GLP-1 medications can be a valuable tool for weight loss, but it’s essential to be aware of potential nutritional issues, especially during perimenopause.

The risk of nutrient deficiencies when taking a GLP-1 medication is high. A GLP-1 medication often leads to reduced or no appetite. These changes  in food intake can increase the risk of nutrient deficiencies, including vitamins, minerals, and essential fatty acids. It’s crucial to maintain a balanced diet rich in whole foods to minimise this risk.

That’s where an Accredited Practising Dietitian can help. Working with a dietitian can  provide tailored guidance and support to optimise weight loss and overall health, including keeping your bones and muscles strong.

Here’s how an Accredited Practising Dietitian (APD) can help:

Personalised nutrition plan 

  • Working with a dietitian can help you determine your appropriate energy (kilojoule/calorie) intake to support weight loss goals while preventing nutrient deficiencies.
  • Ensuring you choose nutrient-dense foods that are rich in vitamins, minerals, and fibre ensures that you optimise the choices you make while your appetite and intake is greatly reduced.
  • Assistance with meal planning tips and strategies helps you create balanced and satisfying meals that align with your dietary needs and preferences.
  • Work with your APD for tips to stay hydrated. Using Ozempic, Wegovy, Saxenda or Mounjaro can sometimes lead to dehydration.

Managing side effects 

  • APDs can suggest strategies to manage nausea and vomiting. These are common early side effects of these injectable medications.
  • People using GLP-1 agonists report both diarrhoea and constipation at different times. Dietitians can help with practical strategies to manage both of these side effects.

 Addressing Potential Nutrient Deficiencies

  • Knowing how balanced your intake is at this time is important. An APD can help you monitor your nutrient intakeand identify any potential deficiencies – this is especially important for your peri-important nutrients that keep your bones, heart and muscles strong.
  • If necessary, they can recommend appropriate supplements to address any nutrient deficiencies and/or elevated requirements.

 Supporting Overall Well-being

  • APDs can address the psychological aspects of weight loss, including body image and self-esteem, and provide strategies for coping with emotional eating. Our Dietitians are very experienced in working with women to improve their relationship with food.
  • They can also encourage you to seek support from friends, family, or support groups to maintain motivation and accountability.

Long-Term Weight Management

  • APDs can help you develop sustainable healthy eating habits that can be maintained even after you stop taking these medications.
  • Learn new strategies around mindful eating, portion control, and stress management to support long-term weight management.

Remember, an Accredited Practising Dietitian (APD) can work closely with your healthcare provider to ensure your nutritional plan complements your overall treatment plan for optimal results.   

You can make an appointment with a Lifestyle PeriMenopause dietitian without a referral from a GP or specialist.

If you have private health insurance, some of your appointment costs may be covered depending on your level of cover – we recommend you check with your insurer.  To check what you will be required to pay, provide your insurer with the consultation cost and the HICAPS item number below to find out how much you will be required to pay. (HICAPS item number: Initial individual consultation: 301 & Long review or review appointments: 302).

Your GP can assess your eligibility for a Chronic Disease Management Plan (CDMP). These Medicare plans allow for a rebate (e.g., reduced out-of-pocket costs) for visits to an Accredited Practising Dietitian (APD).  The CDMP allows a client to access up to 5 subsidised dietetic sessions in a calendar year.

Click here to book now.

 

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One of the most common techniques our Lifestyle PeriMenopause Dietitians use with clients is a range of strategies to help them identify their patterns of Non Hungry Eating, also known as NHE.

WHAT IS NHE?

 Non hungry eating is eating when you aren’t physically hungry for food.

HOW CAN I TELL IF I DO ANY NHE?

 Ask yourself the following questions:

  • Do I usually eat a piece of cake that someone has baked for me even if I am not hungry, because I don’t want to offend them?
  • Do I finish what is on my plate when I am eating out, even if I feel full before all the food is finished, so that I don’t waste it?
  • Do I ever overeat a food because it is really delicious? (E.g. sometimes it is hard to eat just one Tim Tam!)
  • Do I ever eat something like a chocolate bar or have a few glasses of wine after a really long, stressful day to make myself feel better?

These are just some examples of NHE – and there are many more!! Some NHE is normal and many people do it. When we end up doing a lot of NHE it can be hard to maintain a comfortable weight and it may also contribute to weight gain.

WHAT ARE SOME TIPS I CAN USE TO REDUCE MY NHE?

  • Question your hunger levels before eating. Do your best to only eat when you are physically hungry.
  • Don’t restrict foods; tell yourself, “I can have it if I want it, but am I really hungry for it?
  • Avoid eating when you are distracted (E.g. in the car, in front of the TV, when you are working) as it is hard to really assess hunger levels when you are doing other things.
  • Eat off a plate. Don’t eat out of packets as you can’t see the volume you are eating when you do this. This will help increase your awareness of how much you are eating.
  • Keep a food diary and also record your hunger levels before and after meals and snacks.
  • If you are consuming high calorie foods and fluids to comfort yourself (E.g. after a bad day) consider other options other than eating to comfort yourself such a going for a walk, taking a hot shower or long bath, talking to a friend or streaming an episode of your favourite show.

If you would like to learn more about identifying your NHE triggers, strategies to reduce NHE episodes or how to eat mindfully make an appointment here.

To read more about NHE and other techniques to help you be the healthiest you can be, resulting in achieving and maintaining a comfortable and healthy weight without being deprived of food or losing quality of life AND to enjoy food without feeling guilty, check out Dr Rick Kausman’s article here.

 

 

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