Strategies for mixing and cycling and dosing GLP-1s

Curious if you’re following some idiosyncratic strategies? On my end, I used to microdose semaglutide and now I microdose trizepatide (up to 2.5mg). When traveling I use rybelsus. But reconsidering how to go about this lately – perhaps retatrutide for cutting and trizepatide for maintaining.

But what are y’all doing? I did wonder if there’s a role for using the different GLP-1 agonists for different purposes.

My LLM-based “research” suggests here’s what each of them are best in-class for:

Retatrutide:

  • weight loss,
  • reductions in visceral fat/ liver fat
  • reduction in inflammation in the liver
  • overall inflammation
  • also increases energy expenditure (due to Glucagon mechanism)
  • increase in brown fat

NOTE: increases resting heart rate the most, due to sympathetic nervous system activation (also more side effects at the highest dose – sensitive skin, nausea

Trizepatide:

  • best improvements in HbA1C / Glucose metabolism
  • reduction in adipose tissue inflammation (GIP is abundant in fat cells)
  • slight increase in metabolism compared to semaglutide (increased fat oxidation)

Semaglutide:
(mainly because trials are still ongoing for other GLP-1s)

  • Renal & Cardiovascular protection,
  • reduction in knee arhritis pain,
  • cartilage growth
  • reducing alcohol consumption
    NOTE: fatigue is a more common side effect here.

Exenatide

  • in Parkinson’s (slowing motor decline)
  • crosses the BBB

Liraglutide

  • crosses the BBB
  • promising for cognitive aspects
  • promise for Parkinson’s

Reta at anywhere from 5-8mg alongside 6.25mg empagliflozin for weightloss then lower my reta dose for maintenance. With this potent combination I am effortlessly losing excess fat mass while still being able to eat sufficient amounts of protein, carbs and fat.

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