GLP-1 Weight Loss Injections: Pros, Cons & Why Nutrition Still Matters

GLP-1 weight-loss injections such as Ozempic, Wegovy and Mounjaro have become one of the most talked-about health trends of the last few years. Praised for their ability to reduce appetite and support rapid weight loss, they’re now being used far beyond their original purpose of treating type 2 diabetes.

But as a nutritional therapist, I see a growing concern:

Weight loss is being medicated — while nutrition is being sidelined.

This article breaks down:

  • What GLP-1s actually do

  • The real pros and cons

  • And why focusing on appetite alone misses the deeper picture of health, hormones, metabolism and long-term wellbeing

What Are GLP-1 Weight Loss Drugs?

GLP-1 stands for Glucagon-Like Peptide-1, a hormone made in the gut that:

  • Regulates blood sugar

  • Slows stomach emptying

  • Sends “I’m full” signals to the brain

  • Reduces appetite

GLP-1 medications mimic this hormone, helping people feel fuller for longer and eat less.

Originally developed for diabetes management, they are now widely prescribed for:

  • Weight loss

  • Insulin resistance

  • Obesity

  • PCOS

  • Metabolic syndrome

The Pros of GLP-1 Weight Loss Injections

There’s no denying that for some people, these medications can be helpful — especially when used appropriately and medically supervised.

Potential benefits include:

  • ✅ Powerful appetite suppression

  • ✅ Rapid weight loss

  • ✅ Improved blood sugar control

  • ✅ Reduced insulin resistance

  • ✅ Lower food cravings for some people

  • ✅ Can be life-changing for people with severe obesity

For individuals who have struggled for years with weight, metabolic dysfunction or emotional eating, GLP-1s can feel like a relief — and for some, they are a useful starting point.

The Downsides & Risks No One Talks About Enough

Where I see concern is when GLP-1s are treated as a solution, rather than a tool.

1. Muscle Loss, Not Just Fat Loss

Rapid weight loss increases the risk of:

  • Muscle wasting

  • Slower metabolism

  • Weaker bones

  • Reduced long-term fat-burning capacity

Muscle is metabolically protective — losing it makes long-term weight maintenance harder.

2. Nutrient Deficiencies

When appetite drops dramatically, so often does nutrient intake.

This increases the risk of low:

  • Protein

  • Iron

  • Magnesium

  • B vitamins

  • Zinc

  • Omega-3 fats

These nutrients are essential for:

  • Hormone production

  • Thyroid function

  • Energy

  • Mood

  • Fertility

  • Immune health

Eating less without strategic nutrition can quietly create deeper health issues.

3. Gut Side Effects

Many people experience:

  • Nausea

  • Constipation

  • Diarrhoea

  • Bloating

  • Acid reflux

This can worsen:

  • IBS

  • SIBO

  • Low stomach acid

  • Sluggish digestion

And if digestion is impaired, nutrient absorption drops even further.

4. The Mental Health Impact

For some, appetite suppression leads to:

  • Emotional flattening around food

  • Fear of eating without the drug

  • Rebound bingeing when stopped

  • Anxiety about weight regain

Weight loss without addressing stress, emotional eating, sleep and nervous system regulation is rarely stable.

The Bigger Issue: A Return to 1980s Diet Culture

What concerns me most is that GLP-1s can quietly reinforce an old narrative:

“Eat as little as possible. Be as small as possible. Health will follow.”

This is not true health.

It echoes:

  • Low-fat, low-everything dieting

  • Chronic restriction

  • Fear of hunger

  • Suppressing the body rather than supporting it

The truth is:
👉 You don’t heal your physiology by starving it into submission.

You heal it by feeding it properly.

Why Nutrition Still Matters (Even on GLP-1s)

Your body runs on co-factors — vitamins, minerals, protein, essential fats and amino acids that drive:

  • Hormone production

  • Detoxification

  • Energy creation (mitochondria)

  • Brain chemistry

  • Thyroid function

  • Blood sugar balance

  • Feminine hormone balance (especially in perimenopause)

Suppressing appetite without supplying these physiological building blocks risks:

  • Fatigue

  • Hair loss

  • Hormone disruption

  • Slower metabolism

  • Poor recovery

  • Skin issues

  • Mood instability

Weight loss does not equal health.

GLP-1s and Women Over 40

This is especially relevant in:

  • Perimenopause

  • Hormonal weight gain

  • High cortisol

  • Thyroid dysfunction

  • Insulin resistance

At this life stage, women already experience:

  • Natural muscle loss

  • Blood sugar instability

  • Oestrogen-progesterone fluctuations

  • Increased stress load

Adding aggressive appetite suppression without nutritional scaffolding can worsen:

  • Fatigue

  • Low mood

  • Sleep issues

  • Hormonal symptoms

A Smarter Conversation: Medication + Metabolic Support

I am not anti-medication.
But I am pro-physiology.

If someone is using a GLP-1 medication, they should also be supported with:

  • ✅ High-protein nutrition

  • ✅ Mineral support

  • ✅ Blood sugar-balancing meals

  • ✅ Gut health support

  • ✅ Muscle-preserving strength training

  • ✅ Hormonal and thyroid monitoring

Medication should support health — not replace it.

So, Do GLP-1s “Work”?

Yes — they work at:
✅ Appetite control
✅ Short-term weight loss

But they do not address:
❌ Metabolic dysfunction
❌ Hormone imbalance
❌ Emotional eating
❌ Stress physiology
❌ Nutrient depletion
❌ Gut health
❌ Root-cause weight gain

Without those foundations, weight regain is common once the medication stops.

The Take-Home Message

GLP-1 medications can be a tool, but they are not a long-term strategy for health.

True, sustainable wellbeing comes from:

  • Nourishing your body

  • Supporting your hormones

  • Feeding your metabolism

  • Regulating your nervous system

  • And rebuilding trust with food

Weight loss without nourishment is not progress — it’s just a different form of stress.

Want Support With Weight, Hormones & Energy — Without Extreme Restriction?

At Future You Nutrition, I specialise in helping people rebalance:

  • Blood sugar

  • Hormones

  • Gut health

  • Stress

  • Energy

  • And weight — without starvation

If you’re:

  • On a GLP-1

  • Considering one

  • Or struggling with stubborn weight and low energy

I’d love to support you properly.

👉 Book a free discovery call

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