GLP-1 Companion Coaching · GCC & Middle East · Online

On GLP-1? Health coaching to Keep the muscle & Keep the results.

The medication handles your appetite. What holds the weight off — muscle, protein, habits, and a plan for the day you stop — is still yours to build. That's the part I coach.

30 minutes. No commitment, no pitch.

  • ~60%of the weight is regained within a year of stopping
  • 25–40%of what you lose is lean mass, not fat
  • up to 65%stop the medication within a year of starting

Figures from published randomised trials, sourced in full further down this page.

The medication is working. That isn't the question.

Nothing on this page is an argument against the medication.

The problem is what the prescription doesn't include. A weekly injection changes your appetite. What it doesn't do:

  • Build the muscle that protects your metabolism
  • Organise what you eat when hunger disappears
  • Put anything in place for the day the dose comes down

What the evidence says

Three numbers that should shape the whole plan

~60%of the weight lost is regained within a year of stopping, across six randomised trials covering 3,236 people. Regain is projected to settle near 75%.
25–40%of the weight lost registered as lean mass in the body-composition substudies of the semaglutide and tirzepatide trials.
up to 65%of people discontinue their GLP-1 within a year of starting — most of them without a plan for what comes next.

Sources: meta-regression of six GLP-1 discontinuation trials · STEP-1 DXA substudy · SURMOUNT-1 substudy · weight maintenance after discontinuation, eClinicalMedicine

WHAT HAPPENS AFTER THE LAST DOSE Medication alone starting weight last dose a year later ~60% of the loss is back Nothing was built to hold it With the work done underneath starting weight last dose a year later Most of it holds The habits don't stop with the dose

Illustrative. The left panel follows the regain reported across the six discontinuation trials above; the right shows the shape when muscle and habits are already in place. Not any individual client's results.

Why this matters more than it sounds

Skipped protein on a suppressed appetite isn't a missed meal. It's muscle.

35% LEAN MASS

Lose the muscle along with the fat, and the body you're left with holds weight worse than the one you started with. Your metabolism is slower, your strength is lower, and the next regain lands on a weaker frame.

That's the thing worth preventing — and unlike almost everything else on this journey, it is genuinely preventable.

Midpoint of the 25–40% range reported in the STEP-1 and SURMOUNT-1 body-composition substudies.

Find your phase

Coaching that maps to the medication, not to a calendar

Your needs at week three on a starting dose are nothing like your needs at month nine, and nothing like the month your doctor starts talking about stepping down. Pick where you are.

The risk here is under-eating protein as your appetite disappears.

  • An eating structure for no appetite. Protein, hydration and food quality when you genuinely don't feel like eating anything.
  • Resistance training from week one. Not later, when the lean mass is already gone.
  • Side effects handled practically. Nausea, early satiety and the days when food is simply unappealing.
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Medication alone, and medication with the work done underneath

Same prescription. Different outcome, because of what was built around it.

THE WHOLE JOB OF KEEPING IT OFF Appetite The medication Muscle Yours to build Nutrition Yours to build The exit Yours to build In the prescription What GLP-1 Companion Coaching covers One of the four comes in the box.

Swipe the table sideways to see both columns.

 Medication aloneMedication + coaching
Fat lossSubstantial — this is what the medication does wellThe same loss, with a higher share of it coming from fat
Muscle25–40% of the loss was lean mass in trial substudiesResistance training and protein targets built to protect it
What gets measuredThe scaleBody composition — fat and lean mass tracked separately
Nutrition on no appetiteIntake halves; protein and micronutrients usually fall with itA structure that protects what matters when hunger is gone
Eating out and travelLeft to improvisePlanned for — business dinners, hotel weeks, Ramadan
Stepping downUsually no plan at allA written plan, prepared before the taper begins
After the last dose~60% of the loss regained within a year, on averageHabits and strength already running without the medication

It's the one part of this journey nobody else sells. A pharmacy's revenue is the refill. A clinic's revenue is the follow-up and the next pen. Neither has a reason to build you something designed to work without them.

Left column figures are trial averages for people receiving medication without a structured lifestyle programme. Individual results vary, and nothing here is a promise of a particular outcome.

What's included

GLP-1 Companion Coaching

Runs alongside the Metabolic Reset or the Extended Programme. One-to-one, fully online, across the GCC and the wider Middle East.

  • Weekly 30-minute one-to-one sessions. More frequent than standard coaching, because the medication changes things faster.
  • A plan to preserve muscle as the weight comes off. Resistance work built around your schedule, your equipment and your starting point.
  • Meeting your nutritional needs as appetite decreases. Protein, hydration and food quality when you simply don't feel like eating.
  • A customised plan throughout your journey, and especially one for when you decide to stop. Rebuilt as your dose, your appetite and your schedule change.
  • Body composition tracked, not just weight. A baseline scan, then follow-ups, so we're measuring the thing that actually matters.
  • Habits that outlast the prescription. The part that decides whether month fourteen looks like month four.
  • Continuous messaging for check-ins between sessions. For the Tuesday night in a hotel when nothing on the menu works.

30 minutes. No commitment, no pitch.

Your doctor's job, and mine

Two different roles, and the work goes better when both are clear.

Your prescriber

  • Whether the medication is appropriate for you
  • Prescribing, dose and titration
  • Diagnosis, bloodwork and monitoring
  • Side effects and clinical decisions
  • When and how you step down

Me

  • Protein and meal structure when appetite is suppressed
  • Resistance training that protects lean mass
  • Eating out, travel and Ramadan without losing the thread
  • Body composition tracked, not just the scale
  • The lifestyle plan around the taper your doctor decides

I can work alongside any instructions your doctor gives you. I never contradict them, and I never advise on the medication itself.

