Michele Memmo, MS, RD, CDN

05/21/2026

GLPs are not going away anytime soon, matter of fact, the market is about to expand so much that I think it is so important for all people to understand how the conversations are shifting. There are many people on social media who don't understand the differences between degrees of muscle losses. What I mean by this is, everyone thinks that just because you are on a weight loss medication like a GLP-1 the weight loss will be "bad", or "complete muscle or bone loss".
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I can’t stress this enough to everyone. Understand that ANY weight loss, induces some degree of muscle loss-doesn't matter if that weight loss was through lifestyle (w/o meds), surgical, or pharma, this is not new to the medical world. Unfortunately, we are just now catching up, and it has just become more popular to talk about because of GLPs.
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The real question we should be looking at is how are we assessing the "muscle composition" when losing weight? AGAIN-Doesn't matter how you are losing weight. Please reread that, because again if you are still in a calorie deficit, NOT on a GLP1, how are you 100% positive you are certain that you know the overall composition of your body?
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Some of the standout questions to ask yourself when losing weight:

• How much weight have I lost over time-is it more than 5-10% of your body weight in a 6-12 month period?
• If you have had extreme weight loss how are you measuring it outside of a scale?-Have you had a DEXA scan, BIA measurements, recent MRIs, etc.
• Do you and your doctors understand the differences between fat-free mass and muscle?
• Do you understand that Obesity impacts muscle quality through fat accumulation, inflammation and impaired metabolic function?
• Do you understand that muscle function matters more than mass alone? (e.g handgrip strength, jump tests, loaded stair climb, etc vs. just bench pressing or doing bar loaded squats)
• Do you understand that mobility is also important when losing weight and maintaining muscle?
• Do you understand that preserving muscle in obese people for weight loss may differentiate by how well the muscle is already preserved and its physical function?
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I understand there are some very "sciencey" terms here. But to summarize what I am saying, it is best for anyone who is losing weight significantly over time, no matter how they are doing it, to dive deeper into evaluating the compositional and functional changes of their weight. Talk to your doctors who understand DEXA scans, work with obesity clinics and know how to compare previous readings. Not everyone is created equal in this journey! 🫶🏽

05/19/2026

Fibermaxxing 🌾 with homemade jam. Try it

04/08/2026

You want breakfast here it is 🥣🍓
Doesn’t have to be complicated. Tastes amazing 🤤

04/07/2026

04/01/2026

This might be a stretch or controversial but if the MAHA movement wants to focus on something important they should start by looking at our advertisers, especially when I seen things like this. Do you think the FCC cares that McDonald's is using their Hash browns for abs using Netflix's most-watched film of all time with over 500 million views? Probably not. Do they ever think that kids would grow up knowing this is misleading? Probably not. This has to be the most cringe thing I have ever seen. Am I wrong to be upset? Thoughts?

The Saja Boys Breakfast Meal and HUNTR/X Meal drop 3.31 at McDonald’s.

03/30/2026

SUPER IMPORTANT INFORMATION For anyone currently on compounded Tirzepatide getting it from a clinic and not entirely sure where it is from. This is important why you ask questions during your appointment, where the medication is coming from, has it been third party tested, is it a third party accredited compounding pharmacy, does it have independent internal double check systems, does it have a certificate of analysis, and lastly does it have regulatory inspection.
Testosterone cypionate isn’t even REMOTELY COMPARABLE in liquid form to tirzepatide. So please check your supplies before injecting.

Drug Recall Enforcement Report Class I voluntary initiated by Revive Rx LLC dba Revive Rx Pharmacy, initiated on 04-20-2024 for the product Tirzepatide 10

03/26/2026

I’m going to tell you a story. I have been overweight or obese my whole entire life. Should I throw myself a pity party, no. I’m part of the 70% of Americans since 2025! That’s a wild number btw. I also have high cholesterol despite being a registered dietitian, knowing how to lower my cholesterol levels, exercise per recommenders and generally eat “healthy” (don’t think I need to explain that).
Where am I going with this you ask? For the past few years I have felt guilty and ashamed about myself for not being able to change my lifestyle, body and basically how I feel BECAUSE I’m a dietitian and honestly I was done. I too, kept trying to avoid cholesterol lowering medication and weight loss medication because I felt “I didn’t need it, I’m a dietitian, I should know this stuff….” But I also realized that is a stupid and delusional way to look at it. Dietitians are also trained to look at evidence based information, but because our profession sometimes focuses so much on using “food and lifestyle” we forget about the “empowerment and autonomy, with lifestyle changes.”

Why was I so scared to start any kind of medicine? I can tell you. For one the shame behind my colleagues. There are SO MANY DIETITIANS against life saving medicines ITS MIND BLOWING! I get it, I was one of them, but to also spread misinformation or sell supplements, meal plans, or whatever else just to influence s**t that isn’t working, YOUR THE PROBLEM.

So I picked up my boot straps over a year ago, started not only cholesterol lowering therapy but a GLP1 lost 31 lbs and I’ve never felt better. Also, those who know me, I’ve always been in the gym! As you can see, muscles still present. So people spreading misinformation about muscle loss, that will happen EVEN ON A CALORIE DEFICIT! If this finds one person and helps them then I did my job. 🫶🏽

03/23/2026

One of my favorite things to do as I start my day heading to the gym 🫶🏽💁🏽‍♀️
Thank you

03/22/2026

It’s understandable that people who have never worked in the Obesity industry try to understand the research objectives of weight loss medicine, find themselves lost, and misleading others. Possibly because they are only seeing those who had a bad experience or a side effect.

Some just see it as a money grab, and why wouldn’t people think that, but Obesity care is no longer about weight reduction. Some people probably don’t even realize, but insurance companies require patients to see an approved weight reduction program (even a registered dietitian) on a regular basis before getting approved for the medication. They don’t just hand out the prescription.
It is about metabolic risk reclassification. The most sophisticated obesity practices in 2026 are shifting from a “pounds lost” framework to a cardiometabolic performance model one that prioritizes:
• Visceral fat reduction
• Insulin sensitivity improvement
• Inflammatory marker modulation
• Preservation of lean mass
• Long-term adherence architecture

Since the GLP-1–based therapies and emerging peptide combinations have accelerated clinical results, obesity clinicians are EXCITED about the results. But we DO KNOW AND UNDERSTAND pharmacotherapy without structural care models leads to weight cycling, muscle loss, and disengagement. I want my clients to understand that with or without the medication, being in a calorie deficit without the proper plan can lead to weight cycling, muscle loss, and disengagement as well!!!

This is why high-performing obesity platforms now integrate:
• Structured nutrition protocols (increasing fiber, protein-forward, muscle-protective)
• Resistance training guidance
• Behavioral reinforcement frameworks with other providers
This is where obesity medicine separates from weight-loss marketing and influencers without formal training.
As reimbursement models evolve and employer-metabolic obesity programs expand, the practices for obesity evolve as well and it’s very exciting.
If obesity is a chronic disease, it deserves chronic-disease infrastructure, and no one should be ashamed to ask about starting medication, especially if they need it.

Discussion Questions: I am curious, have you ever thought about starting medication but felt scared, ashamed or confused?
What metric do you believe should become the primary success indicator in modern obesity treatment weight, body composition, insulin resistance, or something else, all of the above?