The Nutrition Couch

GLP-1 medications are now so widely used that most people know someone who is on them or have been tempted to try them themselves. But the questions that come with these medications, how long, how much, what happens when you stop, and what about the black market options circulating online, rarely get answered clearly.
This week Leanne and Susie work through the most frequently asked questions they receive about GLP-1 medications, with straight clinical answers rather than pharmaceutical company talking points. They also cover a brand new 2026 study on pork and weight loss that will reassure anyone who has been told they have to give up pork to lose weight.
In this episode:
Do you have to stay on GLP-1 medications forever? Susie's clinical answer, who actually needs long-term use versus who can come off them, and the weaning strategy she uses with clients
Who these medications are and are not appropriate for: the specific thresholds around body weight, waist measurement, and family history that Susie uses before recommending them to a client
How to prevent muscle mass loss on GLP-1 medications, why some degree of muscle loss is unavoidable in a calorie deficit, and why extreme calorie restriction makes this significantly worse
Why rapid weight loss on GLP-1 medications causes the face and neck changes people are calling Ozempic face, and why slower, more gradual weight loss over six to twelve months is the better approach for every reason
How to still enjoy food on these medications: why controlling the dose is the key, and what it should feel like when the medication is working properly
Why retatrutide is not approved in Australia, what the TGA has said, and why the black market version being sold through beauty clinics and informal networks is not safe under any circumstances
A brand new May 2026 study published in the Journal of Nutrition and Diabetes: what happened when habitual pork consumers followed a structured weight loss program, why 5.3% body weight loss is considered clinically significant, and what it means for how you think about pork in a healthy diet
Why lean pork cuts are an underrated budget-friendly protein source, and Leanne's two favourite ways to cook pork that stretch a $20 to $22 cut into ten to twelve meals
The Woolworths Potato Utopia duck fat potatoes reviewed: 91% potato, 2.9% duck fat, 188 milligrams of sodium, and a surprisingly modest nutritional profile for what is essentially an indulgent frozen side dish
Is granola healthy? The honest answer, what to look for on the label, why portion size matters more than the granola itself, and the specific brands Susie reaches for
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Inflammation is everywhere right now. On Instagram, in wellness spaces, in your DMs. Everything from weight gain to brain fog to sore joints is being blamed on cortisol and chronic inflammation, and a growing number of people are convinced they cannot exercise, eat in a calorie deficit, or live normally because it will make their inflammation worse.
So is any of this true? And is an anti-inflammatory diet actually a real thing?
This week Leanne and Susie take on one of the biggest buzzwords in nutrition right now and give it a proper evidence-based look. They unpack what inflammation actually is and why the way it is being described online is often completely inaccurate, what the research on polyphenols and anthocyanins actually shows, and which foods are genuinely worth prioritising if reducing inflammation is your goal.
This episode is proudly brought to you by Queen Garnet, Australia's antioxidant plum. Leanne and Susie share the research behind Queen Garnet throughout this episode, and you can find the full range at queengarnet.com.
In this episode:
The two types of inflammation and why they are completely different: why acute inflammation from exercise, injury, or illness is a normal and healthy response, and what chronic low-grade inflammation actually looks like and why it develops
Why a single weekend of eating badly, a glass of wine, or a slice of pizza is not putting your body into a chronic inflammatory state, and the specific lifestyle patterns that do contribute to inflammation over time
The misinformation that is actively harming people: why telling someone with PCOS that they cannot exercise or diet because it spikes cortisol and causes inflammation is not only incorrect but counterproductive
Why the Mediterranean dietary pattern consistently outperforms every other approach when it comes to reducing inflammatory markers, and the specific foods driving that result
A review of a randomized, double-blind controlled trial on Queen Garnet plum juice: what happened to blood vessel function and vascular inflammatory markers when participants consumed a high antioxidant juice alongside a high fat meal, even in a single meal occasion
A 12-week randomized controlled trial on anthocyanin-rich foods and adipose tissue function: what researchers found about how polyphenol-rich whole foods may influence metabolic processes in fat tissue and why this matters for metabolic health
What anthocyanins and polyphenols actually are, which foods contain the highest concentrations, and why the bright red, purple, and orange colours in fruits and vegetables are a direct indicator of antioxidant content
The Queen Garnet Antioxidant Plum Nectar reviewed: why it has approximately six times the antioxidant content of blueberries, how to use it, who it is most beneficial for, and where to find it year-round when the fresh fruit is out of season. Available at queengarnet.com, with a 20% saving on subscription
Practical daily habits that genuinely shift inflammatory pathways: extra-virgin olive oil, walnuts, herbs and spices, green tea, brightly coloured vegetables, and the case for seven to ten serves of fresh produce every day.

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Fast food chains are now launching burgers with 80 grams of protein and calling it high performance. But is that actually good for you, or has the protein craze officially gone too far?
This week Leanne and Susie answer the question the fitness industry does not want to talk about: how much protein is actually too much, what your body does with the excess, and why the race to push protein higher in every product on the market is starting to work against the very goals it claims to support.
Then they cover a brand new study published in JAMA Network Open that identified two very different dietary patterns linked to weight management through the menopausal years, including one that most people have never heard of and that contradicts almost everything being said about menopause diets online right now.
