'''Loopa can carry the training, nutrition and recovery side of a therapy you are already on.''' You tell it what your protocol is, it records what you report, and it shows the whole of it back to you in one place.
'''It does not give medication advice.''' There is no dose suggestion in it, no timing suggestion, no lab window, and nothing that tells you to start, stop or change anything. Every medication screen carries the same line: questions about your medication belong with your prescriber. What Loopa adds is the part around it — the food, the training, the sleep, the symptoms and the record you can hand to the person who prescribes for you.
== The four kinds ==
You switch on the ones that apply to you. Each is a separate profile with its own screen, and you can run more than one.
- '''GLP-1''' — if you are on a GLP-1 medication, by injection or by mouth. One compound.
- '''Testosterone therapy''' — for men on TRT and for transgender and nonbinary people on testosterone therapy. Several compounds if that is what you take.
- '''Hormone therapy''' — for people going through menopause or perimenopause and for transgender and nonbinary people on feminizing therapy. Several compounds.
- '''Peptide protocols''' — multi-compound and peptide protocols you define yourself. You name what is in yours and you choose the training focus.
'''Loopa carries no list of compounds.''' There is nothing to browse, nothing that describes what anything does, and nothing that checks a name against a dosing reference. Every name in your protocol is text you typed, and it is encrypted with your own key.
== What turning one on changes ==
Switching a protocol on changes what the rest of the app aims at. Nothing is hidden: the goal screen tells you which protocol set each number and why, with the source underneath it.
=== GLP-1: protein first, and calories as a minimum ===
Your protein target moves up, and your daily calorie figure becomes a '''floor rather than a ceiling''' — a number to reach rather than a number to stay under. Fiber and water goals switch on with it.
Weight lost on a GLP-1 medication is not only fat. In a body-composition analysis of a large trial, about 75% of the weight lost was fat mass and about 25% was lean mass, in the treated group and in the placebo group alike (Look M et al., ''Diabetes, Obesity and Metabolism'', 2025 — [https://doi.org/10.1111/dom.16275 doi:10.1111/dom.16275]). Protein and resistance training are what the evidence points to for the lean half. Protein intakes recommended during weight loss in athletes sit at 1.6–2.4 g/kg/day (Hector AJ, Phillips SM, ''International Journal of Sport Nutrition and Exercise Metabolism'', 2018 — [https://pubmed.ncbi.nlm.nih.gov/29182451/ PubMed 29182451]), and gains in fat-free mass from resistance training plateau above roughly 1.62 g/kg/day of total protein (Morton RW et al., ''British Journal of Sports Medicine'', 2018 — [https://doi.org/10.1136/bjsports-2017-097608 doi:10.1136/bjsports-2017-097608]). Resistance training itself does not increase weight loss, but it may increase fat-free mass and the loss of fat mass (Donnelly JE et al., ACSM Position Stand, ''Medicine & Science in Sports & Exercise'', 2009 — [https://doi.org/10.1249/MSS.0b013e3181949333 doi:10.1249/MSS.0b013e3181949333]).
The fiber and hydration goals go together for a reason: adults are advised to get 22 to 34 grams of fiber a day depending on age and sex, and to drink plenty of liquids to help the fiber work better (NIDDK, NIH, 2024 — [https://www.niddk.nih.gov/health-information/digestive-diseases/constipation/eating-diet-nutrition niddk.nih.gov]).
=== Testosterone therapy: resistance work, and recovery that keeps up ===
Protein moves up, training weights toward resistance work, and '''recovery is given more room''' — Loopa treats a hard week followed by poor sleep as something to show you rather than something to ignore.
Progressive overload — the gradual increase of the stress placed on the body during training — is the mechanism the training side rests on (ACSM Position Stand, ''Medicine & Science in Sports & Exercise'', 2009 — [https://doi.org/10.1249/MSS.0b013e3181915670 doi:10.1249/MSS.0b013e3181915670]), with the same 1.62 g/kg/day protein plateau above (Morton 2018). Sleep is part of the training, not separate from it: acute sleep deprivation reduced muscle protein synthesis by 18% in a controlled study (Lamon S et al., ''Physiological Reports'', 2021 — [https://doi.org/10.14814/phy2.14660 doi:10.14814/phy2.14660]).
=== Hormone therapy: resistance and impact work, and sleep in view ===
Protein moves up to the active end of the range, training weights toward '''resistance and impact work''', recovery is given more room, and a '''sleep card''' appears on the screen.
Older adults who exercise and are otherwise active are advised toward at least 1.2 g of protein per kg of body weight per day (Bauer J et al., PROT-AGE Study Group, ''JAMDA'', 2013 — [https://doi.org/10.1016/j.jamda.2013.05.021 doi:10.1016/j.jamda.2013.05.021]); the top of Loopa's range is the resistance-training plateau above (Morton 2018), not a PROT-AGE figure.
Resistance exercises put stress on bones, so they can make bones stronger as well (NIAMS, NIH, 2023 — [https://www.niams.nih.gov/health-topics/exercise-your-bone-health niams.nih.gov]), and a brief high-intensity resistance and impact program improved indices of bone strength and functional performance in postmenopausal women with low bone mass (Watson SL et al., ''Journal of Bone and Mineral Research'', 2018 — [https://doi.org/10.1002/jbmr.3284 doi:10.1002/jbmr.3284]). Where hormone therapy accompanies menopause, two things make the timing matter: rates and cumulative amounts of bone loss are greatest from a year before through two years after the final menstrual period (Greendale GA et al., ''JBMR'', 2012 — [https://doi.org/10.1002/jbmr.534 doi:10.1002/jbmr.534]), and at the start of the transition the rate of fat gain doubled while lean mass declined (Greendale GA et al., ''JCI Insight'', 2019 — [https://doi.org/10.1172/jci.insight.124865 doi:10.1172/jci.insight.124865]). Sleep gets its own card because some people start having trouble sleeping around midlife, and hot flashes and night sweats are among the most common symptoms of menopause (National Institute on Aging, NIH, 2024 — [https://www.nia.nih.gov/health/menopause/what-menopause nia.nih.gov]).
