CDC Warns of Norovirus Outbreak Across the US as Cases Rise

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        CDC Warns of Norovirus Outbreak Across the US as "Stomach Bug" Cases Rise
    Stomach bug season is hitting hard this year.
By Ferozan MastDec 31, 2024
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By Ferozan MastDec 31, 2024
Ferozan Mast
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Ferozan Mast is a science, health and wellness writer with a passion for making science and research-backed information accessible to a general audience. 
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   Christopher Roback
✓Expert-Recommended
We've consulted with our team of licensed nutritionists              and dietitians to bring you informed recommendations for food products, health aids and nutritional goods to                safely and successfully guide you toward making better diet and nutrition choices. We strive to only recommend                  products that adhere to our philosophy of eating better while still enjoying what you eat.
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Norovirus is surging across the United States, with CDC data showing 91 cases reported the week of December 5, a sharp rise from 69 reported the week of November 28. “The terrible thing about norovirus is that by the time you figure out what it is, often it’s too late,” says Michelle Barron, senior medical director of infection prevention and control at UCHealth. “Everybody has been exposed, and everyone is dealing with it.” While most cases tend to happen between November and April, the majority of Norovirus outbreaks are related to food supply, Columbia University Medical School infectious disease professor Dr. Jatin Vyas tells Newsweek. "[Infectious disease experts] think of norovirus as kind of a year-round process, and there's just kind of blips and valleys." Here’s how to protect yourself from the outbreak.
Highly Contagious
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Norovirus is very contagious and can be spread through contaminated food, water, and surfaces and through airborne droplets when someone vomits. “You are most contagious when you have symptoms of norovirus illness, especially vomiting,” says the CDC. “[And] during the first few days after you feel better. However, studies have shown that you can still spread norovirus for 2 weeks or more after you feel better.”
Fecal-Oral Route
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Darby Luckey, DO, says it’s common for the virus to be spread person-to-person via the fecal-oral route. “People hear that and think, ‘Ew, I’m eating poop,” Dr. Luckey tells Nebraska Medicine. “But really, it’s that people don’t always wash their hands appropriately. Maybe they’re changing a diaper or come into contact with it on their clothes or a towel in the bathroom, and it gets ingested.”
RELATED:Expert Reveals Ancient Oil Hack That Melts Belly Fat During Sleep
Symptoms of Norovirus
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Nausea, fatigue, stomach pain, diarrhea, vomiting, body aches, and fever are common signs of norovirus. “For most patients, if they’re able to rest and stay hydrated, and if the nausea and vomiting resolve within 24 to 48 hours, they should be fine,” Dr. Luckey says. “But if the symptoms are so severe that they cannot stay hydrated, they may need IV fluids, even if they are otherwise healthy.”
Prevent Dehydration
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Replace the fluids and electrolytes lost through vomiting and diarrhea, experts say. “It is important to replace fluids to prevent dehydration,” infectious disease specialist Jesse Couk, MD, tells Piedmont Health. “I usually recommend using Pedialyte or a mixture of half Gatorade and half water. In the hospital we can treat dehydration with intravenous fluids and monitor electrolytes for any abnormalities that may occur. Children under 5, adults over 65, and the immunocompromised have the greatest risk of being hospitalized.”
How To Prevent Norovirus
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Washing hands thoroughly with soap and water is the best way to prevent norovirus from spreading, as hand sanitizer alone doesn’t cut it. “Alcohol can’t break the shield. A detergent like soap can most of the time,” Dr. Barron says. “Be really diligent with hand washing. Make sure you’re washing your hands really well with soap and water and that you’re cleaning surfaces with bleach. Also, be very conscious about food preparation.” And if you enjoyed this article, don't miss 40 Health Symptoms That Can Be More Serious Than You Think.

        
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        CDC Warns of Norovirus Outbreak Across the US as "Stomach Bug" Cases Rise
    

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By Ferozan MastDec 31, 2024
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Ferozan Mast is a science, health and wellness writer with a passion for making science and research-backed information accessible to a general audience. 
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   FACT CHECKED BY
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✓Expert-Recommended
We've consulted with our team of licensed nutritionists              and dietitians to bring you informed recommendations for food products, health aids and nutritional goods to                safely and successfully guide you toward making better diet and nutrition choices. We strive to only recommend                  products that adhere to our philosophy of eating better while still enjoying what you eat.
Norovirus is surging across the United States, with CDC data showing 91 cases reported the week of December 5, a sharp rise from 69 reported the week of November 28. “The terrible thing about norovirus is that by the time you figure out what it is, often it’s too late,” says Michelle Barron, senior medical director of infection prevention and control at UCHealth. “Everybody has been exposed, and everyone is dealing with it.” While most cases tend to happen between November and April, the majority of Norovirus outbreaks are related to food supply, Columbia University Medical School infectious disease professor Dr. Jatin Vyas tells Newsweek. "[Infectious disease experts] think of norovirus as kind of a year-round process, and there's just kind of blips and valleys." Here’s how to protect yourself from the outbreak.
Highly Contagious
Shutterstock
Norovirus is very contagious and can be spread through contaminated food, water, and surfaces and through airborne droplets when someone vomits. “You are most contagious when you have symptoms of norovirus illness, especially vomiting,” says the CDC. “[And] during the first few days after you feel better. However, studies have shown that you can still spread norovirus for 2 weeks or more after you feel better.”
Fecal-Oral Route
Shutterstock
Darby Luckey, DO, says it’s common for the virus to be spread person-to-person via the fecal-oral route. “People hear that and think, ‘Ew, I’m eating poop,” Dr. Luckey tells Nebraska Medicine. “But really, it’s that people don’t always wash their hands appropriately. Maybe they’re changing a diaper or come into contact with it on their clothes or a towel in the bathroom, and it gets ingested.”
RELATED:Expert Reveals Ancient Oil Hack That Melts Belly Fat During Sleep
Symptoms of Norovirus
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Nausea, fatigue, stomach pain, diarrhea, vomiting, body aches, and fever are common signs of norovirus. “For most patients, if they’re able to rest and stay hydrated, and if the nausea and vomiting resolve within 24 to 48 hours, they should be fine,” Dr. Luckey says. “But if the symptoms are so severe that they cannot stay hydrated, they may need IV fluids, even if they are otherwise healthy.”
Prevent Dehydration
Shutterstock
Replace the fluids and electrolytes lost through vomiting and diarrhea, experts say. “It is important to replace fluids to prevent dehydration,” infectious disease specialist Jesse Couk, MD, tells Piedmont Health. “I usually recommend using Pedialyte or a mixture of half Gatorade and half water. In the hospital we can treat dehydration with intravenous fluids and monitor electrolytes for any abnormalities that may occur. Children under 5, adults over 65, and the immunocompromised have the greatest risk of being hospitalized.”
How To Prevent Norovirus
Shutterstock
Washing hands thoroughly with soap and water is the best way to prevent norovirus from spreading, as hand sanitizer alone doesn’t cut it. “Alcohol can’t break the shield. A detergent like soap can most of the time,” Dr. Barron says. “Be really diligent with hand washing. Make sure you’re washing your hands really well with soap and water and that you’re cleaning surfaces with bleach. Also, be very conscious about food preparation.” And if you enjoyed this article, don't miss 40 Health Symptoms That Can Be More Serious Than You Think.

