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One thing that it seems we are just starting to talk about with these drugs is the associated muscle and bone density loss. I'm concerned that this generation of GLP-1 early adopters will wind up more frail and suffer a lower quality of life in old age as a result.


> One thing that it seems we are just starting to talk about with these drugs is the associated muscle and bone density loss.

Muscle loss is associated with _any_ kind of weight loss.

And GLP-1 drugs _improve_ the bone density: https://academic.oup.com/jcem/article/100/8/2909/2836097 It's likely simply because thinner people naturally move more.


Can these negative effects be countered/offset by continuing weight training? I lift 2-4 days a week.


Yes, but you would certainly still see some - it's just a consequence of weight loss. Even IFBB bodybuilders on god knows how many steroids see some muscle loss when cutting.

Eat a whole lot of protein, lift, and you're going to be doing more than fine in the muscle loss department.


Certainly, just like with any other diet.

I gained muscle mass by doing strength training 2 times a week while on GLP-1 drugs.


My program strongly recommends some form of muscle training (pushups/weights/etc) as they see improvements from muscle development for weight loss and to counteract the muscle loss from losing weight.

The fact remains that having to carry around 50+ extra pounds of fat requires more muscle. When that requirement goes away so does your need for that musculature.


I've seen zero evidence that muscle loss from GLP-1-assisted weight-loss is any different to the muscle loss from simply eating less. Do you have a link to a study I've missed?




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