In this episode:
The new Grilled High Performance burger range: 80 grams of protein, over 700 calories, and why Leanne thinks even her beloved Grilled has gone too far with this one
How much protein the body can actually utilise in a single meal, why the old 30-gram rule has been updated by recent research, and what happens to protein calories your body does not need
Why small women are often overdoing protein at the expense of good fats, and why the macronutrient ratio matters as much as the total protein number
A brand new 12-year study of over 38,000 women from the Nurses Health Study published in JAMA Network Open: the two dietary patterns most effective at preventing weight gain through the menopausal years, and why their results are surprisingly contradictory
The planetary health diet and the low insulinaemic diet: what they actually are, how differently they approach carbohydrate and fat, and what Susie thinks the contrasting results reveal about the two main metabolic subtypes in perimenopause and menopause
Why there is still no single magic menopause diet, and why working with a dietitian to personalise macronutrient ratios to your own glucose regulation and metabolic response remains the most effective approach
A high-fiber vanilla custard from the South Australian Gourmet Food Company reviewed: who this product is actually for, why inulin is not Leanne's favourite fiber type for digestive health, and why she would reach for kiwi fruit or oats first
How to take collagen and creatine consistently every day without having to force yourself to drink a shake: the coffee method, the yogurt method, the supplement stack, and why the research really does require eight to twelve weeks of daily use before results appear
Why collagen peptides dissolve perfectly well in hot drinks despite what you may have heard, and the simple trick for avoiding clumping
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If you have switched to oat milk because you think it is healthier than dairy, this episode has some important information for you. And if you saw Miranda Kerr's diet advice doing the rounds in the media this week, Leanne and Susie have thoughts.
This week the team does a full ranking of every milk on the market, from full cream dairy to oat, soy, almond, coconut, and the new high-protein dairy milks, covering protein, calcium, fortification, what to check on the label, and who each one is actually best suited to. Then they respond to Miranda Kerr's widely covered restrictive diet recommendations with the specific nutritional corrections the media cycle did not bother to include.
In this episode:
Every milk ranked by protein, calcium, and overall nutritional quality: dairy milk, soy, oat, almond, coconut, high-protein dairy blends, and why the answer to which is healthiest is not what most people assume
Why oat milk is higher in carbohydrate, lower in protein, and often sweetened without people realising, and why the barista varieties from cafes are frequently not calcium-fortified at all
Why soy milk is Leanne's personal choice and her preferred dairy alternative for clients, including the phytoestrogen angle for women in perimenopause and menopause
The one thing to always check when buying any plant milk, why 300 milligrams of calcium per cup is the number to look for, and what most people are missing when they pick up almond milk thinking it is a nutritious swap
Miranda Kerr's diet recommendations fact-checked: no eggs, no kale, no sushi, no salmon, no sourdough, venison for breakfast, and caviar as a protein source. What is actually wrong with this, why it is a concern when mainstream media amplifies it, and why the foods she is avoiding are among the most nutritionally valuable you can eat
Why you can absolutely cook with extra virgin olive oil and always could, and the claim about salmon and mercury that is not supported by the evidence
The new Philadelphia Protein Cream Cheese exposed: why the regular light Philadelphia and the protein version are nutritionally near-identical per 100 grams, and why the only meaningful difference is that the serving size has been increased
How to find leaner and cheaper cuts of meat as beef prices continue to rise, why pork is underrated as a high-protein budget option, why slow cooker cuts are one of the best investments in your weekly food budget, and what to do if the supermarket sells you a fatty cut you cannot use
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If you watched the ABC Four Corners food fraud documentary and felt unsettled but were not quite sure what to do with the information, this episode is going to help. Leanne and Susie cut through the noise, share their honest dietitian response to what was actually alarming versus what was sensationalised, and give you the practical takeaways that matter.
Then they expose one of the most misleading supermarket product launches in recent memory, and explain something most women who exercise regularly do not want to hear: the workouts you are calling strength training probably are not.
In this episode:
The ABC Four Corners documentary Duped: what Leanne and Susie actually think, what the investigation got right about tomato products and country of origin claims, why supermarkets and food regulators are equally responsible for the lack of accountability, and what you can practically do to reduce your exposure
Why claims of Australian-made or Italian-grown do not always mean what you think they mean, and which food categories are most likely to be affected by supply chain substitution
The xanthan gum research: a new study linking this common food additive to mild colon inflammation and changes to the gut microbiome in animal models, what a large French cohort study of over 100,000 adults found about emulsifier intake and cancer risk, and who specifically should be paying closer attention to this ingredient
Primo's new High Protein Ham range exposed: how they appear to have increased the protein content without meaningfully changing the product, why the World Health Organization classifies processed red meat as a carcinogen, and the much cheaper and far better protein sources Leanne and Susie recommend instead
Why going to the gym and lifting weights is not the same as strength training, what progressive overload actually means and why most women are not doing it, and why Pilates with one-kilo dumbbells is not building the bone density and muscle mass the guidelines are recommending
The bone health case for proper strength training: how mechanical load stimulates osteoblasts to lay down new bone, why this matters more from your 40s onward as estrogen declines, and the most practical way to get started if you genuinely do not know whether you are doing enough
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