03/20/2026
Comment PEPTIDES below to get on my telehealth waitlist. California residents only for now. 👇
I’ve been conservative about GLP-1s for a long time. Here’s where I’ve changed my mind — and where I haven’t.
Ozempic and second generation GLP-1s like Tirzepatide? Still not a fan for most people.
But Retatrutide is different.
It’s the third generation. It doesn’t just hit GLP-1 receptors. It also activates GIP and glucagon receptors, which means it actually burns fat, upregulates your metabolic rate, and improves insulin sensitivity. That combination is clinically meaningful.
I use it in my practice. Conservatively. We’re talking 1 to 2mg, occasionally up to 4mg, for 3 to 4 months max, then taper off. Short cycles. Low doses. No chasing the scale.
Here’s the part most people get wrong.
The muscle loss people experience on these medications is real. But the bigger problem is not the drug. It’s the behavior. These medications suppress appetite so aggressively that people stop eating protein. And that is what breaks down muscle.
If you are going to use this, you have to be preemptive about protein. Two protein shakes a day minimum. One at breakfast, one at lunch or afternoon. Whey protein isolate, not plant based. You need 60 to 80 grams from shakes alone on top of your food.
And stop watching the scale every week and increasing your dose because you didn’t lose 4 pounds. That is how people get into trouble. Conservative doses, structured cycles, and patience.
Used that way, this is a tool. Misused, it becomes a problem.
Telehealth launching Q2 2026.
This is not medical advice.
