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8 Things You Should Never Do While on GLP-1 Meds

These behaviors may undermine your weight loss.

FACT CHECKED BY Christopher Roback
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.

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FACT CHECKED BY Christopher Roback
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.

Are you taking—or considering taking—drugs to help with weight loss or type 2 diabetes? GLP-1 meds like Ozempic, Wegovy, and Monjaro can be very expensive, with or without a prescription. The last thing you want to do is continue behaviors or habits that may stop the meds from doing what they’re supposed to, costing you time, money, and health. Here are key things never to do while on GLP-1 meds.


Not Changing Unhealthy Lifestyle

GDANSK, POLAND - MAY 2022: obese fat man preparing Semaglutide Ozempic injection control blood sugar levelsShutterstock

Not changing your lifestyle may undermine the GLP-1 meds’ efficacy. “You can likely lose weight on semaglutide medications without changing your diet and activity behaviors, but these lifestyle changes will make the treatment more effective,” Richard Siegel, MD, tells the Friedman School of Nutrition Science and Policy. “Also, we don’t know if weight loss will have the same health benefits if one does not change their behaviors.”

Big Portions

Contrasting large and tiny food portions of SpaghettiShutterstock

One of the ways GLP-1 meds work is to keep food in the stomach for longer—so be mindful of portions. “Understanding that overall portions are smaller on these medications, we want to optimize nutritional intake and consume the ‘best’ calories available,” obesity medicine physician Dr. Christopher McGowan tells TODAY. “The focus should be on lean protein, healthy fruits and vegetables, adequate fiber, and adequate fluid intake.”

RELATED:What Happens to Your Body When You Stop Taking Ozempic

No Exercise

man with remote controlShutterstock

Losing weight quickly by doing exercise may prevent you from losing lean muscle mass. Incorporate regular exercise into your routine, walk as much as possible, and try strength training to build muscle.

RELATED:I'm 52, and These 3 Tips Helped Me Shed 40+ Pounds in 6 Months

High Carb, High Fat Foods

Full Frame Shot Of Foods Containing Unhealthy Or Bad CarbohydratesShutterstock

Be careful of too many high-carb, high-fat foods while taking GLP-1 meds. “I’ve seen an almost dumping syndrome-like response in people taking GLP-1s when they eat simple carbohydrates and high-fat foods,” Dr. Shauna Levy, a specialist in obesity medicine and medical director of the Tulane Bariatric and Weight Loss Center in New Orleans, tells TODAY.

Be Monitored By an Expert

Female doctor measuring waist of overweight woman with measuring tape in clinicShutterstock

Always talk to a medical professional before taking GLP-1 meds—especially with the risk of serious side effects. “Typically, I prescribe Ozempic for diabetes and have more often prescribed Wegovy for weight loss,” endocrinologist Alyssa Dominguez, MD, tells Keck Medicine. “I have used Ozempic, sometimes, off-label for weight loss, though getting insurance approval for that can be challenging.”

RELATED:20 Possible Ozempic Side Effects

Too Much Sugar

,Granulated,Sugar,sweet,cubesShutterstock

It’s not advisable to have lots of sugar while taking GLP-1 meds, Novo Nordisk, the maker of Ozempic and Wegovy, warns. “If you are taking medication to lower your sugar levels, it is advisable to avoid excess sugar consumption,” Dr. Dina Peralta-Reich, MD, FAAP, FOMA, tells Parade. “Failure to watch what you eat and keep your sugar levels elevated may prevent you from seeing the intended results of the medication.”

Drinking Too Much Alcohol

People clinking glasses with wine on the summer terrace of cafe or restaurantShutterstock

Watch your alcohol intake while taking GLP-1 meds—it may undermine your weight loss. “One, it’s just empty calories. Two, it tends to make people make decisions that they otherwise might not make,” says Dr. Levy. “It could increase hunger, and the whole point of GLP-1s, or at least one of the points, is to decrease hunger. So it sort of negates their purpose.”

RELATED:10 Worst Foods to Eat After Your Workout

No Long-Term Goals

Santiago, Chile, august 16th, 2023. Pen injection of semaglutide named “ozempic”, is a diabetes medicine to improve blood sugarShutterstock

Don’t treat GLP-1 meds like a quick fix—taking them should be part of a long-term strategy to overhaul your health and your weight. “It’s important to note that if you start taking either of these drugs for weight loss, your body may get used to it, establishing a new normal,” says UC Davis Health. This can cause your weight to plateau. Research has shown that if you stop taking Ozempic (or Wegovy), it's likely that you will gain back the weight you lost.” And if you enjoyed this article, don't miss 20 Incredible Ozempic Success Stories of All Time.

More For You

ozempic_wegovy-split2
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FACT CHECKED BY Christopher Roback
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.

Are you taking—or considering taking—drugs to help with weight loss or type 2 diabetes? GLP-1 meds like Ozempic, Wegovy, and Monjaro can be very expensive, with or without a prescription. The last thing you want to do is continue behaviors or habits that may stop the meds from doing what they’re supposed to, costing you time, money, and health. Here are key things never to do while on GLP-1 meds.


