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Reconstitution + Units

Retatrutide Dosage & Reconstitution Calculator

Enter your retatrutide vial size, BAC water volume, and target dose to see the concentration, the draw in milliliters, and the matching U-100 syringe units. This is an educational research-planning tool, not medical advice.

By Garret GrantFounder & Lead ResearcherLast reviewed June 2026

Quick summary

  • Turns any retatrutide vial size and BAC water volume into a clear dose in milliliters and U-100 syringe units.
  • Explains the reconstitution math in plain language so you can check the numbers yourself.
  • Keeps dose talk as trial context only — it does not tell you what dose to use.
Compound
Retatrutide (LY3437943)
Class
Triple agonist (GLP-1 / GIP / glucagon)
Common research vials
4–60 mg lyophilized
Half-life
~6 days (once-weekly)
Regulatory status
Not FDA-approved (investigational, Phase 3)

Retatrutide reconstitution calculator

Retatrutide presets

Use the presets first; the manual steps below are for different vial sizes, water volumes, or doses.

3 mL max presets

10 mg + 1 mL = 10 mg/mL, so 10 units = 1 mg.

Optional: use when your setup does not match a preset

Syringe

U-100

Choose syringe size.

Vial quantity

How many mg of peptides in your vial?

mg

Dose

Dose amount per injection. 1 mg = 1000 mcg.

BAC water

Bacteriostatic water used to reconstitute your vial.

mL

Your draw

1.0 mL
20units
0102030405060708090100

To have a dose of 2 mg, pull to 20 units.

Vial

10 mg

Water

1 mL

Volume

0.200 mL

Save this draw so you do not need to redo the math next time.

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What this retatrutide calculator does

This calculator does one job well. You enter your vial size in milligrams, the amount of bacteriostatic (BAC) water you added, and the target dose you are planning. It returns the concentration, the volume to draw in milliliters, and the matching units on a U-100 insulin syringe.

Retatrutide is an investigational once-weekly peptide that works on three hormone receptors at once: GLP-1, GIP, and glucagon. The calculator does not depend on what retatrutide does in the body. It is pure arithmetic that converts milligrams and milliliters into a number you can read on a syringe.

Research-use only — not medical advice

This page and calculator are educational research-planning tools. They do not recommend a dose, diagnose, or treat anything. Retatrutide is not FDA-approved. Talk to a qualified clinician before using any peptide.

How to use the calculator

You only need three numbers. The vial size is printed on the label in milligrams. The BAC water volume is how much you choose to add. The target dose is the amount you want each injection to deliver.

  1. 1

    Enter the vial size

    Use the milligram amount on the label. The preset dropdown includes 4, 7, 10, 12, 20, 24, 36, 50, and 60 mg setups with BAC water capped at 3 mL.

  2. 2

    Enter the BAC water volume

    This is how much bacteriostatic water you added, for example 1 mL or 2 mL. More water means a lower concentration.

  3. 3

    Enter your target dose

    Enter the per-injection amount you are planning in milligrams or micrograms.

  4. 4

    Read the result

    The calculator shows the concentration in mg/mL, the draw in mL, and the matching U-100 syringe units.

Retatrutide reconstitution math, explained

Reconstitution means turning the dry powder in the vial into a liquid you can measure. You do this by adding BAC water. The math behind it is short, and the calculator handles it for you, but it helps to see how it works.

Step 1: Find the concentration

Concentration is the vial size divided by the BAC water you added. A 10 mg vial mixed with 2 mL of BAC water gives 5 mg per mL. The same 10 mg vial mixed with 1 mL gives 10 mg per mL.

Step 2: Find the draw volume

Divide your target dose by the concentration. At 5 mg/mL, a 2 mg dose is 0.40 mL. At 10 mg/mL, that same 2 mg dose is only 0.20 mL.

Step 3: Convert milliliters to units

A U-100 insulin syringe has 100 units per 1 mL, so 1 unit equals 0.01 mL. Multiply your draw volume in milliliters by 100 to get units. A 0.40 mL draw is 40 units. A 0.20 mL draw is 20 units.

The key thing most calculators skip

Adding more BAC water does not change the total milligrams in the vial. It only spreads the same dose across more liquid, so you draw more units for the same dose. More water makes small doses easier to measure; less water makes the draw more concentrated.

Quick reference: units per 1 mg

The preset dropdown above uses the common retatrutide vial setups below. The last column is the units for a 1 mg dose. Multiply it by your target dose in milligrams to get your units.

