GLP-1 PATIENT EDUCATION - RECOMMENDED BY MOUNTAIN VIEW PHARMACY

Your GLP-1 journey,supported.

A patient education resource, what to expect week by week, how to manage common side effects,
and the daily nutritional protocol Mountain View Pharmacy's clinical team recommends to help you stay the course.


Education · Side effect support · Pharmacist-recommended daily protocol
25-40%

of weight lost on GLP-1s is
lean muscle, not fat


AHA Circulation, 2024
44%

of patients on a leading
GLP-1 report GI side effects
driving dehydration and
fatigue


StatPearls, NCBI1
4

nutritional gaps Routine+ is
designed to address


one daily protocol

THE PATIENT JOURNEY

What to expect, week by week.

GLP-1 medications work in phases. Knowing what's coming at each stage helps you

anticipate side effects, recognize what's normal, and know when something needs

your pharmacist's attention.

WEEK 1

Getting started

You'll start at a low introductory dose. Most patients tolerate the first week well. You may notice early appetite suppression and mild nausea after meals, both are normal early signals that the medication is working.

WHAT HELPS
Begin daily hydration habits now. Smaller, slower meals. Note how your body responds.

WEEKS 2 – 4

First adjustment

Most protocols increase your dose during this period. Side effects, nausea, constipation, fatigue, occasional brain fog, typically peak here as your body adapts. This is the most common time for patients to feel discouraged.

WHAT HELPS
Hydration becomes critical. Electrolytes, gentle daily detox support, and consistent gut microbiome care matter most now.

MONTHS 2 – 3

Adaptation

Your body adapts. Most acute side effects stabilize. Weight loss becomes more consistent. New eating patterns establish, which means a new risk: chronic under-nutrition. You're eating less, but your body still needs the same vitamins, minerals, and protein.

WHAT HELPS
Daily micronutrient support. Protein intake becomes the most important variable for
protecting muscle.

MONTH 4+

Sustained therapy

Steady weight loss continues, often at a slower pace. The compound effects of nutritional gaps emerge if unaddressed — fatigue, hair changes, mood shifts, and most significantly, lean muscle loss that affects your long-term metabolism.

WHAT HELPS
The full daily protocol. Resistance training. Sleep. Long-term consistency is now the variable that matters most.

THE NUTRITIONAL GAPS

Four things GLP-1s don't fix on their own.

Clinical research has identified four consistent nutritional vulnerabilities in patients on GLP-1 protocols. Each one affects your results, your energy, and your long-term health. Each one is something Routine+ is designed to address.

ENERGY & COGNITION

Fatigue & brain fog

01

Caloric restriction combined with gut disruption consistently produces fatigue, brain fog, and difficulty concentrating, common symptoms that can derail long-term adherence. Creatine has emerging evidence for cognitive support during caloric deficits.


→ LongevityCore+ supports

HYDRATION & GUT

Dehydration & gut disruption

02

GLP-1 medications slow gastric emptying and frequently cause nausea, reduced fluid intake, and disruption to gut microbiome balance. The result: electrolyte imbalance, constipation, and compounding nutrient absorption issues.


→ Hydrate + Detox restores balance daily.

MICRONUTRIENT GAP

Vitamins & minerals

03

When appetite is suppressed, most patients eat 40–50% less food — but your body's need for Vitamin D3, CoQ10, magnesium, and key antioxidants doesn't decrease. Deficiencies show up as fatigue, brain fog, and mood disruption


→ Morning Supplement fills this gap daily.

MUSCLE LOSS

Strength & metabolism

04

As weight drops rapidly, studies show 25–40% is lean muscle, not fat. Reduced protein intake plus caloric restriction
accelerates muscle breakdown. Without
intervention, you lose the strength and metabolism you need to keep the weight off.


→ Protein + creatine in Routine+ help address this.

PHARMACIST'S RECOMMENDATION

The protocol your pharmacist recommends, at three commitment levels.

Routine+ is the complete daily protocol, built to address all four nutritional gaps. The Routine and Hydrate + Detox are accessible starting points that address the most urgent gaps first. Every Hugh & Grace subscription includes HG Insider pricing, 10% off retail, automatically applied. Modify or cancel any time.


Mountain View Pharmacy patients: use code MVP10 for an additional $10 off your first order — applied at checkout, on top of HG Insider subscription pricing.

★ RECOMMENDED — THE FULL PROTOCOL

Routine+

The complete protocol for GLP-1 therapy.

$179.10

$199
per month · ships every 30 days
HG Insider subscription - 10% off retail, auto-applied. Skip, swap, or cancel any time from your account.

