Heart racing from Reta

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Adavis3053

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So everyone has heard of the great Reta which will officially be available in 2026 or 2027. I am very interested as it uses a 3 prong approach (sema is 1 and tirz 2) however i have read some mixed reviews. Some say it is a super appetite suppressor and others have reported it actually made them hungry! Also, i have heard the main side effect is increased heart rate. We all have side effects we can and cannot deal with. This is mine.

I have had nausea, diarreha and constipation with Sema. I can handle it. but heart racing scares me and i dont think i can handle that.

anyone have experiences positive or negative with REta?
 
I started it recently so I am still on the baby dose of 2 mg.

I have still been losing 3 lbs/week and my appetite is suppressed strongly for a day or two after the shot, and moderately the rest of the week. Whatever label I put on that effect, it is enough to be helpful. I'm eating small meals and choosing to skip my second rich coffee drink or tasty beer, too.

Group consensus is that reta has the least appetite suppressant of the big three meds. If this is the least effective suppressant I cannot imagine what sema is like.

I have observed zero side effects other than a bit less regularity on the ol' throne. I'm adding fiber and miralax supplements to address that. No big deal.

I will stay on 2 mg until I feel like I need more.

AFAIK an uncomfortably high heart rate is a pretty rare side effect. An increase you can notice, but isn't bothersome -- like +10% -- seems to be somewhat common.

All you can do is give it a try. YMMV.
 
Tirz + Survo can be a substitute for Reta, with less elevation of heart rate apparently.
 
Morbius said:
AFAIK an uncomfortably high heart rate is a pretty rare side effect. An increase you can notice, but isn't bothersome -- like +10% -- seems to be somewhat common.

All you can do is give it a try. YMMV.
I guess the key it's what is your resting HR. Mine is 80-90 range. All glps increase hr but reta is the worst apparently. Tirz got my RHR to 110 today and I'm not having any fun. Can't even imagine what reta would do to me.
 
Galora said:
I guess the key it's what is your resting HR. Mine is 80-90 range. All glps increase hr but reta is the worst apparently. Tirz got my RHR to 110 today and I'm not having any fun. Can't even imagine what reta would do to me.
I guess everyone is different. When I started my RHR was 94. 8 1/2 months later and on 12mg Reta my RHR is 78. I've never experienced any racing. I know it is anecdotal, but these meds really do have a range of effects on different people. You don't know until you experiment on yourself.
 
I stacked Tirz and Reta, I was on 9.5mg Tirz and 2.5mg Reta. My RHR used to be 70ish before any GLP-1s. A couple weeks ago it was up to 95. I stopped Reta 2 weeks ago to see what would happen. RHR is still over 90.
 
Heart racing isn't a 5-8 bpm increase.

I've read 2 ways to help mitigate that. Do long duration low intensity cardio regularly.

Instead of dosing every 7 days, dose every other day or even every day and just make sure you hit your weekly dose
 
ktg123 said:
I stacked Tirz and Reta, I was on 9.5mg Tirz and 2.5mg Reta. My RHR used to be 70ish before any GLP-1s. A couple weeks ago it was up to 95. I stopped Reta 2 weeks ago to see what would happen. RHR is still over 90.
Tirz (and all GLP-1s for that matter) increase RHR.

This increase might just be caused by Tirz. I was looking at my historical RHR, and I do have +20 or 30 bpms over my original pre-GLP numbers. I did have to stop my betablocker because my blood pressure went down, so that could also explain it a bit, but it's A LOT of increase with tirz alone.
 
Galora said:
Tirz (and all GLP-1s for that matter) increase RHR.

This increase might just be caused by Tirz. I was looking at my historical RHR, and I do have +20 or 30 bpms over my original pre-GLP numbers. I did have to stop my betablocker because my blood pressure went down, so that could also explain it a bit, but it's A LOT of increase with tirz alone.
Not for everyone it doesn't. One size definitely doesn't fit all in this arena.

Reta spiked my rate to ~125 after only 2 hrs. after my first dose, and it took 4 weeks after stopping to return to my normal 68-70.

Started Tirz then at 2.5, have advanced to 7.5 every 5 days and and Surv2 3 days later and still normal HR.
 
Caffeineo said:
Recent article about this. Why Retatrutide increases heart rate
Curious if the supplements listed make an impact on RHR for anyone else. I've already been supplementing all of those at those dosages and they haven't done anything to lower my RHR lol
 
I am ordering low-dose nebivolol from India just in case (5 mg tablets, which can be split in half). I read about it at the Meso forum for fellow users of the stimulant clenbuterol. Nebivolol could help I assume with elevated heart rate from reta, for when I try reta:

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quoted said:
Although nebivolol (5 mg) and the calcium antagonist nifedipine (20 mg) were equally effective in lowering blood pressure, nebivolol also significantly reduced heart rate ( Van Nueten et al 1998a ) and adverse events associated with nifedipine treatment caused a significantly higher number of patients to withdraw from the study compared with nebivolol-treated patients. Heart rate was also significantly reduced with nebivolol in a study comparing nebivolol (2.5–5 mg) with the calcium channel blocker amlodipine (5–10 mg) in elderly patients with mild to moderate hypertension ( Mazza et al 2002 ). A high heart rate is linked to an increased risk of death in the elderly ( Palatini et al 1999 ) and so an antihypertensive such as nebivolol that effectively lowers blood pressure and also lowers heart rate has dual benefits in this population.

But I don't have elevated heart rate from European (non-abusive) dosing of clenbutetol, so I assume I will be fine on reta too.
 
EsSquared said:
Heart racing isn't a 5-8 bpm increase.

I've read 2 ways to help mitigate that. Do long duration low intensity cardio regularly.

Instead of dosing every 7 days, dose every other day or even every day and just make sure you hit your weekly dose
Just wondering if this is solid advice? I feel like I've sourced multiple articles say to not dose more than 2x a week.
 
Eh, smaller doses generally = smaller side effects

However recent info from the trials reveal that there seems to be a coorelation between your current blood pressure and whether or not you will get a rise in heart rate from reta

Low blood pressure = more likely to get heart rate increase
 
Calm Logic said:
Tirz + Survo can be a substitute for Reta, with less elevation of heart rate apparently.
what about tirz + maz ?

EsSquared said:
Low blood pressure = more likely to get heart rate increase
I have orthostatic hypotension and high HR since starting reta.

Could it be the Low blood pressure exacerbating the symptoms?

Thinking of getting mazdutide instead.
 
I've been on Reta for 4mos and at 3mg for a month. My RHR was 58-62 before and now 62-66. When I first upped to 3mg I had several episodes where I felt weird almost shaky inside like you're about to have an anxiety attack. It was usually when I would get in bed at night but my hr wasn't really high. It wouldn't last long and seems to have stopped for now. Might come back with next dose increase??
 
Any medications/remedies to stop the increased resting HR and other side effects. I want to try reta but am nervous
 
According to the trials, heart rate increases in a dose dependent manner. It peaks out at ~24 weeks and then starts to decline over the next 24 weeks. It remains slightly higher then the starting baseline, but not nearly as much as the peak.
 
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