Body & results
Muscle, protein, and what the scale is telling you.
The scale is a poor instrument for this treatment. It reports one number and conceals what that number is made of — and composition is where the outcome that matters actually lives.
Losing 15% of your body weight is a very different event depending on whether the lost mass was mostly fat or substantially muscle. The first improves how your body handles glucose, how you move, and how easily the weight stays off. The second lowers your resting energy expenditure, weakens you, and makes regain easier. These pages cover what determines which one you get, and what to expect along the way.
Protein, and the muscle you don't want to lose
Rapid weight loss takes lean tissue with it unless you make it not. This is the least discussed and most consequential part of GLP-1 treatment.
When the scale stops moving
Most stalls are not plateaus. Distinguishing the two comes down to where you are on the dose ladder and how long the flat stretch has lasted.
Stopping, and what happens next
Appetite returns along a curve rather than switching back on. What the trials show about regain, and what actually changes the outcome.
Exercise while you are losing weight
Not for the calories. Resistance training is what tells your body to keep the muscle it would otherwise break down.
Hair shedding on a GLP-1
Common, alarming, and usually not the drug. What telogen effluvium is, why rapid weight loss triggers it, and what actually helps.
Loose skin and facial changes
"Ozempic face" is not a drug effect. It is what substantial weight loss looks like in a face — and knowing that changes what you can do about it.