=== Peptide protocols: the focus you choose ===
There is no goal flip here and there is no assumption about what you are doing. You pick a '''training focus''' — strength, recovery, body composition, or general — and the training side of the app weights toward it. Everything else on this page works the same as it does for the other three.
== The dose log and the body map ==
Logging a dose takes one tap from the protocol screen, from the quick-log fan, or from the reminder itself. What is recorded is the compound, the date and time, and — where the route has a body map — '''the site you tapped'''.
The body map is a fixed set of points rather than free text, because the point of recording one is the picture it builds:
| Route | Sites |
|---|---|
| Subcutaneous | Abdomen, four quadrants · thighs, left and right · upper arms, left and right |
| Intramuscular | Glutes · ventrogluteal, left and right · deltoids · quads |
Every other route has no site, and Loopa does not ask for one.
Open '''Sites''' and you get a 90-day heat map: how often each point was used and when it was last used. Product instructions for use tell people to change the injection site within the area they choose, to reduce the risk of skin changes where the injections go (Eli Lilly, via DailyMed, 2025 — [https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=487cd7e7-434c-4925-99fa-aa80b1cc776b DailyMed]). The map shows you what you have actually been doing; what to do about it is between you and your prescriber.
'''Logged offline, counted once.''' Every dose carries an id your phone generates, so a dose logged on a plane and synced later lands as one entry, not two.
== Reminders and supply ==
Reminders come in three tiers, and each is a separate switch: '''the day before''', '''an hour before''', and '''on the day'''. A reminder names the protocol and the tier, never the compound — a notification on a lock screen is read by whoever is looking at it.
There are seven optional nudges as well: hydration, fiber, a wellbeing check-in, a reminder to record labs, a supply warning, a '''prep-day''' note the evening before a dose day (fluids, easy protein-forward meals planned, no new PR attempts — it becomes available once your pattern is ready, and it is off until you turn it on), and a '''reorder-by''' reminder. Every nudge has its own times. Six of them are off until you turn them on; the reorder-by reminder is '''on until you turn it off''', because the member it exists for is the one who never opened the settings.
'''Supply tracking''' is per compound. You tell Loopa how many units you have, what kind of unit it is (pen, vial, tablet, patch or other), and how many doses are in one. From there it shows doses remaining, a run-out date, and a warning when you are close. It counts '''doses you logged''', so the figure follows what you recorded rather than what a calendar assumed. You can also record a use-by date and the date you opened something, and Loopa will tell you when either is near.
=== The refill runway ===
Add a '''refill date''' and your '''pharmacy's lead time in days''' to the supply record and Loopa works out a '''reorder-by''' date: the run-out date minus the lead time, or the refill date minus the lead time if you track no quantities. It sits on the supply card, and on that day the reorder-by reminder tells you once. Both figures are yours to change; nothing here says anything about the medication itself.
== The two calculators ==
Both of them are '''arithmetic on numbers you type in'''. Neither carries a default, neither suggests a value, and neither knows anything about any compound.
- '''Volume''' — you give an amount in mg and a concentration in mg/mL; it returns the volume in mL and the equivalent syringe units.
- '''Reconstitution''' — you give the amount in a vial and the volume of diluent; it returns the resulting concentration, and, if you also give an amount, the volume for it and how many of those the vial holds.
Every result carries the line that says what it is: a conversion of your own numbers, for information, not a recommendation. Refuse a number and it tells you which field it refused and why. You can save a result into your supply record so you do not retype it.
== The estimated level chart ==
The chart draws '''an estimate of where a compound sits relative to its own peak''', over the days you choose, from two things: the doses you logged, and a published elimination half-life for the name you entered, where one exists. It is drawn in percent of peak rather than in any clinical unit, it is labeled as an estimate, and it carries no annotations, no bands and no markers of any kind.
'''Sometimes there is no chart, and Loopa says so rather than guessing.''' Two reasons:
- '''No published constant for the name you entered.''' Loopa holds a small table of elimination half-lives, every row of it taken from an approved product's own labeling or from a published human study, with the sentence that states it quoted on the row. A name that matches nothing in that table gets no chart — and Loopa will not invent a number to fill the space. Gels and patches get no chart either; the model behind the curve cannot represent that kind of delivery.
- '''No doses logged yet.''' The chart is drawn from your own log. Log a dose and it appears.
== Symptoms, and the pattern they make ==
Each protocol has its own short list of symptoms, and each list ends in '''Other''', which takes free text. You record one with a severity from 1 to 5 and a note if you want one.
'''The pattern view''' is where that becomes useful. Over the last 90 days it groups your entries by '''how many days after a dose''' they happened — day 0, day 1, and so on to 7 or more — and shows the count and the average severity in each group. It describes what you logged and stops there. It does not interpret, it does not conclude, and it does not suggest anything about the medication. It is a picture to take to your prescriber.
