Muscle First was built on a simple observation: the medication alone isn't enough.
GLP-1s are the most effective weight management tool ever studied. But research consistently shows that medication without structured behavioral support produces significantly worse outcomes — and often leads to muscle loss, weight regain, and a revolving door of expensive interventions. Muscle First exists to close that gap.
Dr. Nich Pertuit, PhD
I've spent my career at the intersection of behavioral science and health — studying why people struggle to sustain healthy habits, and building systems that make it easier for them to succeed. When GLP-1 medications became widely available, I saw both the opportunity and the problem clearly.
The opportunity: a pharmacological tool that genuinely works — reducing appetite, improving metabolic markers, and producing meaningful weight loss in clinical trials. The problem: almost every program deploying these medications was doing the minimum. Prescribe, ship, repeat. No coaching. No muscle preservation. No plan for when the medication ends.
That's not a wellness program. That's a dependency with a monthly invoice.
Muscle First was built differently. Every element of the program — the supplements, the coaching cadence, the body composition tracking, the Monthly Focus curriculum — exists because the science says it matters. GLP-1 medication is 20% of the outcome. Behavior is the other 80%. We built the program around that reality.
I have a background in exercise science, and I hold a PhD in Curriculum & Instruction from Texas Tech University with an emphasis on human motivation inside the domains of Health, Exercise and Sports Science. I have a unique focus on designing plans that actually work inside people's current life and work flows. As a testament to that, to date 100% of compliant Muscle First participants have improved their muscle percentage from start to finish. Each individual achieving their specific goal is what I measure everything else against when defining our success.
What We Believe.
Science First
Every claim we make is defensible in front of a physician or a benefits broker. We translate research into plain-language confidence — but we never sacrifice accuracy for certainty. The science is the foundation, not the marketing layer.
Behavior is the 80%
GLP-1 medication is the tool. Coaching, protocol, and structured habit development are what make results permanent. Dave Ramsey figured out that personal finance success is 80% behavior. The same is true of weight management.
Muscle is the Metric
The number on the scale doesn't tell the whole story. Muscle percentage — lean mass relative to total body weight — is the metric that actually predicts long-term metabolic health. We track it every cycle, for every participant.
The Program in Numbers.
100% of compliant participants have improved their muscle percentage from start to finish.
$399/month — all-inclusive, flat rate, regardless of dosage. Approximately 60% less than typical GLP-1 programs.
6-month guarantee — no weight loss after full compliance? 3 months free. Still nothing after 9 months? Full refund.
28-day cycle — medication, supplements, provider visit, coaching, and body composition tracking. Every cycle. No exceptions.
How We're Built.
Clinical Care
Medical oversight is provided by licensed nurse practitioners and physicians through Cache Medical. Every participant receives a monthly provider visit — not just an intake evaluation. Prescriptions are fulfilled through Cache Valley Pharmacy, a compounding pharmacy specializing in GLP-1 medications.
Coaching
Behavioral coaching is led by Nich and a team of coaches trained in the Muscle First protocol. Every coach operates from the same playbook — the same body composition framework, the same Monthly Focus curriculum, the same escalation standards. Consistency is the product.
Employer Partnerships
Muscle First works directly with self-insured employers, HR directors, and benefits brokers to deploy the program as a workforce benefit. We handle launch communications, member enrollment, clinical care, fulfillment, and consolidated monthly billing — so HR doesn't have to manage any of it.
Get in Touch.
For all inquiries: info@musclefirstwellness.com
Muscle First Wellness · Bozeman, Montana · musclefirstwellness.com