oMeds
The GLP-1 Standard™ Library

Volume II · Nutrition · Structure

The Nutrition Blueprint

Food, Meals, and Metabolic Nutrition on GLP-1 Therapy

Volume II is the full nutrition playbook — protein-forward plates, smart fiber re-entry, carbohydrate quality, fat selectivity, sample meal plans, BMR/TDEE calibration, and the three-phase nutrition framework most patients move through.

8 chapters ~34 min read
Meal structureProteinFiberCarbohydratesFatsBMR & TDEESample plansHydration
The Nutrition Blueprint cover
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Chapter 01 · Frame

4 min

A Plate That Works on GLP-1

Protein-forward, fiber-aware, fat-measured. The plate is small, the meals are more frequent, and the nutrient density per bite goes up.

The frame

Build every plate around a portion of lean protein. Layer in complex carbohydrates and cooked vegetables. Add measured healthy fats. Keep total portion size modest.

When total food volume drops, what's on each bite matters more. Nutrient-dense choices — leafy greens, berries, nuts and seeds, fatty fish, sweet potatoes, avocado, legumes as tolerated, whole grains, fermented foods — earn their place.

Key takeaways

  • Lead with protein, then complex carbs, then measured fats
  • Smaller portions, more often
  • Nutrient density per calorie matters more when volume is low

Volume II

Empowerment through structure.

Chapter 02 · Practical

5 min

3-Day Sample Meal Plan

Illustrative — not a prescription. Use to learn the shape of a protein-forward, lower-fat day, then personalize portions through your BMR/TDEE.

Day 1 · ~1,450 kcal · ~94 g protein

Breakfast — Greek yogurt with berries and a small serving of granola (~300 kcal, 20 g protein).

Mid-morning — Apple slices with almond butter (~150 kcal, 4 g protein).

Lunch — Grilled chicken breast with quinoa and steamed vegetables (~400 kcal, 35 g protein).

Mid-afternoon — Carrot sticks with hummus (~100 kcal, 5 g protein).

Dinner — Baked salmon with sweet potato and green beans (~500 kcal, 30 g protein).

Day 2 · ~1,500 kcal · ~74 g protein

Breakfast — Oatmeal with banana and walnuts (~350 kcal, 15 g protein).

Mid-morning — Hard-boiled egg with cherry tomatoes (~100 kcal, 6 g protein).

Lunch — Turkey and avocado wrap with mixed greens (~500 kcal, 25 g protein).

Mid-afternoon — Rice cakes with peanut butter and banana slices (~150 kcal, 8 g protein).

Dinner — Grilled shrimp with brown rice and steamed asparagus (~400 kcal, 20 g protein).

Day 3 · ~1,470 kcal · ~120 g protein

Breakfast — Smoothie bowl with protein powder, spinach, and almond milk topped with almonds and berries (~350 kcal, 25 g protein).

Mid-morning — Cottage cheese with cucumber slices (~150 kcal, 20 g protein).

Lunch — Grilled chicken breast with mixed greens and balsamic vinaigrette (~350 kcal, 30 g protein).

Mid-afternoon — Protein bar (~120 kcal, 10 g protein).

Dinner — Baked chicken thighs with roasted vegetables and quinoa (~500 kcal, 35 g protein).

Key takeaways

  • Three small meals plus 2–3 protein-anchored snacks is a common structure
  • Protein per meal: ~15–35 g for most adults
  • Calorie figures are illustrative ranges, not personalized targets

Chapter 03 · Macronutrients

4 min

Protein Strategy

If only one nutrition habit is installed, it is hitting a daily protein target — distributed across 3–5 meals.

How much

A common working range used by clinicians is 0.7–1.0 g of protein per pound of goal body weight per day, split across 3–5 meals. Your provider can refine based on age, kidney function, and training load.

Why this matters

Without adequate protein, weight loss tends to include a higher proportion of muscle. Muscle loss lowers BMR and makes long-term maintenance harder. Defending lean mass is the central nutrition goal across the entire library.

