For Ozempic · Wegovy · Mounjaro · Zepbound

Up to 40% of the weight you lose on a GLP-1 can be lean mass, not fat, unless you actively protect it.

Don't lose your muscle while you lose the weight.

Here is exactly how to keep it: the resistance-training and protein protocol, fully cited, built for a suppressed appetite and real-world side effects.

$5 $19 Launch price
24 peer-reviewed sources Every claim cited Instant 30-page PDF
Cover of the Preserving Lean Mass on GLP-1 Therapy guide
24 peer-reviewed
studies analyzed
15–40%
of GLP-1 weight loss can be lean mass
~⅔
of lost weight regained a year after stopping
43%
of GLP-1 users miss their protein target
+0.82kg
lean mass preserved with resistance training

The scale is celebrating. Your muscle isn't.

GLP-1 medications work. But the weight you see disappear isn't all fat. A large share is lean mass, including the skeletal muscle that keeps you strong, mobile, and metabolically healthy, and it doesn't come back on its own.

  • Appetite suppression makes it hard to eat enough protein, exactly when you need it most.
  • Nausea and low energy derail training during dose increases.
  • When the medication stops, lost muscle becomes a permanent liability.
~26%
of tirzepatide weight loss was lean mass in the SURMOUNT-1 DXA substudy. Reviews across GLP-1 trials put the range at 15–40%.
Source: Look et al., Diabetes, Obesity & Metabolism, 2025; Neeland et al., 2024.

A complete protocol, not a listicle.

Thirty pages of specific, cited, do-this-now guidance covering medications, training, running, nutrition, and supplements, written for the reality of being on a GLP-1.

Two ready-to-run routines

Full-body sessions with exact sets, reps, and rest, plus a complete bodyweight-only version that needs zero equipment.

The protein playbook

Exact targets in g/kg, a meal-timing strategy for low appetite, a food reference table, and a sample day that hits your number.

Training through side effects

How to keep training on nausea and low-energy days, and how to time sessions around your injection.

The maintenance plan

Why muscle is your insurance for the day you stop, backed by the weight-regain data most guides ignore.

Micronutrient guardrails

The vitamins and minerals GLP-1 users commonly run low on, and what the evidence says about monitoring them.

Every claim cited

24 references to peer-reviewed studies and registered trials, with live links. Nothing here is invented or vibe-based.

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Get the one-page cheat sheet

The protein target, the training rules, the creatine facts, and the off-ramp warning, on a single page. Plus a short weekly digest of new GLP-1 muscle research. Free, and unsubscribe anytime.

No spam. The free cheat sheet plus the weekly research digest, nothing else.

Most GLP-1 fitness advice is recycled and unsourced. This guide is built from the actual clinical literature, and shows its work on every page.

Browse the full evidence library →
STEP 1

Weight regain after stopping. Two-thirds of lost weight returned within a year of stopping semaglutide. Diabetes, Obesity & Metabolism, 2022.

Meta-analysis

Resistance training preserves muscle. Offset ~93.5% of diet-induced lean-mass loss (+0.82 kg). Nutrients, 2018.

49 trials

The protein target. ~1.6 g/kg/day identified as the breakpoint for fat-free-mass benefit. Br J Sports Medicine, 2018.

STEP 1–3

Side effects are real but transient. GI events clustered during dose escalation and declined thereafter. Diabetes, Obesity & Metabolism, 2022.

Who's behind it

Written like a literature review, not a listicle.

This guide was built by a researcher and software engineer who read the primary studies, cited every recommendation, and left out anything that could not be sourced. It is not written by a clinician, and nothing in it is medical advice. What it offers instead is transparency: every claim links to the study behind it, so you can check the work yourself.

Updated weekly

The research doesn't stand still. Neither do we.

Every week we read the new peer-reviewed work on GLP-1 therapy and muscle, and summarize what matters. Here is the most recent.

Charts you can act on.

Every figure is built from cited data, not stock clip-art.

Guide page showing how much GLP-1 weight loss is lean mass, with a comparison chart Guide page showing the weight-regain timeline after stopping semaglutide Guide page showing resistance-training routines and exercise alternatives

Why not just ask ChatGPT?

Fair question. A chatbot will answer, but it summarizes one prompt at a time and can invent a citation as easily as a fact. This guide is the finished work.

  • It synthesizes the evidence across 24 studies into one coherent protocol, instead of summarizing whichever paper you happen to ask about.
  • Every recommendation is cited to a real, linked, peer-reviewed source you can check. Nothing is invented or vibe-based.
  • It is internally consistent. The protein target, the training plan, and the maintenance phase were written to work together, not assembled from separate chats.
  • It is written for GLP-1 reality: a suppressed appetite, nausea on dose increases, and the day you eventually come off the medication.
Follow along

A new science breakdown, every day.

We turn the same peer-reviewed research behind the guide into short, plain-language clips. Free, daily, no hype.

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The Core Handbook

$5$19
  • 30-page fully-cited handbook, yours to keep
  • Two gym routines + a bodyweight-only program
  • Protein targets, meal timing & food tables
  • Side-effect and maintenance-phase strategy
  • 24 references to real, linked studies

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Four $1 mini-guides, one question each

If you only have one problem right now, buy the answer to that problem. Each is short, fully cited, and honest about where the evidence runs out.

Browse all mini-guides →

Track it, or work through it

Once you know what matters, put it into practice: a printable log for the four measures, or a guided workbook that builds the explainers and checklists around it.

Frequently asked

Not sure where to start? Find your plan in two questions.

Does GLP-1 weight loss really cause muscle loss?

Yes. A substantial fraction of weight lost on GLP-1 medications is lean mass, not fat. Reviews of the trial data place lean mass at roughly 15 to 40 percent of total weight lost, and the SURMOUNT-1 DXA substudy measured about 26 percent of tirzepatide weight loss as lean mass. Resistance training plus adequate protein is the evidence-based countermeasure this guide details.

How much protein should I eat on Ozempic or Mounjaro?

Research on lean-mass retention during weight loss supports roughly 1.6 to 2.2 grams of protein per kilogram of body weight per day, well above the 0.8 g/kg RDA. Because GLP-1 medications suppress appetite, the guide focuses on hitting that target with several small, protein-forward meals rather than a few large ones, and includes a food table and sample day.

Do I need a gym or equipment?

No. A 2023 meta-analysis found no meaningful difference in muscle growth between free weights and machines, and the same principle supports bodyweight and resistance-band training. The guide includes a complete bodyweight-only program alongside the equipment routines.

Is this medical advice?

No. This guide is educational and does not constitute medical advice. It is designed to be used alongside care from your prescribing clinician, whom you should consult before starting a new exercise program, adding a supplement, or significantly changing your protein intake, especially while on a GLP-1 medication.

What format is it, and how do I get it?

It is a PDF you download instantly after checkout and can read on any phone, tablet, or computer. It is yours to keep, with no subscription.

Coming soon

A companion app for the daily work.

The guide gives you the protocol. The app runs it with you: a protein tracker built for a small appetite, a simple resistance-training log, and an off-ramp countdown for the maintenance phase. Designed for iPhone first.

Join the list to help shape it and get early access. A free cheat sheet and the weekly research digest come with it. Unsubscribe anytime.

  • Protein trackerHit your g/kg target across small meals, without the appetite fighting you.
  • Training logLog the two routines from the guide and watch your lifts hold as the weight drops.
  • Off-ramp countdownPlan the maintenance phase for the day you taper off the medication.

Keep the muscle. Keep the results.

The medication does its job. This guide makes sure the weight you lose is the weight you meant to lose.

Keep my muscle for $5 →