07/16/2025
If you’re taking a GLP-1 medication like semaglutide or tirzepatide…
…and the weight just isn’t coming off…
You’re not alone.
And it doesn’t mean the medication isn’t working.
Here’s what I recommend evaluating when weight loss stalls:
✅ Are you on the right medication? Some people respond better to tirzepatide than semaglutide... or vice versa.
✅ Is your dose appropriate? Too low and your appetite isn’t controlled. Too high and you may feel too nauseated or tired to stay active.
✅ Do you need a second medication? In some cases, adding metformin, naltrexone, or another tool can make a big difference.
✅ Are you eating enough protein and fiber? These are essential for metabolism, appetite regulation, blood sugar, and body composition.
✅ Are you staying hydrated? Dehydration can slow fat loss, reduce energy, and worsen side effects.
✅ Are you protecting your muscle mass? Without strength training and quality nutrition, weight loss may come from muscle, not fat.
✅ Is your thyroid truly optimized? Even with a normal TSH, low free T3 or thyroid antibodies can stall progress.
✅ Are your sex hormones balanced? Low progesterone, low testosterone, or estrogen dominance can all interfere with fat loss.
✅ Is your gut working for you, or against you? Gut imbalances, food sensitivities, and inflammation can quietly block results.
✅ How’s your stress? Chronic cortisol elevation makes belly fat harder to lose, no matter how dialed-in your plan is.
✅ Are your expectations realistic? Social media is full of stories about people who lost 10 pounds they'd first week on a GLP-1. This is far from the norm. Many people don't start losing weight until their 3rd or 4th month on the medication and the average weight loss is 1 to 2 pounds per week.
✅ Are you tracking more than the scale? Inches lost, appetite signals, cravings, inflammation, and labs all tell the story. Not just the number.
GLP-1s are a powerful tool, but they’re not always a magic fix.
When results stall, there’s always a reason... and we help you uncover it.
