{"id":8239,"date":"2026-08-14T23:31:48","date_gmt":"2026-08-15T06:31:48","guid":{"rendered":"https:\/\/wrwofficial.com\/index.php\/2026\/08\/14\/how-to-coach-glp-1-clients-7-types-to-know\/"},"modified":"2026-08-14T23:31:49","modified_gmt":"2026-08-15T06:31:49","slug":"how-to-coach-glp-1-clients-7-types-to-know","status":"publish","type":"post","link":"https:\/\/wrwofficial.com\/index.php\/2026\/08\/14\/how-to-coach-glp-1-clients-7-types-to-know\/","title":{"rendered":"How to Coach GLP-1 Clients: 7 Types to Know"},"content":{"rendered":"<p><\/p>\n<div>\n<p class=\"reviewer\">Reviewed by <a href=\"https:\/\/www.precisionnutrition.com\/author\/brian-st-pierre\" target=\"_blank\" rel=\"noopener\">Brian St. Pierre, MS, RD<\/a><\/p>\n<hr class=\"top\"\/>\n<h2>\u201cIs this drug going to steal my job?\u201d<\/h2>\n<p>That\u2019s the thought many health and fitness coaches had when GLP-1 medications first hit the mass market.<\/p>\n<p>Though semaglutide (Ozempic) became available in 2017, it initially felt like a <em>theoretical<\/em> threat. Prescription rates were still very low; it seemed like no one actually knew anyone who was taking it.<\/p>\n<p><strong>Now, in 2026, over 1 in 10 US adults are taking a GLP-1 medication.<\/strong> Most of us know someone on it (or we\u2019re on it ourselves).<\/p>\n<p>With wider use, opinions towards the medication have softened too. Most coaches no longer see it as a threat, and rather appreciate it as a valuable tool for certain clients, with coaching as an additive complement.<\/p>\n<p>Many still have concerns though, primarily about their clients\u2019 long term health on the medication. (Among the worries: Loss of muscle mass! Using a \u201cband-aid\u201d solution! Bypassing foundational health habits! And more!)<\/p>\n<p>However, whether you count yourself as a GLP-1 supporter or a GLP-1 skeptic, there\u2019s a framing that might change the way you think about your work in this field:<\/p>\n<h3>\u201cAs a coach, you\u2019re not in the GLP-1 world; you\u2019re in the GLP-1 <em>support<\/em> world.\u201d<\/h3>\n<p>That quote comes from Kate Solovieva, Super Coach and PN\u2019s Director of Community. She says that <strong>coaches need to recognize that their market isn\u2019t \u201cpeople on GLP-1s,\u201d but rather \u201cpeople on GLP-1s who <em>want<\/em> support.\u201d<\/strong><\/p>\n<p>Trying to coach everyone taking a GLP-1 just isn\u2019t possible. And spending time thinking about all the people using GLP-1s \u201cthe wrong way\u201d is, bluntly, wasted energy. Some of those people just don\u2019t want, need, or aren\u2019t ready for your help.<\/p>\n<p>Meanwhile, there <em>is<\/em> a subgroup of people on GLP-1s who are <em>ready, willing, and able<\/em> to receive your support. Honing in on this group is where you can actually make a difference (and where your business can thrive).<\/p>\n<p>In the following article, we\u2019ll cover seven different GLP-1 client \u201ctypes,\u201d each with their own level of coaching readiness. Based on our experience coaching over 175,000 clients (of which an increasing number are on GLP-1s), we\u2019ll offer strategies to deal with each.<\/p>\n<p>Let\u2019s get into it.<\/p>\n<h2>The 7 types of GLP-1 clients<\/h2>\n<p>Before we begin, a reminder: <strong>People change, and readiness isn\u2019t fixed.<\/strong><\/p>\n<p>A person who starts off saying \u201cI\u2019m doing fine on my own\u201d may eventually morph into \u201cI\u2019m flailing and really need someone else in my corner\u201d\u2014and vice versa.<\/p>\n<p>If the person in front of you fits into a certain type, that\u2019s their type <em>right now.<\/em> So listen carefully to how your client speaks at every session, and respond dynamically.<\/p>\n<p>In general, Coach Kate says someone is usually ready for coaching when they demonstrate two things:<\/p>\n<ul class=\"pn-list__spaced\">\n<li><strong>Their issue feels important, urgent, or distressing:<\/strong> Taking better care of their health feels especially valuable right now. (\u201cThis really matters to me.\u201d)<\/li>\n<li><strong>They feel they have the capacity to devote some resources to the issue:<\/strong> Be it time, money, or both, they\u2019re ready to accept some kind of cost. (\u201cI have space to deal with this.\u201d)<\/li>\n<\/ul>\n<p>Keep that in the back of your mind as you interact with client prospects, and as you read about the client types, which we\u2019ve summarized in the below table.<\/p>\n<table style=\"table-layout: fixed; width: 100%;\">\n<thead>\n<tr>\n<th style=\"width: 30%;\">Client Type<\/th>\n<th style=\"width: 20%;\">Readiness Level<\/th>\n<th style=\"width: 50%;\">Coaching Move<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td><a href=\"#client-type-1-the-honeymooner\">The Honeymooner<\/a><\/td>\n<td>Very Low<\/td>\n<td rowspan=\"2\">Build rapport and encourage reflection, while also respecting their choice to <em>not<\/em> pursue coaching if they\u2019re not ready yet.