Protect your muscle.
Master your medication.
Keep the weight off.
Clinical nutrition consulting for patients on semaglutide, tirzepatide, retatrutide, and other GLP-1, GIP, and glucagon receptor agonists. Built around the science of lean-mass preservation — because 25–39% of GLP-1 weight loss can be muscle if you don't plan for it.
Discovery calls & guide purchases open now · Clinical sessions open May 2026
Your prescriber's job ends at the pen. Your nutrition doesn't.
GLP-1 medications work. The trials are extraordinary. But the fine print isn't about whether you'll lose weight — it's about what kind of weight you lose, how you manage the side effects, and what happens when you stop.
Muscle loss is silent
Scale weight drops feel like success. But if a third of that loss is lean mass, you're weaker, slower, and metabolically worse off than before — even at a smaller size.
GI side effects derail nutrition
Nausea, early satiety, and altered appetite make it hard to hit protein targets. Without a plan, patients under-eat exactly the nutrients they need most.
Maintenance is where people fail
Published data show significant regain in the year after discontinuation. Without a maintenance-phase nutrition and training plan, you're setting up the next cycle before finishing this one.
A full clinical nutrition engagement — built for GLP-1.
From your first session, you get a personalized strategy for protein, training, side effect management, and long-term maintenance. Everything is grounded in the published evidence and adjusted to your specific drug, dose, and goals.
Protein & lean-mass strategy
Targets anchored to lean body mass, distributed across 3–5 meals with dosing-day considerations. Reference tables included.
GI side effect management
Texture, timing, and hydration strategies for nausea, early satiety, reflux, and constipation — calibrated to your medication and dose.
Resistance training prescription
Evidence-based load and frequency guidance to limit lean-mass loss — coordinated with, not instead of, your existing training.
Dosing-day meal architecture
What to eat and when, by drug and dose — to preserve tolerability without sacrificing nutrition targets.
Plateau & titration planning
Working with your prescriber's plan to navigate plateaus, dose escalations, and the transition to maintenance dosing.
Long-term maintenance strategy
The post-medication plan most patients never receive — protein, training, and caloric strategy for the year after discontinuation or dose reduction.
- + 2 sessions / month (45 min each)
- + Metabolic Baseline panel included at start
- + 6-month reassessment panel included
- + Priority messaging (24h response)
- + 3-month minimum commitment
- · 60-minute clinical session
- · Labs ordered separately (~$128)
- · No async access between sessions
- · Book as needed, no commitment
- · Superbill available for reimbursement
Telehealth nationwide · HSA/FSA eligible · Superbill available · Founding member slots are limited — first 20 GLP-1 members lock the $350/mo rate for 12 months.
Start with your numbers.
GLP-1 therapy changes your metabolic terrain quickly. If we know your baseline before session one, we can work faster — and you see the change in your own data, not just the scale.
GLP-1 Metabolic Baseline
CMP, CBC, fasting glucose & insulin (HOMA-IR), A1C, full lipid panel, TSH & free T4, hs-CRP, ferritin, vitamin D, B12, folate. Every test has ADA, ACC/AHA, ATA, or Endocrine Society guideline support.
Your first session, upgraded
We'll see whether you're insulin-resistant, whether your thyroid is supporting your metabolic rate, whether inflammation is in the way, and whether you have the vitamin status to preserve muscle on a caloric deficit.
Ordered through Rupa Health
You order through my practitioner portal. Draw at any Quest or LabCorp location near you. Results route directly to me — usually within a week. You never go to my office to have blood drawn.
~$128 · pass-through
Lab fees are billed directly by Rupa/Fullscript at their pass-through pricing. Not bundled into the session fee. HSA/FSA generally applies.
Start with the guide.
The GLP-1 Nutrition Survival Guide
Everything from the first consultation — the science of GLP-1, GIP, and glucagon receptor agonists; protein targets by lean body mass with lookup tables; resistance training prescription; dosing-day meal timing; alcohol, fasting, and diabetes-specific guidance; plus a quick-reference cheat sheet. 8 sections. Evidence-based. Written from the clinical bedside.
Get the Guide — $29 →Become a founding member this May.
Clinical sessions open May 2026. The first 20 GLP-1 members lock the founding rate of $350/month (vs. $395 standard) for 12 months — with priority scheduling and your first Metabolic Baseline panel included.
GLP-1 questions, honest answers
Published analyses of STEP, SURMOUNT, and related trials show that 25–39% of weight lost can be lean mass — in the absence of adequate protein and resistance training. With the right strategy, that loss can be substantially reduced.
For most GLP-1 patients in a weight-loss phase, 1.6–2.2 g of protein per kg of lean body mass per day, spread across 3–5 meals. The free protein calculator on the home page gives you a personalized starting point.
Most patients benefit from adjusting meal size, texture, and timing around dosing day. The exact strategy depends on your drug, dose, and individual tolerance — it's the most commonly asked question in a consultation.
Maintenance is where most patients struggle. Published data show significant regain in the year after discontinuation without a plan. The engagement includes a maintenance-phase strategy built for the transition off or to a lower maintenance dose.
Consultations are private-pay. Many clients use HSA/FSA. Superbills for potential out-of-network reimbursement are available on request.