The Nutrition Couch

If you have already done the hard work, lost a decent amount of weight, and are now staring at the same two or three kilos that simply will not budge, this episode is going to make a lot of sense of what is happening and exactly what to do about it.
Leanne and Susie break down the real physiology behind why losing the last few kilos is significantly harder than losing the first ten, why the strategies that got you here are not the ones that will get you there, and the specific changes that actually move the needle when you are already doing most things right.
Then they do the research nobody wants to do themselves: wading through the menus at Eljana, Grilled, Nando's, A Perto, Guzman y Gomez, Subway, Betty's Burgers, Fishbowl, and more to find the lowest calorie, highest protein options you can actually order without sacrificing the whole meal.
In this episode:
Why losing 30 kilos is genuinely easier than losing three, the physiology of why the human body resists leanness, and why everything that worked before will eventually stop working
Why going to bed slightly hungry is actually a useful signal when you are trying to lose the last few kilos, and why the fear of hunger is one of the main things holding people back
Why eating earlier rather than eating less can be one of the most powerful and sustainable strategies for shifting stubborn body fat, and how to apply it practically around a busy family schedule
Why some people need to do less exercise, not more, to finally see the scale move, and how to tell which camp you are in
The role of the weekend in undoing five days of good eating, why most people are maintaining rather than losing without realising it, and the one change that breaks the cycle
The lowest calorie, highest protein options at Eljana, Grilled, Nando's, A Porto, Guzman y Gomez, Subway, Betty's Burgers, Fishbowl, and KFC. Specific menu items named, calorie counts given, and honest advice on what is actually worth ordering versus what just looks healthy
Why Guzman y Gomez burritos and bowls are significantly higher in calories than most people assume, and the menu hack that most people would never consider
Why a well-chosen burger from Grilled or Nando's is often a better nutritional choice than sushi, and what to ask for to drop the calorie count further without sacrificing the meal
The Arnott's Quattro Caramel and Peanut Bar reviewed: 140 calories, five grams of protein, 33 ingredients, and the honest debate between Leanne and Susie about whether it is genuinely healthier than a chocolate bar or simply better marketing
The vitamin C question answered with the actual evidence: does it prevent colds, does it shorten them, and is there anything better to take in winter if that is your goal
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If you or someone you know is on a GLP-1 medication like Ozempic, Wegovy, or Mounjaro and the results have plateaued, or the weight is starting to creep back, this episode has the explanation you have been looking for and it is probably not what your doctor told you.
This week Susie breaks down exactly why these medications stop working for so many people, what is actually going wrong metabolically, and what to do about it instead of just increasing the dose. Then Leanne takes over for a genuinely useful segment on the Coles and Woolworths home brand products both dietitians buy every single week, which ones are just as good as the branded version, and which ones they would never swap out.
In this episode:
Why GLP-1 medications like Mounjaro, Ozempic, and Wegovy stop working: the two metabolic patterns Susie sees most commonly in her clients, and why increasing the dose is often exactly the wrong response
Why dramatically reducing calorie intake without addressing muscle mass and exercise will always lead to a plateau, and the counterintuitive reason why eating a little more and reducing the dose can actually restart results
Why muscular, active women are particularly vulnerable to GLP-1 plateaus, and how being in carbohydrate no man's land sabotages fat burning even when the medication is working properly
Why these medications should never be given without dietitian support, and what to actually focus on if you want to come off them eventually without regaining the weight
The Coles and Woolworths home brand products Leanne and Susie buy every single week without hesitation: rolled oats, canned legumes, passata, frozen vegetables, cottage cheese, Greek yogurt, chicken breast bites, marinated chicken, and more. Specific product names, aisle locations, and honest reasons why
Why the Coles Kitchen frozen grilled vegetables and the Woolworths chicken breast bites are non-negotiables in both shopping trolleys, and the specific products in the Coles Perform and Coles Kitchen ranges that keep making it back onto the list
The Aldi Gourmet Protein Bar reviewed: 10 grams of protein, 37% nuts and seeds, less than a dollar per bar, and a price-per-protein calculation that puts most supermarket bars to shame. What the ingredient list actually contains and who this bar is genuinely suited to
Continuous glucose monitors: who actually needs one, why Leanne and Susie have both turned down paid partnerships with CGM companies, and the specific situations where they might genuinely be useful versus where they are more likely to create unnecessary food fear
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Most people have no idea what actually happens to body fat when they lose it. They assume it is sweated out, burned off somehow, or just disappears. The real answer is both surprising and genuinely fascinating, and it changes how you think about fat loss entirely.
This week Leanne and Susie open with the science behind what actually happens to fat cells when you lose weight, why fat cells shrink rather than disappear, and what that means for keeping weight off long term. Then they get into the practical stuff: their best tricks for avoiding that slow winter weight creep that catches so many people out between June and August.