<\/td>\n<\/tr>\n<tr>\n<td><a href=\"#client-type-2-the-ambivalent-candidate\">The Ambivalent Candidate<\/a><\/td>\n<td>Low-to-moderate<\/td>\n<\/tr>\n<tr>\n<td><a href=\"#client-type-3-the-ready-to-quitter\">The Ready-to-Quitter<\/a><\/td>\n<td>Moderate<\/td>\n<td rowspan=\"3\">Bring awareness to opportunities and risks\u2014specifically, that strategic nutrition and training can make medication more tolerable <em>and<\/em> safer long term.<\/td>\n<\/tr>\n<tr>\n<td><a href=\"#client-type-4-the-muscle-loss-risk\">The Muscle-Loss Risk<\/a><\/td>\n<td>Moderate<\/td>\n<\/tr>\n<tr>\n<td><a href=\"#client-type-5-the-under-fueler\">The Under-Fueler<\/a><\/td>\n<td>Moderate-to-High<\/td>\n<\/tr>\n<tr>\n<td><a href=\"#client-type-6-the-graduate\">The Graduate<\/a><\/td>\n<td>High<\/td>\n<td rowspan=\"2\">Discontinuing medication can make clients feel vulnerable, knowing the risk of regain is high. Temper expectations and work on maintaining <em>habits<\/em>\u2014which is the best bet to sustain results.<\/td>\n<\/tr>\n<tr>\n<td><a href=\"#client-type-7-the-priced-out\">The Priced-Out<\/a><\/td>\n<td>High<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>Now, on to our GLP-1 client types.<\/p>\n<h3 id=\"client-type-1-the-honeymooner\">Client Type #1: The Honeymooner<\/h3>\n<p><strong>This is the person who\u2019s started a GLP-1 medication\u2014and they love it.<\/strong><\/p>\n<p>They\u2019ve experienced minimal side effects, and have gotten great results on a relatively low dose.<\/p>\n<p>They haven\u2019t changed much about their exercise habits or their diet (except the eating less part, which the medication has taken care of), but they\u2019re seeing what they want to see on the scale, so they don\u2019t feel motivated to change anything.<\/p>\n<h4>Coaching move:<\/h4>\n<p>It might be tempting to \u201clure\u201d this kind of client in by warning them of the dangers of using a GLP-1 medication without adding in long-term health behaviors (like resistance training and strategic nutrition), but this type of approach can backfire.<\/p>\n<p>At best, you may sound like a downer. At worst, you may sound like an active antagonist.<\/p>\n<p>In Motivational Interviewing, a communication approach commonly used in coaching, this is called the \u201c<strong>righting reflex.<\/strong>\u201d It\u2019s the urge that coaches, counselors, and therapists often have to help or \u201ccorrect course\u201d for their client. You see them doing something \u201cwrong,\u201d and you want to help them \u201cfix\u201d it.<\/p>\n<p>However, following this instinct may actually <em>strengthen<\/em> a client\u2019s defenses, and <em>prevent<\/em> change.<\/p>\n<p><strong>If a person is flying high on their current approach, their readiness for coaching is extremely low.<\/strong><\/p>\n<p>As Coach Kate says, \u201cthey\u2019re just not my person yet.\u201d<\/p>\n<p>Your best move with this type is to genuinely celebrate their current results, then plant the seed for support should they need it in the future.<\/p>\n<p>For example, you could say: \u201cIt must feel so good to see all these positive results! If you ever feel like you want to work on another layer, like resistance training or optimizing your nutrition, I\u2019d love to work together.\u201d<\/p>\n<p>Then, just stay available. (\u201cMy door is always open!\u201d)<\/p>\n<h3 id=\"client-type-2-the-ambivalent-candidate\">Client Type #2: The Ambivalent Candidate<\/h3>\n<p><strong>This is the person who hasn\u2019t started a GLP-1 medication\u2014and might never, despite being a great candidate for one.<\/strong><\/p>\n<p>Maybe their doctor has already suggested the medication to them <em>and<\/em> they\u2019ve read everything they can on the topic.<\/p>\n<p>And yet, they\u2019re frozen with fear at the starting line. They\u2019re afraid of side effects, of being on medication for life, of not holding up their end of the bargain. (\u201cI\u2019ve been trying to start strength training for years. If I take this medication it matters even more\u2026 What if I still can\u2019t do it?\u201d)<\/p>\n<p>Toni Bauer, Super Coach and PN\u2019s Director of Coaching and Education Operations also says that, in some cases, a client\u2019s hesitation <em>isn\u2019t<\/em> about side effects. <strong>\u201cSome of our clients wonder, <em>\u2018<\/em>Am I a good person or a bad person if I start taking a GLP-1 medication? Am I weak? Am I giving up?\u2019\u201d<\/strong> Coach Toni says these concerns aren\u2019t unique to GLP-1 medications, but they seem to be especially common.<\/p>\n<p>She reasons, \u201cIf you have high cholesterol, are you weak for taking cholesterol medication? No. But often people don\u2019t view obesity as a disease at a societal level, so the conversation is different here.\u201d<\/p>\n<p>Regardless of the root cause of this person\u2019s hesitation, the advice below can help them find clarity.