Not Seeing the Response You Expected?

This is one of the most common reasons people come to see me. If your progress has stalled, or things haven't moved the way you or your prescriber anticipated, it's rarely as simple as "eat less." A few things we look at together:

• What's actually happening with your eating patterns — sometimes appetite suppression leads to skipped meals and then reactive overeating later in the day, which can work against you.

• Gut health — GLP-1s slow digestion significantly, and for some people this brings on new or worsening gut symptoms that affect both comfort and nutrient absorption. This is an area I focus on closely with clients.

• Body composition changes over time, not just weight — sometimes the medication is working exactly as it should, but the scale isn't telling the full story.

• Whether it's time for a conversation with your prescriber — I work alongside your GP or specialist, not instead of them, so if a dose or medication change might help, we can talk through what to raise with them.

A weight-neutral, individualised approach means we look at the whole picture — your energy, your labs, your relationship with food — rather than chasing a number.

Thinking About Changing Your Dose?

Dose adjustments — whether stepping up or stepping down — often come with a period of adjustment, both physically and nutritionally. I can help you:

• Prepare for side effects that may reappear or intensify with a dose change

• Adjust your eating plan to match your new appetite level, so you're still getting adequate protein, fibre, and key nutrients

• Track body composition changes through InBody scanning, so we have real data to discuss with your prescriber if needed

• Feel supported through the transition, rather than navigating it alone

Dose changes aren't just a medical decision — they often need a nutritional recalibration too, and that's exactly where I come in.

Make a booking and we can review your diet and other habits to see where you can make changes to avoid adding extra cost but obtain some benefit.