{"id":98551,"date":"2025-10-02T06:53:08","date_gmt":"2025-10-02T06:53:08","guid":{"rendered":"https:\/\/www.europesays.com\/ie\/98551\/"},"modified":"2025-10-02T06:53:08","modified_gmt":"2025-10-02T06:53:08","slug":"weight-loss-medications-in-nz-what-were-missing-out-on-according-to-a-dietitian-and-a-nutritionist","status":"publish","type":"post","link":"https:\/\/www.europesays.com\/ie\/98551\/","title":{"rendered":"Weight-loss medications in NZ: What we\u2019re missing out on, according to a dietitian and a nutritionist"},"content":{"rendered":"<p class=\"brdZfQpMhqMp\" style=\"display:none\">Henderson says that while New Zealand doesn\u2019t yet have strong data on just how popular they\u2019ve become here, she and her colleagues are seeing more and more people wanting to access them.<\/p>\n<p class=\"brdZfQpMhqMp\" style=\"display:none\">\u201cThe key thing that\u2019s being left out at the moment is the long-term outlook in terms of an individual\u2019s health &#8211; what wraparound support is there for the individual to build these sustainable habits and incorporate those while they\u2019re taking the medication,\u201d she tells the Herald.<\/p>\n<p class=\"brdZfQpMhqMp\" style=\"display:none\">\u201cThese are effective tools, but they\u2019re not a silver bullet. How can we ensure that we\u2019ve set people up for success and support them with good nutrition and an overall healthy lifestyle?\u201d<\/p>\n<p class=\"brdZfQpMhqMp\" style=\"display:none\">GLP-1s work by mimicking the gut hormone glucagon-like peptide 1.<\/p>\n<p class=\"brdZfQpMhqMp\" style=\"display:none\">\u201cThey suppress our appetite, reduce our food noise so we\u2019re not thinking about food. They slow down our digestion, so we feel full for longer. And then they work on the pancreas and stimulate the release of insulin, so they help us to manage our blood sugars a lot better,\u201d Henderson explains.<\/p>\n<p><img  alt=\"Dietitians NZ spokesperson Lily Henderson.\" class=\"article-media__image responsively-lazy\" data-test-ui=\"article-media__image\"\/>Dietitians NZ spokesperson Lily Henderson.<\/p>\n<p class=\"brdZfQpMhqMp\" style=\"display:none\">But effective as they are for weight loss, she says, \u201cjust because we\u2019re eating in a different way, it doesn\u2019t mean that our bodies\u2019 nutritional needs change\u201d.<\/p>\n<p class=\"brdZfQpMhqMp\" style=\"display:none\">Christchurch-based registered nutritionist and resident nutritionist for women\u2019s wellness brand Everee Women Victoria Biddick says professional advice is key in getting the best results from weight-loss medication.<\/p>\n<p class=\"brdZfQpMhqMp\" style=\"display:none\">\u201cDepending on which drug you\u2019re on, [you\u2019re] going to reduce your daily energy intake by about 19 to 39%. And while that\u2019s going to give you weight loss, it\u2019s going to make it challenging for you to get your nutrition requirements from food alone,\u201d she tells the Herald.<\/p>\n<p class=\"brdZfQpMhqMp\" style=\"display:none\">\u201cFor women especially, we\u2019d be thinking about your calcium, iron, magnesium, zinc, and different vitamins. We wouldn\u2019t want to drop lower than about 5000 to 6000 kilojoules a day, because if we go lower than that, we risk having some deficiencies.\u201d<\/p>\n<p class=\"brdZfQpMhqMp\" style=\"display:none\">Biddick suggests people might find it easier to have six smaller meals each day, with reminders on your phone, fridge or bag, since you won\u2019t get the normal hunger cues.<\/p>\n<p class=\"brdZfQpMhqMp\" style=\"display:none\">Without those cues or \u201cfood noise\u201d, people have an opportunity to make a shift towards wholefoods, she says. If you\u2019re eating less, then what you are eating needs to have enough nutrients.<\/p>\n<p><img  alt=\" Victoria Biddick is a registered nutritionist based in Christchurch. Photo \/ Supplied\" class=\"article-media__image responsively-lazy\" data-test-ui=\"article-media__image\"\/> Victoria Biddick is a registered nutritionist based in Christchurch. Photo \/ Supplied<\/p>\n<p class=\"brdZfQpMhqMp\" style=\"display:none\">\u201cFruits, veges, proteins &#8230; they\u2019re going to give you bang for the buck. Adding in healthy fats and seeds are really good ways to make smaller portions of food more nutrient-dense and give a bit more energy in terms of calories.