If you've found your way here, chances are you’re somewhere on the way off a GLP-1 — done with the jab, tapering, or quietly dreading the day the prescriptions stop. I built PS NOW because I kept meeting women at exactly that point: they’d done everything right, reached their goal, and then the support simply ended. A congratulations email, and good luck.

It’s personal, too. A close friend of mine is on the jab right now — and in all her appointments, not one person mentioned that a real share of what she’s losing may be muscle, or what that means for keeping the weight off later. She’s doing everything she was told. She was just never told the after-part. That gap is why PS NOW exists.

I’m a Registered Nutritional Therapist (BANT, NTOI and CNHC registered), trained at the Institute for Optimum Nutrition in London, and a Certified Functional Medicine Practitioner (IFMCP) with the Institute for Functional Medicine. Functional medicine asks why symptoms happen — and life after a GLP-1 is a why-question: why the appetite roars back, why the metabolism slowed, and what rebuilds them. Through my practice, Aspirant Health, I work every day with women navigating hormonal and metabolic change — perimenopause, shifting appetite, a metabolism that won’t follow the old rules. This transition deserves the same care as getting on the medication — and almost nobody provides it.

And yes, there’s a “Dr” before my name — a doctorate in Social and Economic Sciences, not medicine. I say that openly because you deserve to know exactly who you’re working with: I’m not a medical doctor, and decisions about your medication always stay between you and your prescriber. My work starts where theirs ends.

— Dr Sandra Handlbauer-Zrust