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Weight loss & metabolism

Retatrutide (20 mg vial) dosing protocol

Educational overview — not medical advice

Research only

Reconstitution (20 mg vial)

Add 2.0 mL bacteriostatic water to a 20 mg lyophilised vial → about 10.0 mg/mL.

At 10.0 mg/mL, 1 U on a U‑100 insulin syringe = 0.01 mL ≈ 100 mcg.

Weekly titration (same mg/week targets, different volumes)

Use the same milligram schedule as the 5 mg vial guide on this site (e.g. 2 → 4 → 6 → 8 mg/week with 4‑week steps when tolerated). Only the injected volume changes because concentration is higher than 5 mg/mL.

PhaseWeekly doseSyringe units at 10 mg/mL (mL)
Weeks 1–42 mg20 units (0.20 mL)
Weeks 5–84 mg40 units (0.40 mL)
Weeks 9–126 mg60 units (0.60 mL)
Weeks 13+8 mg80 units (0.80 mL)

For >10 mg/mL-equivalent weekly totals that require >1.0 mL per injection, many protocols split into two SC injections the same day at different sites.

Storage & stability

Lyophilised: −20 °C (or supplier guidance). After reconstitution: 2–8 °C, protect from light; commonly ~4 weeks unless your COA says otherwise.

Disclaimer

Educational only; not medical advice. Retatrutide is investigational in many regions.

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