Perimenopause & Beyond

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Glucagon like peptide (GLP-1) hormones
When you consume a meal, specialized cells within your gastrointestinal tract detect the nutrients present, whether they are carbohydrates, fats, or proteins. These cells then release specific hormones to signal to the body to prepare for the intake of nutrients. One of the primary hormones secreted in this process is glucagon-like peptide 1 (GLP-1). GLP-1 is classified as an incretin hormone, which prompts the pancreas to release insulin— a hormone that facilitates the absorption of glucose (sugar) from the bloodstream by cells. Consequently, GLP-1 plays a critical role in maintaining stable blood sugar levels, which is essential for reducing the risk of cardiovascular disease and type 2 diabetes.
GLP-1 medications work by mimicking GLP-1, targeting key organs in the following way:
Brain: GLP-1 receptors in the hypothalamus (hunger centre) reduce food intake and cravings.
Muscles: GLP-1 increases nutrient uptake, enabling the body to burn fat and sugar more effectively.
Stomach: GLP-1 slows digestion & gastric emptying, prolonging satiety (feeling full) after eating.
Liver: GLP-1 suppresses glucose production, which helps stabilize blood sugar levels.
Pancreas: GLP-1 stimulates insulin secretion and reduces glucagon (another hormone that raises blood sugar), improving glucose control.
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Supplements that stimulate GLP-1 hormones
While medications like Ozempic can be effective, they often come with a range of potential side effects (some of which I describe in a historical blog about Ozempic and essential nutrients for health). GLP-1 supplements, especially those from natural sources, typically have fewer and less severe side effects in comparison. GLP-1 triggering supplements may help in regulating blood sugar and aiding fat loss but also contribute to overall health.
Glucomannan – a soluble fibre, found in Konjac typically in Asian cuisine has gained popularity in the West in recent decades via supplementation for weight management and relief of constipation. Its documented that fermentation of fibre in the colon produces short chain fatty acids (SCFAs), which can further enhance GLP-1 secretion, (1).

Butyrate – when our intestines break down carbohydrates, one of the end products via bacterial fermentation is a substance called butyrate, a type of SCFA that promotes GLP-1 secretion in intestinal cells. Butyrate is available as a supplement but the link between supplemental butyrate vs endogenous (body made) butyrate actions is still in its infancy. Other research has shown that taking probiotic bacteria has the potential to modulate SCFA production and the release of GLP-1 hormones, highlighting a suggested link between bacterial supplementation and metabolic enhancement such as prevention of insulin resistance. (2, 3)
Cinnamon - Research suggests that cinnamon can increase GLP-1 levels, particularly when consumed in higher doses, comparisons of 1 to 3 g per day found there was a dose related improvement in blood sugar of individuals in clinical testing. (4). In some cultures cinnamon is added to many dishes and if you like the taste, start adding it to your Greek yoghurt for breakfast or sprinkle on home made granola. If you are not so keen however, it is available in supplement capsule form.
Curcumin