In this episode:
The surprising science of fat loss: where body fat actually goes when you lose it, why the answer involves your lungs and not your sweat glands, and what happens to fat cells after you lose weight that makes maintaining that loss genuinely harder than most people realise
Why fat cells shrink rather than disappear, what that means for long-term weight management, and why working with a dietitian to maintain weight loss is often more important than working with one to lose it
The winter weight gain conversation: why it happens, why exercise drops off before food quality does, and the three practical strategies Leanne and Susie use with clients every winter to come out the other side feeling good in their clothes
Why a hot lunch makes more difference to afternoon cravings than most people expect, the slow cooker approach to packing in protein and vegetables without giving up comfort food, and the specific swaps that lighten up winter favourites without removing the enjoyment
The new Moccona Protein Latte Coffee from Woolworths: 10 grams of protein, $10 for eight serves, bovine collagen as the first ingredient. What Leanne and Susie actually think, who it is and is not for, and the important protein quality point about collagen that most people buying this have not considered
Why making your coffee on dairy or soy milk at home gives you a comparable amount of protein with significantly less processing, and why the caffeine content of this product is lower than most people would expect
The oxalate question answered plainly: do oxalates in spinach and leafy greens actually block iron absorption, should you be avoiding them with iron-rich meals, and the only situation where oxalates genuinely warrant attention in your diet
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If you have taken iron supplements for months and your ferritin still is not coming up, there is a physiological reason for that. And it is not your fault.
A study published in The Lancet Haematology found that taking iron supplements on consecutive days actually blocks absorption due to a hormone called hepcidin, and that alternate-day dosing improved iron uptake by 40 to 50%. This is one of the most practically useful pieces of research the show has covered, and Leanne and Susie break it down clearly so you know exactly what to do differently.
This week also includes a straight-talking collagen segment, the fibre maxing trend assessed honestly, and a review of the new Woolworths high-protein meal range.
In this episode:
The fibre maxing trend on TikTok and Instagram: why Leanne and Susie actually support the idea, what most people get wrong about increasing fibre too quickly, and why processed fibre from bars and wraps is not the same as fibre from whole foods
Why consistency with fibre matters more than volume, what happens to your gut during travel and weekend eating, and the three things that need to work together for good digestive health
The Lancet Haematology iron absorption study: what hepcidin is, why it blocks iron absorption for 24 hours after a high dose, and why taking iron every day may actually be preventing your levels from improving
Why alternate-day iron supplementation improved absorption by 40 to 50% compared to daily dosing, and the practical implication for how much to take and when
Whether an iron infusion is still preferable for people who struggle with oral supplements, why follow-up blood tests are essential, and the one mistake Leanne sees women make once they start feeling slightly better
The new Woolworths Teriyaki Chicken Bowl reviewed: 35 grams of protein at $12, brown rice, edamame, and quinoa, what a client who tried it actually said, and whether frozen meals might genuinely be the better option in this category
The collagen evidence honestly assessed: what the research actually shows for skin, joints, and wrinkle depth, why you need to take it daily for 8 to 12 weeks to see results, and the specific trademarked peptide called Verisol that has the most clinical research behind it
Why marine collagen is not superior to bovine collagen despite what you have seen online, how much you need for skin versus joint health, and why some brands charging $80 to $90 are not giving you anything better than a well-formulated $37 option
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If you shop at Aldi regularly or have been thinking about adding it to your grocery rotation, this episode is going to save you time and money. Leanne and Susie share their personal Aldi favourites, the specific products they recommend to clients, and the ones that look good but do not stack up.
And if you have ever used AI to get nutrition advice, track your intake, or build a meal plan, there is a study published earlier this year that you genuinely need to hear about.
In this episode:
The Aldi products Leanne and Susie actually buy and recommend, across fresh produce, protein, dairy, snacks, frozen meals, and a few honest indulgences. Specific product names included, no vague recommendations
Why the leafy greens at Aldi outperform the major supermarkets for freshness and shelf life, and how to store them to make them last even longer
The Aldi protein yogurt, low-carb protein bread, beetroot hummus, tuna bean cups, and almond butter that both dietitians put on their regular shopping list and why
A new study from March this year published in Frontiers in Nutrition comparing AI-generated diet plans against dietitian-designed plans: AI underestimated calories by up to 600, protein by 20 grams, and carbohydrates by 100 grams. Not a small margin of error, a significant one
Why the false confidence AI creates around calorie and nutrient counts is the real danger, and the specific situations where Leanne and Susie would and would not use it in a nutrition context
The Mission Carb Balance wrap reviewed: 16 grams of fibre and four grams of carbohydrate per wrap, a five-star health rating, and Leanne's strong views on why this product is not what it appears to be
Why ultra-processed, low-carb wraps with modified wheat starch, wheat gluten isolate, and 16 grams of added fibre are a problem for most women's digestive health, and what to eat instead
The creatine and heat question answered properly: can you add creatine to porridge, baked oats, or warm drinks without losing its effectiveness? What temperatures and time frames matter, and the one mistake Leanne sees clients make all the time with their creatine drink bottle
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