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PepFitCoach™

Adults taking a prescribed GLP-1 medication

GLP-1 Strength Companion

A 3-day strength plan focused on keeping muscle while losing weight on a prescribed GLP-1 medication, with habits for appetite changes and hydration.

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Effort: 6-8 out of 10. On days with nausea or low energy, do one set of each exercise or a walk instead.

Before you start

  • Complete a readiness check (for example the PAR-Q+) before starting. Get medical clearance first if you have heart, lung, kidney or metabolic disease, are pregnant, or have symptoms such as chest pain, dizziness or unusual breathlessness.
  • Stop and seek medical help for chest pain or pressure, fainting, severe shortness of breath, or an irregular heartbeat during exercise.
  • Pain is a signal to modify: reduce the load or range, or swap the exercise. Sharp or joint pain is not something to push through.
  • This guide is general education, not individualized medical or exercise advice.
  • If you also take insulin or a sulfonylurea, know the signs of low blood sugar (shakiness, sweating, confusion) and carry fast-acting carbohydrate.

Your week

  • MonFull body A
  • TueWalk 20-30 min
  • WedFull body B
  • ThuWalk 20-30 min
  • FriFull body A
  • SatActive rest
  • SunRest

Warm-up (every session)

  • 5-8 min easy walking or cycling
  • Gentle hip, ankle and shoulder circles
  • Bodyweight sit-to-stand x 8
  • 1 light warm-up set

Session · Full body A

  • YouTube video

    Box squat to a bench

    The faint outline shows where each rep finishes.

    Why: A squat with a safety target: the bench tells you how deep to go, making it ideal for sore knees or older adults.

    1. Stand in front of a bench, feet shoulder-width.
    2. Reach your arms forward for balance.
    3. Sit back until you lightly touch the bench.
    4. Stand up without rocking.

    Avoid: Plopping down onto the bench · Knees caving in

    Watch videos of this exercise on YouTube

    Opens YouTube. Pick a video from a certified coach or physical therapist.

    Box squat to a bench

    Sit back to touch the bench lightly, stand tall.

    3 x 8-12

    In simple words: Sit back until you lightly touch a bench, then stand up without rocking.

    Why: A squat with a safety target: the bench tells you how deep to go, making it ideal for sore knees or older adults.

    How to do it right
    1. Stand in front of a bench, feet shoulder-width.
    2. Reach your arms forward for balance.
    3. Sit back until you lightly touch the bench.
    4. Stand up without rocking.

    Avoid: Plopping down onto the bench · Knees caving in

    Joints: Raise the bench height for less knee bend.

  • YouTube video✋ Hands flat

    Incline push-up

    The faint outline shows where each rep finishes.

    Grip: Hands flatHands flat on the bench or counter edge, a little wider than your shoulders.

    Why: A push-up made easier by raising your hands, so you can build chest and arm strength with good form.

    1. Hands on a bench or counter, slightly wider than shoulders.
    2. Walk your feet back until your body is a straight line.
    3. Lower your chest to the edge, elbows at about 45 degrees.
    4. Push back up.

    Avoid: Letting hips sag · Flaring elbows · Using a surface that can slide

    Watch videos of this exercise on YouTube

    Opens YouTube. Pick a video from a certified coach or physical therapist.

    Incline push-up (bench or counter)

    Lower the incline over time as you get stronger.

    3 x 8-12

    In simple words: A push-up with your hands on a bench. Higher hands make it easier.

    Why: A push-up made easier by raising your hands, so you can build chest and arm strength with good form.

    How to do it right
    1. Hands on a bench or counter, slightly wider than shoulders.
    2. Walk your feet back until your body is a straight line.
    3. Lower your chest to the edge, elbows at about 45 degrees.
    4. Push back up.

    Avoid: Letting hips sag · Flaring elbows · Using a surface that can slide

    Joints: The higher the surface, the easier on the shoulders and wrists.

  • YouTube video✋ Neutral

    Seated band row

    The faint outline shows where each rep finishes.