        
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        3 New Ozempic and Wegovy Side Effects
    

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By Ferozan MastAug 19, 2024
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With 1 in 8 US adults having tried a GLP-1 drug like Ozempic or Mounjaro at some point and half of those currently using a prescription, approximately 15 million people are taking these drugs, according to a survey by KFF. With the popularity of these medications exploding, tracking side effects is more important than ever. New research published in JAMA shows that non-diabetics who take the drugs could experience serious and unpleasant side effects. Here’s what those side effects are, plus others to expect from taking a GLP-1 drug.
PancreatitisShutterstock
Non-diabetic users have a roughly nine times higher chance of developing pancreatitis. “It's definitely important that we're talking about this, but I want to keep it in perspective,” Dr. Tara Narula tells TODAY. “These drugs have been around and treating diabetic patients for over ten years, and we've really known about a lot of these side effects, bowel obstruction, pancreatitis, in fact, many of them are on the labels for these drugs.”
Bowel ObstructionNon-diabetic users have a four times higher risk of a bowel obstruction. “But the absolute risks are small, so these are rare,” Dr. Narula says. “We're talking about, for example, gastroparesis, which is this concept of slowing stomach emptying. We're talking about going from 0.3% with these non-GLP drugs to 1% with Ozempic, 0.3% to 0.8 or 0.7% with the other drugs. So these are small increases.”
RELATED:What Happens to Your Body When You Stop Taking Ozempic
Stomach ParalysisShutterstock
Non-diabetic users have a more than three-and-a-half times higher risk of stomach paralysis. “That's actually how this drug partially works, which is slowing the emptying of the stomach,” Dr. Narula says. “So it helps you feel fuller longer. The problem is, in some people, if it is severe, you will end up with nausea, vomiting, abdominal pain, feeling full bloating. So it's important we're raising awareness, but we want to keep it in perspective.”
No Off-Label DrugsShutterstock
Dr. Narula makes it clear no one should be trying to get these drugs without going through a medical professional. “People should not be getting this drug off the internet,” she says. “They should not be getting it without sitting down with a healthcare provider who can really talk to you about the risks and the benefits. Are you someone, for example, who has a history of bowel problems or pancreatitis? Then you probably shouldn't be taking this drug. Do the benefits outweigh? And yes, for obesity, we're talking about cardiovascular risks, cancer risks.”
Take It SlowShutterstock
Dr. Narula recommends starting on a low dose and increasing if necessary. “For a lot of people, there is going to be a benefit here, but you really want to do it the right way in terms of starting these drugs. Start low; you don't increase it until four to six weeks. You monitor for side effects, and if you need to, you can lower the dose. This healthcare provider should be talking to you about non-GI risks as well.”
There Are Benefits TooShutterstock
Dr. Narula says 40 to 60% of my patients are talking about GLP-1 drugs. “I mean, so many of my patients struggle with obesity, and many of them want to know about other options besides bariatric surgery and meeting with a nutritionist,” she says. “They say I've tried everything, and I can't figure out a way to lose weight. And we know that with these medications, we are seeing benefits in a cardiovascular high-risk population for lowering the risk of heart attack and stroke. So there are benefits for those people. So it is important to talk to your doctor about it. It's not for everyone. It may be for you, but really have that conversation.”
RELATED: 20 Things You Need to Know About Ozempic and Weight Loss
Vision IssuesShutterstock
Ozempic and Wegovy may also cause several other side effects, like vision issues. “It may seem strange that a drug made to help control diabetes could make your eyesight worse, but it’s something we’ve known about for a while,” says Raj K Maturi, MD. “A large clinical study suggested that there is an association between blood sugar control and worsening of diabetic retinopathy.”
HypoglycemiaShutterstock
Ozempic may cause hypoglycemia in some people. “Signs and symptoms of low blood sugar may include dizziness or lightheadedness, blurred vision, anxiety, irritability or mood changes, sweating, slurred speech, hunger, confusion or drowsiness, shakiness, weakness, headache, fast heartbeat, and feeling jittery” Ozempic makers warn.
Gallbladder IssuesShutterstock
Some people taking GLP-1 drugs may experience gallbladder issues. “Given the wide use of these drugs, these adverse events, although rare, must be considered by patients who are contemplating using the drugs for weight loss because the risk-benefit calculus for this group might differ from that of those who use them for diabetes,” according to research published in the Journal of the American Medical Association.
Thyroid CancerShutterstock
Ozempic may cause thyroid cancer, but a study shows no significant risk. “Our study covers a broad group of patients and provides strong support that GLP-1 analogs are not associated with an increased risk of thyroid cancer,” Björn Pasternak, principal researcher at the Department of Medicine at Karolinska Institutet, said in a statement.
RELATED:20 Possible Ozempic Side Effects
Ozempic FaceShutterstock
Fast weight loss may lead to a more hollowed-out look to the face, hence the term ‘Ozempic Face’. “The term is misleading because this can be a side effect of any GLP-1 drug or any other cause of rapid weight loss,” Lisa Catanese, ELS, says via Harvard Health. “If weight is lost in a more gradual way, these changes may not be as noticeable. It's the faster pace of weight loss that occurs with GLP-1 drugs that can make facial changes more obvious.”
GI IssuesShutterstock
GLP-1 drugs may cause constipation and diarrhea. “Gradual dosing while on Ozempic is crucial to mitigate the risk of severe constipation associated with higher doses,” Andrew Le, MD, tells Buoy Health. “Constipation caused by Ozempic usually subsides over time, with the median duration of constipation lasting 47 days.”
Fatigue and HeadacheShutterstock
Fatigue and headaches are also common side effects. “Gastrointestinal problems are the most common side effects since Wegovy can slow down people’s digestive systems,” Dr. Cecilia Low Wang, endocrinology, diabetes and metabolism expert, tells UC Health. “During clinical trials, some participants experienced nausea, diarrhea, vomiting, constipation, abdominal pain, headache, fatigue, indigestion, dizziness, bloating and gas.”
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Severe Side EffectsShutterstock
Dr. Low Wang says side effects can be so severe some people stop taking the drug. “About one in five people might stop because they are experiencing bad side effects,” she tells UC Health. “I encourage some patients to stay at the lower dose level for a longer period of time to see if they can tolerate it better and still get some benefit from the medication. Or if they don’t tolerate this medication, we might try a different one.” And if you enjoyed this article, don't miss 20 Incredible Ozempic Success Stories of All Time.
Nutrition & Diet
        15 Red Flags Sabotaging Your Weight Loss
    

