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Why Microdosing Retatrutide Is A Total Failure

eazy

Well-known member
CLIFFS

1. Reta is not a drug. It's a signal.

2. How reta works

Goes straight to your hypothalamus (your brain's central command center).

It specifically targets something called Pro-opiomelanocortin (POMC). When these neurons get activated, they release Alpha-melanocyte-stimulating hormone (a-MSH), a neuropeptide that binds to Melanocortin 4 (MC4R), a G-protein-coupled receptor in your brain that plays a crucial role in regulating energy balance and appetite.

This is the biochemical equivalent of slamming down the off switch on your appetite.

It suppresses Neuropeptide Y (NPY), which is the most powerful hunger-signaling molecule that your body produces.
full. Reprogramming your brain's definition of hunger.

It binds to GLP-1 and GIP, you know these receptors on the beta cells, which trigger G-protein coupled receptor cascades that skyrocket intracellular cyclic AMP (cAMP), this amps up glucose-dependent insulin secretion.

These processes only occur when glucose is high; no more wild spikes.

While simultaneously telling the alpha cells to stand down, shutting down all unnecessary glucagon output.

The best part is, this happens in your liver. Reta binds to glucagon receptors on hepatocytes (cells) in your liver. Cyclic AMP (cAMP) activates Protein kinase A (PKA) which phosphorylates (a biochemical process where a phosphate group is added to a molecule, such as a protein or sugar) and activates hormone sensitive lipase HSL (a key intracellular enzyme that breaks down stored lipids, such as triglycerides and cholesterol esters, into free fatty acids and cholesterol, primarily in adipose tissue).

HSL is the enzyme that unlocks your fat cells, hydrolyzing stored triglycerides into free fatty acids, which you're going to burn, and then it floods your bloodstream with all this fuel ready for oxidation to be used. Turning your body into a fat-burning machine.

3. microdosing myths

This triple agonism creates a self-reinforcing, very powerful feedback loop drastically reducing caloric intake, highly sensitizing insulin response, and maxing out basal energy expenditure.

Reta's terminal half-life is approximately 144 hours about 6 days.

The Importance of Steady State Concentration

Requires a steady state concentration. (therapeutic equilibrium where the concentration in the bloodstream stays within a consistent range over time, rather than continuously building up or falling off)

The time to reach steady state is determined by half half-life. It takes four to five half-lives to reach 94 to 97%.

** 6 day half life = 24-30 days **

The weekly dosing interval is not arbitrary because the 7-day injection perfectly reinforces the plasma concentration just as it begins to decline from the previous dose. So it maintains that very crucial, very stable therapeutic plateau.

If you microdose, you can never go through the 4 to 5 half-lives to reach the 94 to 97% of steady state concentration, which means you'll never get to the 24 to 30 day mark, which, for reta is required.


The fallacy of: "tiny doses every day because you get fewer side effects and you get the same benefits."

For example, 0.1 milligrams daily versus 2.5 milligrams weekly means that the amount administered is likely less than the daily clearance rate, which we already learned is required.

You perpetually operate in what's called the distribution phase. You're trying to fill a bathtub with a thimble while the drain is wide open.

You never get to the therapeutic steady state that's required for efficacy. Rewiring of the hypothalamic set point requires a very strong, sustained signal.

A weekly dose provides days-long signals that carve new fullness pathways into your brain's neural architecture. A microdose is a weak, fleeting signal.

 
1. Trevor Bachmeyer is a chiropractor who forgets that you can get his degree from a cereal box and has been wrong about so many things that he refuses to walk back.

2. This is 100% speculation. There’s no clinical data to support that microdosing will not work, and if it didnt allow the triple agonist action to work we wouldn’t see the elevated HR and sleep disturbance from the glucagon pathway. Which we do.

3. There’s no data. All we have is anecdotal data… and it the anecdotal data of weight loss, lipids, crp, a1c, fasting insulin levels all show microdosing works.
 
Which we do.
"I think what both are saying is that Reta is a triple agonist, and with the micro-dosing the first prong is effective, so you'll still see some benefit, but the other two prongs get truncated, and thus there is opportunity loss. Paying for expensive semaglutide, and not seeing all the magic. "

that was said somewhere else I posted this. do you agree with this take?

I can't argue #1 😆

what is not being talked about is the distinction between split dosing, micro dosing, and 1x per week.

in his micro dose example in this specific video he compares 2.5mg 1x per week to .1 mg each day.

not a good comparison of course 2.5 mg works different than .7 mg
 
that was said somewhere else I posted this. do you agree with this take?
I think we simply don’t have enough concrete data! We are seeing side effects that would say the other two prongs are in play, BUT I think the actual doses of his “microdosing” as your stating further in your post is important. .1mg x7 days probably would shake out to ineffective dosing for the other two prongs. But .5 mg three- four days a week or equal dosing to the 2.5mg mark he uses seems to work in the real world.


Remember when TRT shots first were dictated by docs and you only needed one shot a week because it’s half life?

Now we know consistent lower dosing over the 7 day period does in fact still work. And causes less side effect. It may just take longer to reach plasma concentration.
 
I’m on scripted ozempic for the beetes and have contemplated 2 x week half doses. Never tried it. Mostly because im too lazy
 
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