GLP-1s and Menopause: How I Support Women Using (and Coming Off) These Powerful Tools

For many women in midlife, menopause doesn’t just bring hot flushes and disrupted sleep, it often comes with stubborn weight gain, energy dips and a frustrating sense of feeling “off.” You’re doing all the right things, but your body doesn’t respond like it used to. Sound familiar?

Enter GLP-1 medications, like Ozempic, Wegovy, and Mounjaro. These powerful tools, originally developed to support blood sugar regulation, are now helping women regain a sense of control over their health, their appetite and their weight.

As a menopause health coach, I’ve seen how transformative GLP-1s can be. But they’re not a magic fix and they’re not the whole solution. Whether you’re micro-dosing, considering starting or coming off GLP-1s, I’m here to support the whole of you, not just your weight.

What Are GLP-1s and Why Are They Relevant in Menopause?

GLP-1 medications work by mimicking a hormone in the body that helps regulate appetite, insulin and glucose. The result? Reduced hunger, improved blood sugar control and, yes, weight loss.

For women in perimenopause and postmenopause, this can be life-changing. Hormonal shifts can trigger insulin resistance, changes in how fat is stored and an increase in visceral (belly) fat. Even with a great diet and regular exercise, it can feel like your body is fighting you.

GLP-1s can help you break that cycle and give you breathing space to rebuild trust with your body.

Why I Support Women on GLP-1s

Because these medications work best when used as part of a holistic approach. Here’s how I help:

1. Nutrition That Works With Your Medication

When your appetite is reduced, it’s easy to undereat, especially protein. This can lead to muscle loss, fatigue and slower metabolism. I help you:

• Build high-protein, nutrient-rich meals that fit your new appetite

• Avoid nutritional gaps

• Feel energised and nourished, not just full

We focus on foods that support hormone balance, gut health and long-term metabolic wellbeing.

2. Movement That Builds Strength Without Burnout

GLP-1s don’t build muscle… you do. I support you in maintaining or starting a strength training routine that:

• Preserves muscle mass

• Supports bone health

• Boosts your confidence

This isn’t about punishment or pushing through fatigue. It’s about moving in ways that feel good and serve your future self.

3. Mindset Support to Build Resilience and Self-Trust

GLP-1s may reduce food noise, but they don’t silence your inner critic. I coach women through:

• Emotional eating patterns

• Body image shifts

• Fear of weight regain

Together, we build tools for long-term wellbeing that last far beyond the medication.

Supporting Women Who Are Micro-Dosing

Some of my clients choose to stay on very low doses of GLP-1s to help maintain progress without side effects. This can be a smart, sustainable option but it needs the right foundations.

I help women:

• Listen to their hunger cues (without fearing them)

• Eat enough to support hormones, energy and mood

• Move from control to calm confidence

Micro-dosing can feel like a gentle hand on your back, not a crutch, when you have the right structure around it.

Coming Off GLP-1s: My Approach

Whether you’re choosing to come off GLP-1s or it’s recommended by your doctor, this transition can bring up fear: Will I gain the weight back? What happens to my appetite?

This is where compassionate, structured support matters most.

Together, we focus on:

• Stabilising routines: no crash diets or quick fixes

• Reconnecting with your body’s signals: hunger, fullness, satisfaction

• Celebrating progress beyond the scale: strength, energy, emotional resilience

I help you build a sustainable lifestyle that holds the results you’ve achieved and keeps you moving forward.

GLP-1s Are a Tool, Not a Shortcut

Let me be clear: I’m not anti-medication. I’m pro-you.

GLP-1s can be a fantastic support tool for women navigating menopause weight gain, metabolic shifts and emotional eating. When paired with mindful coaching, the right nutrition and a powerful mindset reset, they can be the beginning of a transformational chapter.

Whether you’re on them, thinking about starting or exploring what comes next, I’m here for you.

Ready to Feel Empowered on Your Journey?

I offer personalised coaching for women who are navigating midlife, menopause and weight changes with or without GLP-1s. My approach is grounded, realistic and focused on building health from the inside out.

Want to talk it through? Book a free clarity call
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You are not broken. You don’t need fixing. But you do deserve support that sees the whole you—body, mind and soul.

Let’s build that together.

Research & Evidence

1. Women in Menopause Benefit from GLP-1 Weight-Loss Medications as Much as Younger Women
   A study published by NewYork-Presbyterian Hospital found that GLP-1 medications, such as tirzepatide, result in approximately 20% weight reduction for women across all stages of menopause, including perimenopausal and postmenopausal phases.

2. A Dual Approach to Support Weight Loss in Menopausal Women
   ScriptWorksRx discusses how combining GLP-1 therapy with hormone therapy can lead to approximately 30% more total body weight loss compared to using GLP-1 therapy alone. This approach also improves other health markers like blood glucose levels and cholesterol.

3. Health and Well-Being Coaching Adjuvant to GLP-1 Induced Weight Loss
   A study published in PubMed Central emphasises the importance of health coaching in supporting individuals undergoing GLP-1 therapy. Coaches can help patients manage rapid weight loss and maintain long-term success with the treatment.

4. Microdosing GLP-1 Weight Loss Drugs
   Explores the use of microdosing GLP-1 medications in perimenopausal and menopausal women to minimise side effects while effectively managing weight.

Coaching Benefits & Client Experiences

1. The Importance of Health Coaching for Holistic GLP-1 and Weight Management Support
   Explains how Health Coaches play a key role in supporting clients on GLP-1 drugs by guiding them toward sustainable lifestyle changes that improve overall health and address the root causes of metabolic imbalance.

2. GLP-1 Nutrition Support
   Discusses the necessity to have nutritional meal plans aligning with GLP-1 medications and clients' goals, digestive symptom relief strategies, and menopause and hormone health support.