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By Leah GrothMay 29, 2024
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Leah Groth has decades of experience covering all things health, wellness and fitness related. 
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			   sound information and advice to make the smartest, healthiest choices.
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Are you struggling to lose weight? It could be that you are sabotaging your success – but you don’t even know it. It could also have to do with gut health red flags. According to Jamie Maitland, Certified Holistic Nutritionist, Fitness Trainer, Founder of The Office Health, and author of The 21 Day Reset Cookbook, there are a bunch of health habits that may be sabotaging your weight loss. Here are 15 to look out for.
Poor Sleep
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Poor sleep is majorly tied to weight loss, says Maitland. “It might sound a bit cliche, but sleep is extremely important!” she explains. “Sleep is vital for both physical and mental health. It quite literally helps the body store energy, repair injuries, improve memory, and grow.”
Not Drinking Enough Water
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Inadequate water intake is another health habit that could be getting in the way of your weight loss. “Water is life,” exclaims Maitland. “We are 70% water. Water helps get rid of waste in the body, can help keep you feeling full, and adequate water intake helps break down fat cells.”
Not Understanding Your Insulin Resistance
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Not knowing your insulin resistance and why it's so important may also be getting in the way of your weight loss. “Insulin is our master fat-storing hormone,” says Maitland. “It is produced in the pancreas and plays a key role in regulating energy and macron balance within the body.”
Skin Issues
Shutterstock/Robert Przybysz
Are you experiencing skin problems? “Most all skin conditions are linked to gut bacteria imbalances,” says Maitland.
Chronic Fatigue
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If you are experiencing chronic fatigue, there could be an underlying health issue. “This might be an indication of poor nutrient absorption,” says Maitland.
RELATED:12-3-30 Walking Method: 20 Proven Tips to Lose Weight Faster
Chronic Bloating
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“Chronic bloating isn’t normal. Stop convincing yourself that it is,” says Maitland. “Bloating can be caused by gas, digestion issues, stress, and hormones. Take into consideration what you are actually eating so you can pinpoint what might be making you feel bloated.”
Food Intolerance
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Food intolerances can also help you understand your gut health better. “It’s helpful to know what foods might be triggering inflammation to further help you get to the root of the cause,” says Maitland.
Frequent Illness
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Are you frequently sick? “This can be a sign of a weak immune system due to poor gut health,” says Maitland.
Not Being Able to Stick to a Diet
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If you are feeling constantly challenged to stick to a diet, there could be a reason. “It may be because of food cravings and lack of motivation in general,” says Maitland.
RELATED: 15 Quick Ways to Lose Body Fat Percentage in a Week
Frequent Diarrhea
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There might be gastrointestinal red flags as well, including frequent diarrhea. “This can lead to nutrient deficiencies, which unfortunately can put a halt to your weight loss efforts,” says Maitland.
Subhead Goes Right Here
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Another gastrointestinal red flat? “Constipation, which can suggest a sluggish digestive system,” says Maitland.
Sugar Craving
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Sugar cravings can also be responsible for an inability to lose weight. “These can lead to unhealthy food choices,” she says.
Mood Swings
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If your mood is off balance, you are more likely to eat unhealthy food. “Mood swings and irritability can contribute to emotional eating and weight gain,” says Maitland.
Poor Living Environment
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A poor living environment can have a major effect on your motivation, says Maitland. “An optimal environment should have you feeling comfortable and safe wherever this space is,” she explains. “It should make you feel happy.”
RELATED:11 Superfoods to Maintain Muscle Mass As You Age
Chronic Stress
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“Chronic stress, as we all know, can lead to an array of problems inside the body,” says Maitland. “Unfortunately, chronic stress can make your weight loss journey a bit more challenging as it can affect your body processes such as your metabolism and appetite.”
💪🔥Body Booster: Don’t forget to hydrate. The CDC's recommended daily water intake is around 125 ounces (3.7 liters) for men and 91-98 ounces (2.7-2.9 liters) for women, with some variation based on age. Water helps get rid of waste in the body and can help keep you feeling full, and adequate water intake helps break down fat cells.
Nutrition & Diet
        I Lost 8 Pounds in 3 Weeks on the Candida Diet, and Here Is What You Need to Know
    