Not Changing Unhealthy Lifestyle

GDANSK, POLAND - MAY 2022: obese fat man preparing Semaglutide Ozempic injection control blood sugar levelsShutterstock

Not changing your lifestyle may undermine the GLP-1 meds’ efficacy. “You can likely lose weight on semaglutide medications without changing your diet and activity behaviors, but these lifestyle changes will make the treatment more effective,” Richard Siegel, MD, tells the Friedman School of Nutrition Science and Policy. “Also, we don’t know if weight loss will have the same health benefits if one does not change their behaviors.”

Big Portions

Contrasting large and tiny food portions of SpaghettiShutterstock

One of the ways GLP-1 meds work is to keep food in the stomach for longer—so be mindful of portions. “Understanding that overall portions are smaller on these medications, we want to optimize nutritional intake and consume the ‘best’ calories available,” obesity medicine physician Dr. Christopher McGowan tells TODAY. “The focus should be on lean protein, healthy fruits and vegetables, adequate fiber, and adequate fluid intake.”

RELATED:What Happens to Your Body When You Stop Taking Ozempic

No Exercise

man with remote controlShutterstock

Losing weight quickly by doing exercise may prevent you from losing lean muscle mass. Incorporate regular exercise into your routine, walk as much as possible, and try strength training to build muscle.

RELATED:I'm 52, and These 3 Tips Helped Me Shed 40+ Pounds in 6 Months

High Carb, High Fat Foods

Full Frame Shot Of Foods Containing Unhealthy Or Bad CarbohydratesShutterstock

Be careful of too many high-carb, high-fat foods while taking GLP-1 meds. “I’ve seen an almost dumping syndrome-like response in people taking GLP-1s when they eat simple carbohydrates and high-fat foods,” Dr. Shauna Levy, a specialist in obesity medicine and medical director of the Tulane Bariatric and Weight Loss Center in New Orleans, tells TODAY.

Be Monitored By an Expert

Female doctor measuring waist of overweight woman with measuring tape in clinicShutterstock

Always talk to a medical professional before taking GLP-1 meds—especially with the risk of serious side effects. “Typically, I prescribe Ozempic for diabetes and have more often prescribed Wegovy for weight loss,” endocrinologist Alyssa Dominguez, MD, tells Keck Medicine. “I have used Ozempic, sometimes, off-label for weight loss, though getting insurance approval for that can be challenging.”

RELATED:20 Possible Ozempic Side Effects

Too Much Sugar

,Granulated,Sugar,sweet,cubesShutterstock

It’s not advisable to have lots of sugar while taking GLP-1 meds, Novo Nordisk, the maker of Ozempic and Wegovy, warns. “If you are taking medication to lower your sugar levels, it is advisable to avoid excess sugar consumption,” Dr. Dina Peralta-Reich, MD, FAAP, FOMA, tells Parade. “Failure to watch what you eat and keep your sugar levels elevated may prevent you from seeing the intended results of the medication.”

Drinking Too Much Alcohol

People clinking glasses with wine on the summer terrace of cafe or restaurantShutterstock

Watch your alcohol intake while taking GLP-1 meds—it may undermine your weight loss. “One, it’s just empty calories. Two, it tends to make people make decisions that they otherwise might not make,” says Dr. Levy. “It could increase hunger, and the whole point of GLP-1s, or at least one of the points, is to decrease hunger. So it sort of negates their purpose.”

RELATED:10 Worst Foods to Eat After Your Workout

No Long-Term Goals

Santiago, Chile, august 16th, 2023. Pen injection of semaglutide named “ozempic”, is a diabetes medicine to improve blood sugarShutterstock

Don’t treat GLP-1 meds like a quick fix—taking them should be part of a long-term strategy to overhaul your health and your weight. “It’s important to note that if you start taking either of these drugs for weight loss, your body may get used to it, establishing a new normal,” says UC Davis Health. This can cause your weight to plateau. Research has shown that if you stop taking Ozempic (or Wegovy), it's likely that you will gain back the weight you lost.” And if you enjoyed this article, don't miss 20 Incredible Ozempic Success Stories of All Time.

Dr. Katrina Mattingly Options Medical Weight Loss
Copyright Options Medical Weight Loss/YouTube/Shutterstock
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.

Everyone's talking about GLP-1 medications like Ozempic, Wegovy, and Mounjaro—and for good reason. These breakthrough treatments have helped countless people achieve significant weight loss. But to get the best results, you need to use them correctly. Dr. Katrina Mattingly, a Board Certified Obesity Medicine Specialist at Options Medical Weight Loss, shares the most common pitfalls to avoid.

