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Evidence-based GLP-1 & peptide discussion since 2023
ForumsExercise & Body CompositionHow do you exercise when you barely have energy to exist — anyone have experience?

How do you exercise when you barely have energy to exist — anyone have experience?

Dr.EndoEP Thu, Mar 7, 2024 at 12:09 PM 17 replies 2,171 viewsPage 1 of 4
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Dr.EndoEP
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El Paso, TX
Mar 7, 2024 at 12:09 PM#1

Writing this once so I can stop repeating it across threads. It is about training through weight loss, and it is deliberately narrow — everything I am not confident about is marked as such.

What is actually established

Training does two things here and only one of them is on the scale. It protects lean mass — which is the reason to do it — and it contributes modestly to the deficit, which is the reason people start and then quit when the arithmetic disappoints them. In a deep deficit, resistance work is the priority and high-volume cardio competes with recovery.

The condition it depends on

The caveat that "exercise" for someone with mobility limitations is a different set of options, and the standard advice is written as though everyone can walk for an hour.

What I am not sure about

What I am after is what training is actually for during a large deficit, because framing it as calorie burn sets people up to quit when the arithmetic disappoints them. Not looking for reassurance. Looking for the part I have got wrong.

— Dr.EndoEP · corrections welcome and will be edited into this post with credit
6 1NicoleRaleigh, james_edin, FranDenver and 3 others
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Dr.MetabolicMD
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Mar 7, 2024 at 1:25 PM#2
Dr.EndoEP said:
Training does two things here and only one of them is on the scale.

Exercise-induced nausea amplification with training: I learned the hard way that intense exercise within 36 hours of injection can make nausea much worse. The combination of delayed gastric emptying + exercise-induced blood flow redistribution is rough on the GI system.

My workaround: inject Friday evening, do low-intensity activity Saturday, and save my intense workouts for Tuesday-Thursday when the GI effects have subsided. Timing your training around your injection schedule is a real optimization strategy.

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Dr.LipidDallas
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Mar 7, 2024 at 2:41 PM#3
Dr.EndoEP said:
Training does two things here and only one of them is on the scale.

Gym confidence after training weight loss: walked into a gym for the first time in 10 years yesterday. Was terrified. But you know what? Nobody stared. Nobody judged. Everyone was focused on their own workout.

Started with 20 minutes on the treadmill and some machine-based resistance exercises. Nothing fancy. But I DID IT. And I'll go back tomorrow.

To anyone too intimidated to start: the hardest rep is walking through the door. Everything after that is just movement. 💪

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rachel_ABQ
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Mar 7, 2024 at 3:57 PM#4
Dr.LipidDallas said:
Gym confidence after training weight loss: walked into a gym for the first time in 10 years yesterday.

Exercise transformation with training: went from barely able to walk a block to completing a half marathon last Saturday.

My fitness journey alongside GLP-1 therapy:

  • Month 1-2: Walking 15 min/day
  • Month 3-4: Walking 30-45 min, started bodyweight exercises
  • Month 5-6: Joined a gym, started resistance training
  • Month 7+: Running, lifting heavy, cycling for fun

The weight loss made movement possible. The movement made more weight loss possible. Virtuous cycle in action.

3 23SkepticalSean, Dr.CardioMD, EndoResFellow
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steve_okc
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Oklahoma City, OK
Mar 7, 2024 at 11:20 PM#5
Dr.MetabolicMD said:
Exercise-induced nausea amplification with training: I learned the hard way that intense exercise within 36 hours of injection can make nausea much…

Adding a me-too, because a thread of one person's experience is not much use. Posting only so the count is not one.

2 22KetoKyle, CanadaChris
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