Claire Tanguay

The Ozempic/Mounjaro craze wont end well... GLP-1s are among the most studied and effective medications for diabetes and obesity. They truly are best in class. But every intervention has downsides. The biggest problem is muscle loss. Up to 40% of the weight lost comes from muscle, which is partly why people talk about getting ‘Ozempic face.’ In animal studies, even heart muscle loss has been observed. More than half of patients cannot stay on GLP-1s for long due to cost or side effects like nausea, vomiting, diarrhea, vision issues, or pancreatitis. If you have lost a large amount of muscle while on the drug and then have to stop, whether because of side effects, cost, or insurance changes, you are left with less muscle and the same obesity or diabetes. That makes the weight return much faster, sometimes two to three times faster than with lifestyle change alone. These drugs work, with strong data including up to 4 years of placebo-controlled trials They are being prescribed too casually, often without counseling on the need for protein, cutting processed foods, and resistance training About half of patients stop within 12 months When they stop, weight often returns 2–3 times faster Two proven solutions exist in the literature: resistance training and structured metabolic health programs like Toward or Virta. The BEST approach is to combine both Lets stop accepting doctors who hand out prescriptions like candy on Halloween and start to demand better care!