Episode 25 - GLP-1 Medications, Obesity Care and the Role of Health Coaching

Summary In this episode, Ollie is joined by health coach and nutritional therapist Nikki Coughlan to explore one of the fastest-growing areas in healthcare - the rise of GLP-1 medications such as Mounjaro, Wegovy and Ozempic. Drawing on more than four years of experience supporting people using these medications, Nikki shares what she has learned from working at the forefront of obesity care. (You can find more details of her support at https://www.glp1coach.ie The conversation explores how GLP-1 medications work, why they have generated so much interest and the opportunities they can create for people living with obesity. While these treatments can significantly reduce appetite and food cravings, Nikki explains why medication alone is rarely enough to support long-term health and wellbeing. A central theme of the discussion is the emotional and psychological impact of changing someone's relationship with food. For many people, food is far more than fuel. It can be tied to comfort, stress management, identity, culture and connection. The episode explores what happens when those patterns change, and why some people find the experience unexpectedly challenging. Ollie and Nikki discuss the importance of wraparound support, including health coaching, psychological support, nutrition and lifestyle change. They explore how health coaches can help people navigate appetite changes, build sustainable habits, manage side effects and develop confidence in maintaining progress over time. Throughout the conversation, there is a strong focus on compassion, self-management and recognising obesity as a complex, long-term health condition rather than a simple issue of willpower. The episode highlights how health coaching can help people make the most of the opportunity these medications create, while supporting healthier and more sustainable outcomes for the future. Takeaways GLP-1 medications are transforming obesity care and access to treatment is increasing rapidly. These medications work by reducing appetite, increasing feelings of fullness and altering food reward pathways in the brain. Medication can create a valuable "window of opportunity" for health behaviour change. Long-term success often depends on the support people receive alongside medication. Many people experience significant emotional adjustments as their relationship with food changes. Food often plays an important role in coping, comfort, identity and social connection. Health coaching can provide a safe, non-judgemental space to navigate these changes. Appetite suppression can make it difficult for some people to eat enough nutritious food. Developing sustainable habits is crucial for maintaining progress over time. Obesity is a complex chronic condition influenced by biology, psychology and environment. Weight regain after stopping medication is not simply a matter of willpower. Effective obesity care benefits from integrated support involving clinicians, health coaches, dietitians and psychological services. Self-compassion and self-worth are important foundations for long-term health behaviour change. Health coaching can help people build confidence, resilience and self-management skills alongside medical treatment.