The three situations that undo the plan

Most GLP-1 advice online assumes you cook every meal and control your own calendar. That isn't what happens in real life or through a hectic work week.

The business dinner

Four hours, eight courses, and an appetite that switched off two hours ago. Declining food is a professional problem, not just a dietary one.

The travel week

Land at midnight, the lounge buffet is the only thing open, and the hotel gym is two treadmills. A week shouldn't cost you a month.

Ramadan

Fasting on a GLP-1 raises real questions — hydration, nausea, when the dose lands, and fitting your protein into two compressed meals. We plan for it rather than pausing.

Who you'd be working with

I've lived the schedule this has to fit into

Twenty-three years in commercial leadership across the Middle East, most of it travelling, most of it eating in restaurants. I know what this has to fit around because it's the life I've been living.

I hold a Level 5 Health Coach Diploma from the College of Naturopathic Medicine in the UK, attested by the KHDA. I work one-to-one and fully online, in English, Arabic and French, with clients across the Gulf and the wider region.

I'm not a doctor and I don't pretend otherwise. What I do is the part that sits between your prescription and your actual week.

Who this is for

A good fit if

  • You're on a GLP-1, or your doctor has raised it
  • You want to come off it eventually and keep the result
  • Your last check-up flagged HbA1c, cholesterol or blood pressure
  • You travel often and eat out often
  • You're disciplined everywhere else and quietly frustrated this hasn't responded

Not a fit if

  • You want the medication itself — I don't prescribe or supply it
  • You want a number on the scale by a specific date
  • You need medical nutrition therapy for a diagnosed condition — that's a clinical dietitian's job, and I'll say so
  • You aren't ready to commit for a few months
  • You want someone to agree with you rather than tell you the truth

Questions people ask first

What is GLP-1 companion coaching?

It's one-to-one coaching that runs alongside your medication, covering the parts a prescription doesn't: resistance training to protect lean mass, an eating structure that still gets protein in when appetite has gone, the habits that have to work without appetite suppression, and a written plan for the day you step down. Your doctor keeps the medication. I handle everything built around it.

Do I have to count calories or weigh my food?

No. Most people on a GLP-1 are eating too little rather than too much, so counting is usually the wrong tool. We work with structure instead — what a meal needs to contain, and how to hit that when you're in a restaurant or an airport. If you already track and it works for you, we can keep it.

Do you prescribe or supply GLP-1 medication?

No. I don't prescribe, supply, source or advise on medication, and I can't help you obtain it. Prescribing, dosing and every clinical decision stay with your licensed doctor. What I do is the training, nutrition and habit work that sits alongside it.

My doctor prescribed through a clinic. Can I still work with you?

Yes, and that's the usual arrangement. You keep your prescriber. I work alongside whatever they've put in place and I'll follow any instructions they give you.

What actually happens when I stop the medication?

Across six randomised trials, people regained about 60% of what they'd lost within a year of stopping, with regain projected to settle near 75%. That's the average for people with nothing in place. The variable you control is what you built while you were on it — the muscle you kept and the habits that run without the appetite suppression.

How do I avoid losing muscle on Mounjaro or Ozempic?

Two things, consistently. Resistance training two or three times a week, progressed properly rather than repeated at the same weight. And enough protein, which is harder than it sounds when appetite has halved — most people need to structure it deliberately rather than wait to feel hungry. Both start from day one, not after the weight has already gone.

I have type 2 diabetes. Does that change things?

A large share of GLP-1 users in the Gulf came to it through a type 2 diagnosis rather than weight alone. I work with metabolic health and that context shapes the plan. But medical nutrition therapy for a diagnosed condition belongs to a clinical dietitian working with your doctor, and I'll tell you when that's what you need.

Do I need a gym?

No. The training is built around what you have — a gym, a few dumbbells at home, or a hotel room with nothing in it. What matters is that it progresses.

How often will we speak, and can I reach you in between?

A 30-minute one-to-one session every week, which is more frequent than my standard coaching because things move faster on medication. Between sessions you can message me — that's there for the Tuesday night when nothing on the menu works, not just for emergencies.

Can I do this during Ramadan?

Yes, and it's one of the more useful times to have support. Fasting while on a GLP-1 raises real questions about hydration, nausea, when the dose lands relative to the fast, and getting enough protein into two meals. We plan for it rather than pausing.

What if I'm too nauseous to train?

It happens, particularly in the first days after a dose increase. The programme is built around that rather than ignoring it — lighter sessions placed where you tend to feel best in the week, and a floor to hold on the bad days rather than nothing at all.

What does it cost?

GLP-1 Companion Coaching runs alongside the Metabolic Reset or the Extended Programme, so the investment depends on which you're starting from and how long you need. We settle both on the discovery call, once I understand where you are in the medication journey. There's no charge for that call and no obligation after it.

Do you work with people outside the Middle East?

Yes. Everything is one-to-one and online, so where you live isn't a constraint. Most of my clients are across the GCC and the wider Middle East and North Africa, but I work with people further afield too, and sessions are scheduled around your time zone.

What happens when the medication stops is decided long before you stop it.

The plan that holds your result is built while the medication is still working, not after it stops. Start with a conversation, and we'll work out whether this is the right fit.

30 minutes. No commitment, no pitch.

Not ready to book? Start here

The GLP-1 Companion

What's actually inside the weight you lose, the three pillars that protect your results — protein, resistance training and the habits that hold once you stop — and the one change that does most of the work. A four-minute read.

Not ready to book? Start here
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The GLP Companion

Four pages from The Executive Metabolic Series. What's actually inside the weight you lose, the three pillars that protect your results — protein, resistance, and the habits that hold once you stop — and the one change that does most of the work. A four-minute read, sent straight to your inbox.

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