The advice below is general advice, for any specific tailored advice relevant to any health conditions please talk to your health professional.
The reclassification of Wegovy (and other GLP-1 medications) from a Type 2 diabetes treatment to prescription weight-loss medication, represents a significant development in New Zealand’s healthcare and nutrition landscape.
There’s no doubt that GLP-1 medications like Wegovy are powerful tools for appetite suppression and weight loss (1). However, their effectiveness is maximised when paired with nutrition and lifestyle support to help manage potential side effect (1).
If you are considering weight loss drugs, read on to find out what you need to do and how you can support your health and wellbeing while taking the medication.
Considering weight loss drugs – Do you really need the jabs?
Before progressing to a weight loss drug prescription some questions to ask yourself include (2) :
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Do I need the weight loss drugs?
Could you achieve weight loss with nutrition and exercise advice from a registered practitioner such as a nutritionist, personal trainer or health coach. Do I meet the weight loss criteria for the drugs?
In New Zealand, Wegovy can be prescribed for weight loss or weight maintenance in adults with a BMI of 30 or more, or a BMI of 27 with at least one weight-related comorbidity (Such as Type 2 Diabetes, Cardiovascular Disease, Hypertension, Sleep Apnoea)Can I afford to pay for the weight loss drugs?
$450 to $600 a month is the price for this non funded drug. Medications such as dulaglutide (Trulicity) and liraglutide (Victoza) are funded for people with type 2 diabetes, who meet the funding criteria. These medicines are also GLP-1 agonists like Wegovy.Do I want to live with the side effects
Side effects include dizziness, indigestion/upset stomach, burping and gas, stomach bloating, Heartburn/reflux, dry mouth, nausea, vomiting, hair loss and Injection site reactions.What actions will I take to set myself when coming off the weight loss medication?
Once you stop taking weight loss drugs hunger and appetite cues will return and this results in weight gain. The weight loss medications work best when paired with healthy lifestyle changes such as exercise and eating wholefoods (2).
If you have answered yes to the above questions the next step is to arrange a trip to your GP to complete a health assessment and discuss if weight loss drugs such as Wegovy are the right approach for your health and wellbeing journey.
How to Nourish Your Body While on Weight loss Drugs
GLP-1 medications work by suppressing appetite and silencing our hunger and eating cues. You are likely to reduce your daily energy intake by 19-39% (3). While this approach supports weight loss it can make it challenging to meet your nutritional requirements from food alone. As women nutrients of concern include calcium, iron, magnesium, zinc, and vitamins A, D, E, K, B1, B12(3).
Eat Enough Food
Rapid weight loss can lead to a reduction in lean muscle mass, and research shows that when weight is regained, it’s often in the form of fat rather than muscle (4). This can negatively impact our long-term health. Studies also suggest that gradual, steady weight loss is more likely to be sustainable over time (4).
Some tips to support you achieve sustainable weight loss include:
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Follow recommendations for safe weight loss.
Everyone’s energy needs are different, depending on age, weight, activity level, and overall health. Research on GLP-1 medications suggests a safe calorie range for women is between 1200–1500 calories (5020–6300 kJ) per day (1). Consuming less than 1200 calories can increase the risk of nutrient deficiencies (1) Plan to eat.
Without your normal hunger and eating cues, you will need to plan regular nourishing meals and snacks throughout the day. Create a daily eating plan and put it on the fridge or keep with you as a reminder to eat.Eat healthy snacks.
If you are finding it hard to eat bigger meals plan for six small meal/snacks across the day.Track you're eating.
Monitoring the meals and snacks you are eating is a good way to see if you are getting enough food. Food apps such as Calorie Tracker & BMR Calculator to Reach Your Goals | MyFitnessPal are useful and most have a free function.Get help from a Registered Nutritionist or Dietician.
They can help you calculate your individual energy requirements and support safe weight loss. They can also help you with a nutrition plan and any supplementation requirements.
Eat the Right Food
With reduced food intake it’s important to make every meal and snack nourishing.
Some tips to make meals nutrient dense:
Eat whole foods.
