The Ten Commandments of GLP-1 Success.
Delivered to every Summit patient on Day 1, then reinforced weekly for ten weeks. This is the actual framework — not a highlight reel.
Be Consistent
Take your injection weekly, at the same time — consistency is what makes the dosing schedule (and the rest of this list) actually work.
Hydrate Daily
1–2 liters minimum. A suppressed appetite suppresses thirst too; most patients need to track this on purpose at first.
Track it in Companion →Replenish Electrolytes
Add sodium daily. Lower food intake means lower electrolyte intake — this is the fastest fix for the fatigue and headaches patients report early on.
Track it in Companion →Prioritize Protein
0.8–1.2g per pound of goal weight. A suppressed appetite makes protein the easiest thing to miss — and the one that matters most for keeping lean mass.
Build it into Meal Planner →Lift Weights
Strength train at least twice weekly. About 28% of what you lose on a GLP-1 isn’t fat — it’s muscle. Resistance training is how you keep the difference.
See the Exercise Planner →Escalate Dose Thoughtfully
Lowest effective dose wins. This is the whole philosophy behind how Summit doses — slower than the label, on purpose, to maximize time at the lowest dose that works.
Read the full philosophy →Eat Slowly
Stop at 80% full. GLP-1s change your fullness signal, not your eating speed — slowing down is what lets the two catch up to each other.
Avoid Ultra-Processed Foods
Choose whole inputs. With less food coming in overall, what you eat matters more, not less.
Plan real meals →Guard Your Bowels
Hydrate and add fiber. GI slowdown is one of the most common GLP-1 side effects — and one of the most preventable with the basics.
Measure Beyond the Scale
Track strength, waist, and energy — not just weight. The scale alone misses most of what’s actually changing.
Track it in Companion →The framework is free. The care is Summit.
Dr. Miranda reviews every application himself and builds your plan around this exact framework.