For women on Wegovy, Ozempic, Zepbound, and Mounjaro

The Medication Took Care Of Your Appetite. Nobody Took Care Of Your Nutrition.

A Registered Dietitian's 68-page manual for the half nobody prepared you for. What to eat, what to do about the nausea and the tiredness, and how to keep your strength while the weight comes off.

Nate Bladecki in a kitchen, with a blender, cut fruit, yogurt and milk on the counter.

Hi, I'm Nate.

I'm a Registered Dietitian. I have worked in hospitals, in community health, and with collegiate and professional athletes, and the thing all of it taught me is that the same symptom almost never has the same cause in two people.

These days, a lot of the people I work with are women who started one of these medications, watched it work, and then quietly started feeling worse in ways nobody had warned them about.

Almost every one of them was handed a prescription and nothing else. No plan for what to eat, nobody to ask when it got hard, and no idea that the food half was even their job now. That is not anyone behaving badly. It is just a gap, and it is the gap I built this to fill.

If that is where you are, there are two things I want to say before you read anything else.

You are not doing this wrong. And you are not the only one.

I THINK I KNOW WHAT YOUR WEEK LOOKS LIKE

Tell me how much of this sounds familiar.

You are not hungry. Not watching-what-I-eat not hungry. Actually, genuinely, nothing-sounds-good not hungry. You open the fridge, look at it, and close it again.

Some days you forget to eat until two in the afternoon, and then you are not sure whether to be pleased about that or worried about it.

The day after your shot is its own event. Queasy from the moment you wake up. The smell of somebody cooking is enough to put you off the whole idea.

Your stomach has opinions now. Either nothing moves for three days or everything does, and neither one is a thing you particularly want to discuss.

And you are tired. Not short-of-sleep tired. Tired at two in the afternoon after a full night, in a way that has quietly gone into the folder marked getting older.

Here is the part almost nobody says out loud.

You cannot really complain about any of it. The weight is coming off. It is working. Everybody can see that it is working. So when you say you feel worse, it comes out sounding ungrateful, and you end up saying you are fine.

So you are doing the hardest thing you have done in years, and you are doing it on your own.

And that is not a personal failing, it is just how this is set up. In one study of 69 people using these medications, only about half had been given any information on managing side effects, and only one in five had been referred to a dietitian. That same study measured what they were actually eating, and as a group they were not hitting the protein intake needed to support lean mass.

The medication got prescribed. The other half of it did not.

WHY IT IS HAPPENING

None of it is a mystery, and none of it is your fault. It is just math.

These medications work by cutting how much you eat. In the trials, energy intake fell by 16 to 39% compared with placebo.

Think about everything your body needs in a day. Protein, calcium, iron, vitamin D, all of it. All of that still has to get in.

The difference is that it now has to fit inside a quarter to a third less food. Same list. Much smaller plate to fit it on, on days when you want nothing at all.

Nothing on the list got smaller to match. Only the room to deliver it did.

Two columns of food volume side by side. The second is about a third shorter, marked 16 to 39% less in the trials. Below, a row of nutrients labelled the requirements did not change.

That is where the tiredness comes from.

And protein is almost always the first thing to go. Protein is heavy, filling food, and heavy filling food is the first thing to stop sounding good when your appetite drops.

There is a second line worth knowing. Below roughly 1,200 calories a day, getting enough vitamins and minerals stops being likely no matter how well you choose. A lot of women cross that line without ever counting.

The queasiness and the rest of it are the medication doing its job. They cluster at the start and at every dose increase, they usually settle once your dose is stable, and fewer than one in ten people in the trials stopped taking it because of them.

The nutrition half is the one that does not settle on its own.

THE LINE NOBODY QUOTES

There is a sentence in the 2025 clinical advisory on these medications that I wish came printed on the box.

It says increased protein on its own is likely not enough to preserve muscle without a structured resistance training program.

Read it twice. Protein is necessary. It is not sufficient.

Every ad in your feed is currently selling you the first half of that sentence. Shakes, bars, powders. All useful. None of it enough on its own.

And it runs the other way too. You cannot hold on to tissue you are not feeding.

There is a second reason to train, and it has nothing to do with muscle. It is your bones.

In one randomized trial, women who took the medication for a year and exercised preserved bone mineral density. The ones who took the medication without exercising lost some.

You need both. And here is the good news: neither one has to be extreme.

Protein and training shown as two overlapping circles. Each is labelled necessary on its own; the overlap is labelled sufficient.

