Do GLP-1's like Ozempic cause muscle loss?
Not exactly. Any kind of weight loss is a mix of fat-mass and fat-free mass. There's a very long and nuanced response to this with decades of mixed research in all population types. The real crucial take-away, regardless of the mixed evidence - don't skip high-effort resistance training.
How do I prevent muscle loss on a GLP-1?
The evidence points to two levers: progressive resistance training 2 to 3 times a week at minimum, and adequate protein, typically 1.2 to 2 grams per kilogram of bodyweight daily. We help you with both aspects.
Will the scale stop moving once I start lifting?
Almost certainly not. Gaining enough muscle to cancel out fat loss only happens if you just have a few pounds to lose. If weight training is a fresh stimulus for you, your body may initially react by retaining an extra pound or two of water. But it's short-lived, not related to your progressive fat loss, and it passes anyway.
My weight loss stalled. Did the medication stop working?
Unlikely. GLP-1's aren't a magic bullet - more like a shortcut. They work by suppressing appetite, more for some than others. But if you don't address the underlying behavior issues of overeating (or drinking), then over time you tend to drift back to older habits. Furthermore as you lose weight, your metabolism slows down, because there's less demand for energy. All this is resolved by auditing your food intake and ensuring you preserve a calorie deficit. This is our specialty and we will coach you through it.
Why do I look smaller but softer?
Simply because of everything this page is about. When fat and lean tissue come off in similar proportion, overall body composition barely shifts, so you end up with a smaller version of the same body. The definition you expected at goal weight never appears. This is why resistance training is crucial.
Why do I feel weaker while I'm losing weight?
Similar to lean mass and resting metabolic rate, overall strength is directly correlated with your weight. But also - prolonged and/or aggressive weight loss may come with temporary side effects such as: disturbed sleep, moodiness, stress, and low energy. Lifting will build strength (or mostly maintain for trained people) almost immediately.
I have no energy on this medication. Can I actually train?
Yes. Measured physical activity does decline in most people after starting a GLP-1, and low energy intake means capacity varies day to day. Proper programming accounts for that. We stick with evidence based practices that adapt to your needs, in order to get you the best outcome.
What happens when I stop the medication?
Appetite returns, and the muscle and habits you built are what keep the weight off. That's why we treat the medication window as the time to build strength, not just lose pounds. We can help you monitor your calorie intake post-intervention.