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Program

GLP-1 Support

Everything after the script: muscle, nutrients, and the plan for coming off.

Who it is forAnyone on a GLP-1, or considering one, who wants the year after the script managed rather than left to them.

What we watch
  • Lean mass protected while weight comes down
  • Nutrient status through a long period of eating less
  • Liver, thyroid and metabolic markers watched throughout
  • Strength and protein intake programmed rather than suggested
  • A taper plan written before you need it

The prescription is the short part

What follows is a year of eating substantially less. A systematic review of randomised trials puts fat-free mass at roughly a quarter of the total weight lost on this class of drug. And in a trial extension that followed people for a year after both the drug and its lifestyle programme stopped, they had regained two-thirds of the weight, with the cardiometabolic gains reverting alongside it. That year is the part this program manages.[1][2]

What the program actually involves

Baseline measurement including body composition, so muscle loss is visible rather than assumed. Protein and resistance training programmed from the start. Regular re-measurement of body composition and the markers that move on restricted intake, with your dose and plan reviewed by a physician monthly.

Coming off

The taper is planned from the beginning rather than improvised at the end. What has to be true before you reduce is written down, measured, and used to decide when and how quickly: body composition, strength, eating pattern, blood markers.

References

  1. 1.Batsis, J. A., et al. (2026). Effect of incretin-based and nonpharmacologic weight loss on body composition: a systematic review. Annals of Internal Medicine. PMID:41996180
  2. 2.Wilding, J. P. H., et al. (2022). Weight regain and cardiometabolic effects after withdrawal of semaglutide: the STEP 1 trial extension. Diabetes, Obesity and Metabolism. PMID:35441470
Start with the baseline

The method only works from a measurement.

Everything above starts at the same place: one visit that maps where you actually are. What follows is decided by what that visit finds.

See the full protocol

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