=== Symptom–food patterns ===
The '''Patterns''' tab in the symptom journal looks at the foods you logged in the '''three hours before''' each symptom entry, by food and by the food's catalog category, and counts how often each one was there. A food is shown only when it appears before at least '''five''' entries of a symptom '''and''' before at least '''half''' of them, and it is shown as exactly that: ''"Heartburn logged within 3 hours of fried foods, 6 of 8 times."'' A count of co-occurrence, never a claim about cause. Before a symptom has five entries the tab says it is still learning, and nothing is guessed.
=== A question for your appointment ===
Beside a symptom, a wellbeing check-in or a lab result you can write '''a question for your prescriber''' — up to 300 characters, in your own words. Loopa never suggests one. Every question you write is listed in the order you wrote it, tied to the entry that prompted it, and the summary you export for your prescriber opens with that list on its first page.
== The wellbeing check-in ==
Four sliders, once a day, one to five: '''energy''', '''mood''', '''sleep quality''' and '''motivation'''. A fifth, '''libido''', is offered on a testosterone therapy profile and is '''off until you switch it on'''. A sixth, '''food noise''', appears when you run a GLP-1 protocol or are in the Off-Ramp program: how loud food has been in your head today, one to five. Its trend sits on the GLP-1 screen, and in the Off-Ramp it is the number each week's check-in reflects on.
The protocol screen shows a 14-day average for each and the line it makes. Skipping a day is fine — nothing is required and nothing scolds you for a gap.
== Your pattern ==
Once you have logged '''three complete dose cycles''' with daily check-ins, the protocol screen carries a card called '''Your pattern'''. Every day in the last 90 is placed by how many days it fell after a logged dose, and each of those buckets averages what you recorded on its days: energy, mood and sleep quality from the check-in, symptoms and their severity, sessions completed and how much you lifted. From that Loopa names the days your logs put among your '''strongest''' and your '''roughest''' — in words like ''"Your logs show days 3–5 after a dose are your strongest (energy averaging 4.1) and day 1 your roughest, across 5 cycles."''
It describes what you recorded and nothing more. It does not say why, it does not mention the medication as a cause, and before three cycles it says '''"still learning your pattern"''' rather than guessing. A protocol you dose every day has no cycle to compare, and the card says so.
== Your week ==
'''Your week''' is a seven-day plan placed around your pattern. Heavy resistance sessions and protein-dense days land on your strongest days, mobility or an easy walk on your roughest, and the evening before a dose day is marked as a '''prep day''' — fluids up, easy protein-forward meals planned for tomorrow, no new PR attempts. '''Dose days are calendar markers and are never moved.''' If you follow a training program, its days stay exactly where the program put them and are only labelled; Loopa places sessions itself only when you have no program. Heavy days are capped at three a week, or two when a protocol you run gives recovery more room, and when two protocols disagree about a day the more careful reading wins.
Before your pattern is ready, the week runs from today's check-in and last night's sleep: a high-energy day after a decent night reads as a day for a hard session, a low one does not, and the rest of the week follows your program or an even spread.
'''On a low day, a short session.''' When today's check-in puts energy at 2 or under, or a symptom you logged today is at 4 or over, the day's session card offers a ten-to-fifteen-minute session in its place — full body, upper, lower or mobility, each with a version that needs no equipment. Accepting it starts an ordinary session, so it keeps your streak and counts in full toward the score below.
== Lean-mass protection ==
On the GLP-1, testosterone therapy and hormone therapy screens, a weekly '''lean-mass protection score''' from 0 to 100 says how well your own training results are being protected, with one line that says why — ''"Protein goal met 5 of 7 days, 3 resistance sessions logged, lean-mass estimate steady or rising."'' Three inputs make it, and the explainer on the card names the source for each:
- '''Protein''' (45%) — the days this week you reached your protein goal. Protein intake during weight loss is what the evidence ties to keeping lean mass (Hector AJ, Phillips SM, ''International Journal of Sport Nutrition and Exercise Metabolism'', 2018 — [https://pubmed.ncbi.nlm.nih.gov/29182451/ PubMed 29182451]; Morton RW et al., ''British Journal of Sports Medicine'', 2018 — [https://doi.org/10.1136/bjsports-2017-097608 doi:10.1136/bjsports-2017-097608]).
- '''Resistance''' (35%) — completed sessions with at least one working set, against three a week. Resistance training may increase fat-free mass during weight loss (Donnelly JE et al., ACSM Position Stand, 2009 — [https://doi.org/10.1249/MSS.0b013e3181949333 doi:10.1249/MSS.0b013e3181949333]).
- '''Body composition''' (20%) — which way your lean-mass estimate has moved over the last four weeks, from the body-fat readings, measurement estimates or DEXA results you already have. About a quarter of the weight lost on a GLP-1 medication was lean mass in a large trial's body-composition analysis (Look M et al., ''Diabetes, Obesity and Metabolism'', 2025 — [https://doi.org/10.1111/dom.16275 doi:10.1111/dom.16275]).
Until two body-composition points exist the third input is counted as '''not yet available''' and the score is labelled as built from the other two. The score starts after '''two weeks''' of both food logs and completed sessions, and a seven-week history sits under it. It is a read on what you did; it says nothing about the medication.
== Filling the protein gap ==
When your protein goal is still unmet after midday, the nutrition screen offers '''three small, protein-forward options''' sized to what is left of your day — from the foods you already eat first, then from the catalog. Each is portioned so it fits the gap within a compact calorie budget (250 kcal, or 150 on a day you logged a symptom at 3 or above), and one tap logs it. Foods that your own symptom–food patterns have flagged are left out and named as such. You can set dietary preferences — vegetarian, vegan, dairy-free, gluten-free, no shellfish, no pork — and the options respect them.
