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Here Is How Much Weight You Can Really Lose on Ozempic, According to a Doctor

One pharmacist gets real about weight loss drugs and unrealistic expectations.

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Are you considering taking a weight loss drug but aren’t exactly sure what to expect? Dr. Dan Burton is a “pharmacist by training and an expert in obesity management and medicine.” In a recent post, he answers a burning question that so many people have prior to taking a weight loss drug. “You just got back from the doctor's office, and maybe you were prescribed Ozempic or Wegovy for your weight loss journey. The next big question you might have is, how much weight will you lose by taking this medication?” he says, revealing the answer.


Everyone Is Different, He Says

“The short answer is, I don't know,” he admits. “Nobody actually knows how much weight you, in particular, are going to lose by taking this medication. You see, everyone's a little bit different. We all have a completely different genetic and physiological makeup as well.”

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

These Factors Will Influence How Much Weight You Lose

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There are going to be a number of factors that influence how much weight somebody can lose. “If your starting weight is higher, you are likely going to lose more weight,” he explains. “If you have other chronic diseases and medications you're taking, those might influence your weight as well. The number of weight loss attempts you've made in the past is also going to play a role in your various life circumstances.”

In Studies, People Lose an Average of 15% of Their Weight

Valparaiso, IN USA - January 22, 2024: Wegovy semaglutide pens for treatment of chronic obesity, close upShutterstock

He explains that in various studies, there were average sounds of weight loss. “To use Wegovy or Semaglutide as an example, at a dose of 2.4 milligrams once per week, the individuals that were taking it in the step one trial lost on average 15% of their weight from baseline over a 68-week period. So, to put that into English terms here, what that means is that if your starting weight is 200 pounds, 15% of the 200 pounds lost from your baseline is about 30 or so pounds. So an individual that is 200 pounds, they would lose on average about 30 pounds down to 170 pounds,” he says.

He Emphasizes That They Were Exercising and Put on a Calorie Deficit

Mature athlete using rowing machine while working out in a gym.Shutterstock

“The other big factor to remember here is that in these studies, the individuals that were put on these drugs were given a 500 calorie per day deficit diet, and they were told to get about 150 minutes of activity in every single week. So following those parameters and taking the medication led to that 30-pound weight loss for a 200-pound individual,” he says.

RELATED:20 Possible Ozempic Side Effects

Some People Will Lose More and Some Less

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“Now, of course, some people are going to lose less weight, and some people in these studies have lost a lot more weight. Again, the factors and reasons that are contributing to that are wide and varying, and it's going to really depend on person to person,” he continues.

Most People Expect to Lose More Weight Than They Will

Upset and unmotivated woman on electronic floor scale in bedroom wondering why cannot lose weight despite her new diet, looking aside with sade face expression. Weight Loss and healthy lifestyleShutterstock

“The other important thing that I can tell you is that just about every single one of you is expecting to lose way more weight than what we actually clinically expect based on the averages from those trials. So, for that 200-pound individual, on average, we expect about a 30-pound loss from Wegovy. But you guys are expecting a 40, 50, or 60-pound weight loss when you're taking Wegovy,” he says.

There Are Lots of Reasons Why People Have Unrealistic Expectations

Sad,Wealthy,Woman,Suffering,From,Depression,Hiding,Her,Face,MoneyShutterstock

“The reason for these unrealistic expectations vary widely everything from comparing yourself to somebody online or comparing yourself to your friend Susan at work, or just the preconceived notions that you have around weight loss and that you expect to get down to, say, your pre-pregnancy weight again, or to the weight that you were when you were back in your twenties,” he continues.

“Ultimately, 99% of you are setting an expectation for weight loss that is entirely unrealistic and is likely gonna set you up for failure when you fail to reach that expectation.”

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

Your Weight Loss Will Rely on Changes You Are Willing to Make

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“The amount that you're gonna lose is going to depend on all the various factors and things that are gonna influence and have a role in your weight,” he says. “It's also going to depend on the various changes you are able to make, the things you're able to implement, and what your current life circumstances are.”

A Lot of People Struggle with Consistency

Multiracial happy friends cheering and drinking mojitos at beach party - Focus on left hand holding cocktailShutterstock

He notes that a lot of people “tend to do really well from, say, Monday to Thursday, they follow the diet, they pack their lunch, everything's going well, but then Friday, Saturday, Sunday, kind of turn into a bit of a dumpster fire with going out for meals, having some alcohol, and just in general relaxing for the weekend,” he points out. “Sure, you might initially lose some weight, but eventually, if you keep that pattern up, the weight loss will stall out. Trust me, this is exactly what I used to do back in the day until I just learned to find a better balance with life and to be more consistent every single day through the week.”

RELATED:20 Things to Avoid While on Ozempic

Weight Loss Drugs Offer “A Little Bit of Support,” But You Need to Make Changes

Weight loss drugs “are fantastic because they can help you and provide you the support so that you can go about making the various changes that you need to make,” he says. “But again, they're nothing special. They're just a little bit of support to make those things a bit easier to engage in because those behaviors are going to be what ultimately gives you health.” And if you enjoyed this article, don't miss 20 Incredible Ozempic Success Stories of All Time.

