As a personal trainer, you may have heard of the weight loss drugs that have hit the market in the last few years and have been surging in popularity, like Wechovie and Ozempic. The more you know about these pharmaceutical interventions, the better prepared you are to advise and guide your clients who may be interested in exploring them.

The “Why” Behind Weight Loss Drugs

The pursuit of the “ideal body” is not an unfamiliar goal to clients (or many professionals in our field). Clients are exposed to (and sometimes subscribe to) rampant photo editing, fit-fluencers, fads, and fanatical dogma promoting less-than-ideal practices in hopes of achieving an ideal body; a contradiction in terms. Now, weight loss drugs are becoming a significant, influential, and trendy factor affecting our clients and the industry as a whole.

These pharmaceutical interventions promise quick fixes and rapid results, catering to the desires of those seeking to shed pounds swiftly. However, their emergence raises critical questions about their implications for health, the integrity of the fitness industry, and the role of professionals within it.

The Rise of Weight Loss Drugs

The prevalence of weight loss drugs hitting the market (Ozempic, Wegovy, Zepbound, and Mounjaro) reflects the growing demand for accessible solutions to obesity and overweight issues. With lifestyle changes often proving difficult to maintain and obesity rates soaring globally, pharmaceutical interventions offer a seemingly convenient (but costly) alternative. These drugs work through various mechanisms, such as appetite suppression, fat absorption inhibition, or metabolic enhancement, to facilitate weight loss.

Many of these drugs are classified as GLP-1 (glucagon-like peptide 1 receptor agonists), and were approved for treating type 2 diabetes and/or for anyone meeting specific diagnostic and lifestyle criteria.



Implications for Health

While weight loss drugs may yield initial success, their long-term effects on health warrant careful consideration, which very well may not be taken with a prescribing medical professional. Many of these medications come with potential side effects ranging from mild discomfort to severe complications. For instance, appetite suppressants may lead to increased heart rate and blood pressure, while fat absorption inhibitors can cause gastrointestinal issues.

Some research indicates that these drugs actually reduce cardiac deaths while others warn of unexpected risks like stomach paralysis, intestinal blockages, and pancreatitis. Ultimately, it is very early on in their popularity and many effects may not be realized for some time.

Furthermore, the reliance on pharmaceuticals for weight management may overshadow the importance of holistic behavior change approaches to health and fitness. Sustainable lifestyle changes encompassing balanced nutrition, regular exercise, and stress management are often sidelined in favor of quick fixes. Consequently, the health implications extend beyond the physiological realm, encompassing mental well-being and self-image.

Other questions and concerns are worth noting. We have to wonder if appetite is suppressed, what potential is there for nutritional deficiencies? Also, the cost of lean tissue loss has to be considered following rapid weight loss.

Lastly, what happens when individuals stop taking these medications? Will they rebound or maintain? Are there long-term health effects? All areas to ponder.

Impact of Weight Loss Drugs on the Fitness Industry

Weight loss drugs present both challenges and opportunities for professionals in the fitness industry.

On one hand, the proliferation of these medications may undermine the credibility of personal trainers advocating for natural, sustainable approaches to weight management. Clients seeking rapid results may prioritize pharmacological interventions over the guidance of fitness experts, potentially sidelining the latter’s expertise.

Additionally, with weight loss drugs at the center of the conversation, weight loss remains the primary reason to inspire people to move more, which overshadows and eschews the other countless benefits of exercise and physical activity.

On the other hand, weight loss drugs underscore the need for informed guidance and support within the fitness industry. Professionals equipped with knowledge about these medications can be more effective in coaching their clients. Your role, as the professional, is not to sit in judgment or say, “Yes, you need this” or “No, you do not need this”.

Your role is to listen, empathize, be curious about their draw towards a specific medication, and guide them toward appropriately qualified medical personnel who can best address their questions directly. You also should further emphasize the importance of lifestyle modifications and coach clients in an appreciative way that can help them develop the tools and skills necessary to make lasting change.

Be an Informed Personal Trainer

In navigating the weight loss drug landscape, personal trainers must adopt a multifaceted approach. Apply these five steps in your practice:

  1. Become and stay informed about the latest developments in pharmacotherapy for weight management. Understanding the mechanisms of action, potential side effects, and efficacy of these drugs allows professionals to provide accurate information to their clients and guide them toward medical counsel. Health and exercise professionals also need to be prepared to work with clients who are already taking these medications.
  2. Prioritize education and empowerment when working with clients. Instead of solely focusing on weight loss goals, professionals can emphasize overall health improvement body composition changes, and nonscale victories. By shifting the narrative from weight-centric to wellness-centric, professionals can foster sustainable behavior change and mitigate the allure of quick-fix solutions.
  3. Network and collaborate with healthcare professionals. Fitness professionals can work in tandem with physicians and pharmacists to ensure comprehensive care for clients considering or using these medications. This collaborative approach enables professionals to collectively and collaboratively address both the physical and psychological aspects of weight management, promoting holistic well-being.
  4. Be mindful of the ethical considerations, which should always guide the practice of fitness professionals amidst the prevalence of weight loss drugs. Upholding integrity and transparency in client interactions involves discussing risks and benefits of openly. Professionals should refrain from endorsing or promoting specific medications without considering individual needs and circumstances.
  5. Be an advocate for policy changes and industry regulations, which could help mitigate the indiscriminate use of weight loss drugs. Supporting initiatives aimed at promoting evidence-based practices and consumer protection strengthens the integrity of the fitness industry and safeguards the well-being of clients.

The use of weight loss drugs has become a go-to solution for many, offering quick fixes for individuals grappling with weight management issues. However, their widespread use raises concerns about the prioritization of convenience over long-term health. Navigating this changing landscape requires a holistic approach encompassing education, collaboration, and ethical practice.

By prioritizing informed guidance, empowering clients, and advocating for comprehensive care, personal trainers can navigate the challenges posed by weight loss drugs while upholding their commitment to promoting health and well-being.

Erin Nitschke

Dr. Erin Nitschke, NFPT-CPT, NSCA-CPT, ACE Health Coach, Fitness Nutrition Specialist, Therapeutic Exercise Specialist, and Pn1 is a health and human performance college professor, fitness blogger, mother, and passionate fitness professional. She has over 15 years of experience in the fitness industry and college instruction. Erin believes in the power of a holistic approach to healthy living. She loves encouraging her clients and students to develop body harmony by teaching focused skill development and lifestyle balance. Erin is also the Director of Educational Partnerships & Programs for the NFPT. Erin is an editorial author for ACE, IDEA, The Sheridan Press, and the Casper Star Tribune. Visit her personal blog at