<\/p>\n<h4>Coaching move:<\/h4>\n<p>First, let\u2019s be clear:<strong> Deciding whether or not to take a medication <em>isn\u2019t<\/em> a coaching decision, and falls out of your scope of practice.<\/strong> That choice is ultimately up to your client and a medical provider who can assess whether a GLP-1 is appropriate given their medical history.<\/p>\n<p>That said, clients may still come to you wanting to discuss their options.<\/p>\n<p>So the question becomes: How do you support someone through a decision you can\u2019t make for them?<\/p>\n<p>Coach Toni advises: \u201cYou can share facts and data. For example, study results and what you\u2019ve seen with other clients. But you can\u2019t say, \u2018For you, this is the right choice.\u2019\u201d<\/p>\n<p>Instead, <strong>the biggest coaching opportunity here is to help clients articulate what\u2019s actually <em>driving<\/em> their hesitation.<\/strong><\/p>\n<p>This hesitation about whether to do something different or stay the same is called <strong>ambivalence<\/strong>, and it\u2019s a normal (albeit uncomfortable) stage of change.<\/p>\n<p>Problem is, without the right tools, a person can stay stuck in ambivalence for months or even years. And, much like being stuck at an airport in between two destinations, it sucks.<\/p>\n<p>But at PN, we have a cool exercise to deal with client ambivalence. It\u2019s called the 4 Crazy Questions. Essentially, you explore:<\/p>\n<ul>\n<li>What\u2019s GOOD about changing?<\/li>\n<li>What\u2019s BAD about changing?<\/li>\n<li>What\u2019s GOOD about NOT changing?<\/li>\n<li>What\u2019s BAD about NOT changing?<\/li>\n<\/ul>\n<p>In this context, the questions can help a client explore the risk of <em>starting<\/em> a GLP-1 (which they\u2019ve probably already voiced), but also the risk of <em>not<\/em> starting, which they may not have considered yet.<\/p>\n<p>Our <a href=\"https:\/\/www.precisionnutrition.com\/wp-content\/uploads\/2019\/09\/4-Crazy-Questions-Worksheet-FF-1.pdf\">4 Crazy Questions worksheet<\/a> can encourage clients to explore the pros and cons of <em>both<\/em> choices. With these considerations laid out explicitly, most people feel a lot more clear about their next steps\u2014or at least what questions they need to ask their medical provider before they can move forward.<\/p>\n<p><strong>Importantly, this exercise doesn\u2019t have a \u201cright\u201d outcome.<\/strong> Some people work through it and fill the prescription. Others decide the medication isn\u2019t for them, and that\u2019s fine. (It\u2019s also worth reminding clients that starting isn\u2019t necessarily permanent: With their provider\u2019s input, a trial run on the medication is a perfectly valid way in.)<\/p>\n<p>Either way, there are opportunities to support your client. As Coach Toni puts it: \u201cWhether you go \u2018natural\u2019 or whether you go GLP-1, the foundational habits are essentially the same.\u201d<\/p>\n<h3 id=\"client-type-3-the-ready-to-quitter\">Client Type #3: The Ready-to-Quitter<\/h3>\n<p><strong>This is the person who started a GLP-1 with lots of optimism\u2014and now feels like they have a plague that won\u2019t end.<\/strong><\/p>\n<p>In a cruel twist, this person might actually be seeing great fat loss results. And yet, they\u2019re nauseated, exhausted, dreading their next dose, and wondering whether it\u2019s worth continuing this medication.<\/p>\n<p>Adding to their sense of defeat, they may also be comparing themselves to a \u201cHoneymooner\u201d in their life, so they might also be wondering if there\u2019s something wrong with them. (\u201cIt worked so well for my friend! I must be broken in some way.\u201d)<\/p>\n<h4>Coaching move:<\/h4>\n<p>First, offer some neutral education to depersonalize their experience.<\/p>\n<p>Namely, they should know that side effects are extremely common: About half of users report nausea, a third report diarrhea, and a fifth report vomiting.<sup>1<\/sup> So, what this person thinks is exceptional might actually just be a normal adjustment. (This doesn\u2019t make the experience suck less, but it can give them some hope.)<\/p>\n<p>Also, <strong>getting GLP-1s right is a process of trial and error: the right medication, the right dose, <em>and<\/em> the right nutritional strategies to reduce symptoms.<\/strong><\/p>\n<p>If their symptoms are severe, get them to loop in their doctor. Medication type and dosing is under the purview of a medical professional, so involving them is essential.<\/p>\n<p>After that, your best coaching move is to suggest an experiment.<\/p>\n<p><strong>\u25b6 Ask about dose.<\/strong> To be clear, you\u2019re <em>asking<\/em> about it, not <em>adjusting<\/em> it. Says Coach Toni: \u201cOften, when people are experiencing extreme side effects, they\u2019ve ratcheted up their dose too quickly. Sometimes the easiest way to keep somebody on a GLP-1 who\u2019s experiencing high side effects is to lower their dosage.