1. Skipping Proper Medical Consultation

"It's crucial to discuss your medical history, potential contraindications, and any concerns you may have to ensure the medication is appropriate for you," says Dr. Mattingly. Before starting any GLP-1 medication, a thorough consultation with a healthcare provider is essential. Being completely transparent about your health background helps identify potential risks and ensures the treatment is safe for you.RELATED:What Happens to Your Body When You Stop Taking Ozempic

2. Ignoring Dosage Instructions

pharmacist male medicine pharmacy drugs13 Weight Loss Alternatives When Ozempic Isn't Available That Experts Swear ByShutterstock

Following the prescribed dosing schedule is non-negotiable. "Do not ignore or deviate from the prescribed dosing instructions. What happens when you do? You end up nauseated, with acid reflux, and your bowels are gurgling and acting up," Dr. Mattingly warns. Improper dosing can lead to unnecessary side effects and discomfort that might make the treatment experience unpleasant.

3. Neglecting Healthy Lifestyle Habits

Choosing between apple and donutShutterstock

"Remember, the medication works best when combined with a balanced diet and regular physical movement," emphasizes Dr. Mattingly. GLP-1 medications aren't magic pills—they're tools that work alongside healthy habits. According to Dr. Mattingly, "Only relying on the medication to lose weight and doing nothing else is not going to get you optimal results, especially if you're eating greasy or sugary foods as your main source of sustenance."

4. Overlooking Side Effects

Fat,Man,Belly,Obese,Overweight,dad, bod, tummy, obeseShutterstock

Be proactive about potential side effects. "Be aware of common side effects, such as nausea or gastrointestinal discomfort, and communicate any concerns to your medical provider promptly," Dr. Mattingly advises. Don't suffer in silence—your provider can offer solutions. "We can give you tips on supportive care, nutrition, or we can even call in a prescription to help get you through those unpleasant but temporary side effects," says Dr. Mattingly.RELATED:5 Foods That Maximize Weight Loss on GLP-1 Medicines, According to Coach

5. Skipping Follow-up Appointments

Close up of a female doctor filling up an application form while consulting patientShutterstock

Consistent monitoring is key to long-term success. "Regular check-ins allow your medical provider to monitor your progress, address any concerns or challenges, and make any necessary adjustments if needed," explains Dr. Mattingly. These appointments help optimize your treatment and ensure you stay on track with your weight loss goals.

Dr. Mattingly concludes with encouragement: "We're here to help you along the way, and we know that we've seen great, great success on people with these GLP-1 medications, and you can definitely be one of them." By avoiding these common mistakes, you'll be well-positioned to achieve the best possible results from your GLP-1 medication.

Stephanie Snow stephsnow np
Copyright stephsnow np/Instagram

Are you thinking about taking Ozempic or another weight loss drug to help you drop unwanted pounds? You should know several things before getting a jab, says one expert. Stephanie Snow is a Weight Loss Provider, Nurse Practitioner, and Obesity Medicine specialist who has used weight loss drugs herself. In a few new social media posts, she reveals everything you should know before getting on them. “I’ve been on this journey too, so I know it’s not easy. As a nurse practitioner and a GLP-1 user, here are five things I wish I could tell my past self,” she writes.

You Deserve to Feel Good in Your Body

Her first truth? You deserve to feel good in your body. “Taking steps to care for yourself isn’t selfish. You’re allowed to prioritize your health and well-being,” she says.

Progress Won’t Always Be Linear

Next, she reminds that progress won’t always be linear, so don’t get hyper-focused on it. “Some days will be easier than others, and that’s okay. Be patient and compassionate with yourself through every step,” she writes.

Listen to Your Body, Not Just the Numbers

Don’t let the scale dictate your success. Listen to your body, not just the numbers, she says. “It’s tempting to focus on scales and calories, but how you feel physically and emotionally matters more,” she writes.

RELATED:20 Things You Need to Know About Ozempic and Weight Loss

You’re Not Taking the Easy Way Out

No matter what anyone says, going on weight loss drugs doesn’t mean you are taking the easy way out. “This journey requires courage, commitment, and self-love. GLP-1 is just one of many tools you’re using to take control of your health,” she says.

Celebrate Small Wins

Don’t just celebrate milestones, celebrate small wins. “Every step forward, no matter how small, is a victory. Take pride in the progress you’re making, one day at a time,” she writes.

RELATED:20 Possible Ozempic Side Effects

Fullness Comes Fast

In another post, she reveals five more things she wishes she knew before starting weight loss drugs. The first? Fullness comes fast. “You’ll feel full quicker than expected. Adjust your portions and trust your body’s signals,” she writes.

Hydration is Essential

Next, make sure to hydrate. “Staying hydrated aids digestion and helps prevent nausea. Keep that water bottle handy!” she recommends.

RELATED:What Happens to Your Body When You Stop Taking Ozempic

Protein is Your Pal

Ensure you are eating enough protein to keep you feeling and help build muscle. “High-protein meals and snacks boost energy and keep you satisfied between meals,” she writes.

Embrace Imperfection

Another thing you should do? Embrace Imperfection. “Not every day will be perfect, and that’s okay. Progress isn’t linear; keep going even when it’s tough,” she says.

