Muscle

Can I still build muscle while on Ozempic?

In this article

Can I still build muscle while on Ozempic? Yes, you can. Learn how to keep your strength and burn fat using our science-backed protein and training guide.

Can I still build muscle while on Ozempic is a question that many people ask when they start using this medication for weight loss. You definitely can build muscle while on Ozempic and you must do it to stay healthy. Most people who take this drug focus only on the number on the scale. This is a mistake. When you lose weight very fast, your body often burns muscle instead of fat. This leaves you looking soft and feeling weak even if you are smaller. You can stop this by lifting weights and eating the right foods every single day. I have crunched the numbers and looked at the science to show you exactly how to do it.

9 Steps To Shed 5–10kg in 6 Weeks

In only 90 minutes a week!

  • Includes an exercise plan, nutrition plan, and 20+ tips and tricks.
  • Without dead boring diets that are like watching paint dry
  • Without getting results at a snails pace
9 Steps to Shed 5-10kg in 6 Weeks

Does Ozempic cause muscle loss?

Yes it does if you do not take action to stop it. Clinical data shows that weight loss drugs like Ozempic can cause a lot of muscle loss. In some research trials, people lost up to 40 percent of their weight from lean body mass. Lean body mass is mostly your muscle and your bones. This happens because Ozempic makes you feel very full so you eat much less food. When you are in a big calorie deficit, your body looks for energy anywhere it can find it. If you are not lifting weights, your body decides that your muscles are not needed and it breaks them down for fuel. This makes your metabolism slow down and it makes it harder to keep the weight off later. You must give your body a reason to keep your muscle by training hard and eating high amounts of protein.

How much protein do I need to build muscle on Ozempic?

You need to eat a lot of protein to protect your muscle while the fat melts away. The science is very clear on this. You should aim for 1.8 grams of protein for every kilogram of your body weight. If you weigh 100 kilograms, that means you need 180 grams of protein every single day. Protein is a special food because it does some of the work for you. Your body burns 20 to 30 percent of the calories in protein just to digest it. This is called the thermic effect of food. If you eat 500 calories of chicken breast, your body might only keep 350 to 400 of those calories because it spends so much energy breaking it down. This is more than double the energy it takes to digest fats or carbs. High protein also keeps you feeling full and helps your muscles recover after a workout. In Australia, a kilo of chicken breast costs about $15 and a large tub of whey protein powder costs around $90. These are the best tools you can buy for your fitness. You should choose lean sources like turkey and eggs and white fish and protein shakes to hit your goal without eating too many calories.

What is the best way to manage my calorie budget?

You should think of your daily food like a money budget. If you have 2,000 calories to spend, you want to get the most value for your money. Protein and carbs have 4 calories per gram. Fats have 9 calories per gram. Fats are like the expensive luxury items in your budget. If you eat just a little bit of fat, you use up your budget very fast. A ribeye steak with butter and oil can have over 60 grams of fat. That is almost 700 calories in just one meal. If you cut your fat intake in half, you can save 250 calories per day easily. This speeds up your fat loss by half a pound every week. You do not need to cut out all fat because your body needs it for hormones. You should stay between 35 and 50 grams of fat per day as your minimum. Cut your butter and cheese and avocado portions in half starting tomorrow. Use the extra space in your budget to eat more protein and vegetables.

Should I do cardio or walking for fat loss?

Walking is a much better method for losing fat while keeping muscle than intense cardio is. Many people think they need to run on a treadmill until they feel sick to lose weight. The truth is that intense cardio can backfire. A study took a group of people and had them burn 2,000 calories from cardio every week. They should have lost two pounds of fat in a month. But they actually lost less than half of that amount. This happened because the cardio made them so tired that they moved less the rest of the day. They went home and sat on the couch and their NEAT levels crashed. NEAT is the energy you burn doing normal things like walking the dog or cooking dinner. Intense cardio also makes you very hungry which makes it harder to stick to your Ozempic diet. You should walk between 7,000 and 12,000 steps per day instead. This is low stress and it burns fat without making you exhausted. If you add a 30 minute walk to your routine, you can lose an extra pound of fat every month.

How can I use the accidental deficit to lose weight faster?

You can use your busiest days to create an accidental deficit that speeds up your results. Think about a day when you are so busy at work that you forget to eat lunch. By the time you get home, you realize you have barely eaten any calories. You can do this on purpose once or twice a week to lose weight faster. On these days, you should only eat quick snacks like protein bars or beef jerky or Greek yogurt and fruit. These keep your protein high but keep your calories very low. Then you eat a big dinner of lean protein and a massive bowl of vegetables when you get home. This can help you eat as little as 1,300 to 1,600 calories for the day. This creates a huge gap between what you eat and what you burn. If you do this once a week, you increase your fat loss by a quarter pound every week. This strategy works great on rest days when you are not lifting heavy weights.

Which exercises are best for building muscle?

You must do resistance training with heavy weights to build muscle while on Ozempic. Lifting weights tells your body that your muscles are important. If you do not lift, your body will shed muscle to save energy. You should lift weights three to five times every week. Focus on big exercises that use many muscles at once. These are called compound movements. You should do squats and lunges and chest presses and rows. A study showed that starting your workout with large muscle groups like your legs and chest produces the best muscle growth response. You should try to get stronger every week by adding a little bit more weight or doing one more rep than you did last time. This is called progressive overload. It is the only way to make your muscles grow. You do not need to spend hours in the gym. A focused 45 minute session is enough if you work hard. Always check supplement safety with Ozempic before adding anything new.