== Progress beyond the scale ==
'''Progress''' gathers what moved besides your weight: strength records, measurement changes, your energy and sleep trend from the check-in, your consistency streaks, the seven-week lean-mass history, and your food-noise trend where you record it. When your weight's seven-day average has held within about one percent for three weeks, Loopa leads with this ledger and says so plainly: weight is one number, and the ledger is what else moved. There is no failure language anywhere in it, because a trend that has held is a fact about the number.
== Labs ==
You can type in lab results and watch them over time. Each entry is a marker, a value, the unit you used, and a note if you want one. On iPhone, if you grant it, results already in Apple Health's clinical records can be read in for the markers you approve; nothing is ever written back.
Two things worth knowing:
- '''Loopa keeps what you entered and converts nothing.''' If a trend mixes two units, the chart says so instead of quietly reconciling them.
- '''There are no reference ranges.''' No green zone, no red zone, no "in range" or "out of range". A range belongs to the laboratory that ran the test and to the clinician reading it, and it is not Loopa's to publish.
'''DEXA and bone density.''' The marker list includes DEXA lean mass, DEXA fat mass, bone mineral density and a T-score (which can be negative, and Loopa accepts it as written). A DEXA panel with both masses is drawn on your body-composition trend as its own kind of point, and its lean mass feeds the lean-mass protection score.
== The Off-Ramp ==
The Off-Ramp is a program for people thinking about life after a GLP-1 medication, or already in it. It is a '''behavior program''', not a medication plan: it says nothing about doses, timing or when to stop, and the decision to stop is one you make with your prescriber.
It runs week by week. Each week has a theme, something to read, and a few check-in questions to answer; the next week unlocks when you reach it. You can enroll, leave and rejoin, and your answers stay yours.
Why it exists: one year after withdrawal of a once-weekly GLP-1 medication and lifestyle intervention, participants in a trial extension regained two-thirds of the weight they had lost (Wilding JPH et al., ''Diabetes, Obesity and Metabolism'', 2022 — [https://doi.org/10.1111/dom.14725 doi:10.1111/dom.14725]). The program is built around the habits the evidence supports — eating rate, because a slower eating rate was associated with lower energy intake than a faster one (Robinson E et al., ''American Journal of Clinical Nutrition'', 2014 — [https://doi.org/10.3945/ajcn.113.081745 doi:10.3945/ajcn.113.081745]); protein and resistance training, as above; and time, because in a real-world study the median time to reach 95% of the plateau was 66 days, with a range from 18 to 254 (Lally P et al., ''European Journal of Social Psychology'', 2010 — [https://doi.org/10.1002/ejsp.674 doi:10.1002/ejsp.674]).
== The summary for your prescriber ==
'''Export''' builds a summary of one protocol over a window you choose, as a '''PDF''' or a '''spreadsheet''', up to 400 days at a time. It gathers your doses and their sites, your symptom pattern, your wellbeing trend, your labs as you entered them, and your weight and body-composition trend, in one document written to be read by somebody else.
It is made when you ask for it and handed straight to you. '''No copy is kept''' — there is no stored file and no link to expire — and the fact that you made one is written into your own access record, where you can see it.
== What a coach can see ==
Three of the sharing categories on your coach consent screen are protocols, and they appear only if you run one: '''GLP-1 support''', '''testosterone therapy support''' and '''hormone therapy support'''. Each is its own switch and each starts off.
A category you switch on shows your coach five things: the symptom pattern as counts, which days of the week your doses fall on, your 14-day wellbeing averages, '''which calendar days are dose days''' as markers on their programming calendar, and '''which of your days your logs put among your strongest and roughest''' — those two words only. '''It never shows the compound name, any amount, any lab value, a note, a question you wrote, your food-noise entries, the check-in scores behind a label, your supply figures or your calculator results''' — and testosterone therapy support never shows libido, even where you record it.
'''If you switched a category on before the two calendar items existed, nothing widened for you.''' Your coach keeps seeing exactly what they saw, and gets no calendar markers, until you read the updated list in the app and confirm it again.
'''A peptide protocol is never shared with a coach. There is no switch for it.''' [[sharing-your-protocol-with-a-coach|Sharing your protocol with a coach]] is the whole list, item by item.
== Loopa Premium ==
Medication protocols are a Loopa Premium feature, all of it: switching a protocol on, naming what is in it and setting its schedule; the dashboard, goal targets and the sleep and strength cards; the dose log, the body map and the site heat map; reminders, nudges and supply tracking; both calculators and the estimated level chart; symptoms, the pattern view, the symptom–food patterns and the wellbeing check-in; labs and lab trends; body-composition and strength trends; your pattern, your week, the short sessions, the lean-mass protection score, the protein-gap options and Progress; the summary for your prescriber, appointment questions, the Off-Ramp, and the coach-sharing categories.
On Loopa Basic the Protocols screen shows you what Premium would give you. Nothing you recorded while you had Premium is deleted if you later move to Basic; it is all there when you come back.
== The line that is on every screen ==
'''Questions about your medication belong with your prescriber. Loopa records what you report and reflects it back.''' It is on the profile, the dashboard, the supply screen, both calculators and the Off-Ramp, because it is the whole of what this feature claims to be.
See also: [[sharing-your-protocol-with-a-coach|Sharing your protocol with a coach]], [[medications-and-interaction-alerts|Medications and interaction alerts]], [[supplements-and-medications|Supplements and medications]], [[sharing-a-report-with-your-clinician|Sharing a report with your clinician]], [[what-your-coach-can-see|What your coach can see]], [[your-data-and-privacy|Your data and privacy]].
