GLP-1 and Menopause: Coaching Support for Women Using or Stopping These Medications

This page outlines how I support women in menopause who are using GLP-1 medications such as Ozempic or Mounjaro - whether you are currently taking them, preparing to stop or navigating weight regain.

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. Learn how Mounjaro works in menopause and what to expect

Why I Support Women on GLP-1s

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.

Success after medication requires a new metabolic foundation. See how my 12-week program supports GLP-1 transitions

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. Learn more How to keep weight off after stopping Mounjaro

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. (If you’ve already experienced weight gain, learn more why weight regain happens after Ozempic or Mounjaro). 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.

Where You Might Be Right Now

Every woman’s journey with GLP-1 medications looks different. You might be:

1. Considering starting → https://www.themenopausehealthcoach.com/resources/mounjaro-and-menopause

2. Currently using → https://www.themenopausehealthcoach.com/resources/glp-1s-how-i-support-women

3. Preparing to stop → https://www.themenopausehealthcoach.com/resources/keep-weight-off-after-mounjaro

4. Experiencing weight regain → https://www.themenopausehealthcoach.com/resources/what-nobody-tells-you-about-coming-off-weight-loss-medication

Structured, Evidence-Informed Support

GLP-1 medications can create momentum.
But long-term stability requires:

• Muscle preservation

• Adequate protein intake

• Appetite awareness

• Nervous system regulation

• Sustainable nutrition patterns

My 1:1 menopause coaching supports you to build a metabolic foundation that lasts - whether you are currently using GLP-1s, micro-dosing, or transitioning off.

This is not about chasing lower numbers.
It is about protecting your muscle, your confidence and your long-term metabolic health.

This isn’t just about weight - it’s about understanding what’s changing

For many women, conversations about medications like Mounjaro come at a point where something already feels off.

Weight changing in ways that don’t make sense.
Energy feeling harder to sustain.
Your body responding differently to things that used to work.

So it’s natural to look for solutions.

But as you’ve seen, this isn’t a simple decision.

Mounjaro works by affecting appetite, blood sugar, and digestion - including slowing how quickly food and medication move through your system.

Which means it can also affect how other medications are absorbed, including some forms of HRT.

This is why it’s not just about whether something works -
but how it fits into the bigger picture of your body, your hormones, and your overall health.

Why this can feel confusing

Because you’re often trying to make decisions without the full picture.

You might be:

• dealing with symptoms that don’t feel like you

• trying to manage weight that’s suddenly more resistant

• hearing mixed messages about what’s safe, effective, or “worth it”

And all of this sits alongside a body that’s already changing.

It’s a lot to hold - especially on your own.

What matters most before making any decision

Before deciding whether something like Mounjaro is right for you, the most helpful step is often:

• understanding what’s actually driving the changes you’re experiencing

Because without that, it’s easy to:

• reach for solutions that don’t fully address the root cause

• or feel like you’re constantly trying new things without clarity

Where to start

If this has raised questions for you, a good first step is to step back from “what should I take?” and instead focus on:

“What is my body actually asking for right now?”

→ Start with the Free Menopause Blueprint

This will help you:

• understand the connection between your hormones, metabolism and energy

• see why things may have shifted - even if your habits haven’t

• and begin to find a way forward that feels more grounded and less reactive

If you want personalised support

For some women, that clarity is enough to make confident, informed decisions alongside their GP or specialist.

For others, it’s the point where they realise they want support navigating it all - not just medically, but practically and sustainably.

If and when you feel ready, you can start here:

→ Book a free 30-minute Menopause Clarity Call

Explore further

If you’re still figuring out what kind of support you might need, these may help:

→ See howmenopause coaching gives you structure, clarity and direction
→ Read: Menopause coaching vs therapy vs GP support - what’s right for you?
→ What results can you realistically expect from menopause coaching?

This article reflects current research and evidence-informed practice. I work within the UKIHCA scope as a health coach and do not provide medical advice.

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.