This service is for patients undergoing GLP-1 class pharmacological treatment (semaglutide, tirzepatide) for weight management or type 2 diabetes, referred by their doctor or endocrinologist for nutritional monitoring to complement their treatment, or without a referral. It is also for patients in the pre-medication phase, or those who wish to receive structured support without medication, with the same clinical rigor.
Evidence-based nutritional support, acting as an extension of the medical treatment plan, offered virtually in Montreal and throughout Quebec.
Why this is important
GLP-1 therapy rapidly alters appetite and digestive tolerance, creating nutritional needs that a prescription alone cannot meet. Our role is to provide nutritional support during this treatment: preserving muscle mass, managing digestive side effects, and maintaining a healthy relationship with food throughout the entire process, including the maintenance phase.
A new home
for more peaceful weight management
Nuome comes from "nu," meaning new, and "ome," which sounds like home. This is exactly what our approach aims to offer: a stable, coordinated place to land, a new home, during medical treatment that affects appetite, the body, and the relationship with food, rather than isolated nutrition care disconnected from the rest of the treatment plan.
We work as an extension of the plan established by the physician or endocrinologist, with progress updates available to the medical team upon request. Nutritional monitoring includes an assessment of sleep patterns and physical activity levels, as these influence appetite, satiety, and muscle preservation. When a situation falls outside the scope of nutrition practice, we refer to a kinesiologist, physiotherapist, occupational therapist, or physician.
What that includes
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Adjusting protein intake according to digestive tolerance, to limit muscle mass loss
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Management of digestive side effects limiting nutritional adequacy (nausea, early satiety, reflux, constipation)
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Coordination with the patient's physical activity level to support lean mass
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Monitoring of the relationship with food and hunger and satiety signals throughout treatment
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Assessment of sleep habits in relation to appetite and eating behaviors
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Nutritional preparation during the maintenance or weaning phase of medication
What to expect during a consultation
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Pre-visit questionnaire on medical history, current medication and patient goals
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Initial 60-minute assessment: digestive tolerance, current intake, concrete and prioritized plan
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Regular follow-up appointments adjusted according to the progress of treatment, with the possibility of communication with the treating physician.
Scope of Practice
We do not prescribe medication, modify dosages, or replace the medical care provided by the treating physician or endocrinologist. We work alongside this care, focusing on the nutritional aspects, and maintain open communication with the medical team when appropriate.
FAQ
As a physician, how can I refer a patient? You can refer the patient directly, or contact us to discuss a case before the first appointment if there is specific clinical context to share.
Do you communicate with the treating physician? Yes. With the patient's consent, we can provide progress updates or report any significant nutritional concerns observed during treatment.
My patient is experiencing faster than expected weight loss; can this service help? Yes, this is exactly the type of situation where adjusting protein intake and close monitoring make a clinical difference, particularly in preserving muscle mass.
Do you provide a strict, low-calorie diet plan? No. The approach respects the principle of energy balance necessary for weight loss, but the method is individualized according to the patient's actual digestive tolerance; it's not a rigid, imposed plan.