Episode 114

1.6 million people in England are using GLP-1 weight loss injections, and most are paying privately. That single fact changes the whole conversation, because it raises the stakes around screening, fake supplies, side effects, and what happens when people take a powerful medication without the nutrition, exercise, and psychological support that should come with it.

We share what we learned at a healthy weight loss conference, including the NHS-style three-part approach to prescribing, common contraindications (from thyroid history to pregnancy planning and gallbladder or pancreatic issues), and the day-to-day reality of symptoms like nausea, fatigue and digestive upset. We also talk honestly about diet culture and the return of the “super skinny” ideal, and why that pressure can make people accept risks they would never take in any other area of health.

Then we get into the part that rarely makes headlines: muscle and bone. If a big chunk of weight loss is actually lean mass, and if people regain fat more easily than they rebuild strength, the scale can go down while long-term metabolic health goes backwards. We break down why protein (often at least 1.2 g per kg), whole foods, supplements when needed, and resistance training are non-negotiables, especially for women as we age. We also share Dr David Unwin’s take on hunger, why willpower-based dieting fails, and why sugar and refined carbs can behave like an addictive substance for some people, plus how trackers and CGMs can help or mislead.

If you care about sustainable weight loss, obesity support, type 2 diabetes risk, and real wellbeing, come listen, share it with someone who needs a kinder and smarter framework, and then subscribe and leave us a review so more women can find the conversation.

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