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GLP-1 Dietitian in London

GLP-1 Nutrition Programme · London & online

Nutrition support on Mounjaro, Wegovy and Ozempic

The injection takes your appetite away. It does not tell you what to eat, how to protect your muscle, or what happens the day you stop. That is our job.

Raquel Britzke and her team are HCPC-registered dietitians working with people on prescribed weight-loss medication — tirzepatide (Mounjaro), semaglutide (Wegovy, Ozempic) and liraglutide (Saxenda) — from the clinic at 33 Cavendish Square, Marylebone, and online across the UK.

See the GLP-1 programme Take the 60-second quiz
  • ★★★★★ 4.9/5 from 600+ Google reviews
  • HCPC-registered dietitians
  • 20,000+ patients supported
  • London clinic & online

To be clear about what we do: we are a nutrition service, not a prescribing service. We do not prescribe, supply or adjust weight-loss medication — that stays with the doctor or clinic who looks after your prescription. We look after everything you eat around it.

Why nutrition matters here

The medication does one job. Nutrition does the other one.

GLP-1 medication is very good at one thing: turning down appetite. What it cannot do is decide what goes on the plate in the small amount you now eat, protect the muscle you are carrying, or prepare you for life after the last injection.

That gap is where most of the disappointment happens. People lose weight quickly, feel exhausted, notice their hair thinning, watch their strength drop — and then, when treatment ends, watch the weight come back. In the STEP 1 trial extension, participants who came off semaglutide regained about two-thirds of the weight they had lost within a year of stopping. The medication was never the problem. The absence of a plan was.

What we help with

Six things that decide whether this works

Losing fat, not muscle

Trials of semaglutide report anywhere from almost none to around 40% of the weight lost coming from lean tissue. Muscle is what keeps your metabolic rate up and what stops the regain later. We build your protein target, spread it across the day, and pair it with simple resistance work you will actually do.

Eating enough when you are not hungry

Two hundred calories of toast is not a day’s nutrition. When appetite disappears, every mouthful has to earn its place. We rebuild your meals around protein, fibre and micronutrient density so that a small amount of food still does the job.

Side effects you can eat your way through

Nausea, reflux, constipation, early fullness, sulphur burps, fatigue. Most are made considerably better by changing texture, temperature, portion size, fluid and fibre — and considerably worse by guessing. This is routine work for a dietitian.

Nutrient gaps

Eating much less means less protein, iron, B12, calcium, fibre and fluid. We check what is actually going in, correct the gaps with food first, and recommend supplements only where they are genuinely needed.

Hair, skin, energy and mood

Hair shedding and flat energy during rapid weight loss are usually a nutrition story: too little protein, too little iron, too fast a drop. Fixing the intake fixes most of it.

Life after the injection

The month you taper or stop is the month that decides everything. We plan it in advance: how intake rises as appetite returns, what your maintenance range looks like, and how you keep the result without the medication.

Who this is for

You are in the right place if…

  • You have just been prescribed Mounjaro, Wegovy or Ozempic and want to start properly.
  • You are already a few months in and the scale is moving, but you feel weak, tired or unwell.
  • You have stalled on a dose and cannot work out why.
  • Side effects are bad enough that you are thinking about stopping.
  • You are approaching your goal and have no idea what happens next.
  • You came off treatment already, regained weight, and want to do it differently this time.
  • You are on a GLP-1 for type 2 diabetes and want the nutrition side handled by a dietitian.
How it works

Four steps

Tell us where you are

Take the 60-second quiz or book a free 15-minute call. If a different programme suits you better, we will say so.

First consultation

Full history, medication and dose, symptoms, bloods if you have them, and a body-composition analysis on the Tanita MC-780U so we can see muscle, not just weight.

Your plan, adjusted monthly

Personalised meal plans through the Nutrium app, protein targets, side-effect strategies, shopping list, and unlimited support between appointments.

Maintenance

We build the plan for coming off treatment before you need it, and re-measure body composition so you can see that what you kept is muscle.

The programme

GLP-1 Nutrition Programme — 3 months with your own dietitian

Designed for people on prescribed weight-loss medication, whether you have just started or are approaching maintenance. Lose fat, not muscle, and keep the result once treatment ends.

Online

£750

3 months · or 3 monthly payments of £279

  • Monthly consultation with your dietitian
  • Fully personalised meal plans
  • Protein and muscle-protection strategy
  • Help with side effects and reduced appetite
  • Nutrium app, eBook & shopping list
  • Unlimited email & app support
  • Plan for maintenance and coming off treatment
Start online

London clinic

£850

3 months · or 3 monthly payments of £329

  • Everything in the online programme
  • In-person consultations at 33 Cavendish Square, Marylebone
  • Body-composition analysis at every visit
  • Optional DNA diet and food intolerance testing
Start at the London clinic

If you have more than 20 kg to lose, a 6-month version of this programme is usually the better fit. The 60-second quiz will tell you which one applies to you. Nutrition support only — we do not prescribe or adjust medication.

