I sit down with Lily Spechler, a registered dietitian and long hauler, to unpack why weight change in Long Covid is a metabolic story, not a willpower issue. We map a safer path: fuel first, stabilise blood sugar and blood flow, then make tiny adjustments that your body can tolerate.

• Adding 10–15% above BMR to halt weight gain and calm stress signals
• Glucose spikes from standing and why compression and electrolytes help
• Why cutting calories can worsen dysautonomia and fatigue
• Protein-forward plates with modest carbs to flatten swings
• When weight loss is medically useful in MCAS, hypermobility and sleep apnoea
• Stabilise first, then small deficits from added calories
• Safe strategies for unintentional weight loss using high calorie, low volume foods
• Using CGMs to link symptoms to glucose patterns
• Practical supports: salt, fluids, compression, pacing and low histamine choices

Links:

Connect with Lily: https://www.longcoviddietitian.com/services-5

Message the podcast! - questions will be answered on my youtube channel :)

For more information about Long Covid Breathing courses & workshops, please check out LongCovidBreathing.com

(music credit - Brock Hewitt, Rule of Life)

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The Long Covid Podcast is self-produced & self funded. If you enjoy what you hear and are able to, please Buy me a coffee or purchase a mug to help cover costs

Transcripts available on individual episodes here

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**Disclaimer - you should not rely on any medical information contained in this Podcast and related materials in making medical, health-related or other decisions. Please consult a doctor or other health professional**