    Grip: NeutralNeutral: palms face each other. Pull with your elbows, not your hands; think of your hands as hooks.

    Why: Builds the upper back and helps undo the rounded shoulders that come from desks and phones.

    1. Sit tall with the band or cable handles at arm's length.
    2. Pull your elbows back past your sides.
    3. Squeeze your shoulder blades together.
    4. Return slowly until your arms are straight.

    Avoid: Rocking backward · Shrugging up · Rounding the back as you return

    Watch videos of this exercise on YouTube

    Opens YouTube. Pick a video from a certified coach or physical therapist.

    Seated band or cable row

    Squeeze the shoulder blades together.

    3 x 10-12

    In simple words: Sit tall and pull the band toward your belly, squeezing your shoulder blades together.

    Why: Builds the upper back and helps undo the rounded shoulders that come from desks and phones.

    How to do it right
    1. Sit tall with the band or cable handles at arm's length.
    2. Pull your elbows back past your sides.
    3. Squeeze your shoulder blades together.
    4. Return slowly until your arms are straight.

    Avoid: Rocking backward · Shrugging up · Rounding the back as you return

    Joints: Shoulder-friendly when you keep the elbows low.

  • YouTube video✋ Overhand

    Dumbbell Romanian deadlift

    The faint outline shows where each rep finishes.

    Grip: OverhandOverhand: palms face down or away from you, weights close to your legs the whole way.

    Why: Strengthens your hamstrings, glutes and lower back, the muscles that protect your back when you lift anything off the floor.

    1. Stand tall holding dumbbells in front of your thighs.
    2. Soften your knees and push your hips back like closing a car door with your bottom.
    3. Slide the weights down your legs, back flat, until you feel a hamstring stretch.
    4. Squeeze your glutes to stand back up.

    Avoid: Rounding the back to reach lower · Bending the knees into a squat · Letting the weights drift away from your legs

    Watch videos of this exercise on YouTube

    Opens YouTube. Pick a video from a certified coach or physical therapist.

    Dumbbell Romanian deadlift (light)

    Short range at first; flat back.

    2-3 x 10

    In simple words: Push your hips back like closing a car door with your bottom, slide the weights down your legs, then stand tall.

    Why: Strengthens your hamstrings, glutes and lower back, the muscles that protect your back when you lift anything off the floor.

    How to do it right
    1. Stand tall holding dumbbells in front of your thighs.
    2. Soften your knees and push your hips back like closing a car door with your bottom.
    3. Slide the weights down your legs, back flat, until you feel a hamstring stretch.
    4. Squeeze your glutes to stand back up.

    Avoid: Rounding the back to reach lower · Bending the knees into a squat · Letting the weights drift away from your legs

    Joints: Back sensitive? Use light weights, stop at mid-shin, or start with glute bridges.

  • YouTube video

    Single-leg stand with support

    The faint outline shows where each rep finishes.

    Why: Practices balance, the most important skill for preventing falls as you age.

    1. Stand next to a counter with your fingertips on it.
    2. Shift your weight to one foot and lift the other.
    3. Stand tall and look ahead.
    4. Switch legs.

    Avoid: Gripping the counter tightly · Looking at your feet

    Watch videos of this exercise on YouTube

    Opens YouTube. Pick a video from a certified coach or physical therapist.

    Single-leg stand near support

    Fingertips on a counter, progress to hands-free.

    3 x 20-30 s per side

    In simple words: Hold a counter and stand on one foot. Try to let go a little more each week.

    Why: Practices balance, the most important skill for preventing falls as you age.

    How to do it right
    1. Stand next to a counter with your fingertips on it.
    2. Shift your weight to one foot and lift the other.
    3. Stand tall and look ahead.
    4. Switch legs.

    Avoid: Gripping the counter tightly · Looking at your feet

    Joints: Progress by using fewer fingers, then none; always keep support nearby.

Rest 60-120 seconds between sets. Cool down with 5 minutes of easy walking.

