When Less isn’t More: Eating enough is important with weight management medications

Medications for weight and metabolic health management are a long overdue tool to help individuals who are interested in long term, sustainable fat loss. However there is the need for a comprehensive metabolic health program to accompany these treatments.

Just as there isn’t a one size fits all model of care in other areas of chronic disease management, such as for diabetes, high blood pressure or cancer, treatment protocols for management of issues with weight with anti obesity medications also need to be tailored to the individual. There is a large variation of ‘response’ by way of appetite effects and fullness for different people even when using the same medications.

For some individuals, the response is so significant that there is a marked reduction in the overall drive to eat and drink. This can lead to a decreased intake of nutrients, fluids and especially protein, fibre, calcium and iron. When you have been told all your life to “eat less,” you can tend to view long periods without eating as a helpful side effect of the medication. However it is possible, and in fact not uncommon, to live in a larger body and suffer from malnutrition with all the associated health issues that accompany this.

Why Protein?

If you not consuming enough protein, it can lead to several health risks. One of the most significant risks is muscle loss. We know that with weight loss due to any means, some of the weight lost is fat, and some is muscle. When the body doesn't get enough protein, it may break down muscle tissue to obtain the amino acids needed for essential functions. Depending on the individual, the proportion of muscle loss is as high as 40% of the weight lost. Over time, this can lead to a loss of muscle mass, which can impact mobility, strength, and overall health.  Less muscle mass also means the body burns less calories at rest, which makes it harder to continue to lose weight or maintain a weight reduction over the medium to long term.  

In addition to muscle loss, not getting enough protein can also lead to other health issues, including a weakened immune function, slower wound healing, and an increased risk of fractures. Patients taking medication for obesity should be mindful of their protein intake and aim to consume enough protein to support their body's needs.

Why Fibre?

Fibre is an essential component of a healthy diet. Most individuals understand It plays a crucial role in promoting proper bowel function. High-fibre foods play a crucial role in regulating blood sugar levels. Soluble fibre, found in foods like oats, beans, and citrus fruits, slows down the absorption of glucose, preventing rapid spikes in blood sugar. This can contribute to better glycaemic control, improved insulin sensitivity, and reduced risk of complications associated with diabetes. A high-fibre diet has been linked to a lower risk of heart disease and stroke. Soluble fibre can help lower LDL (bad) cholesterol levels by binding to cholesterol particles in the digestive system and promoting their excretion. The human gut is home to trillions of bacteria known as the gut microbiota. These microorganisms play a crucial role in various aspects of health, including digestion, immune function, and even mental well-being. Fibre acts as a prebiotic, providing nourishment to beneficial gut bacteria. By consuming fibre-rich foods, patients can promote a diverse and thriving gut microbiota, which may have positive implications for overall health and weight over the long term.

Why Calcium?

Calcium is a mineral that plays a crucial role in maintaining the health of various systems in the body. Including an adequate amount of calcium in your diet is of utmost importance for several reasons including for bone and muscle health. Your bone is constantly remodelling throughout your life, and calcium is essential to keep your bones strong as you age, and to prevent osteoporosis.

Incorporating calcium-rich foods into the diet, such as dairy products, leafy greens, fortified foods, and certain fish, can help you meet your calcium requirements. In cases where dietary intake is insufficient, it may be recommended that you take a calcium supplement. However, it is important to note that excessive calcium intake can lead to complications, so it is essential to follow healthcare provider guidance and maintain a balanced approach to calcium consumption. By prioritising adequate calcium intake, you can support your bone health, muscle function, blood clotting, nerve function, and hormonal regulation.

Why Iron?

Iron is primarily responsible for the production of haemoglobin, a protein found in red blood cells that carries oxygen from the lungs to tissues throughout the body. Patients, particularly those at risk of iron deficiency or with specific medical conditions, need to ensure an adequate intake of iron for several reasons. Iron supports the prevention and treatment of iron-deficiency anaemia, a condition characterized by low haemoglobin levels and decreased oxygen-carrying capacity. It is also important for energy production, immune function, cognitive development, and overall physical performance. Including iron-rich foods in the diet can help maintain optimal iron levels, supporting various physiological functions and promoting overall health.

Help is available!

If you are on a medication and it is making it hard for you to consume enough food, please make an appointment to come and chat with us. We can help you develop a personalised plan to support your health whilst reaching your weight management goals.