Phase	Treatment Stage	Exercise Goal
Phase 1	Reduced Dose	Learn how to train
Phase 2	Full Dose	Progress how you train
Phase 3	Tapering GLP-1	Maintain while transitioning
Phase 4	Off GLP-1/Maintenance	Own the lifestyle

Who Can Benefit From the SERVICE™ GLP-1 Exercise Framework?

This framework is designed for individuals who want to:

• Start exercising safely while taking GLP-1 medication
• Support preservation of skeletal-muscle strength and physical function during weight loss.
• Improve strength and confidence
• Create a structured exercise routine
• Prepare for long-term weight maintenance

It is especially helpful for beginners who may feel uncertain about where to start.

Patrick’s Philosophy

Exercise should evolve as treatment evolves.

Every stage of GLP-1 therapy presents unique opportunities and challenges.

Rather than prescribing the same program for everyone, I believe exercise should match where you are in your journey.

The SERVICE™ GLP-1 Exercise Framework emphasizes:

• Meeting people where they are
• Progressing exercise throughout treatment
• Preserving muscle—not simply reducing weight
• Building independence over time
• Collaborating with healthcare professionals to support long-term success

Work with Patrick in Durham NC

Interested in our services?  Please complete the appropriate form below to get started

Future Client or Patient Form → Healthcare Provider Referral Form →

Our private boutique training studio (see images below) is designed for personalized exercise coaching in a quiet, professional environment.

You’ll receive:

• One-on-one Exercise Physiology coaching
• Private training sessions with no crowds or waiting
• Premium commercial-grade equipment
• Individualized exercise programming
• A safe, supportive environment focused on your goals

If you are preparing for life after GLP-1 medication, we can help you build the strength, confidence, and habits needed for long-term success.

Client Results and Experience

Clients commonly report:

• Improved strength during weight loss
• Better mobility and joint confidence
• Reduced fear of exercise
• Improved energy and daily function
• Sustainable weight loss habits

The focus is not just transformation. It is control, confidence, and long-term stability.

South Durham, Morrisville, NW Cary and All Area Residents, Welcome!

Serving clients from:

• Durham, NC
• Cary, NC – 1.7 miles from Northwest Cary
• Morrisville, NC – 3 miles from Morrisville
• Research Triangle Park (RTP) – 0.3 miles from RTP
• Surrounding Triangle communities

Final Thought: Medication May Change, But Your Exercise Strategy Evolves

GLP-1 medication can be an important part of a person’s health journey.

However, long-term success requires more than reaching a goal weight.

The focus should be:

• Preserve muscle
• Build strength
• Develop confidence
• Create sustainable habits

The medication journey may have different stages.

Your exercise strategy should evolve with each one.

That is the purpose of the SERVICE™ GLP-1 Exercise Framework.

Evidence-Informed Framework

The SERVICE™ GLP-1 Exercise Framework is an evidence-informed conceptual framework informed by research on GLP-1-based therapies, resistance exercise, body composition, physical function, nutrition, and long-term weight management.

Current evidence supports the importance of resistance exercise and individualized physical activity during weight loss, while research specifically examining optimal exercise strategies during GLP-1 therapy remains an emerging area of study. The SERVICE™ framework itself has not yet been prospectively validated as a clinical intervention.

Research references and supporting evidence →

Summary of Evidence Strength

Strongest evidence:

• GLP-1 medications produce significant weight loss.
• Weight regain commonly occurs after discontinuation.
• Resistance training improves strength and helps preserve fat-free mass during weight loss.

Promising but still developing:

• Optimal resistance-training prescription specifically for GLP-1 users.
• Exact protein targets during incretin therapy.
• Whether structured exercise programs can improve long-term maintenance after medication withdrawal.

Current scientific gap:
The field has strong evidence that GLP-1 therapy works and that exercise supports body composition outcomes, but the optimal integrated “GLP-1 + resistance training + nutrition” protocol is still being directly studied.

This Program is Part of our Exercise Physiology Services in Durham NC

Link: Certified Exercise Physiologist in Durham NC