THREE COMPONENTS, ONE DAILY RITUAL

01
Hydrate + Detox
Daily stick pack. Electrolytes, glutathione, probiotic.

02
Morning Supplement
2 capsules. Vitamin D3, CoQ10, milk thistle, curcumin.

03
Personalized Protein
LongevityCore+, Triple Boost, or Marine Collagen.

  • Muscle & metabolism, protein + creatine preserve lean tissue
  • Micronutrient support - Vitamin D3, CoQ10, magnesium, antioxidants
  • Hydration & gut health - electrolytes, DE111®, Setria® glutathione
  • Energy & cognitive support - creatine for sustained focus
Start the Routine+ - Code MVP10

THE FOUNDATION

Routine

Hydration, gut, and antioxidant support, without protein.

$112.50

$125
per month · ships every 30 days
HG Insider subscription - 10% off retail, auto-applied.

TWO COMPONENTS, ONE DAILY RITUAL

01
Hydrate + Detox
Daily stick pack. Electrolytes, L-glutathione, probiotic.

02
Morning Supplement
2 capsules. Vitamin D3, CoQ10, milk thistle, curcumin.
  • Micronutrient support
  • Hydration & gut health
Cost-effective entry. Add personalized protein from your account at any time to upgrade to Routine+ and address muscle loss and cognitive fatigue.
Start The Routine

THE DAILY ESSENTIAL

Hydrate + Detox

The one your pharmacist recommends as non-negotiable.

$76.50

$85
per month · ships every 30 days
HG Insider subscription - 10% off retail, auto-applied.

ONE COMPONENT, ONE DAILY RITUAL

01
Hydrate + Detox
30 stick packs. Three flavors. Sugar-free.
  • Hydration & gut health
The most accessible entry. Addresses one of the four nutritional gaps. Many patients start here and add Morning
Supplement and protein as the daily ritual takes hold.
Start with Hydrate + Detox

A CLOSER LOOK

Inside Hydrate + Detox.

The daily essential at the foundation of every Hugh & Grace protocol.

DIETARY SUPPLEMENT · 30 STICK PACKS

Hydrate + Detox

A daily stick pack designed for the demands of incretin therapy. Pre- and probiotics, four essential electrolytes, and a clinically-studied form of glutathione — in three flavors that make a daily ritual easy to keep.

Setria® L-Glutathione
100mg per stick

A clinically-studied, branded form of L-Glutathione, known as the body's master antioxidant. Supports the body's natural detoxification pathway.

Electrolyte blend
4 essential minerals

Sodium citrate, potassium citrate, magnesium citrate, and sea salt. Restores fluid and mineral balance for daily hydration.

Bacillus Subtilis DE111®
900M–1B CFU/g

A research-backed spore-form probiotic that supports gut microbiome balance and digestive comfort.

Prebiotic soluble fiber
1,160mg per stick

From Fibersmart, feeds beneficial gut bacteria and supports regularity without bloating.

YOUR DAILY PROTOCOL

One daily system. Every gap addressed.

Routine+ is built around three moments in your day. The full ritual takes about 60 seconds.

MORNING

Start your day right

Take 2 Morning Supplement
capsules first thing, empty
stomach is fine. Mix your Hydrate +
Detox stick into 12–16 oz of water.
Sip throughout the morning to
support hydration and gut
balance.


Morning Supplement · Hydrate + Detox

WITH FOOD OR POST - MOVEMENT

Fuel and protect

Mix your protein with 12–16 oz of
water once daily. LongevityCore+
Clear Protein and Triple Boost mix
clear and light, easy on a
reduced-appetite stomach.
Marine Collagen adds invisibly to
any beverage.


Personalized Protein

EVENING

Support recovery

Consider adding the Night
Supplement for improved sleep
quality. Sleep is when muscle
repairs and hormones regulate —
two of the most important factors
in long-term GLP-1 success.


Night Supplement (optional)

FROM THE CLINIC

What clinicians see when patients commit.

"When patients treat their nutritional protocol as non-negotiable, not as an optional add-on, clinicians consistently observe meaningfully better adherence, sustained energy, and improved quality of life. The pattern is clear enough that some weight management practices now build the protocol into their standard of care."

  • Patients on this kind of structured protocol stay the course at dramatically higher rates than those who treat nutritional support as optional.
  • The daily ritual, one stick, every morning, anchors during treatment and persists after patients reach their goal weight.
  • What started as a clinical companion becomes the daily wellness habit that stays.

Pattern observed across multiple weight management practices integrating nutritional support into GLP-1 protocols. Independent practice

case study available on request.

The daily ritual that stays.

The benefits Routine+ provides during GLP-1 therapy — daily hydration, gut microbiome support, antioxidant defense, and lean muscle preservation — are foundational to long-term wellness. Patients who build the daily ritual during treatment tend to keep it after they taper off medication. Routine+ becomes the daily wellness system. Hydrate + Detox stays the morning anchor.
The relationship doesn't end when the prescription does. It begins there.


