15 Reasons Why You May Not Losing Weight While on Ozempic

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        15 Reasons Ozempic May Not Be Working for You
    Here’s what might be causing the issue.
By Ferozan MastMay 16, 2024
Ferozan Mast
Writer
Ferozan Mast is a science, health and wellness writer with a passion for making science and research-backed information accessible to a general audience. 
 See Full Bio 
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   FACT CHECKED BY
   Christopher Roback

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By Ferozan MastMay 16, 2024
Ferozan Mast
Writer
Ferozan Mast is a science, health and wellness writer with a passion for making science and research-backed information accessible to a general audience. 
 See Full Bio 
                       Follow:
                       

   FACT CHECKED BY
   Christopher Roback
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        15 Things to Know Before Getting Ozempic for Weight Loss
    

        20 Things You Need to Know About Ozempic and Weight Loss
    
Ozempic is highly effective for weight loss—but what if it’s not working for you? “While Ozempic can enhance weight-loss results, it’s not a magic bullet. The way the body responds to Ozempic varies among individuals,” says the Mayo Clinic. “Factors such as genetics, metabolic rate, and overall health can influence the impact of the medication on weight-loss progress.” Here are 15 reasons you might not be losing weight on Ozempic.
Dosage Issues
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The correct dosage of Ozempic varies from person to person. “In clinical trials, Ozempic has shown promising results at standard doses,” says the Mayo Clinic. “However, in some cases, healthcare providers may adjust the dosage based on individual needs. Discussing the dosage with your healthcare provider is crucial to ensuring that you are on the right track for weight-loss success.”
You’re Not Exercising
Shutterstock
Ozempic is not an excuse to give up on your fitness regimen. “There are added benefits for people with diabetes,” says Harvard Health. “Exercise lowers blood glucose levels and boosts your body's sensitivity to insulin, countering insulin resistance.”
It’s Too Early
Shutterstock
Ozempic may take a while to kick in, depending on dosage. Some people start on a low dose and work their way up. Be patient!
RELATED: 20 Incredible Ozempic Success Stories of All Time
Unhealthy Lifestyle
Shutterstock
Ozempic works side-by-side with healthy lifestyle changes. “Are you eating a balanced diet that includes a variety of fruits, vegetables, whole grains, and lean proteins? Or are you relying heavily on processed foods, sugary snacks, and fast food?” says the Mayo Clinic. “Evaluating your diet can help you identify areas for improvement and make necessary changes to support your overall well-being.”
Not Taking It Every Day
Shutterstock
Ozempic is designed to be taken every day, so follow the instructions your doctor provided. “If you miss a dose of this medicine, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule,” says the Mayo Clinic. “Do not double doses.”
Food Noise
Shutterstock
Many people who take Ozempic say that the “food noise” is turned off. If that’s not the case, Ozempic may not be right for you. “Some finally feel relieved of that pressure of thinking about a food or pressure of trying not to think about the food when the food is in their mind,” Anastassia Amaro, MD, tells Penn Medicine. “And others, actually, may not like it as much because they may be losing their social life over it. They are not interested in going out. They're not interested in hosting parties.”
Medical Conditions
Shutterstock
Underlying medical conditions could prevent Ozempic from working properly. Always get a full check-up with a medical professional to rule out any health problems. Talk to your doctor if there’s any concern at all.
RELATED: 20 Things You Need to Know About Ozempic and Weight Loss
Try a Different Drug
Shutterstock
Ozempic is not meant for weight loss but for treating type 2 diabetes. It might be worth looking into a different drug specifically designed for weight loss, such as Wegovy. Ask your doctor about alternatives if Ozempic is not working.
Incorrect Injecting
Shutterstock
It’s very important to inject Ozempic correctly. “To ensure proper injection technique, injecting the medication below the skin in the abdomen, thigh, or upper arm is essential,” according to BrandonRichlandMD.com. When doing this, paying careful attention to the injection site is important to avoid any complications.”
Rotate Injection Site
Shutterstock
Don’t use the same injection site for each shot. “Rotating injection sites can increase the effectiveness of semaglutide in controlling blood sugar levels,” according to BrandonRichlandMD.com. “Injecting the medication in different areas of your body reduces pressure on each location. It improves the chances of a steady amount of the medicine being absorbed into your system with each dose.”
Drinking Alcohol
Shutterstock
Drinking alcohol while taking Ozempic can be dangerous for people with type 2 diabetes. While many people lose the desire to drink alcohol, those who do are risking low blood sugar (hypoglycemia). Alcohol can also make gastrointestinal side effects worse.
RELATED:20 Possible Ozempic Side Effects
Too Much Stress
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Stress can negatively impact your metabolism. “Things like exercise, meditation, mindfulness exercises, relaxation — those are ways that we can work toward good stress management, as well as good weight management,” Leslie Heinberg, PhD, tells the Cleveland Clinic.
Unrealistic Expectations
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Don’t compare your progress on Ozempic to other people—everybody reacts to drugs differently. Factors such as starting weight and lifestyle can make a difference. If you feel you’re doing everything correctly and Ozempic is still not effective, talk to your doctor.
Non-Responders
Shutterstock
Some people simply don’t respond to the drug for a variety of possible reasons. "Typically, the people that are non-responders tend to be sicker," says Gitanjali Srivastava, internist and director of the obesity medicine program at Vanderbilt University Medical Center. "They tend to have more complicated metabolic derangements. They have a lot of complications [like] psychosocial issues that may be going on in their life."
RELATED:20 Things to Avoid While on Ozempic
Goal Weight Reached
Shutterstock
The more weight you have to lose, the more you will lose at the start. Depending on your starting weight, expect weight loss to slow down or plateau altogether as you reach your goal weight. Talk to your doctor about what a healthy weight is for you.
💪🔥Body Booster: When in doubt, talk to your doctor about progress on Ozempic.
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Nutrition & Diet
        15 Reasons Ozempic May Not Be Working for You
    