\u201d Coach Toni makes clear that while dosage isn\u2019t a coach\u2019s domain, you <em>can<\/em> help draw a client\u2019s attention to it.<\/p>\n<p><strong>\u25b6 Start a food journal.<\/strong> It doesn\u2019t need to be every day\u2014just around the meals that precede the worst symptoms. You\u2019re looking for three things:<\/p>\n<ul class=\"pn-list__spaced\">\n<li><strong>Fat content:<\/strong> GLP-1 medications slow down digestion. This is what contributes to its satiety effects, but also its side effects at the beginning. Fats also slow down digestion, so high-fat foods and meals (oils, nuts and seeds, and fried foods) can compound symptoms.<\/li>\n<li><strong>Volume:<\/strong> Again, due to the slowing of digestion, a large meal can feel extremely uncomfortable to digest. A portion that felt normal a month ago may now be far too much at once.<\/li>\n<li><strong>Random triggers:<\/strong> Spicy foods, tomatoes, chocolate, caffeine. All kinds of foods may trigger symptoms like nausea, acid reflux, or diarrhea in a client who used to tolerate them. These foods won\u2019t always be obvious GLP-1 symptom triggers, so the best way to hunt them down is via a food log.<\/li>\n<\/ul>\n<p><strong>\u25b6 Try smaller portions, eaten more often.<\/strong> Coach Toni says if you only try one thing, this one is the most reliable strategy. GLP-1 clients may be tempted to cut meals when symptoms are high, but this increases the likelihood of undereating and nutrient deficiencies. The goal, in her words: \u201cCan we get small enough, frequent enough meals that we get nutrients in, but they never feel overwhelmed or super full?\u201d<\/p>\n<p><strong>To stay within your scope of practice, language matters.<\/strong><\/p>\n<p>Don\u2019t say: <em>\u201c<\/em>You\u2019re nauseous, so you should eat smaller meals.\u201d<\/p>\n<p>Instead, say: \u201cFolks who are nauseous sometimes do better with smaller, more frequent meals. Want to try it this week and see what you notice?\u201d<\/p>\n<p>In the first example, you\u2019ve offered a \u201cprescription\u201d (which coaches can\u2019t legally do). In the second example, you\u2019ve offered an experiment to consider.<\/p>\n<div class=\"callout_box\">\n<h4>Red flags: When to loop in a medical practitioner<\/h4>\n<p>Side effects (such as nausea, vomiting, constipation, and\/or diarrhea) are extremely common among GLP-1 users, and typically last one to two weeks after initiating the medication. Some symptoms can last longer (particularly constipation), but most are mild to moderate, and usually improve within a few weeks.<\/p>\n<p>Symptoms can also return each time a dosage is increased, though they\u2019re usually milder and more short-lived. These too tend to improve after the first week or so.<\/p>\n<p>However, you should strongly encourage a client to reach out promptly to their medical provider if they notice:<\/p>\n<ul class=\"pn-list__spaced\">\n<li>Severe or persistent abdominal pain\u2014especially upper-belly pain that radiates to the back, or comes with vomiting or fever<\/li>\n<li>Right-upper-abdomen pain, fever, or yellowing of the skin\/eyes (jaundice)<\/li>\n<li>Vomiting that keeps them from holding fluids down for 24+ hours<\/li>\n<li>Dizziness, fainting, or confusion<\/li>\n<li>Rapid, uncontrolled weight loss or an inability to accomplish basic daily functions<\/li>\n<\/ul>\n<p><strong>Reassure your client they\u2019re not being dramatic by reporting these symptoms.<\/strong> Their medical team needs to hear this kind of information to help them get the best results, while preserving overall health.<\/p>\n<p><strong>Also: Your client will get better care if they show up prepared.<\/strong> So, get them to jot down and bring:<\/p>\n<ul class=\"pn-list__spaced\">\n<li>Symptoms they\u2019ve noticed and roughly when they started<\/li>\n<li>How daily life is affected\u2014eating, energy, mood, workouts<\/li>\n<li>What they\u2019ve already tried, and what helped (if anything)<\/li>\n<li>Rough daily intake and protein, if they\u2019ve been tracking<\/li>\n<li>Specific questions they want answered before they leave<\/li>\n<\/ul>\n<\/div>\n<h3 id=\"client-type-4-the-muscle-loss-risk\">Client Type #4: The Muscle-Loss Risk<\/h3>\n<p><strong>This is the person whose results <em>look<\/em> great, but less visible changes are creating longer term risks.<\/strong><\/p>\n<p>This person is likely to be quite sedentary, and when you ask what they do for exercise, they might tell you \u201cI walk.\u201d But they\u2019re not the outlier type who consistently gets 20,000 steps a day. They just\u2026 walk a little.<\/p>\n<p>Women are more likely to fall into this category, especially if they come from a generation or culture where strength training simply wasn\u2019t a thing women did (or were welcomed to do).