More For You

Ozempic shutterstock_1404723482
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Are you considering taking a weight loss drug but aren’t exactly sure what to expect? Dr. Dan Burton is a “pharmacist by training and an expert in obesity management and medicine.” In a recent post, he answers a burning question that so many people have prior to taking a weight loss drug. “You just got back from the doctor's office, and maybe you were prescribed Ozempic or Wegovy for your weight loss journey. The next big question you might have is, how much weight will you lose by taking this medication?” he says, revealing the answer.


Everyone Is Different, He Says

“The short answer is, I don't know,” he admits. “Nobody actually knows how much weight you, in particular, are going to lose by taking this medication. You see, everyone's a little bit different. We all have a completely different genetic and physiological makeup as well.”

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

These Factors Will Influence How Much Weight You Lose

One bathroom scale on white wooden background, top viewShutterstock

There are going to be a number of factors that influence how much weight somebody can lose. “If your starting weight is higher, you are likely going to lose more weight,” he explains. “If you have other chronic diseases and medications you're taking, those might influence your weight as well. The number of weight loss attempts you've made in the past is also going to play a role in your various life circumstances.”

In Studies, People Lose an Average of 15% of Their Weight

Valparaiso, IN USA - January 22, 2024: Wegovy semaglutide pens for treatment of chronic obesity, close upShutterstock

He explains that in various studies, there were average sounds of weight loss. “To use Wegovy or Semaglutide as an example, at a dose of 2.4 milligrams once per week, the individuals that were taking it in the step one trial lost on average 15% of their weight from baseline over a 68-week period. So, to put that into English terms here, what that means is that if your starting weight is 200 pounds, 15% of the 200 pounds lost from your baseline is about 30 or so pounds. So an individual that is 200 pounds, they would lose on average about 30 pounds down to 170 pounds,” he says.

He Emphasizes That They Were Exercising and Put on a Calorie Deficit

Mature athlete using rowing machine while working out in a gym.Shutterstock

“The other big factor to remember here is that in these studies, the individuals that were put on these drugs were given a 500 calorie per day deficit diet, and they were told to get about 150 minutes of activity in every single week. So following those parameters and taking the medication led to that 30-pound weight loss for a 200-pound individual,” he says.

RELATED:20 Possible Ozempic Side Effects

Some People Will Lose More and Some Less

Athlete making effort to do last sit-upShutterstock

“Now, of course, some people are going to lose less weight, and some people in these studies have lost a lot more weight. Again, the factors and reasons that are contributing to that are wide and varying, and it's going to really depend on person to person,” he continues.

Most People Expect to Lose More Weight Than They Will

Upset and unmotivated woman on electronic floor scale in bedroom wondering why cannot lose weight despite her new diet, looking aside with sade face expression. Weight Loss and healthy lifestyleShutterstock

“The other important thing that I can tell you is that just about every single one of you is expecting to lose way more weight than what we actually clinically expect based on the averages from those trials. So, for that 200-pound individual, on average, we expect about a 30-pound loss from Wegovy. But you guys are expecting a 40, 50, or 60-pound weight loss when you're taking Wegovy,” he says.

There Are Lots of Reasons Why People Have Unrealistic Expectations

Sad,Wealthy,Woman,Suffering,From,Depression,Hiding,Her,Face,MoneyShutterstock

“The reason for these unrealistic expectations vary widely everything from comparing yourself to somebody online or comparing yourself to your friend Susan at work, or just the preconceived notions that you have around weight loss and that you expect to get down to, say, your pre-pregnancy weight again, or to the weight that you were when you were back in your twenties,” he continues.

“Ultimately, 99% of you are setting an expectation for weight loss that is entirely unrealistic and is likely gonna set you up for failure when you fail to reach that expectation.”

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

Your Weight Loss Will Rely on Changes You Are Willing to Make

Pensive guy drinking light ale in pubShutterstock

“The amount that you're gonna lose is going to depend on all the various factors and things that are gonna influence and have a role in your weight,” he says. “It's also going to depend on the various changes you are able to make, the things you're able to implement, and what your current life circumstances are.”

A Lot of People Struggle with Consistency

Multiracial happy friends cheering and drinking mojitos at beach party - Focus on left hand holding cocktailShutterstock

He notes that a lot of people “tend to do really well from, say, Monday to Thursday, they follow the diet, they pack their lunch, everything's going well, but then Friday, Saturday, Sunday, kind of turn into a bit of a dumpster fire with going out for meals, having some alcohol, and just in general relaxing for the weekend,” he points out. “Sure, you might initially lose some weight, but eventually, if you keep that pattern up, the weight loss will stall out. Trust me, this is exactly what I used to do back in the day until I just learned to find a better balance with life and to be more consistent every single day through the week.”

RELATED:20 Things to Avoid While on Ozempic

Weight Loss Drugs Offer “A Little Bit of Support,” But You Need to Make Changes

Weight loss drugs “are fantastic because they can help you and provide you the support so that you can go about making the various changes that you need to make,” he says. “But again, they're nothing special. They're just a little bit of support to make those things a bit easier to engage in because those behaviors are going to be what ultimately gives you health.” And if you enjoyed this article, don't miss 20 Incredible Ozempic Success Stories of All Time.

