MalMoun Project
Lifestyle Medicine & GLP1 Programme
A pilot programme combining lifestyle medicine with GLP-1 treatment, delivering strong early improvements in HbA1c, weight and metabolic health.
Context
The MalMoun Project was developed at Mayfield Surgery in Stoke-on-Trent to support patients living with Type 2 Diabetes. The programme integrates lifestyle medicine alongside GLP-1 (Tirzepatide) treatment to provide a more holistic and sustainable approach to care.
The Challenge
While GLP-1 medications can support short-term improvements, there is a need for structured lifestyle support to help patients make sustainable changes and maintain outcomes beyond medication.
The Approach
Group-based lifestyle medicine sessions covering all six pillars
Delivered alongside GLP-1 treatment (Tirzepatide)
Supported by a multidisciplinary team including GPs, a personal trainer, and wider practice staff
Use of LMA resources and patient workbooks to support behaviour change
Integration of exercise and practical lifestyle interventions within sessions
Results and Outcomes (early cohort)
17 patients completed the first cohort
Average reduction in HbA1c: 28 mmol/mol
Average weight loss: 8.9 kg
Average reduction in waist circumference: 7.8 cm
Feedback from participants has been strong, with high levels of engagement and positive response to the combined model.
What this shows
Combining lifestyle medicine with GLP-1 treatment can enhance outcomes
Structured behavioural support is key to sustaining change beyond medication
Group-based delivery can be effectively integrated within primary care settings
Next Steps
A second cohort is underway, extending the model to patients not eligible for GLP-1 treatment, using lifestyle medicine as a standalone intervention. Further results and insights will be shared as the programme develops.
Delivery Team
Delivered in partnership with:
Mayfield Surgery, Stoke-on-Trent
Clinical lead: Dr. Zara Gandon
Team: Dr. Dai Evans, Jonathan Scragg, Lucy Proctor, Cheryl Lowndes
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