Two different routes

Not on medication — and not planning to be?

This programme exists because thousands of people are already on these treatments and deserve proper nutritional care alongside them. It is not our default. Most of our patients lose weight without any medication at all, and that side of the practice is completely separate.

You are on a GLP-1 medication

You are in the right place. The GLP-1 Nutrition Programme above is built around your treatment.

See the GLP-1 programme

You want to lose weight without medication

Then this is not your page. The Signature Weight Loss Programme is our medication-free route — food, behaviour and body composition, nothing injected.

Weight loss without medication
Questions we get every week

GLP-1 nutrition: your questions

Do you prescribe Mounjaro, Wegovy or Ozempic?

No. We are dietitians, not prescribers. We do not prescribe, supply, recommend or adjust any weight-loss medication, and we will not comment on your dose — that belongs to the doctor or clinic managing your prescription. What we do is everything on the nutrition side, and we are happy to work alongside your prescriber.

I have already been on Mounjaro for months. Is it too late to start?

No, and this is when most people come to us. Starting mid-treatment is useful precisely because you already know how the medication affects your appetite and your gut, so the plan can be built around what is actually happening rather than what might happen. If you are approaching maintenance, it is close to the most valuable moment to get this right.

What should I eat on Mounjaro or Wegovy?

There is no single GLP-1 diet, and anyone selling you one has not met you. The principles are consistent though: hit a protein target at every meal, keep fibre and fluid up, eat little and often rather than one large meal, favour softer textures when nausea is bad, and treat alcohol carefully. What that looks like on your plate depends on your weight, your muscle mass, your dose and what you actually like eating — which is what the consultation is for.

How much protein do I need on a GLP-1?

More than you are probably eating, and spread across the day rather than loaded into dinner. We set the target from your body composition rather than a generic number, then work out how to reach it when your appetite is a fraction of what it was — usually a mix of meal structure, food choices and, where needed, protein-dense options that do not feel like a chore.

Will I lose muscle on weight-loss injections?

Some lean tissue loss happens with any weight loss. The published trials of semaglutide report a wide range, from almost none up to around 40% of the total weight lost. The range is that wide partly because of what people eat and whether they do any resistance training. That is the part you can control, and it is exactly what we work on — measured on the Tanita body-composition scale so you can see whether the plan is working rather than hope it is.

What can I do about nausea, reflux and constipation?

A great deal, and mostly through food. Smaller and more frequent meals, cooler and blander foods when nausea peaks, separating fluids from meals, getting fibre up gradually with enough water alongside, easing off high-fat and fried foods, and timing meals around your injection day. If symptoms are severe or persistent, that is a conversation for your prescriber, and we will tell you so.

Will I regain the weight when I stop?

Not inevitably, but the data is a warning worth taking seriously: in the STEP 1 trial extension, people who stopped semaglutide regained roughly two-thirds of their lost weight within a year. What changes that is having a maintenance plan built before you stop, enough muscle preserved on the way down, and eating habits that survive the return of appetite. We plan the exit from the first consultation, not the last.

I take Ozempic for type 2 diabetes, not for weight loss. Can you help?

Yes. Diabetes nutrition is core dietetic work and several of our patients are on GLP-1 medication for blood glucose rather than weight. We also run a dedicated diabetes programme — the quiz will point you to whichever fits.

What about newer treatments like retatrutide?

Our nutrition support works the same way regardless of which treatment your doctor has prescribed. We would add one caution: we only work alongside medication that has been legitimately prescribed for you and is licensed for use in the UK. We cannot support the use of products bought without a prescription, and we would strongly encourage you not to.

Are you a dietitian or a nutritionist — and does it matter here?

It matters. “Nutritionist” is not a protected title in the UK; “dietitian” is. Our team are HCPC-registered dietitians, which means regulated clinical training and the ability to work safely with people on medication and with medical conditions. You can verify any of us on the HCPC register.

Can I do this online, or do I have to come to the clinic?

Both work. The online programme is identical in content and is what most of our UK-wide and international patients choose. The London clinic at 33 Cavendish Square adds in-person consultations and body-composition analysis at every visit.

Does private health insurance cover it?

Some policies cover dietetic input, particularly where there is a diagnosed condition. We can provide an invoice with the relevant details for you to claim — check with your insurer first, as cover varies.

Start here

Sixty seconds to find out if this is your programme

Answer a few questions and we will tell you which programme fits — including whether you need one at all.

Take the 60-second quiz Book a free 15-minute call

Nutrition programmes are provided by HCPC-registered dietitians and do not replace medical care. We do not prescribe, supply or adjust medication. Never change or stop a prescribed treatment without the clinician who prescribed it. Outcomes vary between individuals and are not guaranteed. 33 Cavendish Square, London W1G 0PW · +44 20 7123 8488 · assistant@raquelbritzke.com

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