Dr Mark Hyman, M.D. drmarkhyman
Copyright drmarkhyman/Intagram
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 and other weight loss drugs are the easiest option for rapid weight loss. However, according to one top doctor, this isn’t the case. There are three things you can do without a doctor's prescription that will help you drop pounds faster than any jab. Dr. Mark Hyman, MD, is a Senior Medical Advisor at Cleveland Clinic and the co-founder of Funciton Health. In a new social media post and interview, he reveals that while he isn’t anti-Ozempic, there are other things you can do that will accelerate fat loss.

It’s Not Ozempic, It’s the Diet

Montreal, CA - 16 November 2023: Ozempic semaglutide injection pens. Ozempic is a medication for obesityShutterstock

“It’s not the Ozempic—it’s the diet,” Hyman writes in the post. “These weight loss drugs might help some people temporarily, but they don’t address the root causes of weight gain and metabolic dysfunction.”

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

If You Lose Weight Soley Because of Ozempic, You Are Likely Losing Muscle

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

“If you lose weight without prioritizing diet, protein, and strength training, you’re likely losing muscle—your body’s metabolic engine,” he continues. “This slows down your metabolism, making it even harder to maintain a healthy weight long term.”

His Client Only Lost 2 Pounds in 6 Months on Ozempic

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“I had a patient lose 2 pounds on Ozempic,” he writes, adding in the video that it took him a whopping 6 months to do so. “It didn't really make him feel great. It had all these side effects,” he added.

RELATED:20 Possible Ozempic Side Effects

He Ended Up Losing 60 Pound by Doing Three Things

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“He switched over to what I told him to do. He lost 60 pounds and he's reversed his diabetes and he's on his way back to full, full health,” he says in the clip. This involved focusing on food, protein, and exercise. In addition he “reversed his diabetes and reclaimed his health,” says Hyman.

Fundamental 1: Eat One Gram of Protein Per Pound of Bodyweight

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“Before we rush to prescriptions, let’s start with the fundamentals,” says Hyman. Number one? “Eat a gram of protein per pound of ideal body weight,” he says. “I think it's, personally malpractice to prescribe one of these drugs unless that person has diet counseling and understands they need to eat a gram of protein per pound of ideal body weight and they're taught how to do it right and that they do it,” he says.

Fundamental 2: Strength Train at Least Three Times a Week

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Next? “Commit to strength training at least 3 times a week,” he writes. “If you don't, what happens is this, you lose the weight, but up to half of the weight is muscle. Now muscle is your metabolic engine. It burns seven times the calories of fat, and when you lose muscle, your metabolism slows down. So then what happens? Then you stop the drug because it's side effects or you can't afford it forever. And then what happens? You gain back the weight,” he says, adding that will gain it back “all as fat, which means your metabolism is gonna be slower, even at the same weight that you were when you started, which means you need to eat less in order to just stay at that weight. You'll gain more weight even.”

Fundamental 3: Prioritize Whole Foods

Farmer woman holding wooden box full of fresh raw vegetables. Basket with vegetable (cabbage, carrots, cucumbers, radish, corn, garlic and peppers) in the hands.Shutterstock

And the third fundamental has to do with diet. He recommends staying away from processed foods. “Prioritize real, whole foods,” he writes.

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

He’s Not Opposed to Weight Loss Drugs

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“I’m not opposed to these drugs. What I’m opposed to is the widespread use of them, and the lack of research on other interventions that work better,” Hyman concludes. And if you enjoyed this article, don't miss20 Incredible Ozempic Success Stories of All Time.

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

Over 41 percent of US adults are obese, according to the CDC—so it’s no wonder drugs such as Ozempic and Wegovy are in such high demand to help people lose weight fast. “Obesity is an epidemic,” endocrinologist Anne Peters, MD, tells Keck Medicine of USC. “Many people are obese and overweight in the United States. That causes all sorts of problems. So, if we can get them to lose weight easily and simply, why not?” Here are 15 things to know before you ask your doctor for Ozempic.


What Is Ozempic?

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Ozempic mimics the hormone GLP-1, helping control blood sugar and make you feel more full. “Ozempic, known generically as semaglutide, was approved in 2017 by the U.S. Food and Drug Administration (FDA) for use in adults with type 2 diabetes,” says UC Davis Health. “Ozempic is a weekly injection that helps lower blood sugar by helping the pancreas make more insulin. It is not approved for weight loss, but some physicians prescribe it to be used for weight loss.”

What Does Ozempic Treat?

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Ozempic was designed to treat type 2 diabetes. “When using Ozempic to treat diabetes, weight loss is a common side effect,” says UC Davis Health. “It is designed to be taken long-term.”

Ozempic For Weight Loss

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“Typically, I prescribe Ozempic for diabetes and have more often prescribed Wegovy for weight loss,” endocrinologist Alyssa Dominguez, MD, tells Keck Medicine of USC. “I have used Ozempic, sometimes, off-label for weight loss, though getting insurance approval for that can be challenging. And of course, when using Ozempic to treat diabetes, weight loss can be a common side effect. People with diabetes are also often struggling with being overweight or obese. So, it’s helpful to have that weight loss, as well.”

