Losing the Weight Loss Meds
A 10-Week Playbook for Stopping GLP-1 Medications Without Regaining the Weight
by Holly R. Wyatt; James O. Hill
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Pub Date Dec 16 2025 | Archive Date Feb 01 2026
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Description
That’s why, when you’re shifting away from GLP-1 meds, you need a game plan.
Research shows that most people on weight loss drugs like Ozempic, Wegovy, and Zepbound quickly regain their weight when they stop taking medication. Whether you end treatment due to not feeling great, undesirable side effects, loss of insurance coverage, or you just want to keep your weight off without medication, without a plan in place when your body’s natural hunger returns, you risk regaining it all.
Leading weight loss maintenance researchers Holly Wyatt, MD, and James Hill, PhD, share key strategies for using food, movement, and mindset to replace the medication and support long-term weight loss maintenance through an adaptable 10-week transition plan.
Chock-full of specific, actionable strategies for sustainable, lasting success, Losing the Weight Loss Meds offers everything you need to:
- Develop an eating plan that maximizes satiety and minimizes “food noise”
- Use movement to restore your metabolism to one that is more flexible and that burns more calories
- Adjust your mindstate to become more resilient to better overcome obstacles and find joy in the weight loss maintenance process
- Effectively troubleshoot weight fluctuations before they result in significant regain
- Create and maintain a life you love
By embracing the journey and having a strategic plan, you can maintain your new healthier weight with ease—so you never have to worry about weight loss again.
Advance Praise
“This book is like having two super smart, empathic experts in your corner, cheering you on with science and support. Wyatt and Hill make the transition off GLP-1s feel doable, empowering, and uniquely yours. A must-read for anyone ready to maintain their weight loss with confidence and clarity.”
—Bonnie Taub-Dix, RDN, CDN, author of Read It Before You Eat It: Taking You from Label to Table
“What sets this book apart is its refreshing honesty about the reader’s potential appetite and weight rebound after stopping the medication, paired with realistic solutions that actually make sense . . . Wyatt and Hill provide a science-backed game plan, along with a playbook of smart, savvy, and doable strategies, to help aid in long-term success.”
—Joan Salge Blake, EdD, RDN, LDN, FAND, clinical professor at Boston University and host of the Spot On! podcast
“In primary care, we celebrate when patients achieve meaningful weight loss—especially with tools like GLP-1 medications. But sustaining that success after stopping the meds? That’s where the real work begins. Losing the Weight Loss Meds gives patients the road map they need. Holly Wyatt and James Hill bring science, structure, and soul to a challenge too often overlooked. This playbook is smart, practical, and empowering—just what our patients deserve.”
—Irfan M. Asif, MD, family and community medicine department chair at the University of Alabama at Birmingham Heersink School of Medicine
“Threading the needle between the science and biology of body weight and the reality confronting people who live with lifetime challenges is hard. Too many people have easy answers, but real life is not so easy. Drs. Hill and Wyatt confront this reality and offer practical approaches for this challenge. They draw on years of research as well as real-life experiences in their engaging and valuable new book.”
—Ted Kyle, founder of ConscienHealth
“More people are losing weight and reaching their goals, and it’s time for everyone to take weight stability as seriously as they took their weight loss. Yes, it’s now about understanding that continuing the journey is your weight staying where it is. That requires a different set of skills than losing weight, and Drs. Hill and Wyatt show you they not only understand this, but they walk you through the process of building those skills while giving you all the tools you’ll need. They show you that weight stability is the new ‘win.’”
—Keith T. Ayoob, EdD, RD, FAND, associate professor emeritus of pediatrics at the Albert Einstein College of Medicine
“This book arrives at the right time. As more patients use GLP-1 medications for weight loss, we need clear, evidence-based guidance for what comes next. Drs. Wyatt and Hill offer practical strategies rooted in physiology and clinical experience. They address the return of appetite, metabolic changes, and the behavioral adjustments needed for long-term weight regulation. This is a valuable resource for patients and clinicians.”
—Victoria A. Catenacci, MD, professor of medicine at the University of Colorado, endocrinologist, and clinical researcher in obesity and metabolism
“You’ve already done something incredible. You lost the weight. But that’s not the end of your story. It’s the beginning of something even greater. This book is your playbook for that next chapter . . . Inside these pages is the truth, the strategy, and most of all, the belief that you can do this. Not just for a season. For life. You’ve got the power. This book shows you how to use it.”
—Chris Powell, transformation coach and host of ABC’s Extreme Weight Loss
“This book is an excellent resource for the millions of people who have successfully lost weight, primarily with the help of medication, and are now in the challenging position of needing to maintain that achievement for the rest of their lives. Drs. Wyatt and Hill leverage their decades of scientific and practical experience to explain in understandable terms why this is a different test from losing weight. They provide the needed variety of evidence-based plans that recognize each person’s unique circumstances in their goal for lasting success.”