<\/p>\n<p>Additionally, this person might be running on a decades-long plain-toast-and-coffee breakfast habit, with lower protein intake already ingrained before medication further reduced appetite.<\/p>\n<p><strong>The scale is dropping though, so they\u2019re thrilled. It\u2019s just that nobody\u2019s measuring what <em>kind<\/em> of weight is dropping.<\/strong><\/p>\n<h4>Coaching move:<\/h4>\n<p>Your job is to bring awareness to the invisible. Because once this person sees what\u2019s at stake, they\u2019ll be more likely to see the value in changing their habits, and in coaching.<\/p>\n<p>However, theoretical warnings about muscle loss are easy to dismiss.<\/p>\n<p>This is one of the reasons why Coach Kate says, <strong>\u201cI don\u2019t care if I coach you or not\u2014please just get a DEXA as a baseline.\u201d<\/strong><\/p>\n<p>When a person has a quantifiable, objective measure of their muscle composition, it\u2019s often more motivating than any amount of abstract concern.<\/p>\n<p>Ideally, every person who begins a GLP-1 medication should get a DEXA scan before they start, then again at six or twelve months to see how they\u2019re progressing.<\/p>\n<p>If a client can\u2019t or won\u2019t do a DEXA, assess strength and function in other ways. Ask: \u201cHow do the stairs feel compared to a few months ago? What about carrying groceries?\u201d Gather objective data too, recording baselines for squat, deadlift, and bench press (or other accessible exercises) to compare to over time. Declines in any of these areas can reveal potential muscle loss, and can motivate a client to take action.<\/p>\n<p><strong>Without protective strategies, up to <em>40 percent<\/em> of weight lost from GLP-1 medications can come from lean mass, with a majority of that being muscle.<sup>2<\/sup><\/strong><\/p>\n<p>In order to prevent that from happening, there are two behaviors to prioritize:<\/p>\n<p><strong>\u25b6 Protein at every meal.<\/strong> When appetite is suppressed, every bite has to earn its place. Aim for 25-40 grams of protein at every meal and 15-20 grams for snacks. (On days when appetite is severely suppressed, protein powders can be a more palatable way to reach that target.)<\/p>\n<p><strong>\u25b6 Strength training, scaled to what they\u2019d actually do.<\/strong> The term \u201cweight lifting\u201d might overwhelm a person who\u2019s never set foot in a gym, so don\u2019t start there. Start where PN always starts: Ask what they could do twice this week that they\u2019re 9-out-of-10 confident they\u2019d actually do. Sit-to-stands off the couch. A few moves with a resistance band. Bodyweight anything. Scale up from there, one week at a time.<\/p>\n<h3 id=\"client-type-5-the-under-fueler\">Client Type #5: The Under-Fueler<\/h3>\n<p><strong>This is the person for whom the medication has worked a little <em>too<\/em> well.<\/strong><\/p>\n<p>Their appetite hasn\u2019t just decreased\u2014it\u2019s gone.<\/p>\n<p>They\u2019re not eating enough, and often don\u2019t notice until you ask. \u201cWhen did you last eat?\u201d you say, and they say, \u201cUmmm\u2026 Yesterday afternoon? I think?\u201d<\/p>\n<p>Their protein and overall calorie intake is plummeting, and soon their energy levels will too.<\/p>\n<p>Plus, something more subtle might also be happening: Food stops being a pleasure and becomes a chore, or even a source of dread.<\/p>\n<p>For some, this might seem like an upside down world. They may have spent their whole life fighting to eat <em>less.<\/em> The idea of fighting to eat <em>more<\/em> feels completely absurd\u2014and entirely off their radar.<\/p>\n<h4>Coaching move:<\/h4>\n<p>Before anything else: If there\u2019s an active eating disorder in the picture, this medication likely shouldn\u2019t have been prescribed. <strong>A vulnerability to disordered eating can both contribute to or be triggered by the above scenario.<\/strong><\/p>\n<p>So, scope of practice first. Ask this person if they\u2019ve ever struggled with disordered eating. If the answer is yes, refer out to a doctor or a dietitian. You can absolutely stay involved as a guide, but not as the only professional in the room. <a href=\"https:\/\/www.precisionnutrition.com\/how-to-build-a-referral-network\">Have your referral network ready before you need it.<\/a><\/p>\n<p>But sometimes, you won\u2019t know. Your client may have been screened and cleared. Or, they may not have disclosed. So your job is to figure out what you\u2019re actually looking at\u2014and that starts with what Coach Toni calls the <strong>\u201cshow me\u201d<\/strong> approach.<\/p>\n<p>Rather than acting on a hunch, collect something concrete, such as a few days of food logging (in writing or via photos).<\/p>\n<p>From there, it branches two ways.<\/p>\n<p><strong>\u25b6 If they\u2019ll track<\/strong>, do some food math, and the numbers may do the work for you. When some clients see that their calorie intake is hovering around 800 to 1,000 Calories per day, it\u2019s the only wake up call they need. They weren\u2019t intentionally restricting; they genuinely just had no idea.