Who Can Prescribe Ozempic?

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Ozempic is prescribed by a medical professional. Blood work should be taken beforehand. “Ozempic can be prescribed by any licensed clinician, including physicians, nurse practitioners, and physician assistants,” Veronica R. Johnson, MD, tells Forbes.

How Much Does Ozempic Cost?

Ozempic Insulin injection pen or insulin cartridge pen for diabetics. Medical equipment for diabetes parients. Copenhagen, Denmark - May 17, 2023.Shutterstock

Without insurance, Ozempic can cost around $900 a month. “One of the challenges with these medications is that obesity isn’t recognized as a disease in this country, so people can’t get them covered with insurance,” Dr. Peters says.

What Are Ozempic Side Effects?

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Ozempic has unpleasant side effects for some people, such as belching, constipation, diarrhea, and vomiting. “Common side effects include nausea, vomiting, diarrhea, and constipation,” practicing radiologist physician Omer Awan MD, MPH, CIIP, tells Forbes. “However, more serious side effects that can occur include inflammation of the pancreas and gallbladder, changes in vision, allergic reactions like a skin rash, problems with the kidneys, as well as the development of a specific type of thyroid cancer.”

What Happens When You Stop Taking Ozempic?

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“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.”

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

What Is ‘Food Noise’?

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Ozempic turns off ‘food noise’, a term that refers to constant intrusive thoughts about food, which can make dieting difficult if not impossible. “Some providers haven’t yet come to understand that obesity is a disease that can (and often should) be treated medically,” says Dr. Butsch. “And many people living with obesity have internalized a stigma that makes them believe their obesity is somehow their fault. So, they aren’t asking for medication as a route to treatment.”

Ozempic and Diet

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You still need to adopt a healthy diet while taking Ozempic. “Medications are used in combination with lifestyle modification to increase long-term effectiveness,” W. Scott Butsch, MD, MSC, tells the Cleveland Clinic. “One of the most common misconceptions is that people believe they could take a medication for a few months, then stop and maintain weight. However, you’re likely to regain the lost weight once the medication is stopped.”

RELATED:5 Foods That Maximize Weight Loss on GLP-1 Medicines, According to Coach

How Much Weight Can You Lose?

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Research shows people can lose an average of 15 percent of their body weight. “There’s a huge range of how much weight a person may lose while using these medications,” Dr. Peters says. “Some people may lose 50 pounds, but others won’t lose any. Results depend on the person and other behavioral modifications, like diet and exercise.”

Who Is the Ideal Candidate For Ozempic?

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“For prescribing Wegovy for weight loss, a person must have a body mass index (BMI) of 30 or greater,” Dr. Dominguez says. “It’s also approved for use in people with a BMI of 27 or greater, who have an accompanying overweight- or obesity-related condition, such as high blood pressure or sleep apnea.”

RELATED: What Happens to Your Body When You Eat Apples

Ozempic Benefits

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Ozempic’s benefits may go beyond weight loss. “Ozempic can help people lose weight, which can reduce the risk for many other serious health conditions, such as heart problems,” says UC Davis Health. “Semaglutide treatments can also be used as an alternative to bariatric surgery for some patients who are obese.”

RELATED:8 Reasons You Aren't Losing Weight That Have Nothing to Do with Your Metabolism

What Is ‘Ozempic Face’?

Montreal, CA - 16 November 2023: Ozempic semaglutide injection pens. Ozempic is a medication for obesityShutterstock

Ozempic face is an unfortunate side effect of quick weight loss. “The buzzy term, coined by a New York dermatologist, describes the gaunt or hollow look of sagging facial skin that can appear when people lose excess fat in their cheeks or neck,” Al Aly, MD, tells UT Southwestern Medical Center. “For patients who lose 50-100 pounds, there is often a significant deflation in many parts of the body, leading to an unappealing change in appearance. Extra skin gathers on the body, including the belly, buttocks, back, chest, breasts, legs, and arms.”

Ozempic and Exercise

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It’s important to develop healthy habits while taking Ozempic. “These drugs should be used with lifestyle modification,” Dr. Eduardo Grunvald, obesity medicine physician at UC San Diego Health, tells NBC News. “If you have to watch your diet and exercise with the medications, that’s what they’re meant for.”

RELATED: 15 Quick Ways to Lose Body Fat Percentage in a Week

Who Shouldn’t Take Ozempic?

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Not everyone is a good fit for Ozempic. “Patients younger than 18 years of age, pregnant individuals, those with a history of pancreatitis, type one diabetes, diabetic retinopathy, and a family history of some thyroid tumors should avoid taking Ozempic,” Dr. Awan says. “The drug is meant to be used for long-term therapy of diabetes, since diabetes is a chronic, long-lasting disease.”

💪🔥Body Booster: Long-term healthy habits are crucial for success, with or without Ozempic.

Meghan Garcia-Webb
Copyright Meghan Garcia-Webb/YouTube
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.

Have you considered quitting Ozempic because of nausea, fatigue, or other uncomfortable side effects? You're not alone. Many patients struggle during their first weeks or months on GLP-1 medications. Dr. Meghan Garcia-Webb, a Boston-based physician board-certified in Internal Medicine, Lifestyle Medicine, and Obesity Medicine, has guided hundreds of patients through their weight loss journeys. She shares four essential insights that could transform your experience and help you achieve the results you're looking for before you decide to stop your medication.

