How To Fix Ozempic Butt In Menopause
Lost weight with GLP-1s, but have the dreaded "Ozempic Butt?" This article explains how to fix it.
Lighter on the scale but feeling smaller & weaker on GLP-1s? Add 3 simple strength sessions a week → feel stronger

The Josie Team
Medically Reviewed by

“I’m finally losing weight, but why do I feel smaller and weaker?”
If that thought keeps popping up, you are not alone. Thousands of women in menopause on GLP-1s talk about it in forums, group chats and even in the Josie community.
The medication feels like magic. Food noise disappears. Cravings quiet down. The scale moves and clothes fit better. Huge relief after years of struggling.
Here’s the part that surprises most women: when weight drops quickly after 40 and appetite is low, some of what you lose is muscle along with fat. You become lighter on the scale, yet softer and more fragile in everyday life.
The simple fix? Two or three short strength training sessions a week.
That small habit changes everything. You finish lighter AND stronger, full of energy, confident, and completely yourself again.
Ready? Let’s do this.
It’s the comment we see every single day in the Josie community and every menopause + GLP-1 group:
“I’ve lost 30 pounds and my clothes are falling off, but my arms look soft and deflated, stairs feel harder, and I just feel frail.”
If that sounds familiar, it is incredibly common, and it is not in your head.
Two things are happening at once.
First, menopause itself. After 40-45, women naturally start to lose a little muscle each year if we do nothing to keep it. Hormone shifts make it easier to store fat around the middle and harder to hang onto firmness. Energy dips, everything feels slower to recover, and that “softness” creeps in even when the scale hasn’t moved.
Second, the rapid weight loss from GLP-1s. The medication is brilliant at helping us eat less and finally drop the pounds. The catch? When calories (and often protein) stay low for weeks or months because appetite is tiny, the body doesn’t only burn fat. It also uses muscle for fuel. The number on the scale keeps dropping, but strength and tone go with it.
Put those two together and you get exactly the “smaller and weaker” feeling so many of us are talking about. You’re lighter, yes. But you can also feel more fragile, more tired doing normal things, and a little less like the strong woman you know you are.
Best news of all? This is completely fixable and preventable with a few short, gentle strength sessions a week. We’ll show you exactly how, starting right now.
This is the exact program thousands of women in our community are using right now to go from “smaller and weaker” to “lighter and stronger” while on GLP-1s.
It lives inside the Simply Strong App (created by Tami Smith, CPT, who gets midlife women like nobody else). Everything is waiting for you the moment you open the app:
Women tell us they feel the difference in 2–3 weeks: arms firmer, energy higher, clothes fitting better in all the right places, and that quiet confidence of “I’ve got my strength back.”
(You Can Start Today! With or Without the App)
These are the exact five exercises you’ll do three days a week in the Simply Strong App. They hit every area we care about: toned arms, lifted backside, strong legs, better posture, and a firmer core.
Do 10–12 slow, controlled reps of each move. Complete 2–3 rounds. Total time: about 30 minutes.
How to do it
How to do it
How to do it
(No-weight option: Lie face down on the floor and do Supermans – lift chest and arms off the ground.)
How to do it
How to do it
That’s the entire workout. Do it three days a week and Tami’s progressive overload in the app will gently make it harder when you’re ready (more reps, slightly heavier weights, or slower tempo).
Want to try it right now? Pick up whatever you have (or nothing) and run through one round. You’ll feel those muscles wake up in the best way.
Here’s the protein rule almost every Josie woman on GLP-1s now uses because it feels fair and doable:
Aim for 1 gram of protein per pound of your goal weight.
That number is high enough to protect and build muscle (especially when you’re strength training), but it’s based on where you’re headed, not where you are right now. No guilt, no impossible math.
When appetite is low, hitting that number sounds crazy… until you use the easy, low-volume ways our community swears by:
Real-life example for a 140 g day (most women hit this with 3 meals + 1 shake and never feel stuffed):
The 500+ high-protein recipes inside the Simply Strong App are all built around this exact goal-weight rule (most are 30–50 g per meal and take 10 minutes or less).
You won’t hit it perfectly every day, and that’s okay. Most days at 80–100 % of your goal-weight number is more than enough to keep you firm, strong, and feeling great while the scale moves.
GLP-1s handle appetite and weight.
Strength training three times a week handles strength, energy, and shape.
Do both and you finish lighter AND stronger — not smaller and weaker.
That’s it.
If you’re ready, grab the Simply Strong App (first week free) and let’s get your power back. ❤️
If you're thinking of taking a compounded GLP-1, browse our plans:
Compounded Tirzepatide 3-Month Bundle
Compounded Tirzepatide Mircrodose 3-Month Bundle
Oral Tirzepatide - Dissolable Tablets
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