<\/p>\n<p class=\"brdZfQpMhqMp\" style=\"display:none\">\u201cThe way we protect our muscle loss is we make sure we have enough dietary protein &#8230; lean meat, fish, low-fat dairy products, plant-based proteins. Combining those with some resistance training is important, because that helps the muscle do its thing.\u201d<\/p>\n<p class=\"brdZfQpMhqMp\" style=\"display:none\">Most of us <a href=\"https:\/\/www.nzherald.co.nz\/lifestyle\/fibre-how-much-you-really-need-in-a-day-and-how-to-get-it-according-to-a-nutritionist\/LLCCGHSMQFHODN2S2LSNTV7GYM\/\" target=\"_self\" rel=\"nofollow noopener\" title=\"https:\/\/www.nzherald.co.nz\/lifestyle\/fibre-how-much-you-really-need-in-a-day-and-how-to-get-it-according-to-a-nutritionist\/LLCCGHSMQFHODN2S2LSNTV7GYM\/\">already aren\u2019t getting enough fibre<\/a>. Biddick suggests gradually increasing your intake by choosing brown rice, grainy bread, pulses, chickpeas, chia, pumpkin and sunflower seeds and keeping the skin on your fruit and veg.<\/p>\n<p class=\"brdZfQpMhqMp\" style=\"display:none\">Opt for healthy fats such as olive oil, nut butters and avocado. Calcium is another essential, particularly for women as they age. <\/p>\n<p class=\"brdZfQpMhqMp\" style=\"display:none\">\u201cMost nutritionists I\u2019ve talked to [are] really worried about long-term, especially for women, frailty and osteoporosis. That means we need to focus on those low-fat dairy products. If you\u2019re a plant-based eater, you can get it from nuts and seeds, broccoli, tahini.\u201d<\/p>\n<p><img  alt=\"Protein, calcium, healthy fats and vitamins from a wholefood diet are all essential nutrients. Photo \/ 123RF\" class=\"article-media__image responsively-lazy\" data-test-ui=\"article-media__image\"\/>Protein, calcium, healthy fats and vitamins from a wholefood diet are all essential nutrients. Photo \/ 123RF<\/p>\n<p class=\"brdZfQpMhqMp\" style=\"display:none\">Hydration is also important, because when you\u2019re eating less, you\u2019ll be getting less of the water content from your food, though it\u2019s best to limit tea, coffee and especially alcohol.<\/p>\n<p class=\"brdZfQpMhqMp\" style=\"display:none\">Lastly, if you\u2019re on weight-loss medication, it might be worth getting some advice on exercise from a personal trainer.<\/p>\n<p class=\"brdZfQpMhqMp\" style=\"display:none\">\u201cStart small and slow &#8230; it can be very simple, like sit-to-stand activities as a starting point. Resistance [training] is best, but it needs to be at the level where the person\u2019s at,\u201d Biddick says.<\/p>\n<p class=\"brdZfQpMhqMp\" style=\"display:none\">\u201cThe goal isn\u2019t just weight loss, it\u2019s actually a foundation for long-term health and wellbeing. Often, we think we want the quick fix without thinking of the repercussions.\u201d<\/p>\n<p class=\"brdZfQpMhqMp\" style=\"display:none\">Henderson agrees that help from health professionals is \u201creally key\u201d.<\/p>\n<p class=\"brdZfQpMhqMp\" style=\"display:none\">\u201cThey will need to ensure that the benefit of the medication outweighs any of the risks or the side effects that you\u2019re experiencing.\u201d<\/p>\n<p class=\"brdZfQpMhqMp\" style=\"display:none\">Side effects experienced while taking GLP-1s are often gut-related \u2013 nausea, constipation, diarrhoea, reflux. <\/p>\n<p class=\"brdZfQpMhqMp\" style=\"display:none\">\u201cThose side effects are probably going to reduce food intake further and impact the quality of your diet. You\u2019re probably not going to be reaching for a nourishing meal when you\u2019re feeling really nauseous,\u201d says Henderson.<\/p>\n<p class=\"brdZfQpMhqMp\" style=\"display:none\">She notes that side effects tend to let up over time, but it depends on the dose you\u2019re on.<\/p>\n<p class=\"brdZfQpMhqMp\" style=\"display:none\">According to Ministry of Health clinical guidelines for health practitioners around weight loss management, \u201cpeople should always use weight-loss drugs in conjunction with lifestyle changes\u201d.<\/p>\n<p class=\"brdZfQpMhqMp\" style=\"display:none\">Henderson points out, \u201cIt\u2019s hard to say what support is being offered by GPs, but we can assume it varies.\u201d<\/p>\n<p class=\"brdZfQpMhqMp\" style=\"display:none\">Having access to that additional support will also depend on the individual and their budget, whether it\u2019s diet or exercise-related.<\/p>\n<p class=\"brdZfQpMhqMp\" style=\"display:none\">As for the psychological impacts of using weight loss drugs, Henderson says the research is mixed but it could be an isolating experience for some.