08/01/2026
Personal trainers: a timely heads-up (and an invitation).
A new BMJ systematic review + meta-analysis (published 7 Jan 2026) looked at what tends to happen after people stop weight-management medications (including GLP-1 injections): weight regain is common, and other health markers can drift back too. It’s not a “lack of willpower” story — it’s physiology, appetite regulation, and the reality that obesity treatment often needs a long-term plan. (BMJ 2026;392:e085304)
Why this matters in the gym: many clients arrive after (or while using) GLP-1s with:
• rebound appetite and food noise when doses change or stop
• fear of regain → restriction → rebound cycles
• loss of trust in hunger/fullness cues
• guilt, panic, or “I’ve ruined it” thinking
If you’re a PT supporting someone who’s coming off GLP-1s, plateauing, or feeling pulled onto the “doom train” (diet → suppress → rebound → shame → repeat), please reach out.
I work alongside trainers to help clients:
• rebuild reliable appetite regulation without rigid control
• reduce restriction-rebound patterns
• strengthen body trust, satiety awareness, and consistency
• create a maintenance plan that supports training outcomes and mental wellbeing
If you’d like a referral pathway for clients who are struggling — or want to prevent the rebound spiral in the first place — message me and I’ll send details of how we can collaborate (including my free consult option for new clients).
— Alison (HFI Training / The Appetite Club)