How Ozempic/Wegovy Impact Lean Mass and Worsen Knee Pain

How Ozempic/Wegovy Impact Lean Mass and Worsen Knee Pain

September 06, 20244 min read

Tired of feeling like you're losing more than just weight?

Discover how Ozempic and Wegovy can impact your lean muscle mass. In this episode, I'll share expert tips on maintaining muscle while shedding pounds, so you can achieve a healthy weight loss journey.

Don't let your weight loss journey become a muscle-wasting disaster. Dive in now to learn how to protect your progress!

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Episode Video


How GLP-1 Agonists Affect Lean Mass and Fat Loss

GLP-1 agonists, such as Ozempic and Wegovy, have been shown to help patients lose weight, which is often a primary goal for individuals taking these medications. However, a lesser-known and potentially concerning side effect is the loss of lean body mass. Lean mass includes muscles, bones, organs, and fluids – essentially everything that isn’t fat. Losing lean mass can lead to complications, as it plays a vital role in maintaining metabolic health and supporting overall bodily function.

Studies suggest that weight loss from GLP-1 agonists can result in a 40-60% reduction in lean body mass. This means that in a person aiming to lose 50 pounds, up to 25 pounds of that could be lean muscle mass, not fat. This raises concerns for long-term health, as losing lean mass can reduce strength, slow metabolism, and even lead to joint issues.

Importance of Preserving Lean Mass While Losing Fat

Preserving lean muscle mass while losing fat is essential for maintaining metabolic health and physical strength. Muscle tissue burns more calories at rest compared to fat, meaning the more muscle you have, the higher your metabolic rate. A reduction in lean mass could slow your metabolism, making it harder to maintain your weight loss in the long run.

When using GLP-1 agonists like Wegovy or Ozempic, it’s important to focus on methods to protect your lean muscle mass. The first step is incorporating resistance training into your routine. This helps counteract the catabolic (breakdown) state induced by weight loss and prevents the loss of muscle mass.


How to Maintain Lean Mass on Wegovy and Ozempic

If you are using a GLP-1 agonist, your goal should be to maintain your lean mass while focusing on fat loss. There are several strategies to achieve this balance:

  1. Resistance Training
    Engaging in moderate to heavy resistance training at least three times a week is critical. This type of exercise stimulates muscle growth and helps prevent the loss of lean muscle mass during weight loss.

  2. Gradual Titration of Medication
    Instead of opting for the highest dose of medications like Wegovy or Ozempic, consider working with your healthcare provider to gradually increase your dosage. This slower approach may help reduce the risk of losing too much lean mass while still promoting fat loss.

  3. Maintain a Balanced Diet
    Ensuring adequate protein intake is essential for muscle preservation. A diet that supports muscle health can complement your weight loss efforts and help maintain lean mass.


The Connection Between Muscle Loss and Knee Health

Losing lean mass doesn’t just affect metabolism, it can also impact your knee health. Muscles play a vital role in stabilizing and protecting your joints. When you lose muscle mass, you may experience increased joint pain or even develop conditions like osteoarthritis. Strong muscles act as a protective barrier for joints, reducing the risk of injury and degeneration.

For individuals using GLP-1 agonists, maintaining muscle mass is not only important for metabolic health but also for preventing joint issues. Regular strength training and a focus on muscle preservation can protect joints and reduce the likelihood of pain or injury, especially in physically demanding activities like running, walking, or playing sports like pickleball.


Final Thoughts

While the weight loss benefits of GLP-1 agonists like Wegovy and Ozempic are clear, it’s essential to approach this weight loss journey with caution. Rapid weight loss that leads to the reduction of lean mass can have long-term negative effects on your health, including metabolic slowdown, joint instability, and a decreased ability to maintain your weight loss. By incorporating resistance training, opting for a gradual increase in medication dosage, and focusing on a balanced diet, you can ensure that your weight loss efforts prioritize fat loss while preserving lean muscle mass. This approach will help you maintain a higher metabolic rate, protect your joints, and sustain your weight loss success in the long run.


Source:

https://dom-pubs.onlinelibrary.wiley.com/doi/10.1111/dom.15728?af=R#:~:text=There%20is%20heterogeneity%20in%20the,less%20of%20total%20weight%20lost


If you're ready to take control of your knee pain, click here to discover more about these five effective knee pain home treatments. With these simple steps, you can start your journey towards pain-free knees and a more active lifestyle.

Tammy Penhollow, DO, is an experienced pain management and regenerative medicine specialist practicing at Precision Regenerative Medicine, located in Scottsdale, Arizona. She is skilled in image-guided joint and spine injections and regenerative aesthetic procedures. 

Dr. Penhollow graduated from Kirksville College of Osteopathic Medicine (now known as AT Still University). She completed her transitional year internship at Sacred Heart Medical Center in Spokane, Washington, and began her US Navy career deployed to Kosovo as the solo physician for a 720 person US Naval Mobile Construction Battalion.
Following that, she completed a second General Medical Officer assignment for three years as an instructor for the Navy’s Independent Duty Corpsman school, where she taught physical diagnosis and medical diagnosis and treatment to the Navy’s advanced corpsmen who were assigned to forward deployed marine units, submarines and special forces units.

Dr. Tammy Penhollow

Tammy Penhollow, DO, is an experienced pain management and regenerative medicine specialist practicing at Precision Regenerative Medicine, located in Scottsdale, Arizona. She is skilled in image-guided joint and spine injections and regenerative aesthetic procedures. Dr. Penhollow graduated from Kirksville College of Osteopathic Medicine (now known as AT Still University). She completed her transitional year internship at Sacred Heart Medical Center in Spokane, Washington, and began her US Navy career deployed to Kosovo as the solo physician for a 720 person US Naval Mobile Construction Battalion. Following that, she completed a second General Medical Officer assignment for three years as an instructor for the Navy’s Independent Duty Corpsman school, where she taught physical diagnosis and medical diagnosis and treatment to the Navy’s advanced corpsmen who were assigned to forward deployed marine units, submarines and special forces units.

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