Our guides on protein, fat, and carbohydrates and strength training cover the principles. A dietitian or trainer can turn them into a plan that fits your actual intake, appetite, fitness, and goals. That matters on a GLP-1 because appetite suppression varies so much from person to person. If you're still choosing who to see, start with nutritionist vs. dietitian.
What to bring to the first appointment
- Your medication details: the drug, your current dose, how long you've been on it, and when your next dose increase is due.
- What you actually eat. Two or three days of notes or app logs beat a from-memory summary, especially if you've had days when you could barely finish a meal.
- Side effects that change how you eat, such as nausea after fatty meals, constipation, or feeling full after a few bites.
- Your goal, in a sentence. "Keep as much muscle as I can while I lose weight" gives them more to work with than "get healthier."
- For a trainer: what you do now, any injuries, and how much time you really have each week.
Questions for a dietitian
- "On days I can only manage a few small meals, which foods should I eat first so I still get enough protein and micronutrients?"
- "What protein target makes sense for me, and what would a realistic day of eating look like to hit it?"
- "Should we track anything besides the scale, like a DXA scan or a body-composition trend, to see whether I'm keeping muscle?"
- "Given what I'm eating now, do I need any supplements, and should we check any labs?"
- "Is this visit covered by my insurance, and do you need a referral from my prescriber?"
Questions for a trainer
- "How would you set up my program differently from a typical strength-training client who isn't on a GLP-1?"
- "What's the plan for days when I've barely eaten or feel wiped out? Do we cut volume, swap sessions, or rest?"
- "How will we know if I'm holding on to strength while the scale drops?"
- "How often should we reassess as my weight and strength change?"
You don't need to cover everything in one visit. Start with the question that's bothering you most, and bring the rest next time.
This is peer information, not medical advice — decisions about your nutrition, training, and treatment belong with you and your care team.