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GLP-1 Nutrition & Lifestyle
Protein, hydration, supplements, exercise, and eating strategies that support fat loss, muscle preservation, and fewer side effects.


Do GLP-1 Medications Cause Vitamin Deficiencies? Nutrition on Semaglutide (Ozempic®, Wegovy®) and Tirzepatide
Do GLP-1 medications directly cause vitamin malabsorption? Dr. Joshua Silva breaks down the clinical evidence on nutrition, hair loss, and the risks of over-supplementing during weight loss. Available for telehealth across Utah.
Joshua Silva, MD
May 257 min read


How to Prevent Muscle Loss on Zepbound® & Ozempic® (GLP-1 Agonists): Evidence-Based Strategies
Worried about muscle loss on Zepbound® or Ozempic®? Discover the specific protein targets and resistance training protocols required to preserve lean mass while taking GLP-1 medications.
Joshua Silva, MD
Apr 25 min read


Do GLP-1 Drugs Like Ozempic and Wegovy Increase Tendon Rupture Risk?
Early research from the 2026 AAOS Annual Meeting indicates that GLP-1 medications like Ozempic and Wegovy may be associated with a higher relative risk of tendon ruptures. However, with an absolute risk increase of less than 1%, most patients remain unaffected. Discover the proposed mechanisms—from rapid activity increases to collagen signaling—and how to mitigate risk while continuing therapy.
Joshua Silva, MD
Mar 174 min read


Ozempic®, Wegovy®, Zepbound® Fatigue: Why Semaglutide and Tirzepatide Can Make You Tired
Feeling tired on Ozempic, Wegovy, or Zepbound? Fatigue is a documented side effect affecting up to 11% of patients. Explore the physiological reasons behind GLP-1 fatigue and learn evidence-based management strategies—like optimizing hydration and protein intake—with Dr. Joshua Silva, MD.
Joshua Silva, MD
Feb 235 min read
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