Patience Pays Off

Last but not least, remember that patience pays off. “Sustainable weight loss takes time. Be patient with yourself and stay consistent,” she writes. And if you enjoyed this article, don't miss20 Incredible Ozempic Success Stories of All Time.

Aliza Olive MD glp1enhanced
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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.

Are you on Ozempic, barely eating anything, but something feels off? Aliza Olive, MD, is a weight loss expert who co-founded GLP1Enhanced to help people on their weight loss journeys. In a recent post, she reveals a common issue she sees in her patients. According to Dr. Olive, many “GLP-1 Gals” complain, “I can’t eat that,” which is a problem. “Girl, if you’re eating 600-1000 calories a day on your GLP-1, we need to talk,” she says, explaining why this is an issue and what to do about it.

Lots of Her Patients Under Eat on Ozempic

Montreal, CA - 16 November 2023: Ozempic semaglutide injection pens. Ozempic is a medication for obesityMost Women on GLP-1s Are Making a Few Common MistakesShutterstock

“Never hungry? Eating less than 1200 calories?” she continues. “No hunger, no cravings… but also no energy, no protein, hair loss, and no idea how you’re supposed to hit your goals. You’re seeing the scale drop, but you secretly wonder how fast is too fast? You feel ‘in control’ for the first time ever—and you don’t want to mess it up,” she continues.

Underating Will Have Consequences

dieting problems, eating disorder - unhappy woman looking at small broccoli portion on the plate​4. Eating Too Little (Extreme Calorie Restriction)Shutterstock

“Let’s be clear: Over-suppression of Appetite is a side effect, not a strategy. And under-eating will catch up with you— through muscle loss, slowed metabolism, nutrient deficiencies, fatigue, hair loss, or a full-on plateau,” she says.

Here Is What to Do If You Are Struggling to Hit Your Protein Goals

plastic measuring scoop of white powder (whey protein) against grunge wood backgroundShutterstock

“So if hitting your protein goal feels impossible, here’s what to try,” she says.

  • Add egg whites to your scramble, oats, or pancakes
  • Use 2 scoops of protein powder in your shake instead of 1
  • Swap to high-protein yogurt (I’m looking at you, 20g+!)
  • Eat low-volume, calorie-dense foods—this is not the time for salad mountains
  • Read food labels—make every bite count (nutrients, protein, fiber!)
  • Don’t skip meals—eat even when you’re not hungry
  • Check your mindset—are you under-eating because “less feels better”? Be honest. That’s not control, that’s sabotage. And it won’t work long term!
  • Consider a dose reduction if you truly can’t meet your basic needs.

Why It Matters

Cropped shot of a young caucasian blonde woman grabbing skin on her upper arm with excess fat isolated on a white background. Pinching the loose and saggy muscles. Overweight, extra weight concept​The Hidden Risk Most People Don't KnowShutterstock

“Rapid weight loss might look good on the scale…But behind the scenes? You’re losing muscle, not just fat. You’re slowing your metabolism. You’re setting yourself up to regain, not maintain,” she says.

The Bottom Line

Bodybuilder woman lifting curl bar barbell in modern gym. Front view. Muscles woman showing sixpack abs.​And, Muscle Mass Remained IntactShutterstock

The bottom line? You have to eat to be strong. “You didn’t start this journey to eat like a bird and lose your strength. You started to feel in control of your body—and that means fueling it too,” she concludes. And if you enjoyed this article, don't miss20 Incredible Ozempic Success Stories of All Time.

Dr. Gerard Acloque, MD Dr. G's Lifestyle Modification Network
Copyright Dr. Gerard Acloque/YouTube/Shutterstock
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.

Weight loss journeys can be challenging, even with powerful medications like Ozempic and Mounjaro. Many people start strong but struggle to maintain progress or experience unwanted side effects. Dr. Gerard Acloque, MD, a primary care physician who specializes in weight management, has seen numerous patients facing these exact challenges. His expertise reveals that most issues aren't due to medication failure but stem from avoidable mistakes. Read on to discover how to protect your progress and get the results you deserve.

Don't Skip Meals

While these medications reduce your appetite, Dr. Acloque warns that skipping meals completely can backfire. "This might sound counterintuitive, but skipping meals too often can actually lead to low energy, muscle loss, and binge eating later in the day, possibly causing you to overshoot your daily calorie intake goals," Dr. Acloque explains in his post. He adds that "Ozempic slows digestion and suppresses your appetite. It doesn't mean you no longer need balanced nutrition." Dr. Acloque recommends focusing on "smaller but well-balanced meals, not no meals at all" for sustainable results.

