If you are working with a qualified clinical team who is assessing your total nutrition (food and supplements), medications, lifestyle choices and will do so while you are on the medication, you may not need other services, so just getting the medication could be a win.
These are similar to other GLP-1 medications, but the intensity and severity of these side effects are slightly higher with retatrutide
Glucose Metabolism Antagonizes insulin to some extent (can increase blood glucose levels) Promotes gluconeogenesis in the liver 4
However, if you experience severe pain, significant swelling, warmth, redness, or fever, seek medical advice promptly before your next dose
Efficacy and Safety of Once-Daily Oral Semaglutide 25 mg and 50 mg Compared With 14 mg in Adults With Type 2 Diabetes - PIONEER PLUS