Kate Tries/YouTube
By Leah GrothAug 15, 2024
Leah Groth
Writer, Editor, and Content Creator
Leah Groth has decades of experience covering all things health, wellness and fitness related. 
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			   sound information and advice to make the smartest, healthiest choices.
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               scientific studies and medical journals.
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Kate Tries is a social media influencer who loves trying out new diets and fitness trends. In one of her viral YouTube videos, she reveals how she lost 8 pounds in 3 weeks on the candida diet. “My name is Kate, and today I'm going to talk about the Candida diet. I've been following this diet for three weeks, so I'm going to go over my results, and how I'm feeling and what I think of the diet overall, and here we go,” she says in the clip.
The Candida Diet Is No Sugar, No Flour, No Dairy, No GrainsShutterstock
“This diet is basically no sugar, no flour, no dairy, no grains. Basically, I just ate vegetables, meat, nuts, seeds, and a lot of eggs for three weeks. The purpose of this diet is to fix my gut health and to balance the bacteria in my stomach,” says Kate.
She Lost 8 Pounds in 3 Weeks“Within these three weeks, I have lost eight pounds, which is the most I've lost on any of the diets I've done so far. So I'm really excited about that. Although I did not do this diet specifically for weight loss, it's more to get me healthy. Ironically, I've lost the most weight on this diet so far. I think I've lost about 32 pounds overall and about 15 since I started this channel,” she says.
You Will Get Sick Before You Get BetterShutterstock
Unfortunately, you are going to feel worse before you feel better on the diet, Kate says. “So if you have candida, it can be really hard to start a diet like this, and a lot of times you'll get kind of sick before you start getting better,” she explains.
RELATED: 7 Healthiest Foods You Need in Your Diet Every Day
She Started Off By Doing a CleanseShutterstock
“The way I started this diet is by doing a three-day cleanse,” she says, linking to another video of exactly what she did on it.
She Had Some Go-To Foods She Ate Over and Over AgainShutterstock
“The way to be successful in this diet is to have some go-to foods. I had a lot of food that I ate over and over and over again. Three weeks is not that long, so I didn't even really get tired of the foods I was eating,” she says.
She Also Had Go-To Meals at RestaurantsShutterstock
“I found a couple of restaurants that had compliant meals that I could order. And so whenever I was tired, or I just wasn't feeling like cooking after a long day, I would go to these specific meals and these specific restaurants, and that made it way easier to accomplish. So I really suggest that you find ways to make this as easy as possible and as low maintenance as possible because if you're really stressed about cooking and, and being really strict about making everything yourself, it's gonna make it way more difficult to do this,” she says.
RELATED: I Lost 100 Pounds by Walking Every Day: Here Are My Hacks
Anyone Can Benefit From This “Back to Basics” DietShutterstock
“You do not have to have a candida issue to do this diet,” she continues. “It's pretty healthy for anyone. Obviously, you should check with your doctor before you make any kind of diet plan. But this is basically just like back to basics, no refined food and just basically easily digestive food.”
It Can Help If You Have Any Stomach IssuesShutterstock
“There are quite a few people who don't have candida but just have stomach issues. Actually, a lot of stomach issues, like a leaky gut, can originate from Candida. So, this is a good diet for a variety of different types of people. Even if your goal is just to lose weight, it was really successful for me just to do that,” she explains.
She Has Seen a “Big Improvement” with Her SymptomsShutterstock
“As far as the candida issue goes, doing this diet, I have seen a very big improvement with my symptoms, and I'm actually feeling quite a bit better,” she says. “I still have symptoms, though I'm not over this issue, and it can take a long time. The process of getting over a candida imbalance in your stomach is a big deal, and it can take a long time to recover.”
RELATED: 7 Red Flag Signs You’re Burning Muscle (Not Fat)
You Might Also Need SupplementsShutterstock
She did say that you might need to take supplements as well. “While I've been following this diet, I was just focusing on the food I was eating, and I wasn't taking any additional supplements. And Candida is hard to kill, and you actually do need supplements in order to get over this issue,” she says. And if you enjoyed this article, don't miss12-3-30 Walking Method: 20 Proven Tips to Lose Weight Faster.
Nutrition & Diet
        20 Possible Ozempic Side Effects
    