SO HERE IS WHAT STOPS

Go back to that list at the top for a second, because I want to take it one line at a time. Not with a pep talk. With the one specific thing that answers it.

You are not hungry, and some days you forget to eat.
You stop waiting to feel like eating, because it is not coming back to remind you. You eat on a clock, you eat the protein first, and you have one number to hit rather than a vague sense that you should probably eat more.

The day after your shot is its own event.
It stops being a write-off. There are eight meals written out for exactly this, most needing no cooking at all. You pick three, and the ingredients are in the house before you need them. Shot day becomes a day you have already planned for while you felt fine.

Your stomach has opinions now.
Each of those opinions gets its own page. Nausea, constipation, diarrhea, reflux, bloating, being sick after meals. What is causing it, what to do about it with food today, and the point at which it stops being a food problem and becomes a phone call.

And you are tired.
You stop filing it under getting older. There are five things that cause this and they are worth ruling out in order, starting with the most common one, which is simply not eating enough. Two of the others are a blood test you can ask for by name.

And you cannot complain about any of it.
This one I cannot fix with a PDF, and I am not going to pretend otherwise. What I can do is give every one of these a name, a rate and a documented cause. So the next time you say you feel worse, you are not asking anyone to take your word for it.

You do not get a different body. You get to stop guessing.

THIRTY DAYS FROM NOW

Here is what I actually want for you, a month from today.

That is the whole point of it. Not to make the weight come off faster. Your medication is already handling that part.

AND WHAT IT COSTS TO WAIT

I want to be careful here, because this is the part of a sales page where people usually invent a reason to hurry. I am not going to do that. Nothing on this page expires and the price is not going up.

But there are two real things, and it would be dishonest to leave them out.

The first six months are the ones that matter most

Weight comes off fastest in the first six months on these medications, and how much lean mass goes with it tracks how fast it is leaving. Bone loss is associated with the large, rapid kind of weight loss too, and women are affected more than men.

So the window where protein and training make the most difference is the window most people spend working out whether they need them.

Four levers that determine how much lean mass is lost: the rate of loss, the depth of the calorie drop, protein intake, and resistance training. The last two are marked as hers.

And right now is the easiest this will ever be

This one is my observation rather than a study, so take it as that.

Your appetite is currently being held down by a drug. That is miserable in most ways, and it is genuinely the best conditions you will ever get for installing two habits. Nobody is fighting hunger to eat a planned breakfast. Nobody is talking themselves out of a twenty minute session because they are starving.

When your appetite comes back, and at some point it will, you get to build the same two habits against it instead of without it. Real-world numbers put adherence at roughly a third to a half of people still on these medications at one year, so that day is closer than most people plan for.

Starting the protein number and the three sessions today costs you one twenty minute afternoon. Starting them after your appetite comes back costs you a daily argument with yourself. That is the whole of the argument, and it is the only reason I would ever tell you not to wait.

SO THERE ARE TWO WAYS THIS GOES

Honestly, from here, only two.

Option A. Keep guessing.

  • Eat what you can, when you can, and hope the protein is roughly right
  • Read another article on a bad Tuesday that gives you a range, a caveat and a comments section
  • Treat shot day as a write-off and make it up later, which is the one thing that does not work
  • Find out in six months whether any of it mattered

Option B. Spend twenty minutes and stop guessing.

  • One protein number, worked out from your lean mass, that holds on your worst day rather than your best one
  • Eight low-effort meals for the days when nothing sounds good, most of them needing no cooking at all
  • A page for every symptom, so a bad day has an answer instead of a search bar
  • Three twenty-minute sessions a week. A chair, a wall and a set of bands
  • Decided once, so you are not working out what to eat again from scratch every single day

Both are legitimate, and plenty of people muddle through option A. The difference is not how hard you are trying. It is whether you are guessing.

WHAT'S INSIDE

Sixty-eight pages. It is not a reading assignment. It is a manual you open when something is wrong, find the thing that is wrong, and do what it says. Every part below is there because it answers something.

A page from the guide covering reflux and bloating: how common it is, what to do about it with food today, and when to call your prescriber.
A page for every symptom
A page from the guide listing the shot day meals with their protein amounts.
Shot Day meals
A page of recipes from the guide, each with the protein per serving and the time it takes.
Recipes, with the protein counted
A four week timeline. Week one, find your number and learn the movements. Week two, add two reps. Week three, go to three sets. Week four, slow the lowering and redo the test.
GET STILL STRONG →

$27, one time. 30-day money back guarantee.

WHAT HAPPENS IN THE NEXT TWENTY MINUTES

Not in thirty days. Today, in about the time it takes to drink a coffee.