<\/p>\n<p>For this client, establishing an <strong>eating routine<\/strong> is the best next action.<\/p>\n<p>Your client may be used to following appetite as a cue to eat, but now that medication has removed it, they need a different cue. <strong>That means eating on a schedule, likely every 3\u20134 hours, including protein at every one of those occasions.<\/strong> Portions can be small if appetite is very low, but they should be nutrient-dense.<\/p>\n<p><strong>\u25b6 If they won\u2019t track<\/strong>\u2014and especially if they resist in a way that feels purposely avoidant\u2014that resistance itself is information.<\/p>\n<p>Coach Toni suggests that if you suspect that disordered eating is in the picture <em>and<\/em> a client is really resistant about tracking, it might be time for a <strong>crucial conversation<\/strong>\u2014an often uncomfortable, but honest and essential conversation between a client and a coach.<\/p>\n<p>She suggests leading with non-judgement and safety. For example:<\/p>\n<p>\u201cI want you to know this is a safe space to talk. My goal as a coach is always to prioritize your overall health. However, there have been a couple of things you\u2019ve shared recently that have me wondering whether we\u2019re protecting your body\u2019s basic needs.\u201d<\/p>\n<p>Then name the specific things you noticed, sticking to facts. (\u201cYou\u2019ve mentioned you\u2019ve been losing hair and struggling more during workouts. Those can both be signs of undereating. Would you be open to revisiting food journaling for a short stretch so we can see more clearly what\u2019s happening, or telling your doctor about your symptoms?\u201d)<\/p>\n<p>If this conversation is enough to help a client see the value in tracking, follow the advice after \u201c<strong>If they\u2019ll track<\/strong>\u201d above.<\/p>\n<p>If what surfaces is a genuinely troubled relationship with food, refer out, while offering to stay involved for support as needed.<\/p>\n<h3 id=\"client-type-6-the-graduate\">Client Type #6: The Graduate<\/h3>\n<p><strong>This is the person who got the results they wanted with the medication, and is now choosing to wean off.<\/strong><\/p>\n<p>They\u2019re not quitting because of crappy results or intolerable side effects, they\u2019ve simply decided they don\u2019t want to be on a GLP-1 forever.<\/p>\n<p>The coaching opportunity here is, in part, about tempering expectations.<\/p>\n<p>Most people imagine coming off as the finish line. Instead though, it\u2019s more like starting a <em>different<\/em> endurance course: The medication has been managing their appetite, and now they have to.<\/p>\n<h4>Coaching move:<\/h4>\n<p>Ideally, you start working with this client while the medication is still doing some of the heavy lifting with appetite regulation. If you can have six months to build the right habits as well as prepare mentally for the tapering off period, your client will be in a much better position.<\/p>\n<p><strong>Make sure the previously mentioned habits\u2014like resistance training and optimizing protein\u2014are already firmly established.<\/strong> If your client is managing those habits consistently (not perfectly, but <em>consistently<\/em>), even on their busiest, most stressful, most side-effect-disrupted days, then they\u2019re more likely to be able to maintain them when they\u2019re off their medication and food distractions re-enter the picture.<\/p>\n<p>After that,<strong> work on how you\u2019ll continue to define success.<\/strong> This client has been accustomed to measuring it on the scale, but the scale <em>will<\/em> move\u2014some regain is normal. So, ask them early: What does success look like if the scale ticks up eight pounds but your habits hold?<\/p>\n<p>Be honest about the odds, too. People who changed nothing while on the medication almost universally regain most of the weight\u2014usually within the first year and a half or so<sup>3<\/sup>\u2014because the appetite that went down comes right back up.<\/p>\n<p>However, <strong>people who integrate and sustain healthier nutrition and exercise behaviors while they\u2019re on medication are <em>four times<\/em> better at maintaining a ten percent or higher weight loss<\/strong> when they come off the medication.<sup>4<\/sup><\/p>\n<h3 id=\"client-type-7-the-priced-out\">Client Type #7: The Priced-Out<\/h3>\n<p><strong>This is the person who was <em>also<\/em> getting great results on the medication\u2014except instead of choosing to go off it on their own time, they\u2019re forced to quit due to external circumstances.<\/strong><\/p>\n<p>Maybe their insurance stopped covering it, or they lost the job that came with the benefits, or the one drug they tolerated turned out to cost four times as much as the one they couldn\u2019t tolerate.