Two things. Eat enough protein, and lift something heavy two or three times a week. Everything else in this article is detail about those two, because everything else is detail.

Why only two

There is no shortage of advice on this topic, and most of it is not wrong so much as marginal. Supplements, meal timing, fasted training, specific foods, particular exercises — these occupy a great deal of attention and account for a small fraction of the outcome.

The two that matter are the two that change the signal your body is working from. Protein supplies the raw material for maintaining muscle. Resistance training supplies the reason to maintain it. In a calorie deficit, tissue that is not being used is expensive to keep, and the body is efficient about expense.

Protein: the number and the difficulty

The range associated with protecting lean mass during weight loss is roughly 1.2 to 1.6 grams per kilogram of body weight per day, with the upper end more appropriate from around age 60. For someone at 90 kg that is about 110 to 145 g a day. Our protein calculator will give you your own figure and show you what it looks like in food.

The number is the easy part. The hard part is that these medications work by suppressing appetite, and protein is the most filling macronutrient — which means it is often the first thing to fall away. People do not decide to eat less protein. They simply eat less, and protein goes with it.

Three things help:

  • Front-load it. Appetite is usually least suppressed early in the day, particularly in the first day or two after an injection. Getting 30–40 g at breakfast removes most of the problem before it starts.
  • Make it liquid when solid food is difficult. A shake is not superior to food, but it is vastly superior to nothing, and on a bad week it is often the difference.
  • Count for three days, once. Most people are surprised, in one direction or the other. Guessing is where the gap usually hides.

Training: less than you think

Two to three sessions a week of thirty minutes each is the whole ask. It does not need to be a gym, it does not need to be complicated, and it does not need to be heavy in any absolute sense.

A session that covers a squat, a hinge, a push and a pull — two sets of each — is sufficient stimulus. Bodyweight, resistance bands and household objects all count when the alternative is nothing. The evidence here is about doing resistance work at all versus not doing it; the gap between two sessions and four is much smaller than the gap between zero and two.

If you are starting from nothing while eating in a deficit, expect strength to progress slowly. That is not failure. Holding steady on the weights while losing body weight is a genuinely good outcome.

What matters much less

Slowing the loss helps at the margins, and faster loss does correlate with a larger lean share. But it is downstream of dose and appetite, and deciding to lose more slowly is not straightforward. It is also not a decision to make alone — if you want to change a dose or pause a titration, that is a conversation with your prescriber, not something to act on because of an article.

Supplements other than protein powder have thin evidence in this specific context. Creatine has reasonable general support for strength training and is inexpensive, but it is a small effect stacked on top of the two things above, not a replacement for either.

Meal timing, fasting windows and specific protein sources occupy far more discussion than their effect size justifies. Total daily protein and whether you train are what move the number.

How to know if it is working

The scale cannot tell you. It reports one number and the whole question here is what that number is made of. If you have access to a DEXA scan or a smart scale, two readings taken a few months apart will tell you the split exactly. If you do not, the muscle check estimates it from your inputs and tells you which lever is furthest out of range.

Either way, check every few months rather than every week. Body composition moves slowly, and weekly readings mostly measure hydration.