That is the whole of the first week. Everything after it is just doing the thing.

WHY A DIETITIAN AND NOT A NUTRITIONIST

Worth thirty seconds, because your feed is full of both and they are not the same job.

"Nutritionist" is not a protected title. In most states anyone can use it tomorrow, with no training at all.

"Registered Dietitian" is protected. An accredited degree, a supervised clinical internship, a national credentialing exam, and continuing education to keep it. It is a licensed clinical qualification, and it can be checked.

That difference matters most when there is a medication in the picture, which there is.

None of which makes me your doctor. Your dose, your prescription and your labs belong to the person who wrote them. Food and training are mine.

WHAT THIS IS NOT

I am not against these medications. These drugs work better than almost anything we have ever had for this. If yours is working, that is good news and I am not going to complicate it.

It is not a weight loss plan. Your medication is handling that. Weight is a symptom, not the goal.

It is not a diet. There is no food in there you are forbidden. There is a protein number to protect and a set of things that help when you feel awful.

It is not medical advice. I am a dietitian. Food and training are mine. Your dose is between you and your prescriber, and there is not a single word in here telling you what to do with it.

WHY NOT JUST LOOK THIS UP FOR FREE?

Fair question, and I would rather answer it straight than pretend any of this is secret.

Every piece of it exists somewhere. The 2025 advisory is public. The protein research is public. There are thousands of free articles about eating on these medications and some of them are good.

Here is what none of them do.

They do not give you one number. They give you ranges, caveats, and a comments section arguing about grams per kilogram. You still have to work out what that means for you, on a Tuesday, when you feel awful.

They are written for people who can eat. Almost none of them account for an appetite that closes without warning, or for a day when two bites is enough.

Most of them are not written by a dietitian. They are written by people who read the same articles you did. When there is a medication involved, that gap matters, and you cannot tell from the outside which is which.

They tell you what to eat, not how to make it. A list of high-protein foods is not dinner. Nobody hands you the recipe, the protein count and the shopping list for the same meal.

They do not tell you what to do about your symptom today. They describe nausea. They do not say eat within an hour of waking, keep it cold, and here are the six things to have in the house, and here is the point where you stop managing it and call your prescriber.

And they are fragments. A protein article here, a workout video there, a thread about nausea somewhere else. None of them is holding your protein number, your shot day list, your symptom playbook and your three sessions in the same hand and making them fit together. Assembling that is the actual work, and it is the work you are paying me to have already done.

So here is one page of it. Not a description of a page. The page.

A protein reference chart. Chicken breast 35 grams, salmon 29, protein powder 24, cottage cheese 24, Greek yogurt 20, lentils 18, eggs 12, nut butter 7.

That is what the $27 buys. Sixty-eight pages of it, already worked out and already fitted to each other.

AND WHEN YOU COME OFF IT

This is the question I get more than any other, so let me answer it before you have to ask.

Stopping is not some far-off thing. Real-world numbers put adherence at roughly a third to a half of people still taking these medications at one year, and around 15% at two.

You have probably read that people regain about two-thirds of the weight within a year of stopping. That comes from the semaglutide trial extension and it is accurate.

Here is the part that gets left out of every article quoting it.

In that trial, the structured lifestyle support was withdrawn at the same time as the drug. Everything stopped at once. So what it actually measured is what happens when all of the support disappears, not what happens when the medication does.

Two rows. In the trial, the medication and the lifestyle support both stopped at the same moment. In the second row the medication stops and the nutrition and training continue, labelled as not tested in a controlled trial.

What happens when the nutrition and the training carry on? Nobody knows. It has not been tested in a controlled trial, and anyone telling you otherwise is going past the evidence.

So I am not going to promise you an outcome nobody has measured. What I will say is that if your protein number and your three sessions are habits by the time you taper, you are not starting from zero.

Because if it falls apart the moment you stop, it was never really a plan.

WHAT PEOPLE SAY ABOUT WORKING WITH ME

These are verified Google reviews of my coaching practice, not of this guide.

"He's very careful to look at the specifics of your body constitution including even your labs. He doesn't give into your whimpering or weakness, but pushes you in a direct and friendly way to keep going. He's honest and not afraid to tell you what you don't want to hear."

Jeff B.

"I can't even tell you how much less bloated I feel. I see a noticeable difference in my body even though the scale hasn't moved much. Not just bloat but also inflammation. My fingers are no longer swollen and my legs at the end of the day don't feel like tree trunks."

Theresa B.

