Should I Take a GLP-1 for My Fertility?

If you're being told you need to lose weight before you can access fertility treatment, and GLP-1 medications like Ozempic, Wegovy, or Mounjaro are part of that conversation, this episode is for you. Because you deserve to make this decision with the full picture, not just the version the pharmaceutical companies want you to hear.

In this episode:

Why GLP-1s are increasingly being offered to fat folks wanting to get pregnant, and why the logic behind that recommendation is shakier than it's presented as

The genuine potential benefits worth knowing about, including for folks with PCOS, insulin resistance, or type 2 diabetes, and why access to care is a real and valid consideration

The risks that often go unmentioned, including nutritional deficiencies, weight regain after stopping, and the absence of long-term human pregnancy safety data

Why the research linking weight loss to better fertility outcomes tells a more complicated story, and what it's more likely actually showing

Four questions to sit with before making your decision, so that whatever you choose, you're choosing it with your eyes open

This is the first in a four-part series on GLP-1s this month.

Useful links:

Fat Positive Fertility Roadmap Sessions

Free download: Fat Person's Guide to Getting Pregnant

Follow Nicola on Instagram: @fatpositivefertility

If you've been hurt by the healthcare system while trying to access fertility care, you are not alone, and you are not broken. This episode is for anyone who has experienced harm, dismissal, or humiliation from healthcare providers and is now caught in the incredibly difficult position of needing care from a system that has already hurt them.

In this episode, we cover:

What healthcare trauma actually looks like, and why so many fat folks experience it without ever naming it that way

How your nervous system responds to perceived threats (fight, flight, fawn, and freeze) and why your fear is not self-sabotage

The Prepare and Care framework: practical steps to support yourself before and after appointments

The difference between advocacy mode and survival mode, and why it matters

How to find trauma-informed providers, and what to do when that's not possible

Key takeaway: Your fear of being harmed again is a completely rational, protective response. You do not have to be in advocacy mode all the time. Sometimes just getting through the appointment is enough.

Resources & Links

📖 Fat and Fertile

🌿 Work with Nicola: Fat Positive Fertility Roadmap

📱 Instagram: @fatpositivefertility

📧 Email: nicola@nicolasalmon.co.uk

This week's episode is about something I hear constantly and it makes me genuinely angry. You can't access fertility care until you lose weight. But you can't access support to lose weight. And they won't investigate the health condition that might be causing everything in the first place. Round and round you go.

If you're stuck in this loop right now, this one is for you. And the first thing I want you to know is: it is not your fault.

In this episode we cover:

Why the NHS BMI cutoffs for fertility treatment are arbitrary, not evidence based, and not actually NICE guidelines

Why this catch 22 is intentional and how the system has been designed to exclude people in bigger bodies

How to advocate for your health conditions separately from your fertility goals, and why this matters

Practical steps to document refusals, push back, and escalate if you have the capacity to do so

How to take care of your mental and emotional health when you're fighting a system that should be fighting for you

Useful Links:

Download: Fat Person's Guide to Getting Pregnant

Book a Fat Positive Fertility Roadmap Call

Follow me on Instagram

Email me a question for a future episode