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Ashley Malik is a perimenopause health coach for moms over 40, podcaster, mom of two, and a grandma.
She helps busy, midlife moms lose weight in perimenopause, and start living a life they love.
What did you eat yesterday? Not what you planned to eat. What did you actually eat?
If you’re on a GLP-1, the honest answer might be a protein shake, a handful of almonds, half a salad, and a few bites at dinner. And if you’re really honest with yourself, part of you might feel proud of that.
I know that feeling, because I’ve had it too. But in midlife, eating that little on a GLP-1 can cost you the very thing that helps you keep your results and your long-term health: your muscle.
Prefer to listen? This post is based on Episode 115 of The Midlife Mom Edit:
This article is most helpful if you’re already taking a GLP-1. But if you’re considering one, it will show you what to expect so you can start out eating in a way that protects your muscle from day one.
Yes, I wanted to lose the last few pounds that wouldn’t seem to budge. But that was a side benefit. The real reason I started tirzepatide was food noise.
I’d sit down to breakfast and, while I was still eating, start thinking about lunch. Twenty minutes after a full, satisfying meal, my brain would start up again. Am I hungry? Do I need a snack? Is there anything sweet in the pantry?
It didn’t matter how full I was. And as a health coach, I was already eating the anti-inflammatory foods I teach my students to eat. The chatter was just exhausting.
So when the food noise went quiet for the first time in I don’t know how long, it felt like freedom. One morning I ate breakfast, sat down at my desk, and the next time I looked up, it was lunchtime. I hadn’t thought about food once.
That quiet feels so good that it’s easy to miss when it turns into not eating enough.
For most of your adult life, you’ve probably been told the goal is to eat less. Smaller portions. Skip the snack. Push through the hunger. Every diet rewarded you for eating less.
So there’s a part of your brain, your diet brain, that’s been waiting forever for a day when food just doesn’t matter. When a GLP-1 hands it exactly that, it feels like victory. “Look at this! I barely ate today! This is finally working!”
Undereating starts to feel like winning. But in midlife, and especially on a GLP-1, it isn’t.
When you don’t eat enough, and especially when you don’t eat enough protein, your body doesn’t only pull from your fat stores. It pulls from your muscle too.
That’s how so many women end up smaller but softer. Lighter on the scale, but more tired.
In midlife, you’re facing a double hit:
And the scale can’t tell the difference. It just shows you a smaller number. That’s why protein is so important right now. It’s one of the best ways to protect the muscle you have and to build more alongside your strength training.
Your appetite on a GLP-1 isn’t the same every day. It moves in a pattern.
Most women inject once a week, so appetite tends to run on a weekly cycle. You’ll usually have days, often right after your shot, when you’re barely hungry. Then, as you get closer to your next injection, your appetite starts to come back.
For the next week, try this:
My own pattern is a little different. I inject twice a week because the effects feel easier and more consistent for me, which is something I worked out with my provider. And surprisingly, I’m actually hungrier in the afternoon on my shot days, so that’s when I make sure I fill up on protein.
Your pattern might not match mine, and that’s okay. What matters is that you know yours and plan your protein around it instead of waiting for a hunger cue that may never come.
On low-appetite days, my rule is simple. Protein first. Everything else second.
On most days, I love a full plate with lots of veggies, a good protein, and a healthy carb. But when I’m not hungry, I go lighter on high-volume foods like broccoli and cauliflower. Big, beautiful veggies take up a lot of room in your stomach, and when your stomach is emptying more slowly on a GLP-1, they can crowd out the protein your muscles need.
Low-volume, anti-inflammatory protein options that sit well when digestion is slow:
You might notice there’s no dairy on that list. For many women, dairy can add to inflammation, and in midlife you already have more inflammation because of your hormones. Unless you know for sure that dairy doesn’t cause you bloating, stiff joints, skin flare-ups, or digestive issues, I don’t recommend making it your go-to protein.
None of those meals are big, and none take much effort. But together, they add up to a solid amount of protein on a day you might have otherwise eaten half a shake and some almonds.
And when you’re not hungry and nothing sounds good, my Oh Sh*t Meal Planner gives you fast, easy menus that are already decided, so you still get the protein and fiber your body needs: {INSERT OH SH*T MEAL PLANNER LINK}
If you’ve experienced nausea, bloating, or constipation on a GLP-1, your food choices can help:
A while after the food noise went quiet, I noticed I didn’t have much energy. I felt sluggish in the middle of the day, and it was getting harder to get up for my morning workouts. When I looked at what I was eating, it was obvious. I wasn’t eating enough.
So I started tracking both calories and protein in MyFitnessPal. For me, this was never about restriction. It was about making sure I ate enough. My targets are 1,600 to 1,800 calories and 140 to 150 grams of protein a day. Those are my numbers for my body and my goals, and yours might be different. But they show that eating enough on a GLP-1 can look like a lot more food than your diet brain thinks it should.
Since making protein the priority, I’m lifting heavier weights, my muscles are more defined, and I’m building the shape I want: defined shoulders, a slim but toned midsection, and curvy hips and thighs.
Since the scale can’t tell fat from muscle, use these instead:
Less food noise on a GLP-1 is such a gift. Just don’t let your diet brain convince you that eating less is the goal. This week:
If those low-appetite days feel hard, grab the Oh Sh*t Meal Planner.
When your appetite is back and you want everyday meals that support your hormones, gut, and muscles, download my free 21-Day Anti-Inflammatory Meal Plan.
And if you’re still deciding whether a GLP-1 is right for you, take the quiz from EllieMD, the same company I use for my own GLP-1.