"The results speak for themselves. Feeling better, moving better, living better. From one healthcare professional to another, highly recommend this to friends, family, patients of all."

Lorenzo D.
The Still Strong guide, a 68-page manual.

Still Strong

The 30-Day GLP-1 Nutrition Protocol

A 68-page manual from a Registered Dietitian. Instant download, yours to keep.

What you get:

  • Your Protein Number, and three ways to find it
  • Eight symptom playbooks, one for each thing going wrong
  • Shot Day: 8 low-effort meals, most with no cooking
  • The nutrient reference, and the foods highest in each
  • The 4-week meal plan and 32 recipes
  • The grocery list, buy-once and buy-weekly
  • The 20-Minute Strength Protocol, 3 sessions a week for 4 weeks
  • Filling the Gaps, plus my Fullscript dispensary protocol
  • What to Ask Your Prescriber

A single visit with a dietitian runs $100 to $200, and most insurance will not cover it for this. Today it's $27.

GET STILL STRONG →

Instant download. Works on your phone, tablet, or computer.

THE GUARANTEE

A thirty day money back guarantee seal.

Read the whole thing. Find your number. Try a week of it.

If it is not what you needed, email me at nate@1percentperformance.com and I will refund you in full. No questions and no hard feelings.

And I am not going to ask you to delete the file. If you paid for it and it did not help you, keeping it is the least I can do.

GET STILL STRONG →

Instant download. Works on your phone, tablet, or computer.

FAQ

Is it true that a quarter of the weight I lose is muscle?

No, and this is the one I most want to correct. That figure comes from a pooled analysis of 22 clinical trials, and it is real, but it measures lean mass, not muscle. Lean mass includes water, organs and other tissue, and a good chunk of what drops early is simply water. Modeling data cited in the 2025 clinical advisory puts muscle at roughly 10 to 15% of total weight lost in women, against 20 to 25% in men, and that is without any strength training at all. So no, you are not wasting away. Anyone telling you that is selling fear.

When do I get it?

Right away. The download link lands in your inbox within a couple of minutes of your order.

What format is it?

A single PDF, 68 pages. Everything is in one file so there is nothing to keep track of, and the contents page and the symptom index are both tappable, so you can jump straight to what you need. Reads fine on a phone.

Sixty-eight pages sounds like a lot to get through.

You are not meant to get through it. It is built as a reference, not a book. Two things to do on day one, and after that you open it when something is wrong and go straight to that page. Most people use about a third of it in the first month and come back for the rest when they need it.

Do I have to cook?

Less than you would think. The recipes are written for one person and most are under 20 minutes, several are assembly rather than cooking, and the shot day meals need no cooking at all. There is also a page of shortcuts I would take myself, including the ones most dietitians are too proud to admit to.

Do I need a gym or equipment?

No. A sturdy chair, a wall, and a set of resistance bands or two light dumbbells. You can start with none of that and add bands in week two. Every movement has an easier version, so there is no version of this you are too out of shape to start.

Is this a subscription?

No. One payment, and it is yours.

What if I am tapering off, or already stopped?

Most of it still applies, and the protein and strength sections apply even more. There is a part written specifically for the taper. The meal plan and shot day sections are written for people currently on the medication, so know that going in.

I am vegetarian. Will this work?

The meal plan is omnivore, and I want to be upfront about that rather than have you find out after. There is a section on hitting your number on plants, with a table of plant sources ranked by how much food you have to get through for the protein, which is the part that actually matters when your appetite is down. The principles all transfer, but you would be adapting the 28 days yourself.

I have kidney disease. Can I use this?

Please talk to your doctor first. Protein targets in that situation need to be set by your care team, not by a general guide. There is a section at the back of the PDF that covers this and a few other situations in more detail.

Who is this actually for?

Women currently on a GLP-1 who want to come out the other side with their strength intact. If you are looking for something to make the weight come off faster, this is not that. Your medication is already doing that job.

GET STILL STRONG →

$27, one time. 30-day money back guarantee.

P.S.

If you take nothing else from this page, take this.

The protein and the training are not two separate pieces of advice. The clinical guidance is explicit that protein on its own is likely not enough without resistance training, and most of what is being sold to women on these medications right now is only half of that.

You do not need my guide to act on it. You could go and do both starting tomorrow, on your own, and if you do, I will have done my job.

But if you would rather have the number, the meals, the recipes, a page for every symptom and the three sessions already worked out and already fitted together, that is what the $27 buys, and that is the entire pitch.

Either way, please do both.

Nate Bladecki, MPH, RD