Off GLP-1 Exercise Plan  
 

WEEKLY PHASE 4 EXERCISE SCHEDULE

Choose the option that best matches your training environment.

GYM-BASED PHASE 4 WORKOUT PLAN

Weekly Schedule

Day

Workout

Monday

Upper Body Strength

Tuesday

Cardio

Wednesday

Lower Body Strength

Thursday

Cardio

Friday

Full Body Strength

Saturday

Longer Cardio

Sunday

Rest

Weekly goals:

  • Strength training: 3 days per week
  • Cardio: 250–350 minutes per week

GYM WORKOUT UPPER BODY

Exercises:

  • Chest Press Machine
  • Incline Machine Press
  • Lat Pulldown
  • Seated Row
  • Cable Lateral Raise
  • Cable Curl
  • Triceps Pushdown

Perform:

Sets =

Reps =

GYM WORKOUT LOWER BODY

Perform:

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THE SERVICE™ GLP-1 Exercise Framework 4-Phases References

Wilding JPH, et al. Weight regain and cardiometabolic effects after withdrawal of semaglutide: The STEP 1 trial extension. Diabetes Obes Metab. 2022;24(8):1553-1564. Villareal DT, et al. Aerobic or resistance exercise, or both, in dieting obese older adults. N Engl J Med. 2017;376:1943-1955.
Wilding JPH, et al. Once-weekly semaglutide in adults with overweight or obesity. N Engl J Med. 2021;384:989-1002. World Health Organization. WHO Guidelines on Physical Activity and Sedentary Behaviour. Geneva: WHO; 2020
Wadden TA, et al. Lifestyle interventions and nutritional considerations during GLP-1 receptor agonist treatment for obesity management. Expert consensus recommendations. 2025. American College of Sports Medicine. ACSM's Guidelines for Exercise Testing and Prescription. 12th ed. Wolters Kluwer; 2025.
American College of Lifestyle Medicine, American Society for Nutrition, Obesity Medicine Association, The Obesity Society. Joint advisory on nutrition priorities during obesity treatment. 2025. American College of Sports Medicine. Resistance Training Prescription for Muscle Function, Hypertrophy, and Physical Performance in Healthy Adults: An Overview of Reviews.  Medicine & Science in Sports & Exercise. 2026

THE SERVICE™ GLP-1 Exercise Framework Resources

01. THE SERVICE™ GLP-1 Exercise Framework Learn how the different phases of the framework can help you through your GLP-1 therapy 06. WHAT HAPPENS AFTER GLP-1 MEDICATIONS Learn some helpful strategies for achieving success after GLP-1 medication
02. PHASE 1: REDUCED DOSE EXERCISE PLAN Learn how to establish the proper foundation for the journey ahead 07. THE SERVICE™ GLP-1 Exercise Framework Clinical Exercise Referral A clinician's guide to evaluate our services for clients/patients.
03. PHASE 2: FULL DOSE EXERCISE PLAN Learn how maximize muscle preservation and fitness progress 08. THE SERVICE™ GLP-1 Exercise Framework Clinical Handout Download a one page summary with QR Code to read full document
04. PHASE 3: TAPERING OFF GLP-1 EXERCISE PLAN Learn how to protect results during transition 09. THE SERVICE™ GLP-1 Exercise Framework Patient-Facing Handout Download a one page summary of what to expect with our exercise program
05. PHASE 4: OFF GLP-1 EXERCISE PLAN Learn how to achieve long-term health and lifestyle Independence 10. GLP-1 EXERCISE PHYSIOLOGY COACHING IN DURHAM NC Learn how to preserve muscle, build strength, support weight loss, and create lifelong exercise habits

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