10/07/2026
After my retatrutide post, one of thr most common questions I received was “what about muscle?”
Fair question. Up to 40% of the weight lost on these drugs isn’t fat, and that number gets thrown around a lot. But “lean mass” on a scan isn’t the same as muscle. It also includes water, stored carbs, organs, and connective tissue.
The short version: muscle loss on these drugs looks to be in proportion to the amount of weight lost, and muscle quality often improves as fat inside the muscle clears. That doesn’t mean you can ignore it, especially if you’re older, already low in muscle, or planning to come off the drug.
Resistance training and prioritising protein are your best insurance.
Swipe through for the evidence, including the latest on retatrutide. If you want to go deeper, Dr Nicola Guess and I unpack this in EP 432 of The Proof with Simon Hill
- Simon