Concentration and units per 1 mg by vial size and BAC water

Vial size

4 mg

BAC water

0.4 mL

Concentration

10 mg/mL

Units per 1 mg

10 units

Vial size

7 mg

BAC water

0.7 mL

Concentration

10 mg/mL

Units per 1 mg

10 units

Vial size

10 mg

BAC water

1 mL

Concentration

10 mg/mL

Units per 1 mg

10 units

Vial size

12 mg

BAC water

1.2 mL

Concentration

10 mg/mL

Units per 1 mg

10 units

Vial size

20 mg

BAC water

2 mL

Concentration

10 mg/mL

Units per 1 mg

10 units

Vial size

24 mg

BAC water

2.4 mL

Concentration

10 mg/mL

Units per 1 mg

10 units

Vial size

36 mg

BAC water

1.8 mL

Concentration

20 mg/mL

Units per 1 mg

5 units

Vial size

50 mg

BAC water

3 mL

Concentration

~16.7 mg/mL

Units per 1 mg

6 units

Vial size

60 mg

BAC water

3 mL

Concentration

20 mg/mL

Units per 1 mg

5 units

The 4, 7, 10, 12, 20, and 24 mg presets use the easy 10-units-per-mg setup. The 36, 50, and 60 mg presets are more concentrated, so each 1 mg draw uses fewer units.

Retatrutide supplies

Use this as a simple shopping checklist for reconstitution. It does not replace dose math, sterile handling, or clinician guidance. Confirm vial size and concentration on the product page before ordering.

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Retatrutide Supply

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Bacteriostatic Water

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Before you reconstitute

Check the product details instead of relying on the card alone.

Vial size

Confirm the milligram amount on the label before entering it above.

Syringe type

U-100 syringes read in units, where 100 units equals 1 mL.

BAC water

Your BAC water volume sets the concentration; the calculator does the rest.

For full vial math across other peptides, use the main reconstitution calculator at /calculator instead of this checklist.

What doses were studied in retatrutide trials

Many people search for a retatrutide dosage calculator hoping it will tell them what dose to take. This tool does not do that, and on purpose. It converts a dose you enter into units. It does not pick the dose for you.

For context only, the Phase 2 obesity trial published in the New England Journal of Medicine in 2023 studied once-weekly retatrutide at 1 mg, 4 mg, 8 mg, and 12 mg, with gradual escalation over the first weeks to improve tolerability. The highest 12 mg dose produced about 24.2% average body-weight reduction at 48 weeks, compared with 2.1% for placebo. This is reported trial data, not a dosing recommendation.

Search terms like "for weight loss," "female," or "bodybuilding" do not change the math. The calculator output is identical regardless of who is using it or why. Any decision about an actual dose belongs with a qualified clinician. See the semaglutide vs tirzepatide vs retatrutide comparison for how the three compare.

Retatrutide half-life and why dosing is once weekly

Retatrutide has a half-life of about 6 days, according to the NEJM Phase 2 trial. Half-life is the time it takes for roughly half of the drug to clear from the body. A 6-day half-life is long, which is why trials use one injection per week.

Because the drug clears slowly, levels build up over the first several weeks. Most pharmacology summaries describe steady state at about 4 to 5 weeks at a given dose, with full washout taking roughly 30 days (about five half-lives) after the last dose.

In plain terms: if you inject 5 mg, about 2.5 mg is still present roughly 6 days later. That slow decline is the reason a once-weekly schedule keeps levels fairly steady between injections. This calculator handles the per-injection math; it does not model week-over-week buildup.

Side effects and safety notes

In trials, the most common side effects were gastrointestinal: nausea, vomiting, and diarrhea. These were usually mild to moderate and most common during dose escalation, which is the same pattern seen across the GLP-1 drug class.

Phase 3 data reported a skin-sensitivity side effect called dysesthesia, described as tingling or tenderness to touch, in about 20.9% of participants at the highest dose. Longer-term safety is still being studied because the molecule is not yet approved.

This tool cannot assess safety for you

A calculator cannot tell you whether retatrutide is appropriate for your situation. For a fuller list of reported effects, see retatrutide side effects, and discuss any peptide with a clinician.

Is retatrutide FDA approved?

No. As of June 2026, retatrutide is not FDA-approved and is not available by prescription. It is an investigational medication from Eli Lilly, still in its Phase 3 TRIUMPH trial program.

Eli Lilly reported its first Phase 3 readout (TRIUMPH-4) in December 2025, showing about 28.7% weight loss at 68 weeks, and a larger pivotal trial (TRIUMPH-1) in May 2026 showing about 28.3% weight loss at 80 weeks in 2,339 participants. A New Drug Application had not been filed at the time of writing.

