Lessons on GLP-1
Short lessons, with sources, for each phase of treatment with a GLP-1 medicine: before you start, first weeks, adjusting, in rhythm, maintenance and beyond the medicine.
Before you start
What to really expect
On the same medicine, men lose less weight on average than women. The honest range for men, and why the scale is only one of your numbers.
Muscle first
Part of the weight that comes off is lean mass. Why strength training and protein sit at the center of Hombrio.
Questions for your first appointment
Ready-made questions for the topics that are easy to leave out: other medicines, testosterone, alcohol, kidneys and kids.
How the medicine works
What GLP-1 medicines do in the body, why the first weeks feel different, and how each one is taken.
First weeks
Your stomach in the first weeks
Nausea, diarrhea and constipation are most common at the start and after each dose increase. What tends to make them worse, and where to look if something feels off.
Protein when you're not hungry
Eating less usually means less protein too. Put it first on the plate, keep meals small and regular, and set your own target.
Training on the medicine
Lower energy at the start, more dizziness for some, and fluids that matter more. How to keep training without pushing through warning signs.
Your injection week
Is there a 'bad day' after the shot? We found no study showing one. Your own pattern can.
Adjusting
When the dose goes up
Stomach effects often come back for a few weeks after each increase. What the studies show, and what stays with your doctor.
Fluids, heat and training
Vomiting, diarrhea, heat and sweat all take fluid away. What the labels say about it, and the heat signs worth knowing.
Alcohol, no lecture
What alcohol does on these medicines, what the small drinking studies found, and how to see your own pattern.
Eating out and the barbecue
Barbecue, asado, tapas or the pub: what tends to sit badly, what tends to work, and what to say when someone asks.
In rhythm
Strength that keeps progressing
Once the first weeks settle, training can grow. What the studies measured, why bone counts too, and how to read your records.
Sleep and energy
Tiredness early on, sleep apnea and what the trials found. How to read your own energy and sleep marks.
Desire and testosterone
What the studies say about testosterone, desire and erections on GLP-1 medicines, without promises either way.
Getting more from your appointment
How to turn your records into a short, useful conversation, including the topics that are hard to say out loud.
Maintenance
When hunger comes back
Hunger and food noise can return, in maintenance or after stopping. That's physiology, not weakness, and it's worth a plan made in advance.
Keeping your strength
In maintenance, staying active is the best-supported habit studied so far. What S-LiTE found, its limits, and how much movement the guidelines suggest.
Your body and the mirror
Skin, face and muscle change as weight comes off. What's known about the face, and when the mirror deserves a conversation.
Travel and broken routines
Trips, holidays and busy weeks break routines. How to keep the base going without counting lost days.
Beyond the medicine
If I stop
Weight tends to come back after stopping. That's physiology, not weakness. What helps, what isn't known, and how to plan with your doctor.
A plan for the cost
Cost is the main reason people stop. How to plan for it with your doctor, before the money or the supply runs out.
What stays with you
The medicine may stop; the habits, the strength and your records don't have to.
Coming back, no guilt
Stopping and restarting is common. How to pick things up again without counting the days you missed.
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