These are foods as they are found in nature such as fresh fruit and vegetables, wholegrains, lean protein and low-fat dairy products (5). These foods are more nourishing as contain fibre, protein, calcium, iron, minerals and vitamins.Boost nutrient content of meals.
Enrich daily meals with extra nutrients with a protein boost such as Everee #4 - Post- menopause Support which will also support your metabolic health while you're on a GLP-1 and beyond. Healthy fats with nuts, seeds or LSA mix. Fibre from wholegrains, fruits and vegetables or fibre rich foods such as psyllium husk.Avoid takeaways and processed foods.
While it might be tempting to continue eating these foods in lesser amounts, they will not provide the nourishment your body requires.
Prioritise Protein
Eating adequate dietary protein, combined with strength and resistance training is important for maintaining lean muscle mass (3). Protein also helps with satiety and is important when your transition to weight maintenance (3). Aiming for 1.5 grams of protein per kilogram of body weight per day was identified as a beneficial target for those on weight loss drugs (1). A simpler guideline is to aim for around 100 grams of protein per day (5).
Some tips to help with eat adequate protein:
Include protein with every snack and meal.
Our body can’t store protein so it’s important to consume throughout the day. Incorporate a variety of high-quality, minimally processed plant and animal-based proteins into your diet. Excellent sources include beans and legumes, fish and seafood, poultry, lean red meat, and eggs (5).Eat protein foods first.
Aim for 20-30g of protein on the plate and eat this before other foods.Stack your protein.
Include 2 or more protein sources on your plate for example grilled chicken with chickpea salad.Boost meals with protein supplements.
If your appetite is decreased, protein shakes, bars or protein enriched meals with your daily Everee dose can be a quick and easy way to hit your daily target. For some inspiration for protein enriched recipes go to our Made with Everee recipes. We think our On-The-Go-Frittata-Muffins are an easy and delicious way to prioritise protein.
Feed Your Gut
Constipation is one of the side effects of weight loss drugs (1). Dietary fibre is important for keeping your bowels regular, slowing blood glucose release and lowering cholesterol (5). Fibre also plays a part in supporting our gut microbiome which can impact mood, immunity response and overall gut health. Most New Zealanders do not eat the required amount of daily fibre and should aim for 25-30g of fibre a day (5). Increase dietary gradually to prevent upsetting your gut!
Some tips to eat enough fibre:
Swap to higher fibre options where you can.
Eat fruits and vegetables with their skin on where possible. Swap in wholegrain carbohydrates like brown rice, grainy bread, or quinoa. Legumes such as black beans, lentils and chickpeas contain good amount of fibre too. Try our Delicious Gut Goodness Oat Mix Base to make our Gut Goodness Overnight Oats for the ultimate fibre boost.Enrich meals with fibre.
Foods such as chia, pumpkin, linseed and sunflower seeds can add fibre without being too filling.Add a daily dose of prebiotic. Consider adding a prebiotic to support you gut microbiome. Everee #3 - Peri-menopause Support contains Livaux a prebiotic made from kiwifruit to assist you with this.
Protect Bones with Calcium
Calcium is essential for building and maintaining strong bones. Women, especially as they age, are at a higher risk of osteoporosis, a condition where bones become weak and brittle. Adequate dietary calcium helps prevent bone loss and reduces the risk of fracture (5).
How to boost your Intake of calcium:
Include low-fat dairy products with your meals:
Add a serve of cheese to your sandwich or yoghurt with your cereal, skim milk to your porridge. Cottage cheese on toast or a delicious yoghurt dip with your vegetables. Make sure plant-based milks are fortified with calcium (120mg/100ml). Our delicious Chia Yoghurt Protein Pudding with Fresh Fruit Salsa made with Everee #5 - Healthy Aging Support is a great way to boost daily calcium.Snack on nuts and seeds:
Add Almonds, chia seeds, and sesame seeds to meals and snacks.Get enough vitamin D:
Vitamin D helps your body absorb calcium. Ensure you get enough sunlight and include vitamin D-rich foods like fatty fish, egg yolks, and fortified foods in your diet.Consider a calcium supplement:
If you struggling to get enough calcium from food, consider taking a calcium supplement. Consult with your GP to determine the right dosage for you.
