This New GLP-1 Study Changes the Muscle Loss Debate!

Physionic

May 11, 2026

Episode description

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0:00 - Introduction
0:37 - Massive Lean Mass Loss
1:27 - Muscle Loss
4:00 - Look at the Function, my Boy!

References
[Study 777] Langer HT, Gilmore NK, Hayden CMT, et al. Weight loss with GLP-1 medicines does not result in a disproportionate loss of muscle mass or function in obese mice and humans. Cell Rep Med. 2026;7(3):102665. doi:10.1016/j.xcrm.2026.102665

Funding/Conflicts: Public Funding: From the study, support included NIH grant S10-OD025098, UC Davis T32 in Pharmacology grant T32 GM144303, National Institute of Diabetes and Digestive and Kidney Diseases grants DK139663 and DK139565, the Ministerium für Kultur und Wissenschaft des Landes Nordrhein-Westfalen, the Bundesministerium für Forschung, Technologie und Raumfahrt, German Research Foundation grants, the German Center for Diabetes Research, and the European Union; Non-Profit Funding: From the study, no non-profit funding source was reported; Industry Funding: From the study, no direct industry funding source was reported, but several conflicts were declared, including prior employment or current employment with Boehringer Ingelheim and Eli Lilly, consulting for Actimed Therapeutics, Almac Discovery, Alchemab Therapeutics, Novartis, and several food or biotech companies, co-founder roles in SinewUS and Bluewater Biotech, stock holdings in Eli Lilly and Novo Nordisk, and speaking fees from Novo Nordisk, Eli Lilly, Boehringer Ingelheim, Merck, AstraZeneca, Rhythm Pharmaceuticals, and Mercodia.

[Study 778] Linge J, Birkenfeld AL, Neeland IJ. Muscle Mass and Glucagon-Like Peptide-1 Receptor Agonists: Adaptive or Maladaptive Response to Weight Loss?. Circulation. 2024;150(16):1288-1298. doi:10.1161/CIRCULATIONAHA.124.067676

Funding/Conflicts: Public Funding: From the study, no public funding source was reported, as the listed source of funding was “None”; Non-Profit Funding: From the study, no non-profit funding source was reported; Industry Funding: From the study, no industry funding source was reported, but conflicts included author relationships with AMRA Medical, Eli Lilly, BioMarin, Boehringer-Ingelheim/Lilly Alliance, Bayer, Novo Nordisk, AstraZeneca, Daiichi Sankyo, and related advisory, consulting, speaker, travel, employment, shareholder, and research-support roles.

[Study 779] Karasawa T, Choi RH, Meza CA, Rout S, Drummond MJ, Chaix A, Funai K. Unexpected effects of semaglutide on skeletal muscle mass and force-generating capacity in mice. Cell Metab. 2025;37(8):1619-1620. doi:10.1016/j.cmet.2025.07.004.

Funding/Conflicts: Public Funding: From the study, the work was supported by NIH grants DK107397, DK127979, GM144613, AG074535, CA286584, AG065993, AG076075, and AG086328, and by a Japan Society for the Promotion of Science Fellows grant-in-aid, 24KJ2039; Non-Profit Funding: From the study, no non-profit funding source was reported; Industry Funding: From the study, no industry funding source was reported, and the authors declared no competing interests.

[Study 780] Look M, Dunn JP, Kushner RF, et al. Body composition changes during weight reduction with tirzepatide in the SURMOUNT-1 study of adults with obesity or overweight. Diabetes Obes Metab. 2025;27(5):2720-2729. doi:10.1111/dom.16275

Funding/Conflicts: Public Funding: From the study, no public funding source was reported; Non-Profit Funding: From the study, no non-profit funding source was reported; Industry Funding: From the study, the work was funded by Eli Lilly and Company; conflicts included speaker, lecture, advisory, or consulting relationships with Eli Lilly and Company and other companies, and several authors were employees and shareholders of Eli Lilly and Company.

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Disclaimer: None of the information provided by this brand is a replacement for your physician's advice. This brand is information for the sake of knowledge and the options of choice it provides, not in any way a personalized prescription. Please consult your physician before making any health related changes.

Mindsip insights from this episode:

Recognize peptide muscle loss equals dieting effects

The amount of muscle loss from using peptides like semaglutide is the same as the muscle loss from simple calorie restriction or dieting.

Increase relative muscle mass with peptide use

While absolute muscle mass decreases with peptide use, the muscle mass relative to total body weight can actually increase.

Combine peptides with resistance training to preserve muscle mass

Pairing peptide use with resistance training is the likely solution to heavily favor the preservation of muscle mass and function.

Leverage weight loss peptides for targeted fat loss

Weight loss peptides cause a disproportionate loss of fat with only a small loss of muscle, which can lead to better relative performance.

Distinguish fat loss from muscle weight loss with peptides

The reduction in muscle weight from peptides could be due to losing fat within and around the muscle, not the muscle tissue itself.

Maintain relative strength despite peptide use

Studies show that relative force generation, or strength adjusted for body weight changes, is not particularly worsened by peptide use.

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