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 skills you should have had from the start.
The Maintenance Shift is a 65-page GLP maintenance digital guide and PDF-friendly toolkit designed to help you move from weight loss into a steadier, more sustainable phase of care. Providers and programs focus on weight loss, and most people aren’t given the tools they need to shift from weight loss to maintenance. This product changes that.
Created by a clinical health psychologist and a women’s health nurse practitioner, this digital guide and workbook helps you build the emotional, behavioral, and lifestyle foundations for long-term maintenance, including identity-based behavior change, food noise support, nervous system regulation, nutrition, movement, sleep, tapering and supplement strategies, course correction planning, and weekly maintenance routines.
You’ll also receive three bonus resources: Talking to Your Provider About Maintenance, Talking to Family and Friends About Maintenance, and a Maintenance Readiness Quiz.
This toolkit is for anyone considering a GLP medication, currently taking a GLP medication and wondering what’s next, or for someone who has stopped the medication and sees the weight returning.
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
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1. Understanding the shift from weight loss to maintenance
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2. Creating an identity beyond the scale
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3. Tools for food noise and nervous system regulation
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4. The core lifestyle pillars for health and maintenance
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5. Consideration for ongoing support
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6. A personalized plan to return to your healthy lifestyle
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7. Simple, weekly habits that keep you steady and supported
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8. Bringing it all together and next steps forward
BONUS RESOURCES
Maintenance Readiness Quiz
Talking to Your Provider
Talking to Friends & Family
WHY THIS WORKS
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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.
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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.
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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.
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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.
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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.
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Affordable
GLP Medications can be expensive in addition to the rising costs of daily living. We designed a toolkit to be financially accessible and usable 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.
A clear understanding of why maintenance feels different from weight loss.
A practical plan for food noise, cravings, setbacks, and disrupted routines.
Simple foundations for sleep, nutrition, movement, stress/nervous system, and medical follow-up.
A stronger, healthier maintenance identity rooted in support instead of shame.
Tools you can return to when life gets messy.
A clinically-validated taper process and supplements to support your taper that you can discuss with your provider.
Let’s Shift into Maintenance with
The Maintenance Shift
The Maintenance Shift is a 65-page GLP maintenance digital guide and PDF-friendly toolkit designed to help you move from weight loss into a steadier, more sustainable phase of care. Providers and programs focus on weight loss, and most people aren’t given the tools they need to shift from weight loss to maintenance. This product changes that.
Created by a clinical health psychologist and a women’s health nurse practitioner, this digital guide and workbook helps you build the emotional, behavioral, and lifestyle foundations for long-term maintenance, including identity-based behavior change, food noise support, nervous system regulation, nutrition, movement, sleep, tapering and supplement strategies, course correction planning, and weekly maintenance routines.
You’ll also receive three bonus resources: Talking to Your Provider About Maintenance, Talking to Family and Friends About Maintenance, and a Maintenance Readiness Quiz.
This toolkit is for anyone considering a GLP medication, currently taking a GLP medication and wondering what’s next, or for someone who has stopped the medication and sees the weight returning.
The Maintenance Shift is a 65-page GLP maintenance digital guide and PDF-friendly toolkit designed to help you move from weight loss into a steadier, more sustainable phase of care. Providers and programs focus on weight loss, and most people aren’t given the tools they need to shift from weight loss to maintenance. This product changes that.
Created by a clinical health psychologist and a women’s health nurse practitioner, this digital guide and workbook helps you build the emotional, behavioral, and lifestyle foundations for long-term maintenance, including identity-based behavior change, food noise support, nervous system regulation, nutrition, movement, sleep, tapering and supplement strategies, course correction planning, and weekly maintenance routines.
You’ll also receive three bonus resources: Talking to Your Provider About Maintenance, Talking to Family and Friends About Maintenance, and a Maintenance Readiness Quiz.
This toolkit is for anyone considering a GLP medication, currently taking a GLP medication and wondering what’s next, or for someone who has stopped the medication and sees the weight returning.
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.