Life After GLP-1s: Rebuilding Trust in Your Body

Hi, I’m Phillipa Jacobs-Smith, The Menopause Health Coach.

If you’re thinking about coming off GLP-1 medications or you’ve already started that journey, you might be feeling a mix of emotions. Relief. Anxiety. Hope. Uncertainty. Maybe even fear.

And that’s completely understandable.

GLP-1 medications like Mounjaro and Wegovy have helped many women manage weight, blood sugar and appetite. But they’re not a forever solution. Whether you’re stopping due to reaching your healthy BMI, side effects, cost or simply wanting to take a more natural, sustainable approach, this transition can feel daunting.

I want you to know: you don’t have to do it alone.

Why This Transition Matters

Coming off GLP-1s isn’t just about adjusting your medication, it’s about re-learning how to trust your body, your hunger signals and your emotional relationship with food. For many women, especially those navigating menopause, this shift touches every part of life: energy, sleep, mood, confidence and identity.

And yet, most people are given very little support when they stop. No roadmap. No emotional guidance. Just a “good luck” and a hope that things won’t unravel.

That’s where coaching comes in.

What Happens When You Stop GLP-1s?

Let’s be honest: it’s not always easy.

Some women experience:

• A return of appetite or cravings

• Weight regain or body composition changes

• Digestive discomfort or bloating

• Emotional eating or loss of motivation

• Anxiety around food choices or body image

These are real, valid challenges and they deserve real, compassionate support.

How Coaching Can Help You Transition Sustainably

As a menopause health coach, I work with women to create a personalised plan that supports their body, mind and lifestyle during this transition. That means:

·       Nutrition That Works for You

We explore what foods help you feel full, energised and balanced, without restriction or guilt. No fad diets. Just real food, real life and real strategies.

·       Emotional Support

We unpack the emotional side of eating, body image and self-worth. You’ll learn how to respond to cravings with curiosity, not criticism and how to build self-trust again.

·       Sleep, Stress & Hormones

Menopause and GLP-1 withdrawal can both impact sleep, mood and stress levels. We’ll look at gentle ways to support your nervous system and restore balance.

·       Sustainable Habits

Small steps matter. Whether it’s adding one extra portion of veg, walking after dinner or journaling your wins, we build habits that last, not ones that burn out.

Real Talk: You’re Not Starting Over

One of the biggest fears I hear is: “I’ll go back to how I was before.”

But that’s a false thought: you’re not the same person. You’ve learned things. You’ve built awareness. You’ve taken steps toward your health and those steps still count.

Coaching helps you build on that foundation, not erase it.

Who I Work With

I support women who are:

• Transitioning off GLP-1 medications

• Navigating perimenopause, menopause or postmenopause

• Managing emotional eating, stress or body image

• Looking for compassionate, practical support- not judgement or quick fixes

Whether you’re thriving and want to stay that way, or struggling and need a safe space to talk, I’ll meet you where you are.

Ready to Feel More Like Yourself Again?

If you’re coming off GLP-1s and want to feel supported, informed and in control, I’d love to help. You can book a free heart-to-heart chat and take the first step toward sustainable, empowered health.

 You deserve care that honours your body, your story and your future.

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.