'''Loopa can carry the training, nutrition and recovery side of a therapy you are already on.''' You tell it what your protocol is, it records what you report, and it shows the whole of it back to you in one place. '''It does not give medication advice.''' There is no dose suggestion in it, no timing suggestion, no lab window, and nothing that tells you to start, stop or change anything. Every medication screen carries the same line: questions about your medication belong with your prescriber. What Loopa adds is the part around it — the food, the training, the sleep, the symptoms and the record you can hand to the person who prescribes for you. == The four kinds == You switch on the ones that apply to you. Each is a separate profile with its own screen, and you can run more than one. * '''GLP-1''' — if you are on a GLP-1 medication, by injection or by mouth. One compound. * '''Testosterone therapy''' — for men on TRT and for transgender and nonbinary people on testosterone therapy. Several compounds if that is what you take. * '''Hormone therapy''' — for people going through menopause or perimenopause and for transgender and nonbinary people on feminizing therapy. Several compounds. * '''Peptide protocols''' — multi-compound and peptide protocols you define yourself. You name what is in yours and you choose the training focus. '''Loopa carries no list of compounds.''' There is nothing to browse, nothing that describes what anything does, and nothing that checks a name against a dosing reference. Every name in your protocol is text you typed, and it is encrypted with your own key. == What turning one on changes == Switching a protocol on changes what the rest of the app aims at. Nothing is hidden: the goal screen tells you which protocol set each number and why, with the source underneath it. === GLP-1: protein first, and calories as a minimum === Your protein target moves up, and your daily calorie figure becomes a '''floor rather than a ceiling''' — a number to reach rather than a number to stay under. Fiber and water goals switch on with it. Weight lost on a GLP-1 medication is not only fat. In a body-composition analysis of a large trial, about 75% of the weight lost was fat mass and about 25% was lean mass, in the treated group and in the placebo group alike (Look M et al., ''Diabetes, Obesity and Metabolism'', 2025 — [https://doi.org/10.1111/dom.16275 doi:10.1111/dom.16275]). Protein and resistance training are what the evidence points to for the lean half. Protein intakes recommended during weight loss in athletes sit at 1.6–2.4 g/kg/day (Hector AJ, Phillips SM, ''International Journal of Sport Nutrition and Exercise Metabolism'', 2018 — [https://pubmed.ncbi.nlm.nih.gov/29182451/ PubMed 29182451]), and gains in fat-free mass from resistance training plateau above roughly 1.62 g/kg/day of total protein (Morton RW et al., ''British Journal of Sports Medicine'', 2018 — [https://doi.org/10.1136/bjsports-2017-097608 doi:10.1136/bjsports-2017-097608]). Resistance training itself does not increase weight loss, but it may increase fat-free mass and the loss of fat mass (Donnelly JE et al., ACSM Position Stand, ''Medicine & Science in Sports & Exercise'', 2009 — [https://doi.org/10.1249/MSS.0b013e3181949333 doi:10.1249/MSS.0b013e3181949333]). The fiber and hydration goals go together for a reason: adults are advised to get 22 to 34 grams of fiber a day depending on age and sex, and to drink plenty of liquids to help the fiber work better (NIDDK, NIH, 2024 — [https://www.niddk.nih.gov/health-information/digestive-diseases/constipation/eating-diet-nutrition niddk.nih.gov]). === Testosterone therapy: resistance work, and recovery that keeps up === Protein moves up, training weights toward resistance work, and '''recovery is given more room''' — Loopa treats a hard week followed by poor sleep as something to show you rather than something to ignore. Progressive overload — the gradual increase of the stress placed on the body during training — is the mechanism the training side rests on (ACSM Position Stand, ''Medicine & Science in Sports & Exercise'', 2009 — [https://doi.org/10.1249/MSS.0b013e3181915670 doi:10.1249/MSS.0b013e3181915670]), with the same 1.62 g/kg/day protein plateau above (Morton 2018). Sleep is part of the training, not separate from it: acute sleep deprivation reduced muscle protein synthesis by 18% in a controlled study (Lamon S et al., ''Physiological Reports'', 2021 — [https://doi.org/10.14814/phy2.14660 doi:10.14814/phy2.14660]). === Hormone therapy: resistance and impact work, and sleep in view === Protein moves up to the active end of the range, training weights toward '''resistance and impact work''', recovery is given more room, and a '''sleep card''' appears on the screen. Older adults who exercise and are otherwise active are advised toward at least 1.2 g of protein per kg of body weight per day (Bauer J et al., PROT-AGE Study Group, ''JAMDA'', 2013 — [https://doi.org/10.1016/j.jamda.2013.05.021 doi:10.1016/j.jamda.2013.05.021]); the top of Loopa's range is the resistance-training plateau above (Morton 2018), not a PROT-AGE figure. Resistance exercises put stress on bones, so they can make bones stronger as well (NIAMS, NIH, 2023 — [https://www.niams.nih.gov/health-topics/exercise-your-bone-health niams.nih.gov]), and a brief high-intensity resistance and impact program improved indices of bone strength and functional performance in postmenopausal women with low bone mass (Watson SL et al., ''Journal of Bone and Mineral Research'', 2018 — [https://doi.org/10.1002/jbmr.3284 doi:10.1002/jbmr.3284]). Where hormone therapy accompanies menopause, two things make the timing matter: rates and cumulative amounts of bone loss are greatest from a year before through two years after the final menstrual period (Greendale GA et al., ''JBMR'', 2012 — [https://doi.org/10.1002/jbmr.534 doi:10.1002/jbmr.534]), and at the start of the transition the rate of fat gain doubled while lean mass declined (Greendale GA et al., ''JCI Insight'', 2019 — [https://doi.org/10.1172/jci.insight.124865 doi:10.1172/jci.insight.124865]). Sleep gets its own card because some people start having trouble sleeping around midlife, and hot flashes and night sweats are among the most common symptoms of menopause (National Institute on Aging, NIH, 2024 — [https://www.nia.nih.gov/health/menopause/what-menopause