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Most common side effects The most common side effects of Wegovy are usually stomach-related and are often mild to moderate

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aim for 700 mg calcium daily and consider a 10 mcg (400 IU) daily vitamin D supplement, particularly during autumn and winter months, as recommended by NHS guidance Phytoestrogens : Foods containing plant oestrogens (soya, flaxseeds, legumes) may modestly help some perimenopausal symptoms, though evidence for weight management is limited Mindful eating practices : Addressing emotional eating patterns common during this transition Physical activity recommendations should combine multiple modalities, in line with UK Chief Medical Officers' guidelines: Resistance training : Two to three sessions weekly to combat muscle loss and maintain metabolic rate Cardiovascular exercise : 150 minutes of moderate-intensity or 75 minutes of vigorous-intensity activity weekly High-intensity interval training (HIIT) : May help with fitness and metabolic health for some women, though evidence for superior effects on visceral fat is still emerging Flexibility and balance work : Yoga or Pilates can address stress whilst improving functional fitness Hormone replacement therapy (HRT) deserves consideration primarily for symptom management, though it may have modest effects on body composition: HRT is not licensed for weight management and should not be prescribed specifically for weight loss It may help reduce the tendency toward central fat deposition in some women By improving sleep, mood, and other symptoms, HRT may indirectly support healthy lifestyle behaviours NICE guidelines support HRT for perimenopausal symptom management when benefits outweigh risks Additional supportive measures include: Sleep hygiene optimisation : Addressing night sweats and insomnia through environmental modifications and, when appropriate, medical interventions Stress management : Cognitive behavioural therapy (CBT), mindfulness, or other evidence-based approaches Behavioural support programmes : NHS-funded weight management services or commercial programmes meeting quality standards These integrated approaches address the multifactorial nature of perimenopausal weight gain and support overall health beyond weight management alone

Try Non-Surgical First If Your skin is mildly crepey, not hanging You lost a moderate amount of weight Youre still within 612 months of weight stabilising You want to avoid downtime Consider a Tummy Tuck If Skin hangs, folds or chafes on your stomach The pinch test shows excess, not just looseness Your weight has been stable for several months You want a permanent, one-procedure result One Important Rule Wait until your weight has been stable for at least 36 months before any skin-removal surgery

Various issues, including blood sugar response, vascular effects, blood pressure, and moreas well as the more commonly discussed gastrointestinal problems, such as nausea, vomiting, and diarrheamay mean that your weight loss drug pathway cannot follow the optimal route