Energized with Dr. Mariza

709: GLP-1 Medications, Gut Health, and Food as Medicine: A Smarter, Personalized Approach for Women in Midlife with Ashley Koff

Jan 6, 2026
Ashley Koff, a registered dietitian and founder of The Better Nutrition Program, dives into GLP-1 agonists for midlife women, offering a refreshing perspective on their role in metabolic health. She addresses common stigma, emphasizing self-advocacy and the importance of personalized nutrition. Ashley highlights practical strategies for optimizing hormone health and discusses how GLP-1s can influence athletic performance and address weight-health issues. With her extensive experience, she encourages listeners to listen to their bodies and make informed health choices.
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INSIGHT

Medication Reveals Social Weight Bias

  • GLP-1 agonists revealed cultural weight bias and provoked judgment toward users rather than constructive health conversations.
  • Many people experienced steady, sustainable weight loss when supported by holistic care rather than instant celebrity-driven narratives.
ADVICE

Budget For Medication Plus Support Team

  • Budget for both the medication cost and the multidisciplinary care (nutritionist, nurse, coach) needed to optimize outcomes.
  • Pair prescribers with nutrition specialists to manage dosing, drug interactions, and individualized plans.
ADVICE

Plan For Insurance Interruptions Proactively

  • If access is threatened, extend dosing intervals or taper strategically rather than abrupt discontinuation to avoid rebound dysfunction.
  • Treat discontinuation as an orchestrated process with professional guidance, not a sudden stop.
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