nia.nih.gov]). === Peptide protocols: the focus you choose === There is no goal flip here and there is no assumption about what you are doing. You pick a '''training focus''' — strength, recovery, body composition, or general — and the training side of the app weights toward it. Everything else on this page works the same as it does for the other three. == The dose log and the body map == Logging a dose takes one tap from the protocol screen, from the quick-log fan, or from the reminder itself. What is recorded is the compound, the date and time, and — where the route has a body map — '''the site you tapped'''. The body map is a fixed set of points rather than free text, because the point of recording one is the picture it builds: | Route | Sites | |---|---| | Subcutaneous | Abdomen, four quadrants · thighs, left and right · upper arms, left and right | | Intramuscular | Glutes · ventrogluteal, left and right · deltoids · quads | Every other route has no site, and Loopa does not ask for one. Open '''Sites''' and you get a 90-day heat map: how often each point was used and when it was last used. Product instructions for use tell people to change the injection site within the area they choose, to reduce the risk of skin changes where the injections go (Eli Lilly, via DailyMed, 2025 — [https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=487cd7e7-434c-4925-99fa-aa80b1cc776b DailyMed]). The map shows you what you have actually been doing; what to do about it is between you and your prescriber. '''Logged offline, counted once.''' Every dose carries an id your phone generates, so a dose logged on a plane and synced later lands as one entry, not two. == Reminders and supply == Reminders come in three tiers, and each is a separate switch: '''the day before''', '''an hour before''', and '''on the day'''. A reminder names the protocol and the tier, never the compound — a notification on a lock screen is read by whoever is looking at it. There are seven optional nudges as well: hydration, fiber, a wellbeing check-in, a reminder to record labs, a supply warning, a '''prep-day''' note the evening before a dose day (fluids, easy protein-forward meals planned, no new PR attempts — it becomes available once your pattern is ready, and it is off until you turn it on), and a '''reorder-by''' reminder. Every nudge has its own times. Six of them are off until you turn them on; the reorder-by reminder is '''on until you turn it off''', because the member it exists for is the one who never opened the settings. '''Supply tracking''' is per compound. You tell Loopa how many units you have, what kind of unit it is (pen, vial, tablet, patch or other), and how many doses are in one. From there it shows doses remaining, a run-out date, and a warning when you are close. It counts '''doses you logged''', so the figure follows what you recorded rather than what a calendar assumed. You can also record a use-by date and the date you opened something, and Loopa will tell you when either is near. === The refill runway === Add a '''refill date''' and your '''pharmacy's lead time in days''' to the supply record and Loopa works out a '''reorder-by''' date: the run-out date minus the lead time, or the refill date minus the lead time if you track no quantities. It sits on the supply card, and on that day the reorder-by reminder tells you once. Both figures are yours to change; nothing here says anything about the medication itself. == The two calculators == Both of them are '''arithmetic on numbers you type in'''. Neither carries a default, neither suggests a value, and neither knows anything about any compound. * '''Volume''' — you give an amount in mg and a concentration in mg/mL; it returns the volume in mL and the equivalent syringe units. * '''Reconstitution''' — you give the amount in a vial and the volume of diluent; it returns the resulting concentration, and, if you also give an amount, the volume for it and how many of those the vial holds. Every result carries the line that says what it is: a conversion of your own numbers, for information, not a recommendation. Refuse a number and it tells you which field it refused and why. You can save a result into your supply record so you do not retype it. == The estimated level chart == The chart draws '''an estimate of where a compound sits relative to its own peak''', over the days you choose, from two things: the doses you logged, and a published elimination half-life for the name you entered, where one exists. It is drawn in percent of peak rather than in any clinical unit, it is labeled as an estimate, and it carries no annotations, no bands and no markers of any kind. '''Sometimes there is no chart, and Loopa says so rather than guessing.''' Two reasons: * '''No published constant for the name you entered.''' Loopa holds a small table of elimination half-lives, every row of it taken from an approved product's own labeling or from a published human study, with the sentence that states it quoted on the row. A name that matches nothing in that table gets no chart — and Loopa will not invent a number to fill the space. Gels and patches get no chart either; the model behind the curve cannot represent that kind of delivery. * '''No doses logged yet.''' The chart is drawn from your own log. Log a dose and it appears. == Symptoms, and the pattern they make == Each protocol has its own short list of symptoms, and each list ends in '''Other''', which takes free text. You record one with a severity from 1 to 5 and a note if you want one. '''The pattern view''' is where that becomes useful. Over the last 90 days it groups your entries by '''how many days after a dose''' they happened — day 0, day 1, and so on to 7 or more — and shows the count and the average severity in each group. It describes what you logged and stops there. It does not interpret, it does not conclude, and it does not suggest anything about the medication. It is a picture to take to your prescriber. === Symptom–food patterns === The '''Patterns''' tab in the symptom journal looks at the foods you logged in the '''three hours before''' each symptom entry, by food and by the food's catalog category, and counts how often each one was there. A food is shown only when it appears before at least '''five''' entries of a symptom '''and''' before at least '''half''' of them, and