RELATED: 15 Things to Know Before Requesting Ozempic for Weight Loss

Prioritize Your Protein Intake

Grilled meat steak on stainless grill depot with flames on dark background. Food and cuisine concept.​6. Opt for Grilled, Baked, and Broiled Instead of FriedShutterstock

"This is one of the biggest mistakes I see," says Dr. Acloque about insufficient protein consumption during weight loss. "If you're not eating enough protein while losing weight, you're almost guaranteed to lose more lean muscle than you need to, and that slows your metabolism over the long term." Dr. Acloque emphasizes that "Protein is key for preserving lean mass, keeping you full, and helping your body burn fat instead of muscle." He strongly advises "aim for about 30 to 40 grams of protein per meal, and this is a non-negotiable if you want long-term success. Prioritize protein."

Don't Eliminate All Carbs

Red lentils in glass bowl. Dry orange lentil grains, heap of dal, raw daal, dhal, masoor, Lens culinaris or Lens esculenta on dark background​Prebiotic Foods: Legumes (Lentils, Chickpeas)Shutterstock

"Cutting out processed carbs, great, but cutting all carbs, including fiber-rich, slow-digesting, complex carbs like fruit, beans, lentils, and whole grains, that's a big mistake," warns Dr. Acloque. He explains that "Your body still needs carbohydrates, especially if you're strength training, active, or you just want to maintain your energy levels." Dr. Acloque points out that "these foods help regulate blood sugar and support your gut, both of which make GLP-1 medications work even better."

Stay Hydrated

Glass of iced water at restaurantShutterstock

"These medications can decrease your sense of thirst, just like they reduce your hunger," explains Dr. Acloque. "That means you could be walking around dehydrated without even realizing it." He cautions that "Even mild dehydration can make you feel tired, hungrier, and constipated." For optimal results, Dr. Acloque recommends "Aim for at least two to three liters of water per day, especially if you're experiencing nausea or sluggish digestion."

RELATED:20 Possible Ozempic Side Effects

Don't Rely Solely on Medication

GDANSK, POLAND - MAY 2022: obese fat man preparing Semaglutide Ozempic injection control blood sugar levels​The Drugs Mimic the GLP-1 Hormone Naturally Produced by the BodyShutterstock

"Ozempic and Monjaro are tools, powerful tools, but they are not magic all by themselves," Dr. Acloque emphasizes. "You will still need to build healthy habits, move your body consistently, manage stress, get adequate sleep, and eat intentionally with respect to quality and quantity of what you are eating." He warns that "If you rely on the medication alone without changing your environment or your behaviors, your results will plateau before you reach your goal and often reverse when you stop taking the medications." Dr. Acloque suggests "think of the medication as a springboard. It helps you get started, but ultimately your habits while taking them determine whether you keep going."

Avoid Greasy Foods After Dosing

Plate with fried eggs, bacon isolated on white background​Animal Protein in the MorningShutterstock

"Don't eat greasy fried foods right after your dose," Dr. Acloque strongly advises. "High fatty meals, especially right after an injection, can trigger or worsen GI symptoms." He recommends examining your diet if you experience post-injection nausea: "If you're getting sick after your shot, take a look at what you're eating that day. Light protein, rich meals with fiber tend to sit much better in the tummy." Dr. Acloque suggests you "Save the fried food for later on in the week if you absolutely positively have to have it, if at all."

Continue Strength Training

Kettlebell,Training,Gym,weights,training,exercise,Shutterstock

"Weight loss is great, but fat loss with muscle gain is what really changes your metabolism," Dr. Acloque stresses. He cautions that "If you're losing weight without strength training, there's a good chance a lot of that weight is muscle, for sure more than you want." Dr. Acloque explains that "Muscle burns more calories at rest, even supports insulin sensitivity and supports to help you maintain your results long-term." His clear directive: "Lift weights, even light weights to start if it's new to you and use bands, do body weight exercise. Do anything you have to do to get the resistance that you need to get, but whatever you do, don't skip this step."

RELATED:What Happens to Your Body When You Stop Taking Ozempic

Look Beyond the Scale

point of view - closeup feet for asian woman measure weight on scaleShutterstock

"It's easy to get discouraged if the number on the scale doesn't move as fast as you would like or goes up after a workout or high-sodium meal," Dr. Acloque acknowledges, "but weight loss is not linear." He explains that "Water retention, muscle gain, and slow digestion all affect your day-to-day weight." Dr. Acloque recommends that "Along with your scale numbers, check how your clothes fit, how your energy feels, and how consistent your habits are. Ozempic is working, even if the scale doesn't show it every day." He encourages patients to remember that "Non-scale victories or NSVs are a great way to get positive feedback for your efforts."

Don't Stop Too Early

Self-confident Woman looking at her reflection into the mirror indoors. Beautiful interior design

Shutterstock

"A lot of people start strong, they lose about 10 to 15 pounds, and then say, hey, okay, I'm good. But the real work actually starts after the first phase," Dr. Acloque points out. He explains that "That's where weight maintenance and habit building really come in and really get set at the very beginning of a lifestyle modification journey." Dr. Acloque warns that "If you stop your medication too early before you've built those habits, there's a good chance the weight comes back, and probably with a vengeance." His advice is clear: "Talk to your doctor, build a long-term plan. Don't quit just because the early results came fast."