<\/p>\n<p class=\"brdZfQpMhqMp\" style=\"display:none\">\u201cAnother area that probably gets overlooked is just how these medications impact an individual\u2019s psychological health, but also their ability to socialise and eat food with others. We know that\u2019s really important for connecting with people &#8230; also how it affects their relationship with food.\u201d<\/p>\n<p class=\"brdZfQpMhqMp\" style=\"display:none\">Then there\u2019s the question of <a href=\"https:\/\/www.nzherald.co.nz\/lifestyle\/what-happens-when-you-stop-taking-ozempic-experts-explain-the-consequences\/M3C4MV3Q7JC47M3HR4R3WCQZUA\/\" target=\"_self\" rel=\"nofollow noopener\" title=\"https:\/\/www.nzherald.co.nz\/lifestyle\/what-happens-when-you-stop-taking-ozempic-experts-explain-the-consequences\/M3C4MV3Q7JC47M3HR4R3WCQZUA\/\">what happens when you stop taking the medication<\/a>, and your appetite goes back to normal.<\/p>\n<p class=\"brdZfQpMhqMp\" style=\"display:none\">Henderson says a large proportion of people stop taking the medication within 12 months &#8211; some research suggests between 20 and 50% &#8211; and most people will regain some or all of the weight they\u2019ve lost, often rapidly and more likely fat than muscle. Studies have found patients can regain as much as two-thirds of the weight they lost, if not all.<\/p>\n<p class=\"brdZfQpMhqMp\" style=\"display:none\">\u201cThere is also a bit of debate around whether these medications are a long-term, life-long solution, or should be viewed as a tool to support people to make changes with the view of tapering off,\u201d she adds.<\/p>\n<p class=\"brdZfQpMhqMp\" style=\"display:none\">In the UK, guidelines released in August this year recommend that those coming off weight-loss drugs need support from their GP for at least a year, to help them minimise weight regain and maintain a healthy lifestyle.<\/p>\n<p class=\"brdZfQpMhqMp\" style=\"display:none\">According to Healthify He Puna Waiora, \u201congoing monitoring and support from your healthcare provider for at least one year is crucial to help you maintain any positive changes you have made.<\/p>\n<p class=\"brdZfQpMhqMp\" style=\"display:none\">\u201cThis may include support from a health coach, health improvement practitioner, nurse, doctor, dietitian, nutritionist or local weight management, exercise or support programme.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"Henderson says that while New Zealand doesn\u2019t yet have strong data on just how popular they\u2019ve become here,&hellip;\n","protected":false},"author":2,"featured_media":98552,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[274],"tags":[27024,829,108,23382,18,39488,62947,135,19,2761,38335,17,38557,4162,462,719,7935,25515,27025,7975,7973,39615,51754,62946,17705,33555,1213,5359,31178,9384,51565,1210,2046,20206],"class_list":{"0":"post-98551","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-medication","8":"tag-according","9":"tag-and","10":"tag-available","11":"tag-dietitian","12":"tag-eire","13":"tag-ever","14":"tag-glp1s","15":"tag-health","16":"tag-ie","17":"tag-in","18":"tag-interest","19":"tag-ireland","20":"tag-like","21":"tag-loss","22":"tag-medication","23":"tag-medications","24":"tag-missing","25":"tag-more","26":"tag-nutritionist","27":"tag-nz","28":"tag-on","29":"tag-out","30":"tag-prescription","31":"tag-saxenda","32":"tag-than","33":"tag-theres","34":"tag-to","35":"tag-wegovy","36":"tag-weight","37":"tag-weightloss","38":"tag-were","39":"tag-what","40":"tag-with","41":"tag-zealand"},"share_on_mastodon":{"url":"","error":""},"_links":{"self":[{"href":"https:\/\/www.europesays.com\/ie\/wp-json\/wp\/v2\/posts\/98551","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.europesays.com\/ie\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.europesays.com\/ie\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.europesays.com\/ie\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.europesays.com\/ie\/wp-json\/wp\/v2\/comments?post=98551"}],"version-history":[{"count":0,"href":"https:\/\/www.europesays.com\/ie\/wp-json\/wp\/v2\/posts\/98551\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.europesays.com\/ie\/wp-json\/wp\/v2\/media\/98552"}],"wp:attachment":[{"href":"https:\/\/www.europesays.com\/ie\/wp-json\/wp\/v2\/media?parent=98551"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.europesays.com\/ie\/wp-json\/wp\/v2\/categories?post=98551"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.europesays.com\/ie\/wp-json\/wp\/v2\/tags?post=98551"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}