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By Leah GrothMay 10, 2024
Leah Groth
Writer, Editor, and Content Creator
Leah Groth has decades of experience covering all things health, wellness and fitness related. 
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   FACT CHECKED BY
   Christopher Roback
✓Fact-Checked
Our content is fact checked by our senior editorial staff to reflect accuracy and ensure our readers get
			   sound information and advice to make the smartest, healthiest choices.
We adhere to structured guidelines for sourcing information and linking to other resources, including
               scientific studies and medical journals.
If you have any concerns about the accuracy of our content, please reach out to our editors by e-mailing
               editors@bodynetwork.com.
Everyone knows the number one side effect of taking Ozempic: Weight loss. In the past few years, the diabetes drug used to help people lose massive amounts of weight has created serious buzz in the diet world, with many touting it as a “miracle” drug. However, if you are thinking about getting the weekly jab, it’s important to educate yourself about it, especially when it comes to potential side effects. Here are the major side effects to look out for, according to our pool of experts and some from the Ozempic maker itself.
Fatigue
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Fatigue is reported to be a common side effect of taking Ozempic, especially if your blood sugar is low as a result, explains Novo Nordisk, the brand behind the weight loss drug. “When you start taking these drugs, your body is working extra hard to burn fat, so you might feel a little fatigued at first,” says Sue Decotiis, MD, a NYC-based weight-loss doctor. "I don’t recommend anyone do any high-intensity workouts while on these drugs. I recommend weightlifting and low-impact cardio like walking.”
Ozempic Breath
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You might also get bad breath, which some experts have dubbed Ozempic breath. Dentist, expert, and author Dr. Kami Hoss explains a theory surrounding the phenomenon: The drug could be contributing to gut dysbiosis — an imbalance of bacteria in the intestines that can lead to digestive problems and oral health issues like bad breath. In one study conducted by Novo Nordisk found that nearly 9% of people taking semaglutide reported belching.
“When it comes to treating Ozempic breath, it’s all about the alkalinity,” says Hoss, who recommends products like “SuperMouth MouthWash and MouthSpray, which boast an alkaline pH of 8.5, which is significantly higher than many over-the-counter, oral care products which tend to be acidic." It’s important to note that Ozempic breath isn’t a clinical diagnosis.
RELATED: 15 Things to Know Before Requesting Ozempic for Weight Loss
Fine Lines and Wrinkles
Shutterstock/Robert Przybysz
“Ozempic face” is another unofficial side effect of rapid weight loss. It has been a buzzword in the plastic surgery and aesthetic world and has even been cited in scientific studies. Fine lines and wrinkles are one of the major complaints. “Rapid weight and fat loss with Ozempic can lead to the characteristic ‘Ozempic face,’ where facial volume and fat are depleted, resulting in wrinkles and sagging skin,” one of them notes. “We have seen a significant increase in facial aesthetics services since the advent of Ozempic or Semiglutide. And it’s not slowing down anytime soon,” says Dr. Neville Campbell, MD, MBA, Medical Director of R3 Stemcell & Anti-Aging.
Fiber Digestion Issues
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Novo notes that there are a number of common digestive side effects when taking Ozempic. Dr. Decotiis points out that Ozempic and other GLP-1 weight-loss drugs make it harder to digest high-roughage foods. “There is a lot of fiber in it, which means it takes longer for the body to digest that. All the GLP-1 drugs slow down and delay gastric emptying,” she says. Foods with high roughage tend to be healthy, so they should not be completely avoided, “but I think you should eat them in small quantities,” she suggests. “That’s not a problem for people on these drugs because you won’t have a big appetite.”
RELATED:5 Foods That Maximize Weight Loss on GLP-1 Medicines, According to Coach
Stomach Problems
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Michelle Routhenstein, MS RD CDCES CDN, Preventive Cardiology Dietitian at EntirelyNourished.com, notes that diarrhea, also officially listed as a common side effect, is a major complaint. “Among my clients using Ozempic, the most common side effects often relate to the gastrointestinal system, such as diarrhea,” she says. “This makes sense since the medication's active ingredient mimics the hormone GLP-1, which influences food absorption and is recognized for its role in slowing down gastric emptying.”
While the exact cause of diarrhea is still unclear, “it seems that due to the drug's mechanism of action, it can sometimes lead to osmotic diarrhea, where more water is drawn into the intestines, resulting in this side effect,” she explains.
Loss of Facial Volume
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Vishal Verma, MD, founder of Revive Med Spa, adds that loss of facial volume and premature aging, AKA ozempic face, are other complaints. "This can be addressed with very effective filler. We have been excited about emerging regenerative treatments that stimulate the body to naturally produce collagen, elastin, and fat in treated areas to help correct the degradation commonly occurring with aging,” he says.
Changes in Taste
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More than 0.4% of people who take Ozempic report change in taste (also called dysgeusia). “It could be caused by zinc deficiency related to significantly eating less zinc-rich foods such as meat and nuts,” explains Kylie Bensley, MS, RD and founder of Sulinu Nutrition. “If things taste bitter or acidic, try eating with plastic utensils.”
RELATED:What Happens to Your Body When You Stop Taking Ozempic
Dizziness
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Dizziness and low blood sugar are other possible side effects, as noted by Novo. “Eating enough carbs and pairing them with proteins is important,” when taking ozempic, per Bensley.
Nausea
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Nausea is another very common side effect, as listed by Novo. Bensley maintains that it is “commonly related to increasing the dose too fast.”
Constipation
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Another gastrointestinal issue reported by those on ozempic is constipation, and Novo confirms it as a common side effect. “Constipation is caused by eating high-fat foods and low fiber,” says Bensley. “I advise to eat at least 2 to 4 fruits with skins a day.
Stretching Skin
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“Some people are complaining about having a saggy butt, Ozempic face, or loose skin from taking these drugs, but that doesn’t have anything to do with the drug. It has more to do with fat loss,” says Dr. Decotiis. “Your skin stretches when you gain weight, so when you lose a lot of weight, sometimes your skin doesn’t fully go back to normal. Think of a woman who’s pregnant. When she has a baby, sometimes her stomach takes time to go back to how it was before. One way to mitigate this effect is by weight training while using these drugs. Additionally, as you age, you have less elasticity in your skin, and you cannot produce as much collagen. Your skin bounces back better when you’re younger.”
RELATED: 15 Quick Ways to Lose Body Fat Percentage in a Week
Inflammation of Pancreas
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According to Novo a serious side effect to look out for is inflammation of your pancreas (pancreatitis). “Stop using Ozempic® and call your health care provider right away if you have severe pain in your stomach area (abdomen) that will not go away, with or without vomiting. You may feel the pain from your abdomen to your back,” they say.
Changes in Vision
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Changes in vision are another potentially serious side effect, according to Novo. “Tell your health care provider if you have changes in vision during treatment with Ozempic®,” they instruct. 
Kidney Problems
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Kidney problems, including kidney failure, could be another serious side effect that Novo warns about. “In people who have kidney problems, diarrhea, nausea, and vomiting may cause a loss of fluids (dehydration), which may cause kidney problems to get worse. It is important for you to drink fluids to help reduce your chance of dehydration,” they says. 
Swelling
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Novo also recommends looking out for a number of serious allergic reactions. “Stop using Ozempic® and get medical help right away if you have any symptoms of a serious allergic reaction, including swelling of your face, lips, tongue, or throat,” they say. 
Breathing or Swallowing Issues
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Another potential sign of an allergic reaction, per Novo? “Problems breathing or swallowing,” they warn on the website. 
Rash or Itching
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Side effects may also include skin issues, says Novo. If you experience “severe rash or itching,” it's a sign to get help as soon as possible. 
Rapid Heartbeat
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You also need to look out for cardiovascular symptoms, says Novo. A “very rapid heartbeat,” is a potential serious side effect, according to the website. 
Gallbladder Problems
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“Gallbladder problems have happened in some people who take Ozempic,” says Novo. “Tell your health care provider right away if you get symptoms which may include: pain in your upper stomach (abdomen), fever, yellowing of the skin or eyes (jaundice), or clay-colored stools.”
Possible Thyroid Tumors
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Possible thyroid tumors, including cancer, are one of the most serious signs to look out for, warns Novo. “Tell your health care provider if you get a lump or swelling in your neck, hoarseness, trouble swallowing, or shortness of breath. These may be symptoms of thyroid cancer,” they say, citing rodent studies. “It is not known if Ozempic® will cause thyroid tumors or a type of thyroid cancer called medullary thyroid carcinoma (MTC) in people,” they add. 
💪🔥Body Booster: If you're on weight loss drugs, prioritize weightlifting and low-impact cardio, such as walking, to maintain your fitness safely.
Nutrition & Diet
        3 Simple Tips to Burn More Fat on Ozempic and Mounjaro
    

        5 Expert Tips to Keep Weight Off After Ozempic
    

        Copyright The GYN MD/YouTube
    
By Christopher RobackApr 23, 2025
Christopher Roback
Health & Wellness Writer | Author | Exclusive Contributor at Body Network
Christopher Roback is a health and wellness writer and exclusive contributor to Body Network.
 See Full Bio 
✓Evidence-Based
This content references scientific studies and academic research, and is fact-checked to ensure accuracy.
Our team of licensed nutritionists and dietitians strives to be objective, unbiased, and honest.
We are committed to bringing you researched, expert-driven content to help you make more informed decisions around food, health, and wellness. We know how important making choices about your overall health is, and we strive to provide you with the best information possible.
Struggling with weight loss can feel like an uphill battle, especially when diet and exercise alone aren't delivering the results you need. For many people, weight loss medications have become a game-changer in their health journey. Dr. Jennifer McCann, a Board-certified OB/GYN and Obesity Medicine specialist, has been helping women optimize their health for over 12 years through comprehensive care that addresses gynecology, hormonal balance, and weight management. Read on to discover her expert tips that could supercharge your results while on these increasingly popular medications.

