Sheer, Associate Professor of Medicine at the University of Florida, emphasizes this: "With GLP-1 drugs, the goal for nutrition has shifted from calorie restriction to calorie quality." To preserve muscle, prioritize protein at every meal
This can affect when you feel hungry or full, and may require timing adjustments for protein intake and exercise
Every clinician uses their own approach, which means quality varies widely
Foods to minimize or avoid include: Carbonated beverages, which introduce additional gas High-fiber foods initially (beans, cruciferous vegetables, whole grains), though fiber remains important long-term Artificial sweeteners, particularly sugar alcohols (sorbitol, xylitol), which can ferment in the gut Dairy products if lactose intolerance is present or suspected Fried or greasy foods that slow digestion Hydration remains essential, but patients should sip water throughout the day rather than consuming large volumes with meals, which can increase stomach distension