<\/p>\n<p><strong>About 50 percent of GLP-1 users stop the medication within the first year of using it.<\/strong><sup>5<\/sup> Some stop due to side effects, and others stop because they\u2019ve gotten the results they want and they want to see if they can maintain them drug-free. But many are simply priced out. The latter is an especially frustrating scenario because, for this person, a \u201csolution\u201d exists. It\u2019s just that, for them, the solution is out of reach.<\/p>\n<p>Understandably, this person may be angry or even ashamed that they can\u2019t afford this medication. Those feelings may or may not show up in your coaching, but it\u2019s good to prepare for them anyway.<\/p>\n<h4>Coaching move:<\/h4>\n<p>First, reassure this person that <strong>this is a system failure, not a personal one.<\/strong><\/p>\n<p>Whether someone can access affordable medication comes down to their insurance plan, the region they live in, and their socioeconomic status\u2014also known as the social determinants of health. Those forces shape health outcomes far more than willpower does, and none of them are a measure of how hard someone has tried or how \u201cworthy\u201d they are.<\/p>\n<p>Acknowledging that reality isn\u2019t about throwing up your hands and saying, \u201cWell, I\u2019m screwed!\u201d Rather, it\u2019s about accepting some miserable truths about the world, and then shifting from self-blame to problem-solving.<\/p>\n<p>Once they\u2019ve had a chance to process some (very valid) anger and disappointment, it\u2019s time to focus on what they <em>can<\/em> control.<\/p>\n<p>At PN, we call this the <strong>Spheres of Control exercise<\/strong>. The image below shows you how it works.<\/p>\n<\/p>\n<p>Access, price, and coverage are not on the list of controllables, and fighting those realities may only compound frustration.<\/p>\n<p>Meanwhile, they <em>can<\/em> control other influential factors, like their protein intake, their training, their sleep, their food environment, and maybe their next insurance appeal.<\/p>\n<p>Use the image above to begin a conversation with your client about what is within their control, and lean in <em>hard<\/em> on those factors.<\/p>\n<h2>What can coaches <em>honestly<\/em> promise when it comes to getting and maintaining GLP-1 results?<\/h2>\n<p>The truth is, you can\u2019t predict how a client will respond to medication. And, some regain after stopping it <em>is<\/em> expected.<\/p>\n<p>However, <strong>diet and lifestyle habits hugely affect <em>what kind<\/em> of weight is lost, plus the rate and amount of that regain.<\/strong><\/p>\n<p>Says Coach Toni:<\/p>\n<p>\u201cI can\u2019t promise anyone they\u2019ll lose a specific amount of weight or that they\u2019ll never regain it\u2014and I\u2019d be suspicious of any coach who did. What I <em>can<\/em> tell you is that the habits we build while the medication is doing its work are the ones that\u2019ll still stand when it isn\u2019t.\u201d<\/p>\n<p>Of course, \u201ccoming off\u201d isn\u2019t the endpoint for everyone. Many providers now treat obesity as a chronic condition and these medications as long-term therapy\u2014the same way we\u2019d treat cardiac disease. Again, whether someone stays on, tapers, or stops is a conversation for them and their provider.<\/p>\n<p>But for those who <em>do<\/em> come off, Coach Toni says the people who hold their results share one thing: \u201cThey maintain consistency with their behaviors as if they were still on the medication. Like nothing changes.\u201d<\/p>\n<p>She shares an analogy for why that works:<\/p>\n<p>\u201cThink about the Oregon Trail. The ruts in the trail were made by wagon wheels hitting the same ground over and over and over. You can still see those ruts today\u2014they\u2019re still there. Habits are the same way: If you lay down those neural pathways and reinforce them enough times while your client is on the medication, then they\u2019ll have a better chance of continuing on the same path even when they go off the medication.\u201d<\/p>\n<p>So that\u2019s the actual promise.<\/p>\n<p>It\u2019s not: \u201cYou\u2019ll keep it off.\u201d<\/p>\n<p>It\u2019s: \u201cWhile the medication is doing its work, we\u2019ll cut ruts deep enough that those pathways will still be there after the medication is gone.\u201d<\/p>\n<p>Practically, that means regular resistance training, rock solid nutrition, appetite awareness, and attending to the parts of health that never show up on a scale\u2014sleep, energy, mood, relationships, and identity, which is where Coach Toni lands:<\/p>\n<p>\u201cIdeally, your client will have embraced the identity of a \u2018new person.\u2019 As in, \u2018I am the person who wakes up at 6 a.m. and walks two miles. I am the person who eats protein at every meal. I am the person who does resistance training because it builds the tissue I need to age well.\u2019 That\u2019s the client who maintains.