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By Ferozan MastMay 16, 2024
Ferozan Mast
Writer
Ferozan Mast is a science, health and wellness writer with a passion for making science and research-backed information accessible to a general audience. 
 See Full Bio 
                       Follow:
                       

   FACT CHECKED BY
   Christopher Roback
✓Expert-Recommended
We've consulted with our team of licensed nutritionists              and dietitians to bring you informed recommendations for food products, health aids and nutritional goods to                safely and successfully guide you toward making better diet and nutrition choices. We strive to only recommend                  products that adhere to our philosophy of eating better while still enjoying what you eat.
Ozempic is highly effective for weight loss—but what if it’s not working for you? “While Ozempic can enhance weight-loss results, it’s not a magic bullet. The way the body responds to Ozempic varies among individuals,” says the Mayo Clinic. “Factors such as genetics, metabolic rate, and overall health can influence the impact of the medication on weight-loss progress.” Here are 15 reasons you might not be losing weight on Ozempic.
Dosage Issues
Shutterstock
The correct dosage of Ozempic varies from person to person. “In clinical trials, Ozempic has shown promising results at standard doses,” says the Mayo Clinic. “However, in some cases, healthcare providers may adjust the dosage based on individual needs. Discussing the dosage with your healthcare provider is crucial to ensuring that you are on the right track for weight-loss success.”
You’re Not Exercising
Shutterstock
Ozempic is not an excuse to give up on your fitness regimen. “There are added benefits for people with diabetes,” says Harvard Health. “Exercise lowers blood glucose levels and boosts your body's sensitivity to insulin, countering insulin resistance.”
It’s Too Early
Shutterstock
Ozempic may take a while to kick in, depending on dosage. Some people start on a low dose and work their way up. Be patient!
RELATED: 20 Incredible Ozempic Success Stories of All Time
Unhealthy Lifestyle
Shutterstock
Ozempic works side-by-side with healthy lifestyle changes. “Are you eating a balanced diet that includes a variety of fruits, vegetables, whole grains, and lean proteins? Or are you relying heavily on processed foods, sugary snacks, and fast food?” says the Mayo Clinic. “Evaluating your diet can help you identify areas for improvement and make necessary changes to support your overall well-being.”
Not Taking It Every Day
Shutterstock
Ozempic is designed to be taken every day, so follow the instructions your doctor provided. “If you miss a dose of this medicine, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule,” says the Mayo Clinic. “Do not double doses.”
Food Noise
Shutterstock
Many people who take Ozempic say that the “food noise” is turned off. If that’s not the case, Ozempic may not be right for you. “Some finally feel relieved of that pressure of thinking about a food or pressure of trying not to think about the food when the food is in their mind,” Anastassia Amaro, MD, tells Penn Medicine. “And others, actually, may not like it as much because they may be losing their social life over it. They are not interested in going out. They're not interested in hosting parties.”
Medical Conditions
Shutterstock
Underlying medical conditions could prevent Ozempic from working properly. Always get a full check-up with a medical professional to rule out any health problems. Talk to your doctor if there’s any concern at all.
RELATED: 20 Things You Need to Know About Ozempic and Weight Loss
Try a Different Drug
Shutterstock
Ozempic is not meant for weight loss but for treating type 2 diabetes. It might be worth looking into a different drug specifically designed for weight loss, such as Wegovy. Ask your doctor about alternatives if Ozempic is not working.
Incorrect Injecting
Shutterstock
It’s very important to inject Ozempic correctly. “To ensure proper injection technique, injecting the medication below the skin in the abdomen, thigh, or upper arm is essential,” according to BrandonRichlandMD.com. When doing this, paying careful attention to the injection site is important to avoid any complications.”
Rotate Injection Site
Shutterstock
Don’t use the same injection site for each shot. “Rotating injection sites can increase the effectiveness of semaglutide in controlling blood sugar levels,” according to BrandonRichlandMD.com. “Injecting the medication in different areas of your body reduces pressure on each location. It improves the chances of a steady amount of the medicine being absorbed into your system with each dose.”
Drinking Alcohol
Shutterstock
Drinking alcohol while taking Ozempic can be dangerous for people with type 2 diabetes. While many people lose the desire to drink alcohol, those who do are risking low blood sugar (hypoglycemia). Alcohol can also make gastrointestinal side effects worse.
RELATED:20 Possible Ozempic Side Effects
Too Much Stress
Shutterstock
Stress can negatively impact your metabolism. “Things like exercise, meditation, mindfulness exercises, relaxation — those are ways that we can work toward good stress management, as well as good weight management,” Leslie Heinberg, PhD, tells the Cleveland Clinic.
Unrealistic Expectations
Shutterstock
Don’t compare your progress on Ozempic to other people—everybody reacts to drugs differently. Factors such as starting weight and lifestyle can make a difference. If you feel you’re doing everything correctly and Ozempic is still not effective, talk to your doctor.
Non-Responders
Shutterstock
Some people simply don’t respond to the drug for a variety of possible reasons. "Typically, the people that are non-responders tend to be sicker," says Gitanjali Srivastava, internist and director of the obesity medicine program at Vanderbilt University Medical Center. "They tend to have more complicated metabolic derangements. They have a lot of complications [like] psychosocial issues that may be going on in their life."
RELATED:20 Things to Avoid While on Ozempic
Goal Weight Reached
Shutterstock
The more weight you have to lose, the more you will lose at the start. Depending on your starting weight, expect weight loss to slow down or plateau altogether as you reach your goal weight. Talk to your doctor about what a healthy weight is for you.
💪🔥Body Booster: When in doubt, talk to your doctor about progress on Ozempic.

        
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Nutrition & Diet
        11 Signs Ozempic Is Not for You
    