Session · Full body B

  • YouTube video

    Step-up

    The faint outline shows where each rep finishes.

    Why: Builds leg strength and balance for real-life stairs and curbs.

    1. Stand facing a sturdy step or box.
    2. Place your whole foot on it.
    3. Push through that heel to stand up tall on the step.
    4. Step down slowly with control.

    Avoid: Pushing off the back foot · Knee caving in · Using a box that's too high

    Watch videos of this exercise on YouTube

    Opens YouTube. Pick a video from a certified coach or physical therapist.

    Step-up (low step)

    Use a rail if needed; control the way down.

    3 x 8 per side

    In simple words: Step up onto a sturdy box or step with one foot, stand tall, then step back down.

    Why: Builds leg strength and balance for real-life stairs and curbs.

    How to do it right
    1. Stand facing a sturdy step or box.
    2. Place your whole foot on it.
    3. Push through that heel to stand up tall on the step.
    4. Step down slowly with control.

    Avoid: Pushing off the back foot · Knee caving in · Using a box that's too high

    Joints: Knees sore? Use a lower step, hold a rail, or swap for glute bridges.

  • YouTube video✋ Overhand

    Dumbbell floor press

    The faint outline shows where each rep finishes.

    Grip: OverhandOverhand: palms face down or away from you, wrists stacked over your elbows. Palms facing each other (neutral) is fine if your shoulders ache.

    Why: Builds chest and triceps with the floor limiting how far your elbows go, which is kinder to the shoulders.

    1. Lie on the floor, knees bent, holding dumbbells over your chest.
    2. Lower until your upper arms lightly touch the floor, elbows at about 45 degrees.
    3. Pause.
    4. Press back up.

    Avoid: Bouncing elbows off the floor · Flaring elbows straight out

    Watch videos of this exercise on YouTube

    Opens YouTube. Pick a video from a certified coach or physical therapist.

    Dumbbell floor press

    Floor limits range, which is kind to shoulders.

    3 x 10

    In simple words: Lie on the floor and push the weights straight up over your chest, then lower your elbows to the floor.

    Why: Builds chest and triceps with the floor limiting how far your elbows go, which is kinder to the shoulders.

    How to do it right
    1. Lie on the floor, knees bent, holding dumbbells over your chest.
    2. Lower until your upper arms lightly touch the floor, elbows at about 45 degrees.
    3. Pause.
    4. Press back up.

    Avoid: Bouncing elbows off the floor · Flaring elbows straight out

    Joints: A great choice if you have a shoulder injury and still want to train chest.

  • YouTube video✋ Overhand

    Band pull-apart

    The faint outline shows where each rep finishes.

    Grip: OverhandOverhand: palms face down or away from you, hands shoulder width on the band, arms straight.

    Why: Strengthens the small upper-back and rear-shoulder muscles that keep your shoulders healthy and posture upright.

    1. Hold a light band at shoulder height, arms straight.
    2. Pull the band apart until it touches your chest.
    3. Squeeze your shoulder blades together.
    4. Return slowly.

    Avoid: Shrugging · Bending the elbows a lot · Using a band that's too strong

    Watch videos of this exercise on YouTube

    Opens YouTube. Pick a video from a certified coach or physical therapist.

    Band pull-apart

    Arms straight, shoulders down.

    3 x 12-15

    In simple words: Hold a band in front of you and stretch it apart until your arms are out to the sides.

    Why: Strengthens the small upper-back and rear-shoulder muscles that keep your shoulders healthy and posture upright.

    How to do it right
    1. Hold a light band at shoulder height, arms straight.
    2. Pull the band apart until it touches your chest.
    3. Squeeze your shoulder blades together.
    4. Return slowly.

    Avoid: Shrugging · Bending the elbows a lot · Using a band that's too strong

    Joints: Excellent for shoulder health; do it as a warm-up before pressing.

  • YouTube video

    Glute bridge

    The faint outline shows where each rep finishes.