Key takeaways

  • Working range: 0.7–1.0 g per pound of goal body weight per day
  • Split across 3–5 meals for steady amino acid availability
  • Lean, easy-to-tolerate sources first

Volume II

Empowerment through structure.

Chapter 04 · Macronutrients

4 min

Carbohydrate Strategy

Carbohydrates aren't the enemy. The choice that matters most is between refined, rapidly absorbed carbs and intact, slower-digesting whole-food carbs.

Favor

Quinoa, brown rice, oats and barley, sweet potatoes, whole-grain bread and pasta as tolerated, legumes, vegetables, and intact fruits.

Limit

White bread and sugary cereals, fruit juice and soda, candy and packaged baked goods, ice cream, and concentrated sweeteners in excess.

Key takeaways

  • Favor complex, intact carbohydrates
  • Limit refined sugars and high-glycemic processed foods
  • Low-carb is a clinical decision, not a default

Chapter 05 · Macronutrients

4 min

Fat Strategy

Fat is the macronutrient most likely to provoke nausea on GLP-1 therapy and the most calorie-dense at 9 kcal per gram. The strategy is selective inclusion.

Healthy fats to include

Avocado, olive oil, nuts and seeds, fatty fish, olives, modest portions of dark chocolate.

Fats to limit

Partially hydrogenated oils (trans fats), fried foods, processed meats, cream-based sauces and dressings, high-fat dairy in large portions, and lard or palm oil in cooking.

Key takeaways

  • Healthy fats in measured amounts
  • Avoid fried foods, trans fats, and very rich cream-based dishes during titration
  • Modest fat portions can support satiety

Volume II

Empowerment through structure.

Chapter 06 · Phased re-introduction

4 min

Fiber Strategy

Fiber is essential for digestion, blood-sugar stability, and satiety. The strategy on GLP-1 therapy is timing, not avoidance.

Phased re-introduction

Phase 1 (early titration): cooked vegetables over raw, peeled fruits, white rice often better tolerated than brown.

Phase 2 (weeks 5–8): add one new fiber source per week. Watch tolerance.

Phase 3 (long term): aim for a typical adult target of approximately 25–35 g of fiber per day from whole-food sources.

Key takeaways

  • Phase 1: lower fiber, cooked over raw, peeled fruits
  • Phase 2: add one new fiber source per week
  • Phase 3: ~25–35 g daily from whole-food sources

Chapter 07 · Calibration

5 min

BMR & TDEE

Without a calorie reference point, most nutrition decisions are guesses. BMR and TDEE turn those guesses into a number you and your provider can refine.

BMR vs TDEE

BMR — Basal Metabolic Rate — is calories used at rest just to keep you alive. TDEE — Total Daily Energy Expenditure — is BMR plus everything else: walking, training, work activity, digestion.

Activity multipliers applied to BMR: sedentary ×1.2, lightly active ×1.375, moderately active ×1.55, very active ×1.725, extremely active ×1.9.

Practical use

Run your numbers through the on-site Body Composition Calculator (BMI / BMR / TDEE) and discuss a starting calorie target with your provider. As a general principle, sustained intake below BMR is not appropriate.

Key takeaways

  • BMR is the floor — calories at rest
  • TDEE is the total — BMR plus all movement
  • Recalculate every 4 weeks as your weight changes

Volume II

Empowerment through structure.

Chapter 08 · Foundations

4 min

Hydration & Electrolytes

Hydration is the single highest-leverage habit on GLP-1 therapy. Build a routine that doesn't rely on thirst cues.

Routine over thirst

Slower gastric emptying and altered satiety can blunt thirst cues for some patients. A fixed hydration routine reduces reliance on thirst signals and prevents the fatigue, headaches, and cramps that under-hydration produces.

Key takeaways

  • ~Half an ounce of water per pound of body weight, daily
  • Pair every meal and snack with at least 8 oz of water
  • Electrolytes from whole foods first