Education only. Not medical advice.
Personalize with your clinician.

TL;DR

Rapid loss changes more than the scale. Keep bones and muscle front and center: lift 2–3×/week, hit protein at each meal, meet calcium and vitamin D needs, and pace dose increases. A DEXA at baseline makes the next 90 days smarter.

Why bone protection matters here

GLP-1s curb appetite. That’s useful, but it also means fewer building blocks unless you plan for them. When protein dips and strength work disappears, the body pulls from lean tissue and bone turns over faster. The fix is not complicated: steady protein, simple lifting, sunlight or vitamin D, and a dose pace that leaves room to eat and recover.

What “good” looks like

Picture three pillars working together. First, strength: short sessions with pushes, pulls, squats, and hinges create the signal bones listen to. Second, protein: most people do well with 25–35 g per meal, spread through the day so you can hit targets even when appetite is low. Third, micronutrients: meet daily calcium and vitamin D needs from food or supplements agreed on with your clinician. Add everyday movement—walks, stairs, light chores—and you have a realistic plan that fits busy weeks.

DEXA without the stress

Think of a DEXA as your before-photo for bone and body comp. If possible, get a baseline near the start of treatment, then repeat in 6–12 months. You’ll see total hip, femoral neck, and spine values, plus lean and fat compartments. The goal is trend awareness, not perfection. If a first scan isn’t available right away, start the habits now and schedule it when feasible.

Your first 90 days, made simple

Days 0–30:
Get your footing. Set protein anchors at breakfast and dinner so you don’t fall behind when appetite dips. Start two short lifting sessions weekly—15 to 25 minutes counts. Aim for simple movements with slow, controlled reps. If dose increases make meals tough, use a pause week and focus on hydration and easy protein (skyr, yogurt, eggs, shakes).

Days 31–60:
Build consistency. Add a third lift or extend the first two by a few sets. Fold calcium-rich foods into routines you already have—milk in coffee, yogurt with fruit, leafy greens at dinner. If constipation or nausea shows up, slow the ramp and keep protein steady; comfort beats speed here.

Days 61–90:
Check progress. How do clothes fit? How do lifts feel? If you have a DEXA, schedule it for the next block; if not, track strength numbers and how many protein-anchored meals you hit per week. Stay flexible with dose pacing during travel or stressful weeks so you can keep eating enough to support tissue.

Provider picks (archetypes that work well)

Some clinics make bone and muscle easier to protect than others. These are the styles to look for; use a Check eligibility CTA on your site so readers can confirm state coverage and first slots.

• MD + RD comprehensive clinic: physician oversight plus dietitian coaching, clear dose-ramp rules, protein and lifting prompts, and DEXA guidance.
  CTA: Check eligibility

• Insurance-pathway obesity clinic: physician visits with formulary navigation, lab plans, and practical bone/muscle check-ins when doses change.
  CTA: Check eligibility

• Strength-forward telehealth: fast visits, inventory-matched pharmacies, and simple two-day strength templates inside the app.
  CTA: Check eligibility

• Budget membership with live visits: lower entry cost; make sure it still includes protein targets, pause-week policy, and a basic lifting plan.
  CTA: Check eligibility

ScriptScores™: Bone-safety levers (0–10)

Higher = better for most users.

Scoring method: editorial heuristic balancing bone/lean protection with real-world ease.

A friendly start-visit CTA you can use

Check eligibility to see your state coverage and first video slot. Book a same-day visit if available, start the online form, and allow an in-state, in-stock pharmacy for faster shipping. If appetite falters after a dose increase, it is reasonable to hold that dose and message the clinic while you get protein and lifting back on track.

Disclaimers

• Not medical advice. Education only.

• Safety first. Choose, pace, and adjust with a licensed clinician.

• Availability and pricing change. Confirm coverage, pharmacy, and totals at checkout.

• Individual results vary.

• ScriptScores™. Editorial heuristics, not treatment directives.
  Last updated: September 3, 2025.