Can I eat enough food to build muscle while on Ozempic?

It can be hard to eat enough because Ozempic makes you feel full very fast. This is where many people fail at building muscle. They simply cannot eat the amount of chicken and rice they need. You should use liquid calories to help you. It is much easier to drink a protein shake than it is to eat a whole chicken breast. You can make a shake with whey protein and a little bit of oats and some berries. This gives you the nutrients you need without making you feel stuffed and sick. You should also eat your protein first at every meal. If you eat your vegetables and rice first, you will be too full for the protein. Eat the meat first to make sure your muscles get the fuel they need. You should also eat smaller meals more often throughout the day instead of trying to eat three big meals.

What role do fiber and whole foods play?

Whole foods help you burn more calories and keep you healthy while you lose weight. A study compared two groups of people eating the same number of calories. One group ate processed foods like white bread and juice. The other group ate whole foods like oats and potatoes and fruit. The group eating whole foods actually excreted an extra 116 calories per day. This means their bodies did not even soak up all the calories because the fiber moved them through the system. Processed foods are stripped of fiber and they make your blood sugar spike and crash. This is bad for muscle growth. You should swap white rice for beans or potatoes. Swap sugary cereal for oats. These whole foods contain resistant starch which helps your gut health and keeps you full for longer. Making this small change can add up to an extra pound of fat loss every single month.

How fast should I try to lose weight?

You should not try to lose weight too fast if you want to keep your muscle. If you lose more than one kilogram per week, you are likely losing a lot of muscle mass. The sweet spot is losing 0.5 to 1.0 percent of your body weight per week. If you weigh 100 kilograms, you should aim to lose 0.5 to 1 kilogram each week. This slow pace allows your body to keep its strength and build new muscle fibers. Ozempic can make the weight fall off much faster than this. If you see the scale dropping too quickly, you might need to eat a little bit more protein or slightly increase your calories. Remember that the goal is to look fit and strong at the end of the process. A slow and steady approach is better than a fast crash that leaves you weak.

Common Questions About Building Muscle on Ozempic

Will I feel too tired to workout?

Some people feel tired when they first start Ozempic because their blood sugar is changing. You might also feel tired because you are not eating enough calories. You should make sure you are eating enough carbs before your workout to give you energy. An apple or a small bowl of oats one hour before the gym can help. Once your body gets used to the medicine, your energy levels should return to normal. Most people find they have more energy once they lose the first few kilograms of fat.

Do I need to take supplements?

You do not need many supplements but a few can help. A high quality whey protein powder is very useful because it is fast and easy to eat. Creatine monohydrate is also a great choice. It is one of the most researched supplements in the world and it helps your muscles produce energy during heavy lifting. It costs about $40 for a tub that lasts for months. You should also take a multivitamin to make sure you are getting enough micronutrients since you are eating less food than usual.

Can I build muscle if I am older?

Yes you can but it is even more important for you. As we get older, we naturally lose muscle mass. This is called sarcopenia. If you take Ozempic and do not lift weights, you will speed up this muscle loss. This can lead to weak bones and a higher risk of falls. Older adults must prioritize resistance training and high protein even more than younger people. You can still gain strength and size at any age if you follow the plan.

What happens if I stop taking Ozempic?

If you stop taking the drug, your hunger will come back. This is why building muscle now is so important. Muscle burns more calories than fat even when you are sleeping. If you build muscle while on the drug, you will have a faster metabolism when you go off it. This makes it much easier to maintain your new weight. If you lose all your muscle while on Ozempic, you will likely gain the fat back very fast because your metabolism will be broken. Build the muscle now to protect your future self.

The Final Plan for Muscle Growth

  1. Eat 1.8 grams of protein for every kilogram of body weight.
  2. Lift heavy weights three to five times per week focusing on big movements.
  3. Walk between 7,000 and 12,000 steps every day.
  4. Cut your fat intake in half to save calories for protein.
  5. Use liquid protein shakes if you feel too full to eat.
  6. Sleep at least seven to eight hours a night to let your muscles recover.
  7. Eat whole foods like potatoes and oats to burn more calories during digestion.

If you follow these steps, you will be one of the few people who comes off Ozempic looking lean and muscular. Most people will just look like a smaller version of their old selves. You have the choice to build a better body. Use the science and work hard and you will see the results. Building muscle is the best thing you can do for your health and your long term weight loss success.

armstrong author profile (1)

Armstrong Lazenby

Armstrong Lazenby is a BSc (Human Nutrition) registered nutritionist and holds a Bachelor of Science in Exercise Science and a Master of Sports Medicine. A former professional athlete who competed representing Australia for 4 years, Armstrong has held scholarships with the Victorian Institute of Sport, Australian Institute of Sport, and the Olympic Winter Institute of Australia.

Qualifications:
• BSc (Human Nutrition) — Registered Nutritionist
• Bachelor of Science (Exercise Science major)
• Master of Sports Medicine
• Certificate III & IV in Fitness