For those down 35+ lbs on a GLP-1: what daily protein, lifting, and lab routine kept your muscle strength up and stopped telogen hair shedding?
At age 62, my biggest worry starting a GLP-1 was losing leg and grip strength (sarcopenia) or looking gaunt. Early on, my appetite was so suppressed that if I didn't plan ahead, I'd accidentally finish the day at 55 grams of protein. What turned it around for me was treating protein and resistance training like part of the prescription: a 30g whey isolate shake at 9 AM, 40g lean protein at lunch and dinner, 5g Creatine Monohydrate daily, and 35 minutes of progressive resistance training 3x/week. My grip strength and squat numbers are actually higher now at 192 lbs than they were at 235 lbs! For anyone who noticed hair shedding or fatigue around month 4, what labs (ferritin, zinc, D3, B12) or nutrition fixes helped you most?
Rapid caloric restriction >1,000 kcal/day can trigger transient telogen effluvium 3–4 months after onset and accelerate lean mass loss if protein falls below 1.2 g/kg/day. Checking serum ferritin (target >50 ng/mL), 25(OH) Vitamin D, zinc, and B12 helps correct reversible nutritional triggers.