            
                What Are Weight Loss Injections?
            
            
        These breakthrough treatments include medications like semaglutide (Ozempic) and tirzepatide (Mounjaro), explains Dr. McCann. While semaglutide has received FDA approval specifically for weight loss in certain individuals, tirzepatide is currently approved for type 2 diabetes treatment. Despite this distinction, Dr. McCann notes that both medications have demonstrated significant weight loss results, particularly beneficial for those with limited mobility who struggle with traditional exercise-based approaches.
RELATED: 15 Things to Know Before Requesting Ozempic for Weight Loss

            
                How These Medications Work
            
            
        ​Increased Hunger Throughout Your DayShutterstockThe science behind these injections involves multiple mechanisms that work together to promote weight loss. "They inhibit glucagon release, which is what makes you hungry," Dr. McCann explains in her post. Additionally, these medications decrease glucose production from the liver, delay gastric emptying, and reduce appetite—all contributing to what can be substantial weight reduction. However, Dr. McCann cautions that they aren't suitable for everyone, particularly those with personal or family histories of thyroid cancer or certain endocrine conditions.

            
                Consider Potential Side Effects
            
            
        ​Potential Challenges to Watch ForShutterstockBefore starting any weight loss medication, it's important to understand possible side effects. Dr. McCann reports that patients may experience nausea, vomiting, diarrhea, and abdominal cramps when beginning treatment. "Most of these side effects go away or subside after taking these medicines for a few weeks, but they can be prolonged and sometimes they don't go away," says Dr. McCann. This realistic expectation setting helps patients prepare for their weight loss journey.

            
                Tip #1: Eliminate All Sodas and Sugary Drinks
            
            
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Making this critical lifestyle change while on weight loss injections can dramatically improve your results. Dr. McCann emphasizes the serious impact of sugary beverages: "Drinking one can of soda can make you gain 15 pounds over one year. One can a day, 15 pounds over one year." This warning extends beyond just sodas to include slushies, sweetened coffee drinks, and any beverage with significant sugar content. The good news? You don't have to give up caffeine—Dr. McCann suggests black coffee with stevia or sugar-free skinny lattes as satisfying alternatives.

            
                Tip #2: Prioritize Lean Protein
            
            
        ​SalmonWhen your appetite decreases due to the medication, making every calorie count becomes essential. "Protein increases your metabolism by increasing your muscle, and that again lets you burn more calories," Dr. McCann advises. Because these medications both reduce appetite and slow digestion, focusing on lean protein whenever you do eat helps maintain muscle mass—crucial for keeping your metabolism active. Without adequate protein intake, you risk losing muscle along with fat, potentially compromising your long-term results.
RELATED:20 Possible Ozempic Side Effects

            
                Tip #3: Commit to Regular Exercise
            
            
        Simple Cardio Routines for Weight Loss in 60 DaysShutterstockNo weight loss strategy would be complete without physical activity, and Dr. McCann's approach is refreshingly accessible. For beginners without an existing exercise routine, she recommends just 20 minutes of high-intensity training four times weekly—nothing overwhelming but enough to make a difference. "Exercise is very important for weight loss, for keeping the weight off, for your cardiovascular health," explains Dr. McCann, adding that it also serves as a natural anxiety remedy by releasing cortisol. For those with physical limitations, she suggests consulting a personal trainer to develop appropriate muscle-maintaining activities.

            
                Use Medications as a Starting Point for Lasting Change
            
            
        ​GLP-1s Signal to the Brain You Are FullShutterstockThe true value of weight loss injections lies in how you leverage their effects. Dr. McCann encourages patients to view these medications as catalysts rather than permanent solutions: "Use this weight loss boost to start your healthy living so that you can lose even more weight and be able to keep it off after you stop the injections." This mindset shifts the focus from temporary medical intervention to sustainable lifestyle transformation—ultimately the key to maintaining your hard-earned results.
RELATED:What Happens to Your Body When You Stop Taking Ozempic

            
                Remember: It's About Long-Term Success
            
            
        ​Why Stopping MattersShutterstockWeight loss injections can provide impressive initial results, but your habits determine whether those results last. Dr. McCann emphasizes that the habits you develop while on medication—eliminating sugary drinks, prioritizing protein, and establishing regular exercise—create the foundation for lasting success. By implementing these practices now, you're not just maximizing your current weight loss; you're building the lifestyle that will help you maintain your healthier weight for years to come. And if you enjoyed this article, be sure to check out these20 Incredible Ozempic Success Stories of All Time.
Nutrition & Diet
        12 High-Protein Foods for Weight Loss That Aren’t Chicken or Protein Shakes
    

        Copyright Clean & Delicious/YouTube
    
By Christopher RobackApr 23, 2025
Christopher Roback
Health & Wellness Writer | Author | Exclusive Contributor at Body Network
Christopher Roback is a health and wellness writer and exclusive contributor to Body Network.
 See Full Bio 
✓Evidence-Based
This content references scientific studies and academic research, and is fact-checked to ensure accuracy.
Our team of licensed nutritionists and dietitians strives to be objective, unbiased, and honest.
We are committed to bringing you researched, expert-driven content to help you make more informed decisions around food, health, and wellness. We know how important making choices about your overall health is, and we strive to provide you with the best information possible.
Struggling to hit your protein goals without resorting to bland chicken breast or chalky protein shakes? You're not alone. Dani Spies, health coach, weight loss expert, and creator of Clean & Delicious, understands this common frustration. "Focusing on real whole foods, specifically high-protein foods, especially when paired with fiber, can help you feel satiated and satisfied for longer periods throughout the day," says Dani. While no single food creates weight loss (you still need that energy deficit), these protein-packed options will make your weight loss journey far more enjoyable and sustainable. Discover these 12 delicious alternatives that will transform how you approach protein.

            
                Cottage Cheese: The Versatile Protein Base
            
            
        Cottage cheese deserves its spot at the top of any protein list with an impressive 14 grams per half cup. "I love cottage cheese. It is so delicious," Dani says in her post. Its creamy texture and neutral flavor make it perfect for both sweet and savory applications. You can spread it on toast, blend it into pasta dishes, create protein-packed pancakes, or even use it as the base for a pizza bowl. The versatility is endless, making cottage cheese a must-have protein staple for your fridge.