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By Ferozan MastAug 25, 2024
Ferozan Mast
Writer
Ferozan Mast is a science, health and wellness writer with a passion for making science and research-backed information accessible to a general audience. 
 See Full Bio 
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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.
Type 2 diabetes drug Ozempic is clearly very effective as a weight-loss tool—but it may not work for everyone. As people respond differently to different drugs, side effects that barely register for one person may seem debilitating for another. Is it worth it? Some experts say the weight loss results are beneficial far beyond mere superficial reasons. "By treating obesity, you’re effectively potentially treating over 200 other obesity-related or weight-related diseases," Dr. Ania Jastreboff, an associate professor of medicine at the Yale School of Medicine who serves on the scientific advisory board of Novo Nordisk, tells NBC News.
“Given the wide use of these drugs, these adverse events, although rare, must be considered by patients who are contemplating using the drugs for weight loss because the risk-benefit calculus for this group might differ from that of those who use them for diabetes,” researcher Mohit Sodhi tells NBC News. If the negative side effects outweigh the efficacy of the medication, it might not seem worth it. Here are 11 signs Ozempic may not be for you.
Vision Problems
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Ozempic may negatively impact your eyesight. “It may seem strange that a drug made to help control diabetes could make your eyesight worse, but it’s something we’ve known about for a while,” saysRaj K Maturi, MD. “A large clinical study suggested that there is an association between blood sugar control and worsening of diabetic retinopathy.”
Ozempic Face
Shutterstock
“Ozempic face” is the term used to describe the effect of quick fat loss on facial appearance. “You may have heard about "Ozempic face" as a side effect of GLP-1 drugs, though the term is misleading because this can be a side effect of any GLP-1 drug or any other cause of rapid weight loss,” says Harvard Health. “If weight is lost in a more gradual way, these changes may not be as noticeable. It's the faster pace of weight loss that occurs with GLP-1 drugs that can make facial changes more obvious.”
Vomiting and Nausea
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Nausea and vomiting are among the more debilitating side effects of taking Ozempic. “Nausea can be managed by avoiding strong smells and eating crackers, mint, or ginger-based food or drinks about a half hour after taking a GLP-1 drug,” says Harvard Health. “Vomiting can be managed by staying well hydrated and having more frequent meals in smaller amounts.”
Gallbladder Warning
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In some rare cases, taking drugs such as Ozempic may cause gallbladder issues.  “Given the wide use of these drugs, these adverse events, although rare, must be considered by patients who are contemplating using the drugs for weight loss because the risk-benefit calculus for this group might differ from that of those who use them for diabetes,” according to research published in the Journal of the American Medical Association.
Low Blood Sugar
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Taking Ozempic may cause hypoglycemia, which comes with its side effects. “Signs and symptoms of low blood sugar may include dizziness or lightheadedness, blurred vision, anxiety, irritability or mood changes, sweating, slurred speech, hunger, confusion or drowsiness, shakiness, weakness, headache, fast heartbeat, and feeling jittery” Ozempic makers warn.