RELATED:5 Foods That Maximize Weight Loss on GLP-1 Medicines

Build a Support System

Friends hiking through the hills of Los Angeles​Build Your Support NetworkShutterstock

"I get questioned a lot. Hey, doc, who is going to get the best results on Ozempic or Manjaro? Folks with a support group," says Dr. Acloque. He explains that successful patients are "not just relying on the medication, they're learning, staying accountable, and get support." Dr. Acloque has observed that people with support networks consistently achieve better outcomes, as they reinforce the habits that make these medications most effective and provide motivation during challenging periods of your weight management journey. And if you enjoyed this article, don't miss20 Incredible Ozempic Success Stories of All Time.

Alexandra_alexx.fitt
This Woman Lost 40 Pounds After Quitting These 5 Common Habits Forever
alexxandra.fitt/Instagram
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.

Can you lose a significant amount of weight just by walking every day? Yes, absolutely! Not only does walking burn fat, help lower blood pressure, and improve cholesterol levels, but it also does wonders for your mental state as well. “You need to make it part of your routine,” exercise physiologist Katie Lawton, MEd. tells Cleveland Clinic Health Essentials. “This is about adjusting your lifestyle for your health.” TikTok influencer Alex ( @alex.fitt) lost 40 pounds just by walking—here’s how she did it.

Don’t Start Big

@alexx.fitt Step by step walk it off #walking #weightloss ♬ original sound - alexx.fitt

Alex makes the important point that it’s better to start off slow to build sustainable habits. You don’t have to kickstart your fitness regimen with two-hour walks. Even just half an hour will make a difference to your mood and your health, and encourage you to do it again the next day.

Walking After Meals

Alex says she started off her walking program by simply taking a 15 minute walk after a big meal. Research shows walking after meals can benefit blood sugar. “Exercise impacts your blood sugar quickly, often within a few minutes,” Shannon Knapp, MEd, BSN, RN, CDCES, tells the Cleveland Clinic. “And over time, physical activity helps your body use insulin more effectively, decreasing the insulin resistance we often see in diabetes.”

Walking In the Morning

Alex would start her day with a walk. “Getting outside gives you a chance to enjoy fresh air and nature,” says Henry Ford Health. “Walking, like any form of exercise, reduces stress and anxiety. You’ll start the day with a positive attitude, better able to manage challenges during the day.”

Long Walk After Dinner

Alex would save her long walk for after dinner, which studies show is very beneficial. “The closer we get to the evening, the less efficient our bodies are at using insulin to deal with blood glucose, making it harder to keep blood glucose levels healthy,” Dr Evelyn Parr from the Australian Catholic University’s Exercise and Nutrition Research Program tells the Sydney Morning Herald. “Yet this is when we have our biggest meal of the day.”

Smaller Waist

Alex says the biggest difference she noticed from walking was in her waist. “The faster, farther and more frequently you walk, the greater the benefits,” says the Mayo Clinic. “For example, you may start out as an average walker, and then work your way up to walking faster and walking a mile in a shorter amount of time than an average walker, similar to power walkers.”

Using Technology

Alex was thrilled the first time her watch buzzed when she hit 10k steps. Research shows people who track their fitness tend to be successful. “We’ve seen this rise of digital health tools in the last decade, and they provide a great way for people to access interventions to better their health,” Michele Patel, PhD, tells Stanford Medicine.

10,000 Steps a Day

No matter how long or short her walks, Alex always aims for 10,000 steps every day. “Evidence suggests that accumulating up to 10,000 steps per day is helpful for reducing chronic conditions such as cardiovascular disease, type 2 diabetes, and some forms of cancer,” John M. Jakicic, Ph.D, tells University of Kansas Medical Center. “And more recent evidence supports the benefits of reducing the risk of dementia.”

💪🔥Body Booster: Start slow and steady to build lasting habits. Even 10 minutes will make a difference.

Denise Hamdan denisehamdan
I Lost 30 Pounds While Eating These High-Protein Foods
Copyright denisehamdan/TikTok
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.

Denise Hamdan (@denisehamdan) is a food and fitness influencer on TikTok who regularly shares her tricks and tips on weight loss with her 71,000 followers. Hamdan lost a whopping 30 pounds by following a healthy diet and exercising. In a recent clip, she reveals her diet. “Hey y'all, here's everything I ate in one day to stay lean as someone who lost 30 pounds,” she says, revealing that she eats 1829 calories and 147 g of protein per day. Body Network’s Resident RDN, The Diet Diva, Tara Collingwood, MS, RDN, CSSD, LD/N, ACSM-CPT, a Board Certified Sports Dietitian, co-author of the Flat Belly Cookbook for Dummies, also weighs in.

Breakfast

“I started my morning with my breakfast cocktail of oxygen and creatine. I just added the products to my showcase. So go check them out. I have my cocktail with Greek yogurt with strawberries and blueberries and a drizzle of granola,” she says. The total calories equal 157 and 14 g protein.