            
                Canned Salmon: Budget-Friendly Omega-3 Powerhouse
            
            
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Don't overlook this pantry hero that delivers 17 grams of protein per 3-ounce serving. "Canned salmon is a delicious, convenient, budget-friendly way to enjoy salmon without the price tag of fresh salmon fillets," explains Dani. Beyond protein, it's loaded with anti-inflammatory omega-3 fatty acids that support overall health. For maximum nutrition, opt for wild-caught varieties. Enjoy it straight from the can, whip up a quick salmon salad with onions and celery, or form it into salmon burgers for a protein-packed meal.

            
                Tempeh: Plant-Based Protein with Texture
            
            
        ​Probiotic Foods: TempehShutterstockThis fermented soybean product offers plant-based eaters a substantial 16 grams of protein per 3-ounce serving. "Think of it as tofu's heartier cousin," Dani describes. "It has more texture and even more protein." The nutty, earthy flavor and dense, chewy texture make tempeh distinctly satisfying. As a fermented food, it also supports gut health. Dani recommends slicing tempeh into slabs, marinating in soy sauce, garlic, and a touch of maple syrup, then pan-frying until golden for a simple, delicious protein option.

            
                Lentils: Protein-Fiber Combo for Lasting Fullness
            
            
        ​LegumesShutterstockWith 18 grams of protein and 15 grams of fiber per cooked cup, lentils keep hunger at bay longer than most foods. "That combination of protein and fiber is fantastic for satiety," Dani points out. These versatile legumes come in various forms—dried, steamed, or canned—making them convenient for any kitchen. Toss them into salads for a protein boost, simmer them into hearty soups, or blend them into a high-protein alternative to traditional chickpea hummus. Their earthy flavor complements countless dishes while keeping you satisfied.

            
                Chicken and Turkey Sausage: Lean Protein Made Convenient
            
            
        ​Sheet Pan DinnerShutterstockPre-cooked poultry sausages provide 12-14 grams of protein per link with significantly less fat than traditional pork varieties. "The nice thing about chicken and turkey sausage is that they tend to be much lower in fat," Dani explains. This balance helps you increase protein intake without adding excessive calories—crucial when managing your overall energy balance for weight loss. Keep these in your refrigerator for quick protein solutions on busy weeknights. Dani suggests slicing and browning them, then serving with fresh vegetables, fruits, and dips for a satisfying family meal that requires minimal preparation.

            
                Greek Yogurt: Probiotic Protein for Sweet or Savory Dishes
            
            
        ​Greek Yogurt: High ProteinShutterstockThis creamy dairy product packs 15 grams of protein per 3/4 cup while supporting gut health with beneficial probiotics. "Greek yogurt is a protein powerhouse," Dani confirms. Its versatility spans both sweet applications like overnight oats and chia pudding as well as savory uses. Swap mayo for Greek yogurt in tuna or egg salads to boost protein while reducing calories. "It's also delicious when you use it as the base for salad dressings," Dani shares. Her Greek yogurt blue cheese and creamy balsamic dressings prove how this protein source enhances flavors while supporting your nutrition goals.
RELATED:8 High-Protein Foods with Nearly Zero Calories That Melt Fat

            
                Shrimp: Fast-Cooking Lean Protein
            
            
        ​Scallops, Shrimp & White Fish: Seafood Protein TreasuresShutterstockWith 18 grams of protein per 3-ounce serving, shrimp offers substantial nutrition in a quick-cooking package. "It's really convenient because it's very quick cooking," Dani notes. Keep frozen shrimp on hand for last-minute protein additions to meals. Use it in stir-fries, fried rice, or classic shrimp scampi when cooking, or purchase shrimp cocktail for ready-to-eat protein throughout the week. Dani suggests transforming leftover shrimp into a protein-rich salad by combining with diced red onion, celery, mayo or Greek yogurt, and fresh dill—simple yet satisfying.

            
                Ground Turkey: Versatile Protein for Meal Prep
            
            
        ​Lean Turkey Taco Lettuce WrapsShutterstockThis poultry option delivers an impressive 23 grams of protein per 3 ounces. "Ground turkey is another ingredient that's really quick to make and very convenient and very versatile," Dani shares. Use it as a meal prep "headstart ingredient" by cooking with taco seasoning for versatile protein you can incorporate into multiple meals throughout the week. It excels in turkey burgers, hearty chili, protein-rich bolognese sauce, and flavorful meatballs that can transform simple meals into satisfying feasts.

            
                Hemp Seeds: Small Seeds, Big Protein Impact
            
            
        ShutterstockDon't underestimate these tiny nutritional powerhouses that provide 10 grams of plant-based protein in just 3 tablespoons. "While I wouldn't use it as my core protein source for the day, it is a fantastic ingredient to keep on hand as a way to boost your protein intake over the entire day," Dani advises. Sprinkle these subtly nutty seeds over smoothies, yogurt bowls, oatmeal, or salads to incrementally increase your daily protein intake without changing your core meals. Their mild flavor complements both sweet and savory dishes.

            
                Parmesan Cheese: Concentrated Flavor and Protein
            
            
        ​The 10x Protein Test: Parmesan, Bocconcini & BeyondShutterstockThis aged hard cheese contains 10 grams of protein per ounce along with calcium and distinctive savory flavor. "Parmesan is a hard-aged cheese that is packed with protein," Dani explains. "It's a fantastic way to add a flavor boost to so many different types of dishes." Enjoy it sliced with apples for a simple snack, or grate it over soups, salads, pasta dishes, and roasted vegetables. Its concentrated umami flavor means a little goes a long way, making it an efficient protein source that enhances your meals.

            
                Eggs and Egg Whites: The Complete Protein Package
            
            
        ShutterstockWith 7 grams of protein per whole egg and 11-12 grams per half cup of whites, eggs remain a nutritional standout. "Eggs and egg whites are a fantastic, whole, high-protein food to work into your diet," Dani confirms. Keep hard-boiled eggs prepared for quick protein additions to meals and snacks throughout the week. Add them to cottage cheese toast, savory oatmeal, or transform them into egg salad. For lower-fat protein options, egg whites can boost the protein content of French toast, pancakes, oatmeal, or veggie-packed egg white muffins.
RELATED:20 Foods You Didn’t Know Were Ultra-Processed

            
                Ground Venison: Lean Red Meat Alternative
            
            
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This game meat delivers 23 grams of protein with just 3 grams of fat per 3-ounce serving. "Ground venison is a super nutrient-dense source of protein," Dani shares. "It's much leaner than ground beef." Use it anywhere you'd typically use ground beef—tacos, burgers, chili, or meatballs. Dani notes that its leanness can make it slightly drier than beef, so cooking techniques may need slight adjustments. Check your store's freezer section if you don't find it with fresh meats. This alternative red meat offers variety when you're seeking something different in your protein rotation.