1: Know When to Seek Emergency Care

Your safety is the absolute priority when taking Ozempic or other GLP-1 medications. Dr. Meghan emphasizes that ruling out medical emergencies must come first when experiencing severe side effects. "Pancreatitis, gastroparesis, bowel obstruction, gallbladder issues, gallstones—there are a lot of serious medical issues that can happen with these medications," she explains to her patients. Though these complications are rare, they require immediate medical attention.

"The number one thing is you have to make sure that people are not having a medical emergency," Dr. Meghan stresses in her practice. "I have to make sure they're eating, drinking, having bowel movements, urinating, like all the basic functions are happening."

Before assuming Ozempic is causing your symptoms, Dr. Meghan recommends considering other possible causes. "I would hate to blame things on the medication when maybe they have the flu or maybe they had food poisoning," she tells patients. "I've definitely had patients who started a supplement and they feel terrible around the same time and they feel awful, but then they stop the supplement and they feel better."

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

2: Understand Your Side Effect Pattern

Tired woman after a workout in the gym locker room​Overdoing Pre-WorkoutShutterstock

Timing matters when it comes to Ozempic side effects. Dr. Meghan suggests tracking when your symptoms occur relative to your injection schedule. "Are you fatigued all the time, the whole week, or are you fatigued in the 24 to 48 hours after you take your injection?" she asks her patients.

Recognizing patterns helps manage expectations and plan your activities accordingly. "For some people it's like, it hits them on a particular day," Dr. Meghan explains. "They can kind of set their clock by it."

This awareness can make side effects more manageable. "If that's the case, sometimes that makes it a bit more manageable because then the patient knows what to expect," she tells them. "Actually I'm not tired all the time. I'm tired two days after I take my shot. And if I just plan around that, actually the rest of the week isn't so bad."

3: Prioritize Proper Nutrition

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Reduced appetite is common when starting Ozempic, but proper nutrition remains essential. "The goal is not to become malnourished on these medications," Dr. Meghan cautions all her patients.

For those whose appetite decreases significantly, she has specific recommendations. "I always have to make sure that they're eating. I don't want people having three bites of food and calling it a day," Dr. Meghan shares in her consultations. "If people's appetite is really reduced when they first start it, I'm definitely having them start a multivitamin if they can tolerate it."

Dr. Meghan sometimes suggests temporary solutions. "I don't love protein shakes, but sometimes this is a helpful place to add it in short term because it can be a little more easy for people to get their nutrients that way," she explains. "You just have to be a little flexible, especially in the beginning."

RELATED:20 Possible Ozempic Side Effects

4: Try These Medication Management Strategies

open the bathroom door, go to toilet​Sign 6: Digestive DistressShutterstock

Before quitting Ozempic, Dr. Meghan recommends several proven strategies that have helped many of her patients continue their treatment successfully. Some patients tell her about severe side effects that lead them to consider stopping. One patient reported, "I'm constantly constipated and throwing up. Please be very careful if you take these medications." Another experienced "bad shivers, not feeling great week two," and contemplated quitting.

A third patient shared that after seven months, they were still struggling significantly: "I've lost a lot of muscle and it's very devastating because it's difficult to do anything when you have zero energy and you're always nauseous. I'm down 40 pounds, but with the muscle loss, it's not worth it."

Dr. Meghan acknowledges these medications come with serious effects. "They are serious medications with serious side effects and are definitely not something to be taken lightly or casually," she emphasizes. "My heart goes out to you because we hear a lot about how great they are, but they are serious medications."

Add Supportive Medications

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Anti-nausea medication and other treatments can make a significant difference for Ozempic users. "Is this a patient who's going to do well with some Zofran on hand, some anti-nausea medication?" Dr. Meghan considers when helping patients. "Is this a person that we should think about adding some medication for acid reflux? Is this a person that maybe needs some Imodium for diarrhea or a short-term laxative?"

She evaluates which "as needed" medications would really benefit each patient. For long-term use, she asks, "How often are you using them? How much of a burden is this for you?"

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

Try a Slower Titration

GDANSK, POLAND - MAY 2022: obese fat man preparing Semaglutide Ozempic injection control blood sugar levels​If You Lose Weight Soley Because of Ozempic, You Are Likely Losing MuscleShutterstock

Rushing to higher doses of Ozempic isn't always beneficial. "It's not a race," Dr. Meghan emphasizes to her patients. "I'm just going to keep somebody at the dose they're at or lower the dose. Just keep them there for a little while. Give their body a little bit more time to adjust, catch up, see where they're at."

This approach often yields results. "Maybe the side effects go away. And then maybe we try again, or maybe we just keep them at the lower dose," she explains. "Extending the time or bumping the dose down can be very helpful."

Consider Extended Intervals

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Spacing out Ozempic doses can provide relief while maintaining benefits. "Sometimes I'll have them just do the dose every 10 days instead of every week and see if that makes things a little bit easier in the short term as well," Dr. Meghan shares with patients experiencing significant side effects.

This simple adjustment gives the body more time between doses to recover from side effects while still providing some therapeutic benefits.

