The Maintenance Shift

A GLP Medication Maintenance Toolkit…because losing weight and maintaining weight require different skills.

  • A 65-page digital guide and workbook designed to help you maintain your progress from a GLP medication with structure, support, and self-trust.

  • Developed by a clinical health psychologist and a women’s health nurse practitioner who use these tools with their patients every day.

  • Created to provide you with the knowledge and tools you should have had from the start.

GET THE TOOLKIT

MAINTENANCE IS NOT THE EASY PART

Research indicates that GLP Medications are effective producing mean weight loss of 10-30%; however when the medication is stopped, two-thirds of the weight lost is usually regained within a year.

In addition, 65% of users stop using GLP medications within a year (often due to side effects, reaching their goal weight, or medication cost).

Researchers concluded that, “Sustaining weight loss after GLP-1 RA discontinuation will ultimately depend on integrated, patient-centered frameworks combining ongoing lifestyle, behavioral, and system-level supports.”

We developed The Maintenance Shift to address all of those components needed for sustained weight loss.

Moiz A, Filion K, Knäuper B et al. (2026). Weight maintenance after discontinuation of GLP-1 therapies. eClinicalMedicine, 96.

THIS TOOLKIT IS FOR YOU IF…

  • You are thinking about taking a GLP Medication but are hesitant because you don’t want to have to take a medication for the rest of your life.

  • You are currently taking a GLP Medication and are thinking about what is next.

  • You were taking a GLP Medication, stopped it, and now you are seeing the weight come back.

  • Your provider hasn’t discussed what happens when you lose the weight, if you have side effects, or if the medication becomes too expensive.

WHAT’S INCLUDED

  • 1. Understanding the shift from weight loss to maintenance

  • 2. Creating an identity beyond the scale

  • 3. Tools for food noise and nervous system regulation

  • 4. The core lifestyle pillars for health and maintenance

  • 5. Consideration for ongoing support

  • 6. A personalized plan to return to your healthy lifestyle

  • 7. Simple, weekly habits that keep you steady and supported

  • 8. Bringing it all together and next stesp forward

BONUS RESOURCES

Maintenance Readiness Quiz

Talking to Your Provider

Talking to Friends & Family

WHY THIS WORKS

  • Expert-Created

    Created by a clinical health psychologist and a women’s health NP who use these tools daily to help our clients move successfully into maintenance.

  • Evidence-Based

    We use the latest evidence from research in lifestyle medicine, women’s health, hormones, habit change, identity, and mental health to create this toolkit.

  • Compassionate

    Most patients aren’t given maintenance information during treatment. After the dedication, time, and money on treatment, we created these tools to be used with no shame or judgment.

  • Practical & Simple

    Worksheets, checklists, reflection prompts that fit into your day and actually help. Move at your own pace and return to what helps most again and again.

  • Fills a Gap

    Information abounds on ways to start a GLP Medication, but there is a gap in information and support around what to do after you lose the weight. Patients are told they have to stay on the medications for life. Although that may be true for some, we believe that combination lifestyle and medical support can be used to to shift into maintenance.

  • Affordable

    GLP Medications can be expensive in addition to the rising costs of daily living. We designed a toolkit to be financially accessible and useable for life.

Meet the Experts

Sarah Cargill, MSCP, FNP-BC

Sarah Cargill, FNP-BC, MSCP is a women’s health nurse practitioner and founder of Lifted Wellness, a practice in Frederick, MD built for women who are done being dismissed. Her clinical focus includes improving metabolic health, hormone optimization, thyroid care, and body composition. Sarah integrates GLP therapy not as a quick fix, but as one tool in a larger framework designed to help patients build lasting, sustainable results.

Kelly Donahue, PhD

Dr. Kelly Donahue is a clinical health psychologist (in 43 states) certified in integrative mental health, speaker, and author with two decades of experience helping people transform well-being from the inside out. She specializes psychological and lifestyle medicine approaches for anxiety/stress, weight, chronic health conditions, and perimenopause. She loves speaking to groups small and large about self-care, stress, and nervous system regulation.

WHAT YOU WILL WALK AWAY WITH

By the end of this toolkit, you will have more than information. But more than that, you’ll have a clear, compassionate plan for the maintenance phase.

01
A clear understanding of why maintenance feels different from weight loss.

02
A practical plan for food noise, cravings, setbacks, and disrupted routines.

05
Simple foundations for sleep, nutrition, movement, stress, and medical follow-up.

03
A stronger maintenance identity rooted in support instead of shame.

04
Tools you can return to when life gets messy.

06
A steadier way to maintain your progress without becoming rigid, obsessive, or afraid of starting over.

GET THE MAINTENANCE SHIFT TOOLKIT

A 65-page digital guide and workbook

3 BONUS Resources

Printable and digital-friendly PDF

Instant Access

get the toolkit

DISCLAIMER: This toolkit is for educational purposes only and does not replace medical care, therapy, nutrition counseling, or individualized guidance from your healthcare provider. Medication changes, including dose adjustments, spacing, tapering, stopping, or restarting a GLP medication, should always be discussed with your prescribing provider.