Calm Queasiness with Carbohydrates
Nausea is a common side effect of weight loss medications, and it often leads people to reach for plain, starchy foods like white rice, bread, or pasta (1). These simple carbohydrates can be easier to tolerate when you're feeling unwell. But as your symptoms improve, try gradually transitioning to whole grain options for added fibre, nutrients, and longer-lasting energy. More information on how to make healthy swaps can be found in our article Refresh Your Diet for Peri-menopausal Wellbeing.
Carbohydrates provide our body with fuel for energy requirements and it’s important to include these in your diet to gain adequate nutrition. If following a weight loss diet, they should still contribute 45-65% of your daily energy intake. If consuming 1500 calories per day this would be 290 grams and equate to four servings for example – 2 x slices sandwich bread, ½ cup quinoa, ½ medium potato or banana. Low carbohydrate diets such as Keto are not advised while on GLP-1 drugs as they are linked to dehydration (1).
Fuel with Healthy Fats
Fat plays a role in assisting us the absorption of vitamins A, D, E and K (5). It is also help prevent gallstones which can be a side effect of weight loss (1). Daily fat consumption should contribute to 20-30 % of your energy intake, if you were consuming 1500 calories a day this would be 70 grams (1).
Tips to fuel with healthy fats:
Swap to mono and poly unsaturated fats found in olive oil, nut butter, avocado, nuts and seeds for heart health (1).
Limit rich, creamy and high fat foods as these can cause digestive issues.
If you are experiencing the side-effects of indigestion, bloating and diarrhoea a low-fat diet may reduce these symptoms (3).
Keep Up Your Hydration
Eating less food decreases the amount of fluid in your diet (1). GPL-1 drugs may also reduce thirst, so more of an effort needs to be made to hydrate (1). Drinking water can also help with constipation which is a common side effect of the weight loss drugs. Aim to drink between 2-3 litres of liquid a day.
Boost hydration levels by:
Filling a bottle with water and taking with you when you are out and about.
Drinking herbal tea or decaffeinated tea / coffee. Caffeinated drinks are diuretics (make you use the bathroom more) and can make it harder to stay hydrated.
Including some nutrient dense liquid meals and snacks such as smoothies Stress Support Smoothie for Calm, or Summer Fruit Refresher and soups.
Add a twist of flavour to still or sparkling water with slices of fruit, cucumber and fresh herbs to make it more enjoyable.
Limit alcohol as this has no nutritional value and is high calories. It can also impact food choices and cravings for unhealthy foods.
Weight loss medications can be a powerful tool in managing weight and improving health, but they are most effective when paired with intentional, nourishing choices. True, sustainable wellbeing goes beyond what’s on your plate.
To fully support your body and mind during this journey, consider embracing a holistic approach: incorporate regular physical activity, prioritise restorative sleep, manage stress, and seek support for mindful eating behaviours.
Working with a registered nutritionist or a dietician can also help tailor your nutrition and lifestyle plan to your unique needs. Remember, the goal isn’t just weight loss, it’s building a foundation for long-term health and wellbeing.
References
Almandoz JP et al. Nutritional considerations with anti-obesity medications. Obesity (Silver Spring). 2024 Sep;32(9):1613-1631.
Lardies, G. (2025, July 3). Everything you need to know about Ozempic and Wegovy in New Zealand. The Spinoff.
Mozaffarian D et al. Nutritional priorities to support GLP-1 therapy for obesity: A joint Advisory from the American College of Lifestyle Medicine, the American Society for Nutrition, the Obesity Medicine Association, and The Obesity Society. Obesity (Silver Spring). 2025; 1-29
Bacon, L., & Aphramor, L. (2011). Weight science: evaluating the evidence for a paradigm shift. Nutrition Journal, 10(1), 1-13.
Whitney,E.,Rolfes,S.,Crowe,T.,Walsh.,A(2019).Understanding Nutrition.(4 th Australia and New Zealand ed.). Cengage Learning