it is shown as exactly that: ''"Heartburn logged within 3 hours of fried foods, 6 of 8 times."'' A count of co-occurrence, never a claim about cause. Before a symptom has five entries the tab says it is still learning, and nothing is guessed. === A question for your appointment === Beside a symptom, a wellbeing check-in or a lab result you can write '''a question for your prescriber''' — up to 300 characters, in your own words. Loopa never suggests one. Every question you write is listed in the order you wrote it, tied to the entry that prompted it, and the summary you export for your prescriber opens with that list on its first page. == The wellbeing check-in == Four sliders, once a day, one to five: '''energy''', '''mood''', '''sleep quality''' and '''motivation'''. A fifth, '''libido''', is offered on a testosterone therapy profile and is '''off until you switch it on'''. A sixth, '''food noise''', appears when you run a GLP-1 protocol or are in the Off-Ramp program: how loud food has been in your head today, one to five. Its trend sits on the GLP-1 screen, and in the Off-Ramp it is the number each week's check-in reflects on. The protocol screen shows a 14-day average for each and the line it makes. Skipping a day is fine — nothing is required and nothing scolds you for a gap. == Your pattern == Once you have logged '''three complete dose cycles''' with daily check-ins, the protocol screen carries a card called '''Your pattern'''. Every day in the last 90 is placed by how many days it fell after a logged dose, and each of those buckets averages what you recorded on its days: energy, mood and sleep quality from the check-in, symptoms and their severity, sessions completed and how much you lifted. From that Loopa names the days your logs put among your '''strongest''' and your '''roughest''' — in words like ''"Your logs show days 3–5 after a dose are your strongest (energy averaging 4.1) and day 1 your roughest, across 5 cycles."'' It describes what you recorded and nothing more. It does not say why, it does not mention the medication as a cause, and before three cycles it says '''"still learning your pattern"''' rather than guessing. A protocol you dose every day has no cycle to compare, and the card says so. == Your week == '''Your week''' is a seven-day plan placed around your pattern. Heavy resistance sessions and protein-dense days land on your strongest days, mobility or an easy walk on your roughest, and the evening before a dose day is marked as a '''prep day''' — fluids up, easy protein-forward meals planned for tomorrow, no new PR attempts. '''Dose days are calendar markers and are never moved.''' If you follow a training program, its days stay exactly where the program put them and are only labelled; Loopa places sessions itself only when you have no program. Heavy days are capped at three a week, or two when a protocol you run gives recovery more room, and when two protocols disagree about a day the more careful reading wins. Before your pattern is ready, the week runs from today's check-in and last night's sleep: a high-energy day after a decent night reads as a day for a hard session, a low one does not, and the rest of the week follows your program or an even spread. '''On a low day, a short session.''' When today's check-in puts energy at 2 or under, or a symptom you logged today is at 4 or over, the day's session card offers a ten-to-fifteen-minute session in its place — full body, upper, lower or mobility, each with a version that needs no equipment. Accepting it starts an ordinary session, so it keeps your streak and counts in full toward the score below. == Lean-mass protection == On the GLP-1, testosterone therapy and hormone therapy screens, a weekly '''lean-mass protection score''' from 0 to 100 says how well your own training results are being protected, with one line that says why — ''"Protein goal met 5 of 7 days, 3 resistance sessions logged, lean-mass estimate steady or rising."'' Three inputs make it, and the explainer on the card names the source for each: * '''Protein''' (45%) — the days this week you reached your protein goal. Protein intake during weight loss is what the evidence ties to keeping lean mass (Hector AJ, Phillips SM, ''International Journal of Sport Nutrition and Exercise Metabolism'', 2018 — [https://pubmed.ncbi.nlm.nih.gov/29182451/ PubMed 29182451]; Morton RW et al., ''British Journal of Sports Medicine'', 2018 — [https://doi.org/10.1136/bjsports-2017-097608 doi:10.1136/bjsports-2017-097608]). * '''Resistance''' (35%) — completed sessions with at least one working set, against three a week. Resistance training may increase fat-free mass during weight loss (Donnelly JE et al., ACSM Position Stand, 2009 — [https://doi.org/10.1249/MSS.0b013e3181949333 doi:10.1249/MSS.0b013e3181949333]). * '''Body composition''' (20%) — which way your lean-mass estimate has moved over the last four weeks, from the body-fat readings, measurement estimates or DEXA results you already have. About a quarter of the weight lost on a GLP-1 medication was lean mass in a large trial's body-composition analysis (Look M et al., ''Diabetes, Obesity and Metabolism'', 2025 — [https://doi.org/10.1111/dom.16275 doi:10.1111/dom.16275]). Until two body-composition points exist the third input is counted as '''not yet available''' and the score is labelled as built from the other two. The score starts after '''two weeks''' of both food logs and completed sessions, and a seven-week history sits under it. It is a read on what you did; it says nothing about the medication. == Filling the protein gap == When your protein goal is still unmet after midday, the nutrition screen offers '''three small, protein-forward options''' sized to what is left of your day — from the foods you already eat first, then from the catalog. Each is portioned so it fits the gap within a compact calorie budget (250 kcal, or 150 on a day you logged a symptom at 3 or above), and one tap logs it. Foods that your own symptom–food patterns have flagged are left out and named as such. You can set dietary preferences — vegetarian, vegan, dairy-free, gluten-free, no shellfish, no pork — and the options respect them. == Progress beyond the scale == '''Progress''' gathers what moved besides your weight: strength records, measurement changes, your energy and sleep trend from the check-in, your