Why plateaus happen
Adaptive thermogenesis, sarcopenia from inadequate protein, hormone shifts (low T, low estradiol, thyroid), poor sleep, GLP-1 receptor desensitisation, and stalled gastric emptying tolerance.
GLP-1 / Metabolic
GLP-1 weight loss plateau.
You lost 20 pounds and now nothing's moving. Plateaus on GLP-1s are predictable: muscle loss tanks metabolism, hormones drift, dose tolerance builds, sleep slips. The fix isn't pushing harder — it's getting smarter.
Serving Lowell, Fayetteville, Rogers, Bentonville, Springdale & Bella Vista — Northwest Arkansas
- Break the stall
- Protect muscle
- Better dose strategy
- Hormones aligned
- Sustainable loss
- Keep it off
How we break them
Protein audit (1g/lb lean mass), resistance training prescription, DEXA to confirm fat vs lean loss, dose strategy (titration, pulse, or switching molecule), hormone optimisation, sleep work, and metabolic labs.
FAQ
Frequently asked questions.
+Should I switch from semaglutide to tirzepatide?
Often yes, when plateaued. Tirzepatide's dual mechanism frequently restarts loss.
+Will I gain it back if I stop?
Without muscle, hormones and habits in place, yes. With them, much less likely.
Related services
Explore the rest of your plan.
Ready to feel like yourself again?
Book a one-on-one consultation with Dr. Tammy and get a personalized plan built around your labs, symptoms, and goals.
Questions? Give us a call.
Our staff would love to help you choose the service that's right for you.