GLP-1 receptor agonists mimic a gut hormone involved in appetite and blood-sugar control; tirzepatide also acts on GIP receptors. FDA-approved US products include semaglutide (Ozempic, Wegovy, Rybelsus) and tirzepatide (Mounjaro, Zepbound) for labelled indications (Drugs@FDA). STEP-1 and SURMOUNT-1 showed average weight loss greater than placebo alongside lifestyle support (Wilding et al., NEJM 2021; Jastreboff et al., NEJM 2022). Individual results vary.

Heat and medicines. CDC notes that some medicines raise heat-illness risk (CDC Heat and Medications). Pair that with GLP-1 labels that warn about GI side effects and dehydration-related kidney injury (Wegovy PI; Zepbound PI). A coach can suggest earlier outdoor walks, shade, and fluid routines — and refer promptly if vomiting, dizziness or inability to keep fluids down appears.

Commute eating. Long I-285 / downtown drives wipe out planned lunches. The 2025 joint advisory from ACLM, ASN, OMA and TOS emphasises nutrient-dense food, adequate protein, smaller meals and eating slowly (Mozaffarian et al., 2025). Packable protein and a scheduled eating window beat "I'll eat when I get home".

Protect muscle. A meaningful share of weight lost on GLP-1-based therapies can be lean tissue (Neeland et al., 2024). US guidelines call for muscle-strengthening on two or more days a week (Physical Activity Guidelines). Calendar two short sessions like meetings.

1. One commuting meal plan the client can execute without a kitchen.
2. Two strength sessions per week, progressed slowly.
3. Summer outdoor activity moved earlier or indoors.
4. Weekly check on nausea, constipation, dizziness — medical symptoms go to the prescriber, not the coach.
5. No dose talk, no sourcing, no compounded "workaround" pitches. FDA's 1 Apr 2026 update states tirzepatide and semaglutide do not currently appear on the 503B bulks list or FDA's drug shortage list (FDA).

Persistent vomiting, inability to keep fluids down, severe abdominal pain, fainting, chest pain, or any symptom the client fears — contact the prescriber or urgent care.

• Suggest a dose, a dose change or skipping a dose.
• Source, resell or recommend pens, vials, compounded products or "research" peptides.
• Interpret labs or CGM traces as a diagnosis.
• Promise a weight number or a timeline.

Scope reference: NBHWC scope of practice.

Level 1 is free. Level 3 (US$300) covers GLP-1 foundations and evidence quality. Level 4 (US$500) covers working alongside a prescriber and US state scope. Level 5 (US$500) covers jurisdiction case studies. Profile: /coach. We do not promise income or client results.

• "Can I keep outdoor training at noon in July?" "We'll move hard work earlier and watch fluids. Heat-plus-medicine questions go to your clinician."
• "Where do I get compounded tirzepatide cheaper?" "I don't source medicines. Ask your prescriber and pharmacist."
• "I skip lunch on I-285 days." "Let's build a bag-friendly protein option and a fluid target before you leave home."
• "Should I pause my dose for a wedding weekend?" "Dose changes are your prescriber's call only."

1. Protein: did planned meals survive traffic and late meetings?
2. Strength: two sessions completed?
3. Heat plan: outdoor minutes moved earlier when needed?
4. Fluids: any day you could not keep fluids down?
5. Referral: any symptoms for the doctor?

Health coaching is generally not a state-licensed profession, but practising medicine, pharmacy, dietetics and physical therapy are regulated. Write a one-paragraph scope statement. Use NBHWC language and our US state coach scope module.