Glossary

GLP-1 glossary

Plain-language definitions of the 20 terms that come up most on Ozempic, Wegovy, Mounjaro, and Zepbound — from gastric emptying and lean mass to titration and telogen effluvium.

Constipation
Constipation on a GLP-1 is caused by slower gut transit, lower food volume, and reduced fluid intake rather than by the drug damaging the bowel.
Dehydration
Dehydration is common on GLP-1 medications because appetite suppression also blunts thirst signalling.
Electrolytes
Electrolytes are minerals — mainly sodium, potassium, and magnesium — that regulate fluid balance, nerve signalling, and muscle contraction.
Gastric emptying
Gastric emptying is the rate at which food leaves the stomach; GLP-1 medications slow it, which extends fullness and can cause nausea or bloating.
GIP
GIP is a second incretin hormone that works alongside GLP-1 to regulate insulin, fat handling, and appetite.
GLP-1
GLP-1 (glucagon-like peptide-1) is a gut hormone released after eating that stimulates insulin, slows gastric emptying, and reduces appetite.
GLP-1 receptor agonist
A GLP-1 receptor agonist is a medication that binds the GLP-1 receptor to reduce appetite, slow gastric emptying, and improve blood sugar control.
Gut microbiome
The gut microbiome is the community of bacteria in the digestive tract that influences digestion, immunity, and GLP-1 production.
Lean mass
Lean mass is body weight that is not fat — mostly muscle, bone, and water — and 25–40% of GLP-1 weight loss can come from it without protein and training.
Magnesium glycinate
Magnesium glycinate is a highly absorbable, gentle form of magnesium used for sleep, muscle relaxation, and cramp prevention.
Nausea
Nausea is the most common GLP-1 side effect, peaking 24–72 hours after a dose and usually easing within two to four weeks at each dose level.
Protein
Protein is the macronutrient that preserves muscle during weight loss; GLP-1 users should target 0.7–1.0 g per pound of goal body weight daily.
Sarcopenia
Sarcopenia is the progressive loss of skeletal muscle mass and strength, which rapid weight loss can accelerate.
Semaglutide
Semaglutide is a GLP-1 receptor agonist sold as Ozempic and Rybelsus for type 2 diabetes and as Wegovy for chronic weight management.
Soluble fiber
Soluble fiber dissolves in water to form a gel that softens stool and slows digestion, making it the preferred fiber type for GLP-1 constipation.
Telogen effluvium
Telogen effluvium is temporary diffuse hair shedding triggered by rapid weight loss, low protein, or nutrient shortfalls — not by GLP-1 drugs directly.
Tirzepatide
Tirzepatide is a dual GIP/GLP-1 receptor agonist sold as Mounjaro for type 2 diabetes and Zepbound for chronic weight management.
Titration
Titration is the scheduled stepping-up of a GLP-1 dose over weeks or months to improve tolerance.
Weight-loss plateau
A plateau is four or more weeks without weight change, driven by a lower metabolic rate, muscle loss, or unmeasured intake creep.
Whey protein
Whey protein is a fast-digesting complete dairy protein with a high leucine content, making it efficient for preserving muscle on low food volume.