            
                Last Word
            
            
        11 Quick Protein-Packed Breakfasts to Curb Cravings You Can Make in 5 MinutesShutterstockIncorporating these protein-rich foods into your diet can make weight loss feel more manageable by keeping hunger at bay. As Dani reminds us, "Food is just one piece of the puzzle when it comes to health and weight loss." These clean, whole food protein sources move beyond boring chicken breast and protein powders to bring flavor, satisfaction, and nutrition to your weight management journey. Mix and match these options to discover new favorite meals that support your goals while actually enjoying what you eat. And if you enjoyed this article, don't missthese 8 High-Protein Foods with Nearly Zero Calories That Melt Fat.
Nutrition & Diet
        She Lost Over 100 Pounds with These Low Carb Costco Meals
    

        Copyright Low Carb Love/YouTube
    
By Leah SuzanneApr 23, 2025
Leah Suzanne
Freelance Writer/Editor
 See Full Bio 
✓Evidence-Based
This content references scientific studies and academic research, and is fact-checked to ensure accuracy.
Our team of licensed nutritionists and dietitians strives to be objective, unbiased, and honest.
We are committed to bringing you researched, expert-driven content to help you make more informed decisions around food, health, and wellness. We know how important making choices about your overall health is, and we strive to provide you with the best information possible.
If you are a Costco member and trying to lose weight, one weight loss warrior has a list of the best foods to buy at the warehouse. Mayra Wendolyne of Low Carb Love lost over 100 pounds and has amassed millions of followers for her tips and tricks on how she did it. In a viral YouTube video, she reveals the top 9 low-carb, ready-to-eat meals at Costco.

            
                Birria
            
            
        “You cannot go wrong with Birria. Birria takes so long to cook. If you've ever tried to make it or you know someone that's made it, this is like an all day project. It's worth it, but this one here is already cooked, completely cooked, all you have to do is heat it up so you can toss this in the microwave, toss it in the oven, whatever the case,” she says. “You can make tacos, you can make quesadacos. There are so many different things that you can make with this or even serve it just in a bowl, top it with cilantro and onion and lime and you are set.”

            
                Chicken Tinga
            
            
        Instacart
Another “low carb, weight loss friendly, diabetic friendly, and also very, very high in protein” meal is chicken tinga. “Chicken tinga is very easy to make, but sometimes when you're in a rush and you just want something made, this is something that you can serve with some cauli rice as side salad. You can also make a quesadilla. You can make a burrito. There are so many different things that you can make with this. And this is just, again, pop it in the microwave, pop it in the oven, stovetop, whatever, and it is good to go.”

            
                Beef Kabobs
            
            
        Instacart
Moving on to “a little Middle Eastern, a little Mediterranean flair” she suggests beef kabobs. “These are super, super easy to throw together. You can make a wrap. You can obviously serve this with a side salad, a little tzatziki sauce, a little cucumber salad, there are so many things that you can do with this, but most importantly, these are low in calorie, high in protein, low in carbs. So another one for the win.”

            
                Kevin’s Chimichurri Beef
            
            
        Costco
Next up chimichurri beef. “I've actually never tried this one, but I do love all of Kevin's foods. He does a lot of pre-made stuff here at Costco. They're clean, they're paleo, low carb. He usually does a lot of things that you wouldn't typically find low carb, like broccoli beef, orange chicken. Like he does a lot of things that typically have like a very sugary sauce and he makes them low carbm” she says. “Again, pair this with a little cauli rice, a little side salad. It's so easy to make this. It's fully cooked. Again, just toss in the microwave.”

            
                Organic Broccoli Chicken Cheddar Stuffed Breast
            
            
        Costco
Nex up, an “organic broccoli chicken cheddar stuffed chicken breast,” she says. “This is also really awesome. Sometimes I feel like there are times where you want to have something that's healthy, you want to have something that tastes very like homemade. But this here is definitely something that to me feels like very light, very healthy,” she says, adding that it’s 23 grams of protein for five ounces. “That's amazing. Five net carbs. So again, super low carb, super high in protein, 210 calories. That's awesome.”

            
                Fully Cooked Shrimp
            
            
        Instacart
“Okay, now this is more of like a snack. I'm going to be honest, I usually grab one of these to eat on my way home. Just some fully cooked shrimp, their little cocktail sauce, a little lemon. This is super, super delicious. I feel like it's super light. This is perfect for summer. A lot of times when I'm going to have people over, I usually grab a couple of these and then put them on the table like a whole charcuterie kind of like island. This is a great option. I wouldn't say it's so much like a full meal, but it's definitely something that you can have as a light lunch”

            
                Caesar Salad
            
            
        Instacart
Her next recommendation is the Caesar salad. “it is so delicious. The only thing I do is obviously take out the croutons. One, because of the carbs, two, because of the gluten, it just really messes with my stomach. But other than that, this is another great option. Even if you grab that chicken, the chicken breast that I just showed you.”

            
                Ready-to-Eat Poke
            
            
        Annasea
The next item is ready-to-eat-poke. “They have the spicy ahi poke and then just the ahi wasabi poke. And this is another just super easy meal,” she says. “This will be good just all by itself. Super quick lunch, super quick dinner. I think if you wanted to make it more of a hearty meal, you can obviously pair this with rice or even like a cauli rice.

            
                Egg Bites
            
            
        ​Kirkland Signature Sous Vide Egg BitesCopyright CostcoAnd for breakfast, she recommends Costco egg white bites. “If you follow me on Instagram, you know that I was literally obsessed with the Starbucks egg white bites. These are $5 a pop.
So this is obviously a much better deal. These are fully cooked, toss them in the microwave. I personally like to toss them in the air fryer because I'd like to get a little bit of a crisp, huh? 11 grams of protein. Only 150 calories,” she says. “Super, super low in calories, decent protein. This one here is 17 grams of protein and 280.” And if you enjoyed this article, take advantage of these 15 Quick Ways to Lose Body Fat Percentage in a Week.
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