What patients keep using post-medication

  • Hydrate + Detox - the morning hydration anchor that started as clinical support becomes lasting habit.
  • Morning Supplement - daily detox, energy, and mood support.
  • Personalized protein - for ongoing muscle and metabolic support.

IMPORTANT — CLINICAL GUIDANCE

When to call your pharmacist.

Hugh & Grace products are dietary supplements designed to support your protocol, they don't replace medical care. Some symptoms or situations need direct guidance from your prescribing pharmacist or physician, not a supplement.

Mountain View Pharmacy's clinical team is your primary resource for medication-related questions, dose adjustments, and side effect management. Don't hesitate to reach out.

CALL YOUR PHARMACIST IF YOU EXPERIENCE:

  • Severe or persistent nausea or vomiting that prevents adequate hydration
  • Signs of significant dehydration, dizziness, dark urine, rapid heartbeat
  • Severe abdominal pain, especially upper-right or radiating to the back
  • Unexplained changes in mood, energy, or mental health
  • Allergic reaction symptoms, rash, swelling, difficulty breathing
  • Any new or unusual symptom you're uncertain about

FREQUENTLY ASKED QUESTIONS

Common questions from GLP-1
patients.

The Routine+ is a supplement system supporting hydration/gut/antioxidant/muscle, not interacting with medication; no stimulants/caffeine/hormones; We recommend confirming with prescribing pharmacist/physician.

Yes; resistance training + adequate protein is the most evidence-supported way to preserve lean muscle; cardio fine but not enough alone.

GLP-1s can amplify alcohol effects, tolerance shifts; adds empty calories; most clinicians recommend reducing/eliminating during treatment.

Varies; decision between patient and prescribing physician; weight loss without lifestyle change typically returns when medication stops.

Without lifestyle change, often yes; durable habits are what maintain results; Routine+ framed as the daily habit that stays.

The Routine is Hydrate + Detox + Morning Supplement your daily foundation; Routine+ adds personalized protein that fits your needs (Pure Marine Collagen Peptides, Triple Boost Protein, or LongevityCore+ Clear Protein + Creatine); can start with The Routine and add protein later.

10% off retail on every shipment automatically; adjustable frequency/flavor/skip/cancel; free shipping $100+ USD / Reduced Shipping $138+ CAD; MVP10 adds an additional $10.00 off first order on top of the subscription discount.

You will notice changes to your Hydration and GI within first week; energy and cognition over 2–4 weeks; muscle preservation over 8–12 weeks with resistance training.

Yes; same gaps affect anyone managing weight, training intensely, or in perimenopause.

Yes, and most do; benefits are foundational to long-term wellness.

Three options (Pure Marine Collagen Peptides / Triple Boost Protein / LongevityCore+ Clear Protein + Creatine); swap anytime; Pure Marine Collagen Peptides is the most universal starting point for GLP-1 patients.

SOURCES & CITATIONS

Levine, H., Jørgensen, N., Martino-Andrade, A., Mendiola, J., Weksler-Derri, D., Jolles, M., Pinotti, R., & Swan, S.H. (2023). Temporal trends in sperm count: a systematic review and meta-regression analysis of samples collected globally in the 20th and 21st centuries.Human Reproduction Update, 29(2), 157–176.doi:10.1093/humupd/dmac035

Levine, H., Jørgensen, N., Martino-Andrade, A., Mendiola, J., Weksler-Derri, D., Mindlis, I., Pinotti, R., & Swan, S.H. (2017). Temporal trends in sperm count: a systematic review and meta-regression analysis.Human Reproduction Update, 23(6), 646–659.doi:10.1093/humupd/dmx022

World Health Organization (2023).Infertility Prevalence Estimates, 1990–2021. Geneva: WHO.who.int

Wang, C., Yang, L., Wang, S., Zhang, Z., Yu, Y., Wang, M., Cromie, M., Gao, W., & Wang, S. (2016). The classic EDCs, phthalate esters and organochlorines, in relation to abnormal sperm quality: a systematic review with meta-analysis.Scientific Reports, 6, 19982.doi:10.1038/srep19982

Virant-Klun, I., Imamovic-Kumalic, S., & Pinter, B. (2022). From oxidative stress to male infertility: Review of the associations of endocrine-disrupting chemicals (bisphenols, phthalates, and parabens) with human semen quality.Antioxidants, 11(8), 1617.doi:10.3390/antiox11081617

Leslie, S.W., Siref, L.E., Soon-Sutton, T.L., & Khan, M.A.B. (2024). Male Infertility.StatPearls. Treasure Island, FL: StatPearls Publishing.ncbi.nlm.nih.gov ·  RESOLVE: The National Infertility Association — Male Factor.resolve.org