The Journal

Essays on the science, the strategy, and the lived experience of the 18 months after.

Cutting Edge

2026 Research
Cutting Edge · 11 min

The Maintenance Dose Question: Tapered Off vs. Microdose

STEP-Maintain and TIDE-2 are testing ultra-low maintenance dosing — and reshaping what a successful exit looks like.

Cutting Edge · 10 min

Why Bone Density Loss Is the Quiet Cost of GLP-1 Treatment

2026 DEXA cohort data is documenting BMD loss most acute in perimenopausal women. What the maintenance phase has to do about it.

Cutting Edge · 10 min

The Microbiome Reset: What Happens to Your Gut After Stopping Ozempic

2026 metagenomics studies are mapping how GLP-1s reshape the gut — and what reverts vs. persists after discontinuation.

Cutting Edge · 9 min

Food Noise Has a Brain Signature: fMRI Studies and the Rebound

2026 neuroimaging mapped which brain regions go quiet on GLP-1s — and which re-activate during the rebound.

Cutting Edge · 10 min

The Compounded Semaglutide Crackdown — What 2026 Means for Women Forced Off

FDA enforcement is reshaping the compounded GLP-1 market. The regulatory map and what to do if you’re in the gap.

Cutting Edge · 9 min

Cardiovascular Benefits That Stay (And the Ones That Don’t)

The SELECT trial’s long-term follow-up data shows which CV protections persist after discontinuation. The “was it worth it” answer.

Cutting Edge · 10 min

Why the Mediterranean Diet Specifically Reduces Post-GLP-1 Regain

MEDI-MAINT compared four dietary patterns in post-GLP-1 maintenance. Mediterranean outperformed by a meaningful margin.

Cutting Edge · 11 min

The Retatrutide Question: What the Triple-Agonist Trials Mean Today

Retatrutide is 12-24 months from market. The trial data is striking. The question: wait, or proceed?

Cutting Edge · 10 min

Sleep Architecture After Ozempic: 2026 Polysomnography Findings

First detailed polysomnography studies of post-GLP-1 sleep. Women’s sleep changes substantially — in ways most clinicians don’t track.

Cutting Edge · 9 min

Pharmacogenomics and Your Personal Regain Risk: First Predictive Markers

2026 research is identifying the first genetic markers that predict who maintains vs. regains. The science is real. The clinical limits are real too.

Foundations

The canon
Science · 10 min read

What Happens to Your Body the First 30 Days After Stopping Ozempic

Week-by-week: ghrelin rebound, insulin sensitivity shifts, where the regain typically starts — and what to do at each step.

Mechanism · 9 min read

Why You’re Hungrier Than Before You Started the Drug

The ghrelin rebound is real, and it’s louder than your pre-drug baseline. Four specific tactics to manage it.

Research · 7 min read

The 4x Faster Regain: What the Cambridge Study Actually Said

Plain-language breakdown of the 2026 meta-analyses. What “4x faster” means in pounds-per-month, and why it’s fixable.

Industry · 8 min read

Why Most Coaches Won’t Touch GLP-1 Clients

The coaching industry has been avoiding medicated clients for two years. We built WeWontRegain because of that gap.

Physiology · 11 min read

The Muscle Mass Problem Nobody Warned You About

Up to 40% of GLP-1 weight loss can be lean mass. In perimenopause, that’s a five-alarm fire. Here’s the rebuild protocol.

Strategy · 9 min read

Tapering vs Quitting Cold Turkey: Which One Is Actually Safer?

Neither matters as much as what you do in the 18 months after. But the exit method does shift the early protocol.

Hormones · 13 min read

Perimenopause + Post-Ozempic: The Double Storm Nobody’s Mapping

Two simultaneous metabolic shifts. Why standard menopause coaching misses this, and what an integrated approach looks like.

Culture · 9 min read

The Shame Question: Why You Felt Judged for Taking the Drug

The “easy way out” judgment is a public health issue. Reframing the work that actually comes next.

Nutrition · 10 min read

What to Eat in the First Week After Your Last Dose

Structure beats willpower. Protein targets, fiber timing, and a 3-day eating framework for the acute window.

Long Horizon · 12 min read

The 18-Month Window: Why Year 2 Off the Drug Matters Most

12-week programs aren’t designed for an 18-month problem. Why most regain locks in between month 12 and 18.

Enrollment

Reading is the warm-up. The 1:1 is the work.

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