The difference between a miserable round and one that works is a handful of things nobody teaches you. Here are the 3 mistakes almost everyone makes, and how my patients avoid them.
Straight from what I tell my own patients · 2 min read
I'm a board-certified endocrinologist at The MAAS Clinic in San Francisco. I've walked hundreds of patients through this medication, from the first injection to the last.
And I see the same split every week. Some of my patients feel awful for weeks and quit before the medicine ever gets to work. Others feel human within days and get something out of every dose. Same medication. Same doses. The difference is what they do around it, and nobody teaches that part.
So I wrote down exactly what I tell my patients. What to eat in the rough first weeks, how to keep your strength while the weight comes off, and what to do when you're ready to stop one day. That's what this is.
Your stomach now empties at half speed. So the same dinner you ate in March sits there until bedtime, and that's where the nausea, the awful burps, and the 2pm fog come from. Half of the people who quit, quit right here, blaming the medicine. The fix is mechanical. Half the portion. Gentle food, yogurt, soup, toast. Water between meals, not with them. Do that, and for most people the worst settles within about two weeks.
You're full after three bites, so most days you're getting maybe half the protein your body needs. And a body running short on protein doesn't just burn fat. It eats its own muscle. Muscle is what burns your calories all day, even while you sleep. That's why the stairs start feeling harder while the scale keeps dropping. And it's why the weight comes back so fast for people who never fix this.
The shot quiets your hunger. That's all it does. It can't tell you what to cook on a nauseous Tuesday, what to order at a restaurant, or whether that new stomach twinge is normal. So people guess, drift for a month or two, and pay $500 or more for doses that half go to waste. Then the last shot arrives, and nothing was built to hold the result.
While you're on the medication, your hunger is switched off and cravings barely exist. Eating right costs you nothing. Building a habit costs you nothing. It has never been this easy, and after your last shot it never will be again.
Fix the three mistakes now, and every $500 month of medication actually pays you back, and the results stay yours. Wait until after your last shot, and you'll be trying to rebuild muscle while your full hunger is back. Almost nobody wins that fight.
Because my patients ask me the same things all week. Can I have a glass of wine on this? Why am I so tired by 3pm? What do I eat the day after my shot? Is this stomach twinge normal? At 2am, Google gives you twelve different answers, and none of them know you.
Avoiding the three mistakes is simple on paper. But it turns into dozens of small decisions every single day, what to cook tonight, what to order at the restaurant, what to do when nothing stays down. My patients can just ask me. Most people have nobody. So I built a way to be there anyway.
She's trained on the exact protocol I use with my own patients, and she knows your medication and your stage. Text her what's going on, a rough shot day, a restaurant menu, protein falling short, and she tells you exactly what to do next. Any hour, any day.
Here's how it works. You tell Hannah what's going on today, a wave of nausea, a 9pm craving, a menu you're staring at, and she answers with a specific next step made for you, your medication, and exactly where you are. In seconds, not at your next appointment.
What to eat when nothing sits right, so the nausea settles in days and you don't quit at week three.
Your protein hit daily and 15-minute home workouts, so you lose fat, keep muscle, and every dose shows.
When you're ready to stop one day, she walks you off step by step. Included free.
A GLP-1 costs hundreds of dollars a month. Hannah's job is that every one of those doses ends as progress you keep, and that you never have to figure any of it out alone.
Week five hit me hard. Nauseous all day, living on crackers, and I'd already decided the shot wasn't for me. My doctor's office said the next opening was in three weeks. I'm a mom of two in Texas, I can't afford a dietitian on call.
So I texted Hannah instead. She told me exactly what to eat that same night, and by the weekend the nausea had settled. Now I ask her everything. What to order when we eat out, what's normal, what to cook for the kids and me. My energy is back, the scale is moving, and I didn't quit.
A private coach on your phone, built on my full method. Text her anything, any hour. What to eat tonight, what to order at the restaurant, a gentle meal when you're queasy, why you're so tired this week. She knows your medication and your stage, and she answers in seconds. So you're not doing this alone anymore.
A coach like this is $17–50 a month everywhere else. Both packages are one payment, yours for good.
No. One payment, either way, and it's yours for good.
Ask Hannah is the coach, and she's complete on her own. The Premium Package adds the done-for-you layer: the full written plan, four weeks of dietitian meals with grocery lists, and the at-home strength program, so there's nothing left to figure out yourself.
