Best exercises while taking GLP-1s for weight loss
A doctor’s complete guide
Medically reviewed by
Dr. Allyson Betts Dr. Allyson BettsMRCS LRCP MRCGP RCGP DFFP DCH DRCOGDr Allyson Betts has been a doctor for 38 years. She’s worked largely for the NHS and is passionate about providing safe medical care, as well as developing health services using new technology. Read MoreWritten by
Dr. Caroline Fontana Dr. Caroline FontanaDr Caroline Fontana is experienced in general medicine, emergency medicine, and women's health. As well as being a GP, she has worked in several private clinics, specialising in hormonal therapy. Read MoreLast reviewed 30-10-2026
Time to read: 11 min
While GLP-1s can help you eat less, diet is only part of the picture when it comes to weight loss. The best results are seen when your medication is paired with a consistent exercise routine.
In this article, I explain why exercise is essential while taking GLP-1s, identify the most effective movements for weight loss, and share doctor-approved tips to maximise your results.
A consistent exercise routine is essential for long-term weight management.
A good physical activity plan includes both cardiovascular exercise and weight training.
While everyone’s needs are different, the average person should aim for at least 150 minutes of moderate exercise every week.
Treatment with GLP-1s can cause muscle loss as well as fat loss, which is why strength training is so important for overall health.
To maximise results on GLP-1s, fuel yourself with plenty of protein and fibre, stay well hydrated, and take breaks when needed.
Why exercise is so important while taking GLP-1s
Incorporating an exercise routine into your treatment with a GLP-1 like Mounjaro or Wegovy isn’t just about maximising weight loss; it’s about maintaining healthy habits and keeping the weight off long term.
A study on GLP-1s and exercise found that long-term weight maintenance is more successful when exercise is incorporated into your routine. This is true for a few reasons:
Muscle retention:Research shows GLP-1s can lead to the loss of muscle mass as well as body fat. Regular resistance training helps protect your lean tissue, which is crucial for maintaining strength.
Improved insulin sensitivity: Consistent exercise helps your body respond better to insulin, the hormone that controls blood sugar. This improves blood sugar levels and supports metabolic health.
Heart health and metabolism: Regular physical activity strengthens your heart and improves metabolic health, ensuring that your weight loss journey benefits your overall well-being beyond just the number on the scale.
If you’re new to treatment, it’s worth understanding how Mounjaro or Wegovy works before building your routine.
The best exercises for people taking GLP-1s
When it comes to weight management, not all exercises are created equal. Here are the best movements to support you on your weight loss journey.
Cardiovascular exercises
Cardiovascular exercise, or just “cardio” for short, is excellent for calorie burning as it increases your heart rate and can cause the body to use stored fat for energy.
The best cardiovascular exercises to do while using GLP-1s include:
walking
running
cycling
swimming
hiking
rowing
These exercises are highly effective alongside GLP-1s because they increase energy expenditure and improve cardiovascular fitness. And you don’t have to do it all! By choosing an activity you enjoy, you can incorporate it into your routine more easily and sustain it long-term.
Strength and resistance training
Some people assume strength training is only important if you’re trying to be a bodybuilder, but this isn’t the case. In reality, the right resistance exercises not only make you stronger, they can aid you in your weight loss too.
By building and maintaining muscle, you increase your resting metabolic rate, which means your body burns more calories naturally, even when you are at rest.
Weight training is also important because rapid weight loss can often lead to the reduction of muscle mass alongside body fat. By lifting weights, you can help preserve your muscle mass while still losing fat.
The best resistance exercises for people using GLP-1s are:
weights (e.g. dumbbells)
resistance bands
resistance machines
body weight (e.g. push-ups)
Adapting your exercise routine to your needs
Your exercise routine doesn’t have to be high-intensity; it’s about finding an activity that fits your lifestyle and ability level.
Whether you are just starting out or looking to maintain your progress, the best exercise is one you enjoy and can stick with long-term. Remember, consistency is far more important than intensity, so choose movements that make you feel good and help you stay active.
There are countless ways to stay active, and adapting movements to suit your unique needs is a key part of building a sustainable, long-term routine.
How often you should exercise
Healthy physical activity can look different for different people, and you should tailor your routine to your specific needs and abilities.
Generally, you should aim for at least 150 minutes of aerobic exercise every week, alongside 60-90 minutes of strength training. If you’re new to a regular exercise routine, start at a level you’re comfortable with and gradually build up the intensity as your fitness and confidence improve.
The best routine is one you can maintain long after you stop prescription weight loss treatment. As cliché as it may sound, the old adage is true: consistency is key.
Can GLP-1s cause muscle loss?
Strength training is particularly beneficial during weight loss treatment because GLP-1s can cause muscle loss as well as fat.
Losing muscle is a concern because it can lead to a slower metabolism, reduced strength, and an increased risk of regaining weight later.
