Retatrutide Maintenance Dose? Plus TRT & HGH Questions

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I’m currently working with my doctors to dial in several things at once. I am on TRT experiencing some ongoing iron issues. My biggest challenge is managing hematocrit without having to do more phlebotomies, as they tend to crush my ferritin & leave me feeling pretty rough.

I’ve had some success with the Vrock protocol, but right now I’m focused on optimizing retatrutide & eventually reintroducing HGH.

Currently:
  1. Retatrutide: 3 mg/week (1.5 mg twice weekly) with goal of getting to 6mg a week to see how it helps with recomp (may not be necessary to go that high, time will dictate where I end)
  2. TRT: daily shallow IM injections
  3. Considering a switch to daily SubQ if it may help with hematocrit & then to trial cream if needed.
  4. Planning to restart HGH in two weeks

I’ve read a lot of different opinions on HGH timing (before bed vs. morning fasted with cardio), so I’d love to hear real-world experiences from people running similar protocols.

A few questions:
  • Has anyone reduced hematocrit by switching from daily shallow IM TRT to daily SubQ injections? Did anyone ultimately switch to testosterone cream specifically to help control hematocrit? I’m not opposed to daily injections, so the only reason I’d consider cream would be if it significantly improved hematocrit management.
  • Is anyone here running a TRT + HGH + Retatrutide stack? If so, where did you find your sweet spot for HGH & retatrutide? I’m currently at 3 mg/week of reta, but I suspect I’ll eventually settle into a lower maintenance dose & would be interested in hearing what maintenance doses others have found effective.
  • For those using HGH primarily for healthy aging, skin quality, hair, body composition, recovery, and support of TRT, when have you found dosing works best? Morning fasted? Before bed? Have you noticed meaningful differences in fat loss, recovery, or overall results between the two approaches?

I’d appreciate hearing both the successes & lessons learned from anyone who has been down a similar path.
 

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