My client, Judy (not her real name), was scheduled to have surgery.
In the prep for the procedure, her doctor informed her that she would need to discontinue the use of her GLP-1 receptor agonist medication two weeks prior to the surgery and could resume taking it two weeks after.
She was concerned about her fat loss progress (which had been significant) during those four weeks without the medication.
One bit of advice I try and stay very consistent in giving to the clients I work with who are either considering going on GLP-1s or are currently on them, is to keep a food journal to have greater awareness around intake.
To clarify, when I ask for a food journal, I’m not looking for calories or measurements, I only want a detailed breakdown of what food choices are made.
It can be helpful if there is a correlation to what time of day the client is eating as well so that we can see the distinction between meals and snacks.
Fortunately for Judy, she had been maintaining consistent food journals since we started working together and we had weeks upon weeks of data to show what her diet looked like as it correlated to when the scale was showing a downward trend.
As the days were getting closer to the surgery, Judy was becoming anxious about the outcomes.
So, we spoke for a bit just to keep a frame of reference and have an action plan:
-Repeat meals and snacks as close as possible to what the food journals had demonstrated.
-Try not to get caught up in all-or-nothing thinking that if an unpredictable meal or portion size came up, it doesn’t mean that it’s a pass-fail scenario.
-Being mindful not to keep intake too low, as she may need a greater balance of macronutrients, micronutrients and overall portion sizes to help with recovery from the surgery.
-Aim for a goal roughly around 100g of protein per day (specific to her body’s needs)
-Be mentally okay with the reality that weight may not go down during the four weeks off the medication.
Once she discontinued the use of the meds, Judy did notice that food noise and hunger levels were starting to increase.
She focused on keeping stress levels as manageable as possible, getting in appropriate hydration, keeping protein intake high and keeping herself busy.
And by time she was ready to resume the medications, she had continued a downward trajectory of fat loss.
No matter where you are on your GLP-1 journey, food journals can be tremendously helpful. Yes, you may need an outsider’s perspective to see if there are any slippery spots (especially if fat loss has stalled.)
For some, the GLP-1s are merely a kickstart to help with momentum towards a goal. For others, they are a medication that could be utilized for a lifetime.
Every person has a different story, a different response to the medication, and a unique path to where they want their body to be.
As always, talk to your doctor about whether or not the medication is appropriate for you. However, whether you use the medications or not, food journals can be incredibly insightful.
Judy has used them with great success and it’s helped detach from many of the all-or-nothing scenarios that calorie counting influenced once upon a time.
If you need help along the way, drop me a line.
(Photo courtesy of Jan Kahanek)









