Before you start
The NHS says most adults can start gentle strength work without seeing a doctor. If you have a heart condition, joint replacement, a recent operation, uncontrolled blood pressure, or pelvic floor problems, check first. Our pelvic floor guide matters here, because some moves need adapting if you leak.
On a weight loss medicine, train when you have eaten something in the last few hours. A session on an empty stomach in the nausea weeks is miserable and can make you dizzy. A pot of yoghurt an hour before is enough.
The six moves
| Move | What it works | Start with | Make it harder |
|---|---|---|---|
| Sit to stand from a chair | Thighs, bottom | 8 repetitions, no hands | Lower chair, hold a bag of sugar to your chest, slow the way down to 3 seconds |
| Wall press-up | Chest, arms, shoulders | 10, hands shoulder-width on a wall | Hands on the kitchen counter, then a low step, then the floor on knees |
| Glute bridge | Bottom, back of thighs | 10, lying on your back, feet flat, lift hips | Hold 3 seconds at the top, then one leg at a time |
| Row with a towel or band | Upper back, arms | 10, band round a door handle or a towel round a post | Shorter band, slower pull, pause at the chest |
| Step-up | Thighs, balance | 8 each leg on the bottom stair | Second stair, hold the banister less, add a bag |
| Dead bug | Deep core, without strain on the pelvic floor | 8 each side, lying on back, opposite arm and leg lower slowly | Lower further, slower, keep the lower back pressed down |
The session
- Two minutes of walking on the spot or up and down the hall.
- Sit to stand, then wall press-up, then glute bridge. One set of each in turn, then repeat twice. About 8 minutes.
- Row, then step-up, then dead bug. One set of each in turn, then repeat twice. About 8 minutes.
- Two minutes of slow stretching: calves against the wall, a hamstring stretch with a foot on the stair, arms across the chest.
Twenty minutes. Two days a week, with a day between, is the Chief Medical Officers' minimum and holds most of your muscle while you lose weight. The muscle guide explains why that matters on the medicine.
Progress
Strength comes fast in the first two months because the nervous system learns the moves. Then it slows, and the only way forward is to make each move harder. Write down what you did. A note on your phone with the date, the move and the repetitions is enough. If the number has not gone up in three weeks, change the column.
A pair of adjustable dumbbells, from about £30, extends every move for years. A resistance band set for under £15 does most of the same. Neither is needed to start.
Soreness and injury
Aching muscles a day or two after a session is normal for the first few weeks and fades. Sharp pain during a move, pain in a joint rather than a muscle, or pain that is worse the next day and the day after is a reason to stop that move and ask a physiotherapist. The NHS offers self-referral to physiotherapy in most areas.
If you leak, or feel heaviness below
Stress incontinence and prolapse are common in women and worse with heavy lifting done badly. Breathe out as you lift, never hold your breath, and skip jumping and heavy overhead work until a pelvic health physiotherapist has checked you. The pelvic floor guide explains the exercises that fix most of it.
Classes and apps
If you would rather follow along, the NHS has free strength and flexibility videos and most councils run beginner strength classes for a few pounds. Look for anything with the word strength or resistance in it. Pilates counts. A spin class does not.
Paying for your own medicine? The lowest first-order prices today, with delivery included: Mounjaro from £88.00, Wegovy from £44.00, Wegovy pill from £53.00, Foundayo from £46.00.
Compare every price Discount codesSources
- Physical activity guidelines for adults aged 19 to 64 (NHS)
- UK Chief Medical Officers' physical activity guidelines (Department of Health and Social Care)
- Strength and flexibility exercises (NHS)
- Pelvic floor exercises (NHS)
UK weight loss medicine prices