RELATED:20 Things to Avoid While on Ozempic

Switch Medications

Valparaiso, IN USA - January 22, 2024: Wegovy semaglutide pens for treatment of chronic obesity, close up​Some People Want to Say the Drugs Are “Dangerous” and “Unnatural” and Are Marketing Their Own AlternativesShutterstock

Different GLP-1 medications may produce different side effect profiles for individual patients. "Sometimes I'll think about maybe changing them to a different GLP-1 medication," Dr. Meghan explains when Ozempic isn't working well.

This approach depends on practical factors. "This provided that their insurance will cover it, it's available. You know, all those logistical things, operational things are not a problem," she notes.

Dr. Meghan offers specific examples to her patients: "They're not doing well on Saxenda and maybe we should try Zepound or vice versa, or maybe we should try Wegovy instead of the Zepound."

When GLP-1 Medications Might Not Be Right for You

Overweight woman discussing test results with doctor in hospital​ The Importance of Medical SupportShutterstock

Sometimes, despite trying all four strategies, Ozempic or another GLP-1 medication simply isn't the right fit. "There are going to be those patients that I feel, they feel, we agree the medication is not a good fit for them for whatever reason," Dr. Meghan acknowledges.

This decision comes after thorough consideration. "They haven't been able to tolerate it. We've given it the amount of time that they can realistically give to it," she explains to patients. "Not all medication works well for everybody."

Dr. Meghan highlights this remains relatively uncommon. "That's going to be a very individual tailored discussion and decision," she explains. "Really, that's pretty rare on my end, but sometimes it's just not going to be a good fit. And that's okay. There are other options."

RELATED:5 Foods That Maximize Weight Loss on GLP-1 Medicines, According to Coach

Talk to Your Doctor

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The most important step is consulting with your doctor. "That's a good time to really have a more in-depth discussion with your prescribing physician as well," Dr. Meghan advises.

Remember, your weight loss journey is unique, and finding the right approach for your body might take time. Consulting with qualified medical professionals ensures you're making informed decisions about your health and well-being.

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 thinking about going on Ozempic to lose weight but are curious what it is actually like? Learning about other people’s experiences with the weight loss drug can be helpful in deciding whether or not you want to explore the possibility for yourself. Katherine (@therealkatherine) is a social media influencer, podcaster, and TikToker who blogs about everything from entertainment to weight loss. In one of her viral videos, she shares her experience on Ozempic. “It's been 6 months already, wow,” she writes in the caption of the clip, sharing a before-and-after photo. Here is what she has to say about her experience with the drug.


She Offers a 6 Month Update

@therealkatherine

TikTok · IG + YT : @doseofmorningchisme

“It’s been six months since I started Ozempic,” she says at the start of the clip. “Like I always say, if you do not agree that I'm on Ozempic, that's totally fine. This video is not for you. Your opinion is not going to change my mind, but you are free to feel whatever way you wanna feel.”

She Lost 38 Pounds – Over 6 Pounds Per Month

therealkatherine2therealkatherine/TikTok

She starts off by revealing that she has lost over 6 pounds per month on the drug. “So it has been six months, as I mentioned. I have lost almost 38 pounds, give or take a pound,” she says.

RELATED: 20 Incredible Ozempic Success Stories of All Time

Her Transformation Is Stunning

@therealkatherine

TikTok · IG + YT : @doseofmorningchisme

“It is crazy looking at myself every single day. You see the difference, but not really sometimes. And then I look at pictures, and I'm like, the difference is there. You know what I'm saying? This picture on the left is from last Christmas, and the picture on the right is from Thanksgiving,” she continues.

She Feels Like “A Different Person”

Woman,,Balance,Weight,Scale,health,scalesShutterstock

“This year, honestly, I feel kind of like a different person at this point. This medication has helped me so much,” she says.

“I struggle with PCOS, like hardcore, and I have the majority of my adult life, and I just thought I was always gonna struggle with it,” Katherine reveals. “I didn't realize there were things that I could do to make it better.”

“And also being insulin resistant, having such a difficult time losing weight, which is something that I never thought I would be able to get past,” she says. “I thought I was just gonna have to live with the fact that I couldn't lose weight, that it was difficult for me to lose weight, that I could look at a cookie and gain weight.”

In the comments, Katherine was asked how she got a prescription for the drug. “When I did my labs, my A1C was right under being diabetic, and due to having PCOS, they approved it!” she wrote.

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

What Is Ozempic Approved For?

Montreal, CA - 16 November 2023: Ozempic semaglutide injection pens and box. Ozempic is a medication for obesityShutterstock

The National Library of Medicine explains that Ozempic is approved to control blood sugar levels in adults with type 2 diabetes when other medications do not control the sugar levels well enough. However, many people use it off-label for weight loss.

How Much Does Ozempic Cost?

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

Ozempic can be expensive – with or without insurance. GoodRx reports that without insurance approval, Ozempic can cost as little as $937.98 per month and as much as $1014 per month. With approval, most insurance companies cover around 85 percent of the cost.

RELATED:20 Possible Ozempic Side Effects

Will You Gain the Weight Back?

