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You did the hardest part.
Now let's make it last.

Perdura is a structured twelve-week programme for people coming off GLP-1 medication — built to rebuild appetite regulation, not rely on willpower.

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01 — The problem

Most people aren't told what happens next.

GLP-1 medication works largely by quietening appetite — the constant background hum of thinking about food that many people call food noise. When the medication stops, that signal typically returns. Nothing has failed. The mechanism that was doing the work simply isn't there anymore.

02 — The reframe

This isn't a willpower problem.

Regain after medication isn't a lack of discipline — it's an unmanaged transition. The habits that keep weight stable are usually built while appetite is suppressed and the pressure is off. That window is the opportunity, and most people go through it without any structure at all.

Perdura exists for that window.

APPETITE SIGNAL TIME MEDICATION BEGINS MEDICATION ENDS WITHOUT STRUCTURE WITH PERDURA
Fig. 1 — Illustrative. The transition window is where the outcome is decided.
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03 — How Perdura works

Four levers, worked deliberately.

01

Appetite and nutrition

Rebuilding satiety through food structure, protein and meal timing, so fullness does the work medication was doing.

02

Movement

Preserving lean mass through the transition, which is what protects metabolic rate long-term.

03

Sleep and stress

The two variables that most reliably drive appetite dysregulation, and the two most often ignored.

04

Behaviour and accountability

Weekly one-to-one coaching, with support between sessions so nothing drifts for three weeks before it's caught.

04 — The programme

Twelve weeks, structured.

Weeks 1–2

Baseline

Full health screening, current medication status, and an honest picture of where appetite, sleep and movement actually sit.

Weeks 3–6

Foundations

Building the eating and movement structure while medication is still supporting you, so it's established before you need it.

Weeks 7–10

Transition

Working through the return of appetite signals with a plan already in place, rather than improvising.

Weeks 11–12

Independence

Consolidating what works and building the protocol you'll use when a bad week happens — because one will.

05 — Method and evidence

Built on measurement, not motivation.

Progress is tracked using validated tools rather than the scale alone — including the Food Noise Questionnaire,1 a research instrument developed to measure exactly the thing most programmes never assess. Weight is one signal. Appetite, confidence and consistency tell you far more about whether change will hold.

1.

Food Noise Questionnaire (FNQ) — a validated self-report instrument for intrusive food-related thought. Used at baseline, mid-programme and exit, alongside sleep, movement and confidence measures.

06 — Who's behind it

Why this exists.

Perdura was founded by Jaz Sandhu, a Health and Wellbeing Coach working in the NHS, supporting people with obesity, type 2 diabetes and hypertension.

The pattern was consistent: people did well on medication, then came off it with no plan, no structure and no support — and were left to interpret the return of appetite as personal failure. Perdura is the programme that should have existed at that point.

07 — Questions

Straight answers.

Two ways to start.

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A short conversation to see whether this is the right fit. No obligation either way.

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Occasional updates on the programme and what we're learning. Nothing else.

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