When Ruby Agu was diagnosed with low blood pressure in 2011 at age 31—after having two children—she didn’t realize how serious it was. She followed the doctor’s prescriptions, but never really connected the dots between her health, her heart, and her lifestyle.
Like many women, she assumed her weight was simply “baby weight,” something to shed for looks—not health. That would change in 2013.
After delivering her third child, Ruby received a diagnosis that shook her: Left Ventricular Hypertrophy (LVH)—a serious condition where the heart’s left ventricle thickens, making it harder to pump blood and potentially leading to heart failure. But instead of prescribing medication, her cardiologist prescribed weight loss.
Under medical supervision, she lost 10kg in one month, and that marked the beginning of FitAuntyRuby. In 12 months, she lost a total of 35kg.
But weight loss wasn’t the only battle she fought.
Following her third delivery, Ruby began to experience abnormal and prolonged menstrual bleeding. Her first postnatal period lasted over 2.5 weeks, followed by episodes that came in waves of 10 to 17 days. Weak, dizzy, and constantly bleeding, she leaned on her mother for support.
Eventually, after consulting with multiple specialists, Ruby made the difficult decision to undergo a hysterectomy just 7 months after giving birth via C-section.
During her post-op review, she received yet another critical piece of information: The mass they thought was fibroid was actually endometrial hyperplasia—a condition that could have progressed to endometrial cancer within 18 months if left untreated.
The Emergency Surgery
In 2016, Ruby began to feel unimaginable abdominal pain, rushed to the hospital, and throwing up repeatedly. Tests, scans, and prolonged suffering led to an exploratory laparotomy—a major abdominal surgery.
The cause? A severe intestinal obstruction that had already led to perforation in both her large and small intestines. Portions had to be removed and patched up. Healing took time. It still does.
“So the next time you wanna judge my abs as a fitness trainer—DON’T! You have no idea what I, or this stomach, have been through.”
A Life Rebuilt with Purpose
Today, Ruby Agu is not just a fitness coach. She is a survivor. A woman who turned her pain into purpose. Her story is proof that fitness is not just about aesthetics—it’s about reclaiming life, protecting your health, and honoring your body.
She now helps others transform their lives—not just through exercise, but through knowledge, compassion, and lived experience.
About Ruby Agu
Ruby Agu is a certified trainer and health coach with specialties in Lifestyle & Weight Management (NESTA), Fitness Nutrition Consulting (NESTA), and more. She is the founder of FitAuntyRuby and a strong advocate for sustainable wellness, especially among women navigating motherhood, recovery, and long-term health.
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