New weight-loss drugs can produce impressive results – but what happens when you stop? A major BMJ review shows that weight regain is common and, on average, happens faster after stopping medication than after diet- and lifestyle-based approaches. The newer the drug, the steeper the rebound. This isn’t about blame or failure, but about understanding biology, and why sustainable weight management needs more than a prescription.

I often hear from people who say they’re doing all the right things – trying to eat well, move more, manage stress – but somehow they feel worse than a few years ago. What I’ve come to understand is that many of us wait until we 'feel old' or face a health scare before really taking action. But by then, some of the damage has already started. That’s why midlife is such a crucial time for healthy ageing.

If you’ve noticed that your usual approach to food, exercise and self-care no longer works the way it used to, you’re not imagining it. Many people in their 40s and 50s start to feel like their body is changing in ways they didn’t expect – and metabolism often feels like the culprit. But what actually is metabolism? And why does it seem to ‘slow down’ as we get older?