Weight management is influenced by a complex combination of biological, environmental and lifestyle factors.

While energy balance plays an important role, hormones involved in appetite regulation, including leptin, ghrelin and GLP-1, can influence hunger and fullness. Genetics, sleep, stress, medication and metabolic health can also affect how our bodies respond to changes in diet and activity.

When we lose weight, the body may respond by increasing hunger and reducing energy expenditure, which can make maintaining weight loss challenging.

That's why my approach looks beyond calories to understand the bigger picture. By exploring your health, eating patterns and lifestyle, we can develop strategies that support your individual needs rather than relying on restrictive diets.

No. Although energy balance matters, calorie counting isn't the only way to approach weight management, and it isn't something I routinely ask my clients to do.

Instead, I focus on helping you understand how to build balanced, satisfying meals that provide the nourishment your body needs.

This includes exploring protein, fibre, healthy fats and carbohydrates, alongside appetite awareness, meal consistency and your relationship with food.

The aim is to help you feel confident making food choices without constantly calculating, tracking or feeling guilty about what you eat.

During perimenopause, fluctuating hormone levels can influence body fat distribution, sleep and overall wellbeing.

Changes in muscle mass, physical activity, insulin sensitivity and lifestyle can also contribute to differences in weight and body composition.

Rather than simply recommending that you eat less, I focus on supporting metabolic health through balanced nutrition, adequate protein, strength-based movement and sustainable daily habits.

Understanding what's changing in your body can help you make informed decisions that support your health through midlife and beyond.

Yes. Nutritional support can be particularly valuable when taking weight loss medications, especially when appetite changes make it more difficult to eat enough or maintain a balanced diet.

I work with women to support adequate protein, fibre and micronutrient intake, alongside muscle health, hydration and digestive wellbeing.

We'll also look at how to build consistent eating habits and maintain a positive relationship with food throughout treatment.

My role is to provide nutritional and lifestyle guidance alongside your prescribed medication, while your prescribing clinician remains responsible for medical decisions and monitoring.cutting out entire food groups. The goal is to create an approach that's both nourishing and sustainable.

Absolutely not. Food should be something you enjoy, not something that creates guilt or anxiety.

I believe in focusing on what we can add to our plates rather than creating a longer list of foods we're not allowed to eat.

That means enjoying a variety of nourishing meals while still making room for pasta, chocolate, birthday cake and meals out.

Sustainable weight management is about finding balance, developing confidence around food and building habits that fit into your life.

I don't believe in rigid meal plans, restrictive diets or expecting you to completely rearrange your life around a weight loss programme.

Instead, we start by understanding your individual health, hormones, lifestyle, eating habits and goals.

My approach combines evidence-based nutrition with practical lifestyle strategies, helping you build confidence around food while supporting your long-term wellbeing.

It's about making positive changes that feel realistic and enjoyable, rather than following another short-term plan that leaves you starting again.