Lunch

“I'm in this phase where I eat nearly the same thing every day, and that's been scrambled eggs with cheese and spinach and some turkey bacon on the side,” she says about her lunch. “And honestly, I'm not complaining because it hits every time. Her total calories are 562 and 52 g protein.

Green Smoothie

Sometimes she will have a smoothie instead. “I made a cute little green smoothie and it was a little messy, but it was good regardless,” she says.

Pre-Workout Snack

“Later, for a pre-workout snack, I made some cute little tuna crackers with the green onion and bell pepper,” she says about the snack totaling 430 calories and 28 g protein.

OxyShred and Pre-Workout

“Then I got to the gym and made my OxyShred and pre-workout combo before hitting cardio and abs,” she continued. “It had me sweating.”

Protein Bar

“Right after my workout I had my favorite dark chocolate pretzel protein bar,” she continued.

Dinner

“And finally for dinner I made this super easy teriyaki chicken bowl over brown rice,” she said, adding that the 560 calorie and 52 gram protein meal is “so delicious and the macros forward are amazing.”

Dessert

“Lastly, for dessert, I had some chocolate 'cause I cannot end the day without a little sweet treat,” she said about the 120 calorie sweet treat.

RDN Weighs in

tara collingwoodI'm a Nutritionist and These 9 High-Protein Snacks Keep My Clients Full While Losing 50 Pounds

Copyright Tara Collingwood

“1800-1900 calories seems like a good amount for her, but I don’t know her exact age, height, weight, or exercise level,” says Collingwood. “147 grams of protein is probably more than she needs, but it is not dangerously high.”

Try Eating More Vegetables, Expert Says

“I see a little bit of fruit on the yogurt and a tiny bit of spinach in eggs and peppers in tuna but overall not much veggie intake (green smoothie was green powder and not real whole veggies) which is proven with only 16 grams of fiber for her overall day,” Collingwood continues. “I would recommend increasing veggies to aim for 25 grams of fiber each day.” She also likes how often she is eating with the meals and snacks in between. “I do worry about the OxyShred. I couldn’t find on their website anywhere exactly how much caffeine is in it and having it later in the day could definitely impact sleep since caffeine has a 5 hour half-life,” she points out.

💪🔥Body Booster: How much protein should you consume per day? Aim for 0.8 to one gram per pound of bodyweight. 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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20 Things to Avoid While on Ozempic
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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.

Ozempic can be highly effective for weight loss, but there are definitely some unpleasant side effects to contend with, as the makers of the drug, Novo Nordisk, warn about. Nausea, constipation, and stomach pain are common, but avoiding certain foods and behaviors can make a difference. Here are 20 things to avoid while on Ozempic, to make the most of the medication and encourage healthy weight loss.

Too Much Sugar

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Added sugars, and sugary sodas, can spike blood sugar. Novo Nordisk, the maker of Ozempic and Wegovy, recommends that people avoid sugary foods while on the drug. “If you are taking medication to lower your sugar levels, it is advisable to avoid excess sugar consumption,” Dr. Dina Peralta-Reich, MD, FAAP, FOMA, tells Parade. “Failure to watch what you eat and keep your sugar levels elevated may prevent you from seeing the intended results of the medication,” she shares.”

Ultra-Processed Foods

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Ultra-processed foods can make side effects of Ozempic worse. “This medication slows down gastric emptying and the dense food will move much slower through your intestines, which can make you feel sick [and experience] nausea, vomiting, reflux and abdominal pain,” says Dr. Peralta-Reich. “Someone may not see the results they're looking for either.”

High-Fat Foods

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Foods high in saturated and trans fats can make side effects of Ozempic worse. Some people complain of diarrhea and stomach pains. “I’ve seen an almost dumping syndrome-like response in people taking GLP-1s when they eat simple carbohydrates and high-fat foods,” Dr. Shauna Levy, a specialist in obesity medicine and medical director of the Tulane Bariatric and Weight Loss Center in New Orleans, tells TODAY.

Sitting All Day

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Staying active is important while on Ozempic. Regular exercise is not only important for health, it can prevent muscle loss. The goal should be fat loss, and getting strong.

Not Hydrating

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Don’t forget to drink your water and stay hydrated. Drinking water can help with side effects of Ozempic, especially nausea. Ozempic.com recommends drinking clear or ice-cold drinks to combat any nausea and discomfort.

Too Much Alcohol

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Avoid alcohol on Ozempic, experts advice. “One, it’s just empty calories. Two, it tends to make people make decisions that they otherwise might not make,” says Dr. Levy. “It could increase hunger, and the whole point of GLP-1s, or at least one of the points, is to decrease hunger. So it sort of negates their purpose.”

Be Mindful of Portions

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Ozempic keeps food in the stomach longer, so bigger portions can cause discomfort. “Understanding that overall portions are smaller on these medications, we want to optimize nutritional intake and consume the ‘best’ calories available,” obesity medicine physician Dr. Christopher McGowan tells TODAY. “The focus should be on lean protein, healthy fruits and vegetables, adequate fiber and adequate fluid intake.”