Because it is not approved, retatrutide sold online is research-use-only material, and quality is not guaranteed. For background on how the FDA has treated unapproved GLP-1 products, see the February 2026 FDA research-use-only update.

How retatrutide reconstitution compares to semaglutide and tirzepatide

The reconstitution math is the same for all three peptides. You divide the vial size by your BAC water volume to get a concentration, then convert your dose to units. Only the typical vial sizes and doses differ.

What sets retatrutide apart is the receptor target, not the math. Semaglutide acts on GLP-1 alone, tirzepatide adds GIP, and retatrutide adds glucagon on top of both. That third receptor is the reason it is called a triple agonist. For the full comparison, see semaglutide vs tirzepatide vs retatrutide.

Reconstitution math is identical; targets differ

Compound

Semaglutide

Receptor targets

GLP-1

Reconstitution approach

Vial mg ÷ BAC water → units

Compound

Tirzepatide

Receptor targets

GLP-1 + GIP

Reconstitution approach

Vial mg ÷ BAC water → units

Compound

Retatrutide

Receptor targets

GLP-1 + GIP + glucagon

Reconstitution approach

Vial mg ÷ BAC water → units

Use this calculator for retatrutide and the main /calculator for other peptides.

Frequently Asked Questions

How much BAC water should I use for a 5 mg retatrutide vial?

That is your choice, and it only changes how many units you draw. With 1 mL of BAC water a 5 mg vial is 5 mg/mL, so 1 mg is 20 units. With 2 mL it is 2.5 mg/mL, so 1 mg is 40 units. More water makes small doses easier to measure. Enter your own numbers in the calculator to see the exact result.

How do I convert a retatrutide dose into syringe units?

Divide your target dose by the concentration to get milliliters, then multiply by 100. A U-100 syringe has 100 units per 1 mL, so 1 unit is 0.01 mL. For example, a 2 mg dose at 5 mg/mL is 0.40 mL, which is 40 units.

Does adding more BAC water change the dose?

No. The total milligrams in the vial stay the same. More BAC water just spreads that amount across more liquid, so you draw more units for the same dose. It does not make a dose stronger or weaker.

What doses were used in retatrutide trials?

The Phase 2 obesity trial studied once-weekly retatrutide at 1 mg, 4 mg, 8 mg, and 12 mg, with gradual escalation early on. This is reported trial information, not a dosing recommendation. Any dose decision should be made with a clinician.

What is retatrutide's half-life?

About 6 days, based on the NEJM Phase 2 trial. That long half-life is why dosing in trials is once weekly. Levels reach steady state in about 4 to 5 weeks and wash out roughly 30 days after the last dose.

Is retatrutide FDA approved?

No. As of June 2026 it is investigational and in Phase 3 trials, with no FDA approval and no prescription availability. Material sold online is research-use-only.

Is this calculator medical advice?

No. It is an educational research-planning tool that converts a vial size, BAC water volume, and target dose into milliliters and units. It does not recommend a dose or replace a clinician.

Can I use this calculator for any retatrutide vial size?

Yes. Enter your vial size in milligrams, such as 5, 10, 12, 24, or 30 mg, along with your BAC water volume and target dose. The math works the same for every size.

Is the dose math different for women?

No. The reconstitution and units math is identical regardless of who is using it. Trials did not set separate doses by sex, and any personalized decision belongs with a clinician.

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Sources and research notes

  1. 1. Jastreboff AM, Kaplan LM, Frías JP, et al. Triple–Hormone-Receptor Agonist Retatrutide for Obesity — A Phase 2 Trial. New England Journal of Medicine (2023)
  2. 2. Sanyal AJ, Kaplan LM, Frías JP, et al. Triple hormone receptor agonist retatrutide for metabolic dysfunction-associated steatotic liver disease: a randomized phase 2a trial. Nature Medicine (2024)
  3. 3. U.S. National Library of Medicine A Study of Retatrutide (LY3437943) in Participants With Obesity (NCT04881760). ClinicalTrials.gov (2023)
  4. 4. Eli Lilly and Company Lilly's phase 2 retatrutide results published in The New England Journal of Medicine. Eli Lilly investor news (2023)
  5. 5. American Diabetes Association Phase 2 trial results demonstrate benefits of retatrutide in obesity, type 2 diabetes, NASH. ADA Meeting News (2023)
  6. 6. Eli Lilly and Company Retatrutide Phase 3 TRIUMPH program topline results (TRIUMPH-4, December 2025; TRIUMPH-1, May 2026). Eli Lilly investor news releases (2026)

Related pages

Compare the three GLP-1 triple options

See how retatrutide stacks up against semaglutide and tirzepatide on targets, evidence, and trade-offs.

Read the comparison