Home · Protocols · The Post-GLP-1 Protocol

The Post-GLP-1
Protocol.

A twelve-week functional medicine protocol for women on, coming off, or recently off GLP-1 agonist medications (Ozempic, Wegovy, Mounjaro). Designed to preserve muscle mass, repair micronutrient gaps, restore energy and mood, and prevent the predictable 60-70% weight regain seen in untreated discontinuation.

Protocol summary · 12 weeks

A twelve-week functional medicine protocol for women on, coming off, or recently off GLP-1 agonist medications (Ozempic, Wegovy, Mounjaro). Designed to preserve muscle mass, repair micronutrient gaps, restore energy and mood, and prevent the predictable 60-70% weight regain seen in untreated discontinuation.

Overview.

GLP-1 agonist medications are remarkably effective at producing weight loss. They are remarkably bad at producing the kind of body composition, mood state, and metabolic foundation that hold the loss after the medication stops.

Published data shows that without structured support, 60-70% of weight lost is regained within twelve months of stopping these medications. The reason isn't willpower — it's that the underlying physiology hasn't been rebuilt.

The Post-GLP-1 Protocol is the twelve-week intervention that changes this trajectory. It runs alongside ongoing medication for women staying on; it bridges the come-off for women tapering; it repairs the body for women already off.

The phases.

Weeks 1-2 · Baseline

We suggest a comprehensive blood panel is done by your doctor prior to starting the medication, including (where relevant) full thyroid, sex hormones, fasting insulin, HbA1c, vitamin D, B12, iron studies, ferritin, magnesium and zinc. List any results you already have — you can bring these along to your appointment. In-person clients can do a full body-composition assessment with me; these are done every 2 weeks to monitor your progress.

Weeks 3-6 · Protein & micronutrients

We work on your daily protein targets, as well as supplemental support if needed. Common supplements are magnesium glycinate, vitamin B complex, vitamin D3+K2 and omega-3, along with a hydration and electrolyte protocol.

Weeks 7-10 · Lifestyle & exercise structure

Resistance training monitoring, gut support and sleep support.

Weeks 11-13 · Maintenance

Maintenance nutrition, maintenance lifestyle, and a training schedule to carry forward.

Indications.

This protocol is appropriate for women who present with one or more of the following:

  • Active GLP-1 medication use (semaglutide, tirzepatide, liraglutide)
  • Planning to start GLP-1 medication and wanting to do it properly
  • Planning to come off GLP-1 medication in the next 6 months
  • Recently off (≤12 months) with weight regain occurring
  • Loss of muscle mass, energy, libido, or mood while on the medication
  • Hair loss, skin changes, or nutrient deficiency markers while on the medication

Evidence base & references.

The protocol draws on published research and clinical practice across functional medicine, women's hormone health, and nutritional science. Selected references:

  • Wilding J.P.H. et al. Once-Weekly Semaglutide in Adults with Overweight or Obesity. NEJM 2021;384:989-1002.
  • Wilding J.P.H. et al. Weight regain and cardiometabolic effects after withdrawal of semaglutide. Diabetes Obes Metab 2022;24:1553-1564.
  • Conte C. et al. Nutritional and lifestyle management of patients treated with GLP-1 receptor agonists. Diabetes Res Clin Pract 2024.
  • Dutch Test clinical brief. GLP-1s and Perimenopause: what practitioners need to know (2024).

Frequently asked.

Will this protocol slow down my weight loss while I'm on Ozempic?
No. The protein and lifting targets do not slow fat loss — they preserve muscle mass that would otherwise be lost. Women in this protocol often see better body composition outcomes than women without it, even at the same scale weight.
I'm planning to come off in six months. When should I start this?
Now. The earlier the muscle preservation and micronutrient repair begin, the more stable the come-off will be. Twelve weeks of preparation before tapering gives the best results.
Can I do this protocol if I'm not on medical aid?
Yes. Lab costs in South Africa for the necessary panel range R2,500-R4,500 cash-pay (Pathcare or Ampath). The supplements range R800-R1,500/month. Total out-of-pocket for the 12 weeks is R 5,500-R 8,000 in addition to the programme fee.
Does this work with compounded semaglutide?
Yes. The protocol works regardless of whether you're on brand-name (Ozempic, Wegovy) or compounded semaglutide, or tirzepatide (Mounjaro, Zepbound).

How to begin.

This protocol is delivered inside a structured programme — typically one of the six on this site. Book a free 20-minute discovery call to find the right programme for your situation.

Common questions

What do studies show about weight regain after stopping GLP-1 medication like Ozempic, and what helps?

This page cites Wilding et al. (Diabetes Obes Metab 2022) on weight regain after semaglutide is withdrawn; as summarised above, published data shows 60-70% of lost weight regained within twelve months without structured support. What the protocol works on is muscle, protein, micronutrients, sleep and a tapering plan made with your doctor. Individual results vary.

What is the muscle and protein strategy for maintaining weight after Ozempic?

Protein comes first on the plate, resistance training is monitored through the protocol, and weeks 11-13 set up maintenance nutrition, lifestyle and a training schedule to carry forward. Your own protein target is set with you in the programme; anything medical stays with your doctor.

Is tapering off GLP-1 something I can do safely on my own?

Any change to your dose, including tapering, is made with your prescribing doctor; Health Yourself does not set doses. What the protocol builds around the taper is protein, strength, micronutrient repair and a maintenance plan, ideally started well before you come off.

Which nutrient deficiencies are common on GLP-1, and do I need supplements?

Eating less creates predictable gaps, and the ones this protocol looks for are B12, iron, magnesium, vitamin D and zinc. Food comes first, and supplements are added only if needed. Check any supplement with your doctor, especially alongside medication.

Your next step

Twenty minutes. No cost.

If the work fits, we map the right entry point together.