GI Issues
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Some people experience unpleasant GI issues such as diarrhea and constipation. “Diarrhea can be managed by drinking plenty of water and avoiding dairy products and high-fiber foods until symptoms go away,” says Harvard Health. “Constipation can be managed by getting enough fiber in your diet and drinking plenty of water.”
RELATED: The Healthiest and Unhealthiest Ways to Cook Your Eggs
Pancreatitis
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Ozempic is linked to pancreatitis, so people at risk of the condition should be wary. “We generally do not use this class of medicines if someone has a history of pancreatitis,” Dr. Cecilia Low Wang tells UCHealth.
Kidney Issues
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“In people who have kidney problems, diarrhea, nausea, and vomiting may cause a loss of fluids (dehydration), which may cause kidney problems to get worse,” Ozempic makers warn. “It is important for you to drink fluids to help reduce your chance of dehydration.”
Adjust Your Dose
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Sometimes, the dose itself might be the problem. “About one in five people might stop because they are experiencing bad side effects,” Dr. Low Wang says. “I encourage some patients to stay at the lower dose level for a longer period of time to see if they can tolerate it better and still get some benefit from the medication. Or if they don’t tolerate this medication, we might try a different one.”
Address the Issue
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Taking Ozempic without addressing the cause of weight gain may undermine long-term weight loss. “There are lots of emotional and behavioral factors that contribute to health and eating patterns. Suppose you're not addressing those issues while taking a medication that's designed to help weight loss. In that case, you're really going to compromise the overall effectiveness of the medicine,” says Joseph Trunzo, PhD, Psychology professor and associate director of Bryant’s School of Health and Behavioral Sciences.
RELATED: 7 Things to Do When You Wake Up to Melt Fat
Weight Loss Plateau
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If you stop taking Ozempic, your weight may pile back on. “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.
Nutrition & Diet
        3 Mistakes People Make When Stopping Ozempic
    

        Copyright SELFPrinciple/YouTube/Shutterstock
    
By Christopher RobackFeb 13, 2025
Christopher Roback
Professional Health, Science Editor and Writer
Christopher Roback is an experienced news journalist specializing in political, science, and crime news.
 See Full Bio 
✓Evidence-Based
This content references scientific studies and academic research, and is fact-checked to ensure accuracy.
Our team of licensed nutritionists and dietitians strives to be objective, unbiased, and honest.
We are committed to bringing you researched, expert-driven content to help you make more informed decisions around food, health, and wellness. We know how important making choices about your overall health is, and we strive to provide you with the best information possible.
If you're one of the millions taking GLP-1 medications like Ozempic or Wegovy, you might be wondering what happens when it's time to stop. The answer is more complex than most people realize. According to obesity medicine specialistSean Hashmi, MD, MS, FASN, recent CDC data shows concerning trends. "The obesity rates haven't really gone up overall, but in women, unfortunately, the rates have increased," he notes. Even more concerning, "severe obesity rates increased from 8% in 2013-2014 to about 10% already." Understanding how to stop these medications safely has