Lose the fat.
Keep the muscle.
Keep the result.
GLP-1 medication can steady appetite, blood sugar, and weight. We pair it with what the medication can't do on its own: protein, strength training, and a coach who tracks what you're losing, so the progress holds when the prescription changes.
What is metabolic health?
Metabolic health is how well your body turns food into energy and keeps blood sugar, insulin, blood fats, and blood pressure in a healthy range. When it slips, the signs are familiar: weight that won't move, energy that crashes, cravings, poor sleep. Stabilizing it is the first step in this method because almost everything else, from strength to longevity, works better once it's steady.
Your options, plainly.
Your physician decides which medication fits, if any, and adjusts your dose as you go. Every option includes physician visits and medication shipped from a licensed US pharmacy.
Semaglutide
A once-weekly GLP-1 with the longest track record of the two. Slows digestion and quiets appetite so eating less feels manageable.
Tirzepatide
A once-weekly medication that acts on two appetite and blood-sugar pathways, GLP-1 and GIP.
Metformin
A long-established oral medication for blood sugar and insulin sensitivity, sometimes used for weight and longevity goals.
Glucose monitor
A 14-day sensor that shows how meals, sleep, and training move your blood sugar.
Compounded medications are prepared by licensed pharmacies and are not FDA-approved. They have not been reviewed by the FDA for safety, effectiveness, or quality. Your provider prescribes a compounded medication only when it is clinically appropriate for you.
Compounded GLP-1 availability follows current FDA guidance and may change.
Why does muscle matter on a GLP-1?
When you eat much less, your body draws energy from fat and from lean tissue, including muscle. In the major trials, roughly a quarter to two-fifths of the weight people lost was lean mass. Muscle is what keeps your metabolism up, your joints supported, and your strength intact as you age, so losing it is the quiet cost of weight loss done without a plan.
Results vary. Clinical trial results apply only to the FDA-approved branded medication specifically identified and do not apply to compounded medications. All medications must be prescribed by a licensed provider based on medical necessity.
Medication works best with a plan around it.
In 2025, four leading nutrition and obesity medicine organisations published joint guidance for people taking GLP-1 medication. Their recommendations are the backbone of how we coach.
In a randomised trial, adding exercise to GLP-1 treatment roughly doubled the fall in body-fat percentage, and only the exercise groups gained lean mass.
S-LiTE, NEJM 2021 ↗What happens if I stop my GLP-1?
For many people, weight returns. A year after stopping semaglutide, trial participants had regained about two-thirds of what they'd lost. In everyday practice, stopping is common: in a Cleveland Clinic study of 7,881 adults, more than one in five stopped within three months and about half within a year, often because of cost or side effects. The habits you build while you're on the medication are what carry you when the dose changes or ends.
We plan for the off-ramp from the first week, so stopping, if you and your physician decide to, doesn't mean starting over.
Results vary. Clinical trial results apply only to the FDA-approved branded medication specifically identified and do not apply to compounded medications. All medications must be prescribed by a licensed provider based on medical necessity.
Everything around
the prescription.
Eating when you aren't hungry
Simple, protein-first meals you can manage on a small appetite, so energy holds and muscle is protected.
Strength, scheduled
A training plan built around your treatment, in the studio on the ARX or at home online.
Proof, not guesses
Regular body-composition scans (in studio) or tracked measures (online) that show fat and muscle separately.
Plateaus, solved together
When progress stalls, we look at training, recovery, and nutrition together and adjust, instead of guessing.
Sleep and recovery
The two things most likely to undo good training. Coached properly.
The off-ramp
Habits that hold if your dose changes or the medication stops.
Already prescribed somewhere else?
You can still coach with us. Many clients keep their own physician and add Flourish coaching for the training, nutrition, and tracking. Your prescriber stays in charge of your medication; we work alongside the plan they set.
Start coachingOnline, or in the studio.
Online
In studio
On GLP-1 and coaching.
That's exactly the gap this closes. Coaching focuses on the nutrition, training, and sleep habits that outlast any prescription. I don't manage the medication itself. That stays with your physician.
Start where you are.
Whether you're new to GLP-1 medication, already on it, or coming off it, a free consult sets the plan.