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Program for men
The medication is the same. What differs is the starting point, the conditions usually already in play, and the fact that most men arrive later, often after something else has been diagnosed first.
What differs
Men more often arrive with a weight-related diagnosis already made, which means the BMI 27 threshold is frequently the relevant one rather than 30. High blood pressure, sleep apnea and prediabetes are the three that come up most.
Lean mass gets more attention. Men typically carry more of it, lose more of it during rapid weight loss, and notice it later. Protein targets and resistance activity are set at the start rather than added when strength drops.
And the conversation tends to be more direct about what treatment does and does not do, because most men who reach this point have already been told to eat less and move more, repeatedly, and it has not been useful. Qualifying health conditions, Protein and muscle loss and Exercise and activity go further into it.
The plan
What has already been diagnosed, and what has been mentioned but never followed up. Sleep apnea in particular is often suspected and never tested.
If a GLP-1 is appropriate, at the lowest dose with the usual schedule. Existing blood pressure or diabetes medication is reviewed at the same time.
Protein target and resistance activity set from week one, not introduced later once strength has already dropped.
Blood pressure and blood sugar are re-measured as weight comes down, because the other prescriptions often need reducing.
Other medication
Blood pressure medication is the one that most often needs reducing as weight falls. That is a good problem, but it is still a change that needs managing rather than discovering.
The same applies to diabetes medication and, less predictably, to anything where absorption timing matters. Bringing the full list to the first appointment is more useful than any number on the scale. More on that in Drug interactions, Physician-supervised care and GLP-1 and type 2 diabetes.
Related
The core program, the women’s equivalent, and the guides that matter most here.
Common questions
Whether the treatment differs, muscle loss, and what happens to existing medication.
Nobody had connected the apnea to the weight in fifteen years of appointments. It was the first thing raised here.
My BP medication came down twice over eight months. That got monitored properly rather than me noticing I felt odd.
The protein target was specific and the training advice was simple enough to actually follow. I have kept more strength than I expected.
Been told to eat less and move more by six different doctors. First one to treat it as a medical problem with medical treatment.
From the blog
Next step
If blood pressure, sleep apnea or prediabetes has already been diagnosed, the BMI threshold that applies to you may be lower than you think.
Licensed clinicians · Eligibility reviewed before any prescription · Virtual appointments