Yoga and GLP-1 — need advice

Dr.PeteFamMed said:

There is also a quality change that the scan cannot see.

I read this differently from Dr.PeteFamMed, on substance rather than tone. I think this board over-worries about lean mass. Some lean loss is obligatory — you need less muscle to move a smaller body, and preserving mass you no longer need is not a health outcome. The question is whether strength and function held, and mine did.

zoe_NC said:

I lifted three times a week throughout and still lost lean mass.

OMG yes. lean mass + resistance training is the combo. Can confirm.

BariatricNurseD said:

I think this board over-worries about lean mass.

My endo's protocol for lean mass plateau: if weight loss stalls for 6+ weeks at current dose, we go through this checklist before titrating up:

1. Food diary review — is intake creeping up?
2. Protein check — minimum 100g/day
3. Activity audit — steps + resistance training
4. Sleep quality — poor sleep kills GLP-1 efficacy
5. Stress/cortisol management

Only after addressing all of these do we increase the dose. Often fixing one lifestyle factor restarts progress without needing more medication.

Following on from Dr.PathRoch — and this may be the naive question:

Whether resistance training and protein change the ratio or only the absolute amount?

Reporting back.

Follow-up: I dropped the cardio to two easy sessions and put the effort into three real lifting sessions. The scale slowed and the scan improved.