COMING SOON FROM NICO
More than three million UK adults are expected to use weight-loss injections this year. Almost none of them have a plan for the day they stop. The drugs work while you take them, and most people don't take them forever: half stop within a year, 70% within two. What happens after that is the question the prescription never answers.
Skinny Jab Rehab is our answer to it. It's a coaching programme, built by Nico, for people on GLP-1 drugs like Ozempic, Wegovy and Mounjaro, and for the far larger group who are coming off them. The idea is simple. The drugs give you a shortcut past your own energy regulation. Rehab teaches your body to do the job itself, so the loss holds when the drug is gone.
What the drugs actually do, and don't do
Ozempic, Wegovy and Mounjaro work by stabilising the systems that govern your energy: blood glucose, insulin, GLP-1 and the other hormones that decide when you feel hungry and when you feel full. They do it well. By taking over those signals, they hand you rapid weight loss without you having to change much at all.
That's also the catch. The drug is doing the regulating on your behalf, while your own systems stay idle. Your habits, the ones that got you needing a shortcut in the first place, are untouched. And the habits that affect your energy aren't only about food. How you move, how you sleep, how much you drink, how you handle stress, all of it feeds into the same system. No wonder a shortcut looked appealing.
When the drug stops, your body goes back to running on those old habits, because nothing replaced them. A 2021 trial in JAMA found people regained about two-thirds of their lost weight within a year of coming off semaglutide. The weight that comes back is almost all fat. The muscle you lost on the way down, and on these drugs that's anywhere from a quarter to 40% of what you lose, doesn't return with it. You can land back at the same weight with a worse body than you started with.
Why "rehab" is the right word
Rehab is what you do after an intervention to get function back. That's exactly the gap here. The medical conversation is almost entirely about getting people onto these drugs. Very little of it is about getting them off well, or helping them keep what they gained. Millions of people are being started on a treatment with no off-ramp designed into it.
We're not anti-drug. For plenty of people a GLP-1 gets them moving in a way nothing else has, and stopping medication is a decision for you and your doctor, never something to do on a whim. The point is narrower than that. A drug can start the job. Something has to help you finish it.
How Skinny Jab Rehab works
The programme is built around your own live glucose data. You wear a continuous glucose monitor, what we call an energy sensor, and it shows you in real time how your body responds to what you eat, how you move, and how you sleep. Instead of guessing, you get to see which meals keep your energy steady and which ones send it swinging.
Around that data sits a digital coaching programme and a short course. Over 90 days you learn which foods are likely to put the weight back on for you specifically, how to hold onto muscle through enough protein and some resistance training, and how to keep the metabolic flexibility you've started to build. The core habit changes take about a month to lay down. The rest of the time is spent making them stick.
There's a version of GLP-1 you already own, by the way. It's the hormone your gut releases after you eat, the same one the drugs are built to mimic. How and what you eat influences how much of it you make. That's a lever most people on the jabs are never shown.
Who it's for
Anyone on a weight-loss drug who wants to come off it one day and keep the results. Anyone who's already stopped and watched the weight start to creep back. And anyone weighing up the jab in the first place who wants to understand what a real exit looks like before they start.
The drugs made losing weight easy for millions of people. Keeping it is a different skill, and nobody's been teaching it. That's the one we're building. So it's worth asking yourself, before you start or before you stop: what's your plan for the day the drug isn't doing the work?