consistency streaks, the seven-week lean-mass history, and your food-noise trend where you record it. When your weight's seven-day average has held within about one percent for three weeks, Loopa leads with this ledger and says so plainly: weight is one number, and the ledger is what else moved. There is no failure language anywhere in it, because a trend that has held is a fact about the number. == Labs == You can type in lab results and watch them over time. Each entry is a marker, a value, the unit you used, and a note if you want one. On iPhone, if you grant it, results already in Apple Health's clinical records can be read in for the markers you approve; nothing is ever written back. Two things worth knowing: * '''Loopa keeps what you entered and converts nothing.''' If a trend mixes two units, the chart says so instead of quietly reconciling them. * '''There are no reference ranges.''' No green zone, no red zone, no "in range" or "out of range". A range belongs to the laboratory that ran the test and to the clinician reading it, and it is not Loopa's to publish. '''DEXA and bone density.''' The marker list includes DEXA lean mass, DEXA fat mass, bone mineral density and a T-score (which can be negative, and Loopa accepts it as written). A DEXA panel with both masses is drawn on your body-composition trend as its own kind of point, and its lean mass feeds the lean-mass protection score. == The Off-Ramp == The Off-Ramp is a program for people thinking about life after a GLP-1 medication, or already in it. It is a '''behavior program''', not a medication plan: it says nothing about doses, timing or when to stop, and the decision to stop is one you make with your prescriber. It runs week by week. Each week has a theme, something to read, and a few check-in questions to answer; the next week unlocks when you reach it. You can enroll, leave and rejoin, and your answers stay yours. Why it exists: one year after withdrawal of a once-weekly GLP-1 medication and lifestyle intervention, participants in a trial extension regained two-thirds of the weight they had lost (Wilding JPH et al., ''Diabetes, Obesity and Metabolism'', 2022 — [https://doi.org/10.1111/dom.14725 doi:10.1111/dom.14725]). The program is built around the habits the evidence supports — eating rate, because a slower eating rate was associated with lower energy intake than a faster one (Robinson E et al., ''American Journal of Clinical Nutrition'', 2014 — [https://doi.org/10.3945/ajcn.113.081745 doi:10.3945/ajcn.113.081745]); protein and resistance training, as above; and time, because in a real-world study the median time to reach 95% of the plateau was 66 days, with a range from 18 to 254 (Lally P et al., ''European Journal of Social Psychology'', 2010 — [https://doi.org/10.1002/ejsp.674 doi:10.1002/ejsp.674]). == The summary for your prescriber == '''Export''' builds a summary of one protocol over a window you choose, as a '''PDF''' or a '''spreadsheet''', up to 400 days at a time. It gathers your doses and their sites, your symptom pattern, your wellbeing trend, your labs as you entered them, and your weight and body-composition trend, in one document written to be read by somebody else. It is made when you ask for it and handed straight to you. '''No copy is kept''' — there is no stored file and no link to expire — and the fact that you made one is written into your own access record, where you can see it. == What a coach can see == Three of the sharing categories on your coach consent screen are protocols, and they appear only if you run one: '''GLP-1 support''', '''testosterone therapy support''' and '''hormone therapy support'''. Each is its own switch and each starts off. A category you switch on shows your coach five things: the symptom pattern as counts, which days of the week your doses fall on, your 14-day wellbeing averages, '''which calendar days are dose days''' as markers on their programming calendar, and '''which of your days your logs put among your strongest and roughest''' — those two words only. '''It never shows the compound name, any amount, any lab value, a note, a question you wrote, your food-noise entries, the check-in scores behind a label, your supply figures or your calculator results''' — and testosterone therapy support never shows libido, even where you record it. '''If you switched a category on before the two calendar items existed, nothing widened for you.''' Your coach keeps seeing exactly what they saw, and gets no calendar markers, until you read the updated list in the app and confirm it again. '''A peptide protocol is never shared with a coach. There is no switch for it.''' [[sharing-your-protocol-with-a-coach|Sharing your protocol with a coach]] is the whole list, item by item. == Loopa Premium == Medication protocols are a Loopa Premium feature, all of it: switching a protocol on, naming what is in it and setting its schedule; the dashboard, goal targets and the sleep and strength cards; the dose log, the body map and the site heat map; reminders, nudges and supply tracking; both calculators and the estimated level chart; symptoms, the pattern view, the symptom–food patterns and the wellbeing check-in; labs and lab trends; body-composition and strength trends; your pattern, your week, the short sessions, the lean-mass protection score, the protein-gap options and Progress; the summary for your prescriber, appointment questions, the Off-Ramp, and the coach-sharing categories. On Loopa Basic the Protocols screen shows you what Premium would give you. Nothing you recorded while you had Premium is deleted if you later move to Basic; it is all there when you come back. == The line that is on every screen == '''Questions about your medication belong with your prescriber. Loopa records what you report and reflects it back.''' It is on the profile, the dashboard, the supply screen, both calculators and the Off-Ramp, because it is the whole of what this feature claims to be. See also: [[sharing-your-protocol-with-a-coach|Sharing your protocol with a coach]], [[medications-and-interaction-alerts|Medications and interaction alerts]], [[supplements-and-medications|Supplements and medications]], [[sharing-a-report-with-your-clinician|Sharing a report with your clinician]], [[what-your-coach-can-see|What your coach can see]], [[your-data-and-privacy|Your data and privacy]].