\u201d<\/p>\n<h2>References<\/h2>\n<p><a id=\"references_link\" style=\"cursor:pointer\">Click here to view the information sources referenced in this article.<\/a><\/p>\n<div id=\"references_holder\" style=\"display:none\">\n<ol>\n<li>Wharton, Sean, Salvatore Calanna, Melanie Davies, Dror Dicker, Bryan Goldman, Ildiko Lingvay, Ofri Mosenzon, et al. 2022. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/34514682\/\" target=\"_blank\" rel=\"noopener\"><strong>\u201cGastrointestinal Tolerability of Once-Weekly Semaglutide 2.4 Mg in Adults with Overweight or Obesity, and the Relationship between Gastrointestinal Adverse Events and Weight Loss.\u201d<\/strong><\/a> <em>Diabetes, Obesity &amp; Metabolism<\/em> 24 (1): 94\u2013105.<\/li>\n<li>Mechanick, Jeffrey I., W. Scott Butsch, Sandra M. Christensen, Osama Hamdy, Zhaoping Li, Carla M. Prado, and Steven B. Heymsfield. 2025. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/39295512\/\" target=\"_blank\" rel=\"noopener\"><strong>\u201cStrategies for Minimizing Muscle Loss during Use of Incretin-Mimetic Drugs for Treatment of Obesity.\u201d<\/strong><\/a> <em>Obesity Reviews: An Official Journal of the International Association for the Study of Obesity<\/em> 26 (1): e13841.<\/li>\n<li>West, Sam, Jadine Scragg, Paul Aveyard, Jason L. Oke, Lia Willis, Stella J. P. Haffner, Heather Knight, et al. 2026. <a href=\"https:\/\/www.bmj.com\/content\/392\/bmj-2025-085304\" target=\"_blank\" rel=\"noopener\"><strong>\u201cWeight Regain after Cessation of Medication for Weight Management: Systematic Review and Meta-Analysis.\u201d<\/strong><\/a> <em>BMJ (Clinical Research Ed.)<\/em> 392 (January): e085304.<\/li>\n<li>Jensen, Simon Birk Kj\u00e6r, Martin B\u00e6k Blond, Rasmus Michael Sandsdal, Lisa M\u00f8ller Olsen, Christian Rimer Juhl, Julie Rehn\u00e9 Lundgren, Charlotte Janus, et al. 2024. <a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC10965408\/\" target=\"_blank\" rel=\"noopener\"><strong>\u201cHealthy Weight Loss Maintenance with Exercise, GLP-1 Receptor Agonist, or Both Combined Followed by One Year without Treatment: A Post-Treatment Analysis of a Randomised Placebo-Controlled Trial.\u201d<\/strong><\/a> <em>EClinicalMedicine<\/em> 69 (102475): 102475.<\/li>\n<li>Rodriguez, Patricia J., Vincent Zhang, Samuel Gratzl, Duy Do, Brianna Goodwin Cartwright, Charlotte Baker, Ty J. Gluckman, Nicholas Stucky, and Ezekiel J. Emanuel. 2025. <a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC11786232\/\" target=\"_blank\" rel=\"noopener\"><strong>\u201cDiscontinuation and Reinitiation of Dual-Labeled GLP-1 Receptor Agonists among US Adults with Overweight or Obesity.\u201d<\/strong><\/a> <em>JAMA Network Open<\/em> 8 (1): e2457349.<\/li>\n<\/ol>\n<\/div>\n<h2>If you\u2019re a coach, or you want to be\u2026<\/h2>\n<p>&#13;<br \/>\nYou can help people build <em>sustainable<\/em> nutrition and lifestyle habits that will significantly improve their physical and mental health\u2014while you make a great living doing what you love. We&#8217;ll show you how.&#13;\n<\/p>\n<p>&#13;<br \/>\nIf you\u2019d like to learn more, consider the <strong><a href=\"https:\/\/www.precisionnutrition.com\/nutrition-certification-level-1-register-now\">PN Level 1 Nutrition Coaching Certification.<\/a><\/strong> (You can enroll now at a big discount.)&#13;\n<\/p>\n<\/p><\/div>\n","protected":false},"excerpt":{"rendered":"<p>Reviewed by Brian St. Pierre, MS, RD \u201cIs this drug going to steal my job?\u201d That\u2019s the thought many health and fitness coaches had when GLP-1 medications first hit the mass market. Though semaglutide (Ozempic) became available in 2017, it initially felt like a theoretical threat. Prescription rates were still very low; it seemed like [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":8240,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[327],"tags":[1485,2821,1860,932],"class_list":{"0":"post-8239","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-health","8":"tag-clients","9":"tag-coach","10":"tag-glp1","11":"tag-types"},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v26.0 (Yoast SEO v28.1) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>How to Coach GLP-1 Clients: 7 Types to Know - Well Rooted Wellness<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/wrwofficial.com\/index.php\/2026\/08\/14\/how-to-coach-glp-1-clients-7-types-to-know\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"How to Coach GLP-1 Clients: 7 Types to Know\" \/>\n<meta property=\"og:description\" content=\"Reviewed by Brian St. Pierre, MS, RD \u201cIs this drug going to steal my job?\u201d That\u2019s the thought many health and fitness coaches had when GLP-1 medications first hit the mass market. 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Though semaglutide (Ozempic) became available in 2017, it initially felt like a theoretical threat. 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