Strength Training on GLP-1 Medications

GLP-1 medications like Ozempic, Wegovy, and Mounjaro are revolutionary for weight loss—but they come with a catch. Studies show that up to 40% of weight lost on these medications can be muscle mass, not just fat. This leads to the "skinny fat" or gaunt appearance many users notice. Strength training isn't optional on GLP-1s—it's essential for maintaining muscle, metabolic health, and a toned appearance.
Why Muscle Loss Happens on GLP-1s
GLP-1 medications reduce appetite significantly, often leading to lower protein intake when you're eating less overall. Combined with the rapid weight loss, your body pulls energy from both fat AND muscle stores. Without resistance training stimulus, your body has no reason to preserve muscle.
This muscle loss isn't just cosmetic. Muscle is metabolically active tissue that burns calories at rest. Losing it tanks your metabolism, making weight regain more likely when you stop the medication. It also leads to weakness, poor posture, and that "deflated" look.
The solution is strategic strength training plus adequate protein. Research shows resistance training during weight loss can shift the ratio dramatically—preserving muscle while your body burns primarily fat for fuel.
Benefits of Lifting on GLP-1s
Muscle Preservation
Keep the muscle you have while losing fat.
Better Body Composition
Look toned, not gaunt, as you lose weight.
Metabolic Protection
Maintain metabolism for sustainable results.
Bone Health
Protect bone density during rapid weight loss.
Strength & Function
Stay strong and capable as you get lighter.
Long-term Success
Better maintenance when tapering medication.
Program Overview
Who it's for: People on Ozempic, Wegovy, Mounjaro, or other GLP-1 medications
Don't have all this equipment? GymFriend can build you a custom program using whatever you have available.
Why These Exercises?
Each exercise in this program was selected for a specific reason. Here's why:
Dumbbell Goblet Squat
Lower body compound that preserves leg muscle mass.
Cable One Arm Bent Over Row
Back development for posture and pulling strength.
Dumbbell Bench Press
Chest and tricep muscle preservation.
Barbell Romanian Deadlift
Posterior chain strength and hip hinge pattern.
Dumbbell Standing Overhead Press
Shoulder muscle maintenance and upper body strength.
Cable Bar Lateral Pulldown
Back width and pulling strength development.
The Complete 3 days Program
Follow this program consistently for best results. Start with weights that feel manageable and aim to increase gradually each week as you get stronger.
Want this program adjusted for your fitness level, goals, or schedule? GymFriend can create a personalized version just for you.
Training Smart on GLP-1s
- Prioritize protein—aim for 1g per pound of goal body weight daily.
- Train even when appetite is low; schedule workouts first thing.
- Start lighter if you're new to lifting; focus on learning movements.
- Stay hydrated—GLP-1s can cause dehydration which affects performance.
- Eat protein before and after workouts even if portions are small.
- Listen to your body; nausea may require adjusting workout timing.
Edit your plan, track progress, and get realtime coaching



Frequently Asked Questions
Will I have energy to lift while on GLP-1 medications?
Energy can be lower, especially early on. Time workouts when you feel best, keep sessions efficient, and prioritize protein even in smaller meals.
How much protein do I really need?
Aim for 0.8-1g per pound of your goal body weight. This is higher than general recommendations because you're preserving muscle during rapid weight loss.
Can I do cardio instead of weights?
Cardio alone won't preserve muscle—it may accelerate muscle loss. Prioritize strength training 3x/week; add cardio if desired for heart health.
When will I see muscle definition?
As body fat decreases, existing muscle becomes visible. Most people notice improved definition within 2-3 months of consistent training.
Should I train differently than someone not on GLP-1s?
Focus more on muscle preservation than building. Moderate weights, full body training, and compound movements are most effective.