GLP-1 Medication Pilates Instructor Guide, Reformer & Mat Safety (PDF)

A member tells you at the door that she started a GLP-1 medicine three weeks ago and has felt queasy all morning. Another has lost a lot of weight and says the footwork feels harder than it did in spring. Your training covered the repertoire and said nothing about the medicine. This guide gives you the signs to watch and the point where she stops, the questions to ask before the session, and how to load a body that is losing muscle, on the reformer and the mat.

A 68-page illustrated reference for qualified Pilates teachers whose members take semaglutide, tirzepatide or liraglutide (sold as Ozempic, Wegovy, Mounjaro, Zepbound and Saxenda). Every safety line is drawn from the prescribing information, NHS guidance and the professional guidance for exercise instructors, with the sources listed.

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WHAT'S INCLUDED
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✔ The Sign Ladder: 21 signs on four rungs, from what the medicine ordinarily brings to an emergency. Each has what you see, what it means, the first thing you do, what you say to her and what happens next, with the line where her session ends
✔ The Dose Calendar: what each phase brings (starting, a dose step, the steady dose, a missed dose, coming off) and what her session does that week
✔ Before the Session: 20 people and situations that change the session, from a second diabetes medicine to vomiting since yesterday, each with the question to ask and who she checks with. You ask and refer; you never advise on the medicine, the dose or her diet
✔ The Load Ladder: 11 rules for keeping strength and bone work in every session, and when the calendar says climb or hold
✔ Six flags (LOAD, BONE, BELLY, HEAD, RISE, HELD) so you can read a session plan for this member before you teach it
✔ The Exercise Index: 59 reformer and mat exercises, each flagged, with what matters for her, the easing for a queasy day, the one change that adds load in a steady week, and what to watch
✔ 22 studio situations with what to do and what not to do, from a member announcing it at the front desk to a request for protein advice
✔ 10 sessions, six on the reformer and four on the mat, keyed to the dose calendar
✔ 14 line drawings and 7 diagrams (what the medicine changes, the dose calendar, the sign ladder, where the two emergency belly pains sit, the load ladder, the slow rise, the six flags), plus a sources list

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PERFECT FOR
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• Reformer and mat teachers with members on GLP-1 medicines
• Private teachers taking referrals from members who want to keep their strength
• Studio owners launching a class for these members who want the team working to one protocol
• Teachers whose member went dizzy standing up from the carriage and who want to know what to watch next time

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WHY YOU'LL LOVE IT
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✓ Every sign comes with the first thing you do, so you act instead of guessing
✓ It separates the member who is simply queasy from the belly pain that needs emergency help
✓ A member on insulin or a sulfonylurea gets her own low blood sugar steps, and she treats it from her own plan
✓ The dose calendar tells you when to add load and when to hold it
✓ No body talk, no weight targets and no diet advice anywhere: progress is measured in springs and sit-to-stands

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IMPORTANT INFORMATION
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• Instant digital download: one PDF, 68 A4 pages
• Read on a tablet or print the pages you use
• Reformer and mat, springs written as lighter and heavier so it fits any machine
• This is a digital file. Nothing physical will be posted

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DISCLAIMER
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For qualified Pilates teachers. This guide is education, not medical advice. It does not diagnose, and it never advises on a medicine, a dose or a diet: every answer goes to the member's prescriber, doctor, diabetes team, pharmacist or a registered dietitian. It does not replace first aid training or your studio's emergency procedure. In an emergency, call your local emergency number.