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The most unfortunate side effect of Ozempic is that many people experience rebound weight gain. One study found that one year after stopping the drug, participants regained two-thirds of their prior weight loss.

💪🔥Body Booster: If you have type 2 diabetes and are struggling to control your blood sugar levels, talk to your doctor about Ozempic. While it's approved for diabetes management, some people also use it for weight loss, although this is considered an off-label use.

Ashley Smith lookbeneath__thesurface
Copyright lookbeneath__thesurface/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.

Losing weight doesn’t have to equate to starvation, deprivation, or eating bland meals. According to one fit mom and influencer, you can eat delicious dinners, and still drop weight fast. Ashley Smith is a fit mom and nutritionist who regularly shares weight loss tips and tricks with her followers. In a new Instagram post, she reveals some of her go-to recipes for healthy, fat-burning meals. “If I wanted to lose 10 pounds in the next 6 weeks here are the 5 dinners I would eat on repeat,” she writes.

1. Lemon Garlic Shrimp with Quinoa & Roasted Veggies

Protein: 42g, Calories: 378

Ingredients: 6 oz shrimp, ½ cup cooked quinoa, 1 cup zucchini & bell peppers (roasted), 1 tsp olive oil, 1 tbsp lemon juice, 1 clove garlic (minced), salt & pepper to taste.
Directions: Sauté shrimp with garlic, lemon juice, salt, and pepper. Serve over quinoa with roasted veggies.

RELATED:I'm a Nutritionist and These are the Best Banana Recipes For Weight Loss

2. Grilled Chicken with Mashed Cauliflower & Green Beans

Protein: 48g, Calories: 339
Ingredients: 6 oz grilled chicken breast, 1 cup mashed cauliflower (made with ½ cup steamed cauliflower, ¼ cup unsweetened almond milk, and seasonings), 1 cup steamed green beans, 1 tsp olive oil, salt, pepper, and garlic powder to taste.Directions: Grill the chicken, mash the cauliflower with almond milk and seasonings, and serve with steamed green beans.

3. Turkey & Spinach Stir-Fry with Brown Rice

Protein: 43g, Calories: 428

Ingredients: 5 oz lean ground turkey, 1 cup cooked brown rice, 1 cup sautéed spinach & mushrooms, 1 tsp coconut aminos, 1 clove garlic (minced), ½ tsp ground ginger, salt & pepper to taste.
Directions: Cook turkey with garlic, ginger, and aminos, then toss in spinach and mushrooms. Serve over brown rice.

RELATED:20 Foods You Didn’t Know Were Ultra-Processed

4. Spaghetti Squash with Ground Turkey Marinara

Protein: 41g, Calories: 314

Ingredients: 5 oz lean ground turkey, 1 cup cooked spaghetti squash, ½ cup marinara sauce, ½ cup sautéed mushrooms & zucchini, 1 tbsp nutritional yeast (for a cheesy flavor), 1 clove garlic (minced), ½ tsp oregano, red pepper flakes to taste.
Directions: Brown the turkey with garlic, oregano, and red pepper flakes. Add marinara sauce, mushrooms, and zucchini, and simmer. Serve over spaghetti squash and sprinkle with nutritional yeast.

5. Grilled Salmon with Roasted Asparagus & Wild Rice

Protein: 47g, Calories: 452

Ingredients: 5 oz grilled salmon, ½ cup cooked wild rice, 1 cup roasted asparagus, 1 tsp olive oil, 1 tbsp lemon juice, 1 clove garlic (minced), salt & pepper to taste.
Directions: Grill salmon with lemon juice, garlic, salt, and pepper. Roast asparagus and serve with wild rice. And if you enjoyed this article, don't missthese 8 High-Protein Foods with Nearly Zero Calories That Melt Fat.

tara collingwood dietdivatara
I’m a Nutritionist and This is What I Eat in a Day to Stay Healthy and Fit
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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.

Losing weight isn’t just about cutting calories and eating less. It also involves eating the right kinds of food. “If you're looking to lose weight, choosing nutrient-dense, high-fiber, and protein-rich foods can help keep you full and support your metabolism,” says Body Network’s Resident RDN, Tara Collingwood, MS, RDN, CSSD, LD/N, ACSM-CP. We asked her to put together a list of the top foods you should fuel up with to lose weight, and here are 10 of them.

Leafy Greens

,Kale,Cabbage,leafy,greens​The Power of Green GuardiansShutterstock

Leafy greens, including spinach, kale, arugula, Swiss chard, Romaine, and mustard greens, should be a mainstay in your refrigerator. “Low in calories but packed with fiber, vitamins, and minerals,” she says. “Leafy greens are a high-volume food, which helps with satiety while keeping calorie intake low.”

RELATED:8 High-Protein Foods with Nearly Zero Calories That Melt Fat

Eggs

Organic,Egg,Texture,And,Background.,Raw,Chicken,Eggs.,Pile,OfShutterstock

Eggs might not be cheap right now, but they offer a lot of bang for the buck in terms of nutrients. “High in protein to keep you full longer,” says Collingwood. “A lot of the nutrition is in the egg yolk, but so are many calories. Split the difference using some whole eggs and combine with a few egg whites.

