Diet

It’s almost impossible to eat on a GLP1 when you are on the right drug at the right dose. Most patients eat once or twice a day, each feeding 400-800 calories, and lose 2-3 pounds every week until goal.  You will feel A LOT better eating mostly protein and 5% vegetables, vegetables with no more than 5% carbohydrate – all vegetables except peas, potatoes and corn.  Try to eat 40 – 80 grams of protein a day to keep your energy up, and drink 2-3 bouillon cubes (beef, chicken or vegetarian) a day, also to keep your energy up and minimize muscle cramps.  A large drop of Tabasco sauce on your tongue, or a pea size glob of wasabi on your tongue, or 8 ounces of diet tonic (quinine) water also help muscle cramps.  The way to eat chocolate and processed carbohydrates and not feel horrible, is to eat them right before you exercise.  I cannot over emphasize the importance of daily exercise on GLP1 to avoid catastrophic muscle loss.  I am on the Gazelle two hours a day watching Kdramas.  The easiest way to monitor your protein is canned salmon, canned tuna, canned chicken, canned shrimp, bagged shrimp, canned sardines, eggs and egg whites.   Read labels.  For example, a 5.5 ounce can of tuna has 140 calories and 32 grams of protein.  A 7 ounce can of salmon has 460 calories and 48 grams of protein.  A 12.5 ounce can of chicken has 360 calories and 76 grams of protein.  A 4.4 ounce can of sardines has 200 calories and 22 grams of protein.  If you prefer fresh or frozen protein, a serving the size of your palm or a deck of cards is 4 ounces.  4 ounces of a white fish is 25 grams of protein and 200 calories.  4 ounces of white meat chicken or turkey is 30 grams of protein and 200 calories.  Large eggs are 80 calories and 6 grams of protein.  A large egg white is 3.5 grams of protein and 20 calories.  Large shrimp are 10 calories and 3 grams of protein.  Cocktail sauce is 25 calories per tablespoon.