If you're someone who's already battling fatigue throughout the day, and GLP-1s are making it even worse, you're not alone. Let's talk about what's actually happening and some cutting-edge solutions being researched.
Why GLPs Can Make Fatigue Worse
GLP-1 medications slow gastric emptying and reduce caloric intake significantly. When you're already running on fumes, this can create a perfect storm: reduced nutrient absorption, lower energy availability, and metabolic adaptation that leaves you dragging even more.
Research-Backed Options to Consider
MOTS-c (Mitochondrial-Derived Peptide)
This 16-amino acid peptide is naturally produced in your mitochondria and acts as a metabolic regulator. Research shows it:
- Enhances mitochondrial function and energy production
- Improves insulin sensitivity
- Supports metabolic flexibility during caloric restriction
- May help counteract age-related mitochondrial decline
The key: MOTS-c could help your cells produce energy more efficiently, even when calories are restricted.
5-Amino-1MQ
This small molecule works by inhibiting NNMT (nicotinamide N-methyltransferase), which:
- Increases NAD+ availability at the cellular level
- Supports fat metabolism and energy production
- May improve metabolic rate during weight loss
- Helps preserve lean muscle mass
Why it matters: When you're on GLPs and eating less, maintaining metabolic efficiency is crucial.
NAD+ Supplementation/IV Therapy
NAD+ (nicotinamide adenine dinucleotide) is essential for cellular energy production:
- Required for mitochondrial ATP synthesis
- Declines naturally with age and caloric restriction
- Critical for metabolic processes and DNA repair
- Can be supplemented via sublingual, IV, or precursors (NMN, NR)
The catch: Direct NAD+ supplementation may have better bioavailability than precursors for acute fatigue.
SS-31 (Elamipretide)
This mitochondria-targeting peptide is one of the most promising for fatigue:
- Specifically targets and repairs damaged mitochondria
- Improves mitochondrial efficiency and reduces oxidative stress
- Enhances cellular energy production
- Shows promise in clinical trials for fatigue-related conditions
What makes it unique: SS-31 actually goes INTO your mitochondria and optimizes function from the inside.
Common Mistakes to Avoid:
Not eating enough
- Fat loss is a marathon not a sprint
- Just because you don't have an appetite doesn't mean your body just stops requiring energy
- Try to find balance here (Protein & Fats first)
Sleep
- Make sure you are getting enough sleep
- Caloric Deficits are hard on the body and your body needs all the recovery you can get
- Pro Tip: Don't eat too close to bed, slowed gastric emptying make cause sleep disruption
Caffeine Intake
- Don't try to overwhelm your system with stimulants
- It's gonna depend researcher to researcher but, caffeine may not be your best option and make you feel more tired
- The beauty with GLPs is the appetite suppression you used to get from caffeine isn't required anymore!
Hope this helps, feel free to share tips below 👇