Lean Protein

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Next up, you need to eat a lot of lean protein, including chicken, turkey, lean beef, seafood, and other fish, to lose weight. “Helps to preserve muscle mass during weight loss,” Collingwood explains. “Helps reduce hunger and keeps you satisfied.”

Greek Yogurt

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Another item to keep stocked up on for weight loss? Greek yogurt. “High in protein and probiotics for gut health,” she says. “Greek yogurt can help with appetite control and digestion.”

RELATED:20 Foods You Didn’t Know Were Ultra-Processed

Berries

Harvesting of fresh ripe big organic red strawberry fruit in own garden.​BerriesShutterstock

Berries, especially blueberries, blackberries, strawberries, and raspberries are also great for losing weight as they are rich in fiber and antioxidants. “Can satisfy sweet cravings with fewer calories,” says Collingwood.

Cruciferous Vegetables

Brussels,Sprouts,Roasted,vegetable44. Brussels sprouts: 43 caloriesShutterstock

Cruciferous vegetables like broccoli, cauliflower, and Brussels sprouts are another great option. “Low in calories but high in fiber and antioxidants and vitamins,” Collingwood says. “The high fiber content can help keep you full longer.”

Legumes

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Legumes, including lentils, chickpeas, and black beans, are essential for weight loss.

“High in plant-based protein and fiber which helps to keep you full for longer and can help stabilize blood sugar,” says Collingwood.

RELATED:I'm a Nutritionist and These are the Best Banana Recipes For Weight Loss

Oats/Oatmeal

Oatmeal,Texture.,Oatmeal,Natural,Texture,Or,Background,,Close-up,,High,Resolution.Shutterstock

Oats and oatmeal should always be in your pantry. “Whole grain that is high in soluble fiber, which aids digestion and prolongs fullness,” explains Collingwood. “Can help to regulate blood sugar due to soluble fiber. Combine with a protein (make oatmeal with milk, add protein powder, make overnight oats with Greek yogurt) for a complete meal.”

Nuts and Seeds

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Nuts and seeds are great to have on hand for healthy snacking. Collingwood likes almonds, pistachios, walnuts, hemp, chia seeds, and flaxseeds. “Packed with heart-healthy fats, fiber, and protein,” she says.

RELATED:What Happens When You Quit Soda, According to a Nutritionist

Avocados

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And last on her list? Avocado. “High in monounsaturated fats that promote fullness. It also contains fiber and essential nutrients for weight management,” says Collingwood. And if you enjoyed this article, take advantage of these20 Superfoods for People Over 50.

Jon Williams | Fat Loss Expert
Over 50? You Should Avoid These 8 Foods
Copyright jonwilliamsfitness/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.

What you ate in your twenties, thirties, and forties to lose weight might not work as you age. According to an expert, some foods shouldn’t be on your plate in your fifties and beyond. Jon Williams is a fat loss expert who helps men and women lose 20-plus pounds of body fat. In a new Instagram post, he gets honest about fat loss and diet. “The fittest people I know who are in their 50s and 60s, avoid these 8 foods at all costs when they are trying to lose weight,” he writes.

Processed Sugars

The first no-no? Processed sugars. “High in calories and low in nutrients, they can lead to weight gain, insulin resistance, and increased risk of chronic diseases,” he says.

RELATED:8 High-Protein Foods with Nearly Zero Calories That Melt Fat

White Bread

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While you don’t have to go on a no-carb diet to lose weight, you might have to ditch white bread. “Made from refined flour, it lacks fiber and can cause spikes in blood sugar levels, which is particularly concerning as metabolism slows with age,” says Williams.

Fried Foods

French fries in hot fat in a deep fryer​3. Deep-Fried ItemsShutterstock

Another type of food you can’t eat if you want to lose weight? Fried foods. “High in unhealthy fats and calories, they can contribute to heart disease and obesity,” he says.

Soda and Sugary Drinks

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Don’t drink your calories, suggests Williams. Soda and sugary drinks should be avoided. “Loaded with sugar and empty calories, they can lead to weight gain and increase the risk of type 2 diabetes,” he explains.

RELATED:20 Foods You Didn’t Know Were Ultra-Processed

High-Sodium Foods

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Salty foods might taste good, but generally, high-sodium items should be avoided. “Processed snacks and canned soups can contain excessive salt, which is linked to high blood pressure and heart issues,” says Williams.

Pastries and Cakes

Set of bakery pastries on wooden table​Don’t Eat High-Sugar FoodsShutterstock

You don’t have to avoid everything sweet, but pastries and cake aren’t going to do you any favors if you are trying to slim down. “These are often high in sugar, unhealthy fats, and refined carbohydrates, contributing to weight gain and health issues,” he says.

Trans Fats

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Read labels and avoid food with trans fats. “Found in many processed foods, these fats raise bad cholesterol levels and lower good cholesterol, increasing heart disease risk,” says Williams.

RELATED:I'm a Nutritionist and These are the Best Banana Recipes For Weight Loss

Alcohol

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Alcohol “in excess” isn’t good for you, and won’t help you lose weight. “While moderate consumption can be okay, excessive alcohol can lead to weight gain, liver issues, and other health problems,” he says. And if you enjoyed this article, take advantage of these20 Superfoods for People Over 50.