    Why: Wakes up and strengthens your glutes, which take pressure off your knees and lower back.

    1. Lie on your back, knees bent, feet flat and hip-width apart.
    2. Tuck your ribs down and press your lower back gently into the floor.
    3. Drive through your heels to lift your hips into a straight line from shoulders to knees.
    4. Squeeze for a second, then lower slowly.

    Avoid: Arching the lower back at the top · Pushing through the toes · Dropping down fast

    Watch videos of this exercise on YouTube

    Opens YouTube. Pick a video from a certified coach or physical therapist.

    Glute bridge

    Push through the heels.

    3 x 12

    In simple words: Lie on your back with knees bent and lift your hips up like a bridge, then lower slowly.

    Why: Wakes up and strengthens your glutes, which take pressure off your knees and lower back.

    How to do it right
    1. Lie on your back, knees bent, feet flat and hip-width apart.
    2. Tuck your ribs down and press your lower back gently into the floor.
    3. Drive through your heels to lift your hips into a straight line from shoulders to knees.
    4. Squeeze for a second, then lower slowly.

    Avoid: Arching the lower back at the top · Pushing through the toes · Dropping down fast

    Joints: One of the most back- and knee-friendly exercises there is.

  • YouTube video✋ Neutral, squeeze hard

    Farmer carry

    The faint outline shows where each rep finishes.

    Grip: Neutral, squeeze hardNeutral: palms face each other, squeezing the handles hard. Shoulders down and back.

    Why: Builds grip strength, core stability and posture: grip strength is one of the best predictors of healthy aging.

    1. Pick up a heavy dumbbell in each hand.
    2. Stand tall, shoulders down and back.
    3. Walk with short, steady steps for 20–40 meters, about 30–45 seconds (shorter as you get older or when starting out).
    4. Set the weights down by bending your knees, rest 60–90 seconds, and repeat 2–3 times.
    5. Stop the walk early if your grip slips or your posture starts to bend.

    Avoid: Leaning to one side · Shrugging the shoulders · Rounding the back to pick them up

    Watch videos of this exercise on YouTube

    Opens YouTube. Pick a video from a certified coach or physical therapist.

    Farmer carry

    Grip strength and posture; walk tall.

    3 x 20-30 m (about 20-30 s)

    In simple words: Hold a heavy weight in each hand and walk tall, like carrying shopping bags.

    Why: Builds grip strength, core stability and posture: grip strength is one of the best predictors of healthy aging.

    How to do it right
    1. Pick up a heavy dumbbell in each hand.
    2. Stand tall, shoulders down and back.
    3. Walk with short, steady steps for 20–40 meters, about 30–45 seconds (shorter as you get older or when starting out).
    4. Set the weights down by bending your knees, rest 60–90 seconds, and repeat 2–3 times.
    5. Stop the walk early if your grip slips or your posture starts to bend.

    Avoid: Leaning to one side · Shrugging the shoulders · Rounding the back to pick them up

    Joints: Start light; one weight in one hand (suitcase carry) also trains the side core.

Rest 60-120 seconds between sets. Cool down with 5 minutes of easy walking.

Cardio & daily movement

  • Walking is ideal: build toward 150 minutes per week.
  • Train after a small meal or snack if you feel light-headed when exercising on an empty stomach.

How to progress

  • Increase one thing at a time: reps first, then sets, then load.
  • Small jumps in weight (1-2 kg / 2-5 lb) are plenty.
  • Progress balance by reducing hand support, then by closing the eyes only with support nearby.

Notes for you

  • Weight loss includes some loss of lean mass. Resistance training and adequate protein are the main tools to limit it.
  • Ask your prescriber or a registered dietitian for a protein target. Spreading protein across meals helps when appetite is low.
  • Sip fluids through the day. Vomiting or diarrhea raise dehydration risk; tell your prescriber if they persist.
  • Never change your medication dose to fit training. Dosing and titration are decided only by your prescriber.

References

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