Regular resistance training is essential for helping to preserve muscle during weight loss. By engaging in strength exercises, you can help retain lean tissue and promote a favourable balance between fat loss and lean-mass retention. This can help you maintain your strength and physical function as you lose weight.
Tips to maximise results when exercising on GLP-1s
For most people, regular physical activity is part of weight management, especially if you’re just starting. Here are some tips on how to keep up with your new routine, as well as some ways to maximise the benefits:
Listen to your body: Some days you’ll feel motivated and full of energy, and other days you’ll need to go at a slower pace. That’s completely normal. Rest and recovery are part of a sustainable routine.
Fuel with protein: Recovery is just as important to your health as exercise itself. To keep strong and maximise your results, try to include a protein source in every meal, as well as a healthy amount of fibre. For more information on adapting a healthy diet, read my article on which foods to avoid during weight loss treatment.
Stay hydrated: Water is essential for keeping energy levels high and your digestion on track. The European Food Safety Authority recommends at least 2 litres of water per day for women, and 2.5 litres for men, but this is the bare minimum. If you’re physically active, you’ll need even more.
The bottom line
Exercise, even mild physical activity, is an important part of weight loss management with GLP-1s, both before and after treatment.
While GLP-1s reduce appetite and energy intake, regular movement is the engine that drives long-term success. Whether you’re walking, swimming, or lifting weights, a consistent exercise routine helps you build healthy habits that last long after stopping treatment.
Is walking a good enough exercise while taking GLP-1s?
Walking is a great aerobic exercise when taking GLP-1s, especially if you walk long distances, up hills, and keep it up consistently. It’s gentle on your joints, easy to fit into your daily routine, and it can burn a surprising amount of calories.
However, you should also incorporate some strength training into your exercise routine to protect your muscle mass as you lose weight. Weight loss can involve skeletal muscle as well as fat, so regular strength training is necessary to combat this.
Is cardio or strength training more important?
Both cardiovascular exercise and strength training are important during weight loss treatment with GLP-1s, but they serve different purposes.
Cardio helps boost cardiovascular health, making your heart more efficient at pumping blood around the body. It also burns a significant amount of calories, which can help you lose weight more effectively.
Strength training also burns calories, but the main benefit is the preservation of lean muscle mass. When you combine the two, you create the perfect environment for weight loss progress and overall health.
Can exercising on GLP-1s make side effects worse?
Generally, exercise shouldn't make side effects worse, but if you are experiencing symptoms like nausea or vomiting, you might find intense activity makes them worse. Listen to your body and opt for lighter activity until side effects subside, which should happen once your body gets used to the medicine you’re on.
What if I feel too sick to exercise?
Some common side effects of GLP-1s like Mounjaro and Wegovy can certainly make exercise more difficult. Nausea, vomiting, headaches, and more can get in the way of your routine, especially when just starting treatment, but don’t worry. These side effects are fairly common when taking weight loss treatments, and they typically go away after a few days to a week.
Always listen to your body and only exercise to a level you’re comfortable with, then you can up the intensity once side effects go away. If side effects persist, speak with your doctor about your treatment plan. They may suggest you lower your dose or switch medications.
Can I exercise on the day I take my GLP-1?
Yes, you can exercise on the day you take your GLP-1 medication. However, if you typically experience side effects like nausea shortly after your injection, you might prefer to schedule your workout for a time when you feel your best.
Some of my patients tell me they prefer to take it easy on the day of their injection, opting for a brisk walk instead of a run, for example. Then, they’re better able to up the intensity when they feel better.
Can I lose weight without exercise on a GLP-1?
Yes, you can technically still lose weight without exercise on a GLP-1, but this is not recommended. Weight loss treatment will always be prescribed with a healthy diet and regular physical activity.
This helps you improve metabolic health, maintain muscle mass, and makes your weight loss more sustainable in the long term.
Can I still build muscle while taking a GLP-1?
Yes, you can certainly build muscle while taking a GLP-1. While weight loss can cause you to lose muscle as well as fat, staying on top of your exercise routine can help prevent muscle loss and promote muscle gain while still losing fat.
It’s also important to get enough protein in your diet, as this is the main building block to support muscle growth. Make sure you fill up on plenty of protein, fibre, and other essential nutrients in your diet to give your body all it needs to stay healthy. For more information, you can read my article on the best foods to eat on Mounjaro.
What if I am unable to exercise while taking a GLP-1?
If you’re unable to exercise for whatever reason, focusing on your nutrition becomes even more important. Eating a balanced diet with enough protein and essential nutrients can keep you healthy while you lose weight.
However, exercise doesn’t have to be intense or involve a lot of movement. Whether a short walk or simple exercises from a chair, whatever activity you’re comfortable with can make a world of difference.