—Michael D. Jensen, MD, professor of medicine at Mayo Clinic College of Medicine and editor-in-chief of Obesity
“Drs. Wyatt and Hill are internationally recognized experts in weight loss maintenance. In this important book, they translate the complex science of weight regulation into clear, practical guidance and provide an evidence-based framework for sustainable weight control . . . This is a valuable resource for healthcare professionals and patients committed to lasting weight management.”
—Robert H. Eckel, MD, past president of The Obesity Society, American Heart Association, and American Diabetes Association
“Not everyone needs to take GLP-1 medications forever. There is no one better than Dr. Holly Wyatt and Dr. James Hill to coach you in the skills needed to succeed with long-term weight loss maintenance . . . Jim brings the science to this book, grounding it in evidence and decades of research, and Holly knows how to get in your head, to understand you and your needs—that’s her superpower.”
—Donna H. Ryan, MD, past president of The Obesity Society and professor emerita at the Pennington Biomedical Research Center
“In my clinical practice, I’ve seen how often the transition off GLP-1 medications is misunderstood—not because it’s impossible, but because people aren’t given the right tools and strategies. Losing the Weight Loss Meds offers a clear, science-backed playbook for navigating this phase with confidence.”
—Dr. Gabrielle Lyon, board-certified and fellowship-trained physician, founder of Muscle Centric Medicine, and New York Times bestselling author of Forever Strong
“We’ve learned a great deal about the biology of weight regain, particularly how the body adapts to defend a lower weight. This book takes that science seriously. Drs. Wyatt and Hill apply decades of metabolic research to the real-world challenge of maintaining weight loss after GLP-1 medications are stopped.”
—Paul MacLean, PhD, professor of medicine at the University of Colorado and expert in energy balance, metabolic adaptation, and obesity treatment
“Obesity is a chronic, biologically defended condition, and we now have powerful tools to help treat it. But tools alone are not enough. In this important book, Drs. Wyatt and Hill provide a thoughtful and science-based road map for those navigating the complex realities of long-term weight management. With clarity, compassion, and deep expertise, Holly and Jim help readers better understand their bodies, their behaviors, and their biology, wherever they are in the journey.”
—George A. Bray, MD, Boyd professor emeritus at the Pennington Biomedical Research Center and past president of The Obesity Society
“Losing the Weight Loss Meds is the wake-up call we all need. As we step into a new era of health and healing, Drs. Wyatt and Hill offer more than science—they offer wisdom and a road map for reclaiming agency over our body, mind, and spirit . . . This book is a powerful and compassionate call to step fully into that responsibility and create sustainable health—beyond the prescription.”
—Ritu Aneja, PhD, professor and associate dean for research and innovation at the University of Alabama at Birmingham School of Health Professions
“There is an urgent need for clear guidance and support for the huge numbers of people who use a GLP-1 agent to lose weight and then stop it . . . Holly Wyatt and Jim Hill are recognized as world-class leaders when it comes to weight loss maintenance. They have a tremendous gift for making weight management accessible to ordinary people. This book is a treasure-chest of ideas and game plans that will help people negotiate the obesogenic environment and avoid weight regain when GLP treatment is stopped.”
—Michael Lean, MD, professor of human nutrition at the University of Glasgow
Available Editions
| EDITION | Other Format |
| ISBN | 9781637747803 |
| PRICE | $21.95 (USD) |
| PAGES | 320 |
Available on NetGalley
Average rating from 6 members
Featured Reviews
Educator 1916274
As someone who has been through this journey—and who used one of these medications to lose nearly 100 pounds—I picked up Losing the Weight Loss Drugs hoping for a roadmap to transition off the meds successfully. This book delivered exactly what I needed.
The authors start by clarifying an important distinction between weight loss and weight management, something I didn’t fully app
reciate until reading their explanation. From there, the book helps you identify what kind of eater you’ve been in the past, which became a useful lens for understanding my own patterns.
One of the most valuable sections breaks down what the medications actually do in your body and, more importantly, how you can recreate those effects on your own. How can I stay full longer? How can I boost my metabolism without pharmaceutical help? The book offers clear, actionable ideas—called “plays”—that target the most stubborn roadblocks to long-term success.
I found myself taking constant notes. I bought both the print and the audiobook versions, and the audio was perfect for re-listening to key sections while I worked on building my personalized plan. Not every concept was new, and a few parts felt a little vague, but even so, the structured, step-by-step approach helped me turn information into an actual strategy.
