I see so many people saying they can hardly eat or drink. The dose is clearly too high. They are doing untold damage to their metabolism. Please don’t aim to lose more than 2lb per week on average maximum

https://www.prolongevity.co.uk/prediabetes-diet-what-to-eat-reverse-prediabetes/

https://youtube.com/shorts/Fkxp1dCVZwo?is=vmV3ckCb5lokm0nG

Menopausal weight gain is not simply about willpower or calories. Learn how GLP-1 medicines may help some women — and why muscle, protein, HRT, testosterone and insulin resistance still matter. Why menopause changes the weight-loss conversation Many women reach midlife and feel as if the rules have suddenly changed. The same diet that once worked no longer works. Weight appears around the middle, cravings become harder to control, sleep deteriorates, brain fog creeps in, energy drops. And, all too often, the advice they receive is painfully simplistic and (some would argue) verging on misogynist. “Eat less and move more.” That advice is entirely wrong. For our view on why Calorie Counting is the wrong approach click here: Menopause is not just the end of periods. It is a major hormonal and metabolic transition. Falling oestrogen affects body fat distribution, insulin sensitivity, muscle mass, sleep, mood, vascular health, bone density, urogenital health and appetite regulation. That’s why GLP-1 medicines such as semaglutide and tirzepatide have attracted so much attention. They can reduce appetite, improve blood glucose control and help people lose significant amounts of weight. But in menopausal women, the question is not simply: “Will this help me lose weight?” the right question is: “Can this help improve metabolic health without making muscle, nutrition, hormones or long-term resilience worse?” That is absolutely the conversation we should be having. Menopausal weight gain is metabolic, not moral One of the most common experiences during perimenopause and menopause is weight gain around the abdomen. This is not just cosmetic because increased visceral fat is strongly associated with insulin resistance, fatty liver, raised blood pressure, inflammation and cardiovascular risk. The frustrating part is that most women have not really changed their behaviour. They may be eating similarly, drinking similarly and exercising similarly (even exercising more and eating less perhaps) but their biology has changed.

We Brits love to talk about the weather. So now we’ve got lots to talk about ! But seriously how are you coping? For those on GLP-1s I always recommend Electrolytes but in this weather even more so If you’re on Ozempic, Wegovy, or Mounjaro, you’ve probably heard people talking about electrolytes. Some think they’re just for athletes. Others say they’re marketing hype. So here’s the truth. What GLP-1s do These medications slow gastric emptying and switch off hunger and thirst. You eat and drink less (often without even noticing) … add in nausea, diarrhoea or vomiting (common side-effects), and your body can quickly lose key minerals such as sodium, potassium, and magnesium. That’s why the MHRA warns about dehydration and kidney injury in GLP-1 users (even those who aren’t exercising heavily.) (MHRA Drug Safety Update, 2024) Magnesium Matters Most!! Around 70 to 80 % of UK adults already fail to meet the daily magnesium target (At least 375 mg of elemental Magnesium). Magnesium is crucial for: Muscle and nerve function (including your heart) Blood pressure control Energy metabolism Glucose regulation and insulin sensitivity ( and much else besides) Modern soil depletion, food processing and ultra-processed diets make things worse. When you eat and drink less on GLP-1s, magnesium drops even further and fatigue, cramps, poor sleep and constipation can all follow. References: UK NDNS, 2019–20 DiNicolantonio JJ et al., Open Heart, 2018) Ways To Stay Balanced You 100% don’t need neon sports drinks! Simple, natural options work best: Homemade bone broth or stock Mineral water with a pinch of sea salt Leafy greens, avocados, nuts and seeds Low-sugar electrolyte sachets if you’re feeling tired or dizzy This isn’t “overloading” it’s just replacing what GLP-1s help you lose. Bottom line: GLP-1s change how your body handles food, fluids and minerals. Ignoring hydration can increase side-effects, slow weight loss, and harm your kidneys. Supporting electrolytes (especially magnesium) helps you stay energised, regular, and well.