Be Mindful of Coffee

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“Overall, coffee is perfectly fine to consume, but for some individuals can lead to stomach irritation,” says Dr. McGowan. “Therefore, I recommend drinking coffee in moderation, such as one to two cups a day. Patients should also be mindful of calorie-dense additives, like cream and sugar.”

Don’t Skip Meals

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It’s easy to skip meals when on Ozempic, but make sure you’re getting enough nutrition. Some people have even become malnourished as a result of not eating. “It’s never healthy to not eat,” Dr. Hwang said. Dr. Janice Jin Hwang, the division chief of endocrinology and metabolism at the University of North Carolina School of Medicine tells the New York Times.

Don’t Consider It a Quick Fix

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Ozempic should be part of a long-term health plan. “It’s important to note that if you start taking either of these drugs for weight loss, your body may get used to it, establishing a new normal,” says UC Davis Health. This can cause your weight to plateau. Research has shown that if you stop taking Ozempic (or Wegovy), it's likely that you will gain back the weight you lost.”

Same Unhealthy Lifestyle

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Don’t continue an unhealthy diet and assume it’s ok because of Ozempic. “You can likely lose weight on semaglutide medications without changing your diet and activity behaviors, but these lifestyle changes will make the treatment more effective,” Richard Siegel, MD, tells the Friedman School of Nutrition Science and Policy. “Also, we don’t know if weight loss will have the same health benefits if one does not change their behaviors.”

Protect Your Health

Montreal, CA - 16 November 2023: Ozempic semaglutide injection pens. Ozempic is a medication for obesityMost Women on GLP-1s Are Making a Few Common MistakesShutterstock

Some doctors warn that taking Ozempic can make people complacent about their health. “It is important to remember that obesity is heterogenous, chronic and complex,” Vijaya Surampudi, MD, physician nutrition specialist and assistant director of the UCLA Weight Management Program (RFO), tells UCLA Health. “There is no cure for obesity. It requires lifelong treatment that’s not one size fits all.”

Carbonated Beverages

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Ozempic slows down digestion, keeping food in your stomach for longer. This causes a feeling of fullness and some unpleasant side effects for some people like belching. Stick to still water as carbonated beverages can make stomach issues worse.

Long-Term Goals

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If you plan on only taking Ozempic or Wegovy for a short while, it’s likely your weight will come back on. “In one trial of Wegovy, people regained about two-thirds of the weight lost within a year of stopping the drug,” Dr. Siegel explains. “Lifestyle changes can help maintain weight loss, but it’s unusual to maintain all weight loss once you stop any weight loss medication.”

Refined Carbohydrates

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Refined carbohydrates tend to spike blood sugar, which is exactly what Ozempic is meant to treat. You don’t have to cut these foods out entirely, but be aware it makes it harder for Ozempic to do its job. “Foods like white bread, white rice, crackers, or even cereals may seem like better choices than foods with added sugar, but refined carbohydrates still metabolize as glucose in the body,” Christine Fallabel, MPH, tells Diabetes Strong.

Watch Out For High Fiber

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While many green vegetables are low GI, be careful about the fiber. “If you’re not used to eating a lot of vegetables, you may experience side effects such as bloating and gas, until your body has acclimated to eating a more fiber-filled diet,” Fallabel says.

Junk Food

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Junk food—which you should be avoiding either way for weight loss purposes—often contains high levels of sodium. “Ultra-processed foods are high in sodium, saturated fats and added sugars, which contribute to a range of health problems,” Elizabeth Ko, MD, and Eve Glazier, MD, tell UCLA Health. These include an increased risk of Type 2 diabetes, cardiovascular disease, lowered immune response, certain cancers, dementia and early death.”

Spicy Foods

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Ozempic can cause acid reflux due to slow digestion. Spicy foods can make acid reflux worse, experts warn. However, if acid reflux is not an issue, people can probably enjoy spicy foods if they wish.

Always See a Medical Professional

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Ozempic should only be prescribed by a medical professional. “Typically, I prescribe Ozempic for diabetes and have more often prescribed Wegovy for weight loss,” endocrinologist Alyssa Dominguez, MD, tells Keck Medicine. “I have used Ozempic, sometimes, off-label for weight loss, though getting insurance approval for that can be challenging.”

Fried Foods

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Fried, greasy foods can make Ozempic stomach issues worse. “Foods high in fat can make digestive side effects worse. Since food hangs around longer in the stomach, it has more time to cause problems,” Sarah Bullard, MS, RD, LD, tells Signos. “Some studies have shown that consuming too much fat can increase symptoms of fullness, nausea, and bloating in individuals with digestive issues and heartburn. Reducing fat intake resolved symptoms.”

💪🔥Body Booster: A whole foods Mediterranean diet is ideal while taking Ozempic.