No. She's trained on the exact method I use with my own patients, and she knows your medication and your stage, so you get the next right step for you, not a generic answer.
No. The strength plan is at home, beginner friendly, and takes about 15 minutes.
You're refunded in full within 30 days. Just email us, no questions.
You wake up with energy. Breakfast is already decided. The queasy days have an answer, and every dose is doing what you're paying it for.
Already handled. The Off-Ramp Plan is included, and she walks you off step by step when that day comes. Everything you build stays yours.
Weeks of nausea the right eating would have settled. Doses at hundreds of dollars a month with half the results to show for them. And for about half of the people who start, quitting before the medicine ever gets to work.
The shot is doing its part right now. Twenty-seven dollars makes sure your part happens too.
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no joke, I was staring at the menu starting to panic and just messaged her right there under the table. she told me exactly what to order and what to skip. paid for itself in that one dinner tbh. I use her every single day now.
the 2am spiral is SO real, i used to just lay there panicking about all of it. now I literally just message Hannah and she talks me through it and tells me what to actually do. no clue how I did this alone before 🥹
there were things I was honestly too embarrassed to bring up with my actual doctor lol. I just typed them in and got a real answer, zero judgement. huge relief.
my number one fear was that the quiet in my head would come screaming back the second I stopped. it did NOT. I really think it's cause I did this while I was still on the shot. can't even explain what that's meant for me.
im truly not techy and thought I'd struggle setting it up. took like 2 minutes and now it just lives on my phone. no complaints here!
I started this way later than I should've and it STILL helped so much. I keep thinking about how much easier it would've been from my very first shot. oh well, better late than never right
everyone kept telling me "eat more protein" and I was like ok but HOW when I'm full after three bites. this actually broke it down in a way I could keep up with. small changes but they've actually stuck.
week 2 the nausea was so bad I was fully ready to give the whole thing up. the little eating tips settled my stomach enough to keep going. genuinely think I would've quit without it.
few months off now and I'm still where I was when I stopped. did not think that was possible for me?? still kind of in disbelief tbh.
she knows my plan and where I'm at, so I get a real answer in seconds no matter the time. for what I paid this is honestly a steal.
instead of white knuckling it on the couch every night I actually have something to do now. sounds tiny but it honestly changed my evenings.
I was DREADING the day I'd have to come off, like genuinely losing sleep. going through it step by step made it feel like a plan instead of falling off a cliff. so grateful.
the little at home strength things are short enough that I actually keep up. never once stuck with any movement thing before this. shocked honestly.
food just isn't the loudest thing in my brain anymore, and now I actually know how to keep it that way. never had that. worth every penny.
it doesn't just bark instructions at you, it kind of gets how scary and lonely this is and meets you there first. idk it just felt human.
honestly just knowing I have a plan for the day I stop lifted this weight off me I didn't even realize I was carrying. sleeping better lol.
there's SO much contradicting advice online and it was making me crazy. having one clear next step for exactly where I am was such a relief.
did this completely alone last time and it went about how you'd expect. having Hannah there for the hard moments has been everything. wish I'd had it years ago.
nobody hands you a how-to when you start these shots! this is basically what should come WITH the prescription lol. so useful.
I've lost and regained more times than I can even count at this point. this is the first time it actually feels like it might stick. cautiously so hopeful.
I pay over $500 a month for this medication and I was basically winging it the whole time?? now I actually know I'm getting everything out of it. should've been step one honestly.
the plan and the coach are great, no notes there. I'd love even more at home workouts to pick from, but honestly it's already way more than worth the price.
no crazy promises or before/after nonsense, just steady sensible help. that's actually exactly why I trust it and stuck with it.
in those first awful weeks not having to think about what to eat was EVERYTHING. I just followed the list and the grocery thing. so easy.
first month was rough, the awful burps, the all-day blah, not gonna lie. checking in with Hannah is honestly the only reason I didn't throw in the towel. she kept me going.
no way I could ever pay for a real coach or a dietitian. this got me the same kind of help for basically the price of a lunch?? still can't believe it.
doesn't ask me to blow up my whole routine, just a few small things I can keep doing with 3 kids running around. that's why it's actually working.
that quiet feeling around food the shot gave me was the thing I was most scared to lose. this is legit how I kept it. so so grateful.
woke up around 1am worried about something, typed it in, had a real answer before I even fell back asleep. don't feel alone in this anymore.
people always made little comments like "oh it was just the medication." now I actually know how much of it was me and I can say it with my chin up. means the world honestly.
