I started TRT this week which is expected to give me similar scale noise in the short term (water weight) before the longer term benefits present. I accounted for that in my trajectory plan and so far I'm 3-4lb lighter than when I started.
 

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