I’ve now been off the medication for two months and have maintained my weight loss. This book has been a steady companion, offering tools, mindset shifts, and practical guidance to support me as I move into the next phase of this journey.
If you are going to or needing to stay on these meds forever, this book isn't for you. The book does point out that 80% of people regained after quitting. The book merely recognizes that some people will want to go off of them for whatever reason they personally have.
I really like this book. It was recommended to me because of the maintenance aspect rather than anything to do with weight loss meds. I am not sure I have ever come across a book before that focusses so much on maintenance - and this is what I have always been lacking. It made me feel really positive and inspired so that is a big win. I have started planning my foods and I intend to follow this for a reset before I try to lose any more weight. Here is to lifelong weight-loss. Thanks to NetGalley and NetGalley and BonBella books for the ARC.
Diane H, Reviewer
Realistically, some people may need or want to give up their reliance on weight loss drugs. Whether because of finances, side effects, or any other reason, that decision is a valid desire. Losing the Weight Loss Meds gives many strategies to achieve that goal. The reader then decides which of them they think will work best with their bodies. By allowing that choice, each plan is tailor made for that reader’s body.
The options incorporate many strategies familiar to yo-yo dieters, like myself. Keeping your thoughts positive, exercising to up your metabolism, and choosing your food wisely are the main themes. However, there are a few ideas that are particularly relevant. For example, the book suggests the reader decide on a higher weight that if reached means a new diet must be started to stop the gain before all the previous progress is lost. Choose this weight well before maintenance begins, if possible. There is an old dieting mindset that once you fall off the wagon, you might as well go all in on eating. I, personally, have had trouble with this in the past so this resonated with me. It is free and easy to implement (at least the deciding part perhaps not the stopping overeating piece but it is worth a try). Other strategies may resonate with other readers.
Losing the Weight Loss Meds contains a lot of tactics to use when transitioning to a maintenance diet. It is not just for those on weight loss medicines. Anyone can use this book to keep the weight off permanently, or at least day-by-day. 4 stars!
Thanks to NetGalley and BenBella Books for providing me with an advanced review copy.
What are weight loss medications designed to do? Simply put, help people lose weight—a lifelong struggle for many. Weight loss brings significant health benefits, from improved heart health to reduced risk of diabetes and less strain on joints affected by arthritis. For me, however, this journey has spanned more than 40 years and includes a long battle with morbid obesity.
GLP-1 medications are not the only path to weight loss, nor are they a magic solution. Still, with the rise of medications such as Wegovy, Mounjaro, and others, many people—both men and women—are left wondering about the end game. Are these medications meant to be taken indefinitely, or does stopping them inevitably lead to weight regain? The answer, as this book makes clear, varies from person to person. Dosage and duration differ widely, and no self-help or health-related book can replace working closely with one’s doctor. That partnership is essential.
My own experience includes trying numerous approaches, from Weight Watchers to weight loss surgery, yet my weight has remained difficult to manage. While increased physical activity and exercise are undeniably part of the bigger picture, for some of us, a sedentary lifestyle is not rooted in laziness but in serious medical issues that complicate movement and activity.
In Losing the Weight Loss Meds, Drs. Wyatt and Hill present a thoughtful ten-week playbook for individuals preparing to come off weight loss medications and facing the very real fear of stopping something that works. For me, that fear borders on obsession—I never want to return to my heaviest weight. This book emphasizes preparation, including the possibility of working with a therapist before beginning the transition off medication.
The guide is divided into three parts: Understanding the Game, The Transition Playbook, and Mastering the Long Game. Along the way, the authors introduce practical concepts such as “pie on the plate versus pie in the sky,” managing “food noise,” understanding metabolism, and finding a personalized plan that works long-term. The focus throughout is on realistic, proven strategies designed to help readers succeed beyond medication.
This is an excellent, compassionate guide filled with practical suggestions that I will seriously consider when the day comes that my doctor—or my insurance—discontinues this medication. While it is just one step in a much larger journey, it is an important one. I hope this book helps other readers and listeners navigate the weeks, months, and years ahead with confidence and preparation.
Many thanks to BenBella Books and to NetGalley for this ARC for review. This is my honest opinion.
Losing the Weight Loss Meds felt especially relevant to me as someone who has just come off a GLP-1. It addresses the exact fears and questions I had about maintaining my weight once I stopped taking the meds without judgment or unrealistic promises. I appreciated how practical and reassuring it is, especially around managing hunger, rebuilding sustainable routines, and handling the mental side of the transition. The 10-week plan gave me structure when things felt really uncertain. This book made the process feel manageable and empowering rather than daunting, and it helped me feel more confident about sustaining my progress over the long term.
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