I had NO idea keeping muscle was basically the whole game. the stairs thing was literally me. genuinely wish someone had explained this at the very start.
was terrified about coming off, like full panic mode. Hannah walked me through it week by week and now I actually feel ready. no guessing.
the constant dread about stopping is just… gone. I have a plan and I trust it. can't put a price on that honestly.
somehow it's soft and encouraging but still actually gets you to DO the things. best money I've spent on myself in a long time.
some of it I already knew but there was plenty I didn't, especially the coming off part. worth it for that alone honestly.
I did the work (with a little help) so now when I keep it off I actually know it was me. hard to explain how much that matters to me.
half my stress was not knowing if what I was feeling was even normal. now I just ask and find out in a sec. so calming.
knew exactly what was coming each week and what to do about it. felt like a soft landing instead of falling. thank you!!
I quit every single plan by week 2, that's just my track record lol. this one fit my life so I kept going. genuinely new for me.
warm but clear at the same time somehow. never feel talked down to, just helped. love that.
for less than a dinner out I got real guidance for the scariest part of all of this. total no brainer honestly.
used to fall down these panic google holes at night. now there's one place I trust with real answers. my brain thanks me lol.
I finally feel like I know what I'm doing instead of just hoping I'm not messing it all up. that's huge for me.
wanted a little more on eating out at restaurants but overall it gave me a real plan I can actually follow. happy with it.
on the hard days it genuinely feels like someone's got me. that alone talked me out of quitting more than once.
came into this fully expecting to regain like I always do. for the first time I actually believe it can stay off. that's everything to me.
no more piecing it together from 10 different websites. start all the way through coming off, it's all right here and it's mine to keep.
my actual doctor is lovely but so rushed. this is like having her around for all the little in between questions. so helpful.
not off the shot yet but for the first time I feel ready for that day instead of scared of it. that's a big deal for me.
would've loved a printable version for my fridge but the actual guidance for coming off was exactly what I needed. glad I bought it.
For most people, noticeably, and often within days. Here's why: a lot of the misery in the early weeks isn't the medication itself, it's eating like you did before the shot, when your stomach now empties at half speed. Smaller portions, gentler food, water between meals instead of with them. Small changes, big difference. And when something new hits you, you ask Hannah and have an answer in seconds instead of suffering through it until your next appointment.
Because the scale moving isn't the same as the shot working. If you're barely eating and your protein has crashed, part of what you're losing is muscle, and muscle is what burns your calories all day. You're paying $500 or more a month for this medication. This makes sure every one of those doses turns into progress you keep, not progress that quietly undoes itself.
No. A blank chatbot doesn't know your medication, your stage, or your plan. Ask Hannah is trained on the exact method I use with my own patients, and she knows where you are in this. Text her from a restaurant and she tells you what to order off that menu. Ask her about the nausea after your shot day and she tells you what to eat tomorrow. Real answers for your real life, not a generic search result.
No. Ask Hannah is with you any hour, day or night. The lonely 2am googling version of this is over.
When and whether you stop is always a decision between you and your prescriber. But whenever that day comes, you're covered: The Off-Ramp Plan is included free with your order. Hannah walks you off step by step, so the weight you lost stays lost.
That's what happens by default, because most people spend their months on the shot barely eating, losing muscle, and then stop with no plan. It is not what happens to the people who keep their protein up and their muscle strong while the medication does the hard part. That work is exactly what this is, and the best time to do it is right now, while you're still on the shot.
Start today anyway. The plan and the coach work after your last dose too. Rebuilding later is harder than protecting what you had, but it's far from hopeless, and you won't be guessing anymore.
No. Stay This Size is education and coaching for the eating, movement, and mindset side of your journey. Anything about your dose or prescription belongs with your prescriber.
No. The strength plan is at home, beginner friendly, and takes about fifteen minutes.
One payment, no subscription, it's yours to keep. And if it isn't right for you, email us within 30 days and you get every cent back. No forms, no arguing.
Your custom coach and the free Off-Ramp Plan from $27, or the Premium Package with everything done for you.
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