GLP-1s: What Older Adults Need to Know
Unless you’ve been living in a faraway land, you’ve probably heard about GLP-1 medications such as Ozempic and Wegovy. In just a few years, these drugs have become remarkably common and currently rank at #14 on the most purchased drugs.
We know why. GLP-1 medications can slow stomach emptying, reduce appetite, increase feelings of fullness and help regulate blood sugar. For many people, they lead to substantial weight loss.
But there is another part of the story that is especially important for older adults.
What Weight Loss Alone Doesn’t Do (link to article)
1. They don’t protect muscle.
Rapid weight loss can include the loss of lean muscle as well as fat. For older adults—who are already more vulnerable to age-related sarcopenia—preserving muscle is critically important for strength, balance, mobility and long-term independence.
2. They cannot replace good nutrition and exercise.
Medication cannot provide the protein, vitamins, minerals and hydration your body needs. Nor can it replace regular movement and resistance training, which become increasingly important as we age.
3. They cannot protect bone.
Significant weight loss can also be accompanied by loss of bone density. Adequate protein and foods rich in calcium, magnesium and vitamin D, along with weight-bearing and resistance exercise, remain important for maintaining strong bones.
There Are No Quick Fixes
…And There May Be Side Effects
GLP-1 medications can cause gastrointestinal side effects, including nausea, constipation and reduced appetite. When you feel nauseated, a few plain crackers may sound far more appealing than a nutrient-rich meal of vegetables, protein and healthy fats. This is what concerns me about these drugs - they really don’t teach users much at all about nutrition. Over time, eating too little or choosing foods simply because they are easier to tolerate can make it harder to meet your nutritional needs.
Some people tolerate these medications very well, while others do not. Actress Amy Schumer, for example, has spoken publicly about stopping Ozempic after experiencing severe nausea and vomiting despite as she lost weight.
There are also continuing questions about less common complications such as sudden vision loss associated with GLP-1 medications. These concerns reinforce the importance of discussing the benefits, risks and appropriate monitoring with a qualified healthcare professional.
A Personal Note
Turning 80 this year is a powerful reminder of just how important it is to give my body all the help I can through the way I live every day. Nutrition, movement, rest, stress management and connection are no longer things I can afford to take for granted. At this point in life, there are no free rides. For me, it really does feel like do or die—not in a fearful way, but as a strong incentive to keep making choices that support my strength, energy and independence for the years ahead.
Be Responsible for your Future
As we’ve seen so many times before, someone will always come up with a quick fix to make things better. But in the case of your health, weight has historically sat at the top of the pyramid, when it really belongs as a side effect of a lifestyle out of balance.
Accountability Matters
One theme readers have consistently identified as vital for lasting change is accountability. Knowing what to do is only part of the equation; having someone help you stay focused, recognize progress, work through obstacles and adjust your plan can make healthy habits far more sustainable.
If you feel you would benefit from that kind of support, I’d be happy to help. My coaching is designed to provide practical guidance, encouragement and accountability as you build eating, movement and lifestyle habits that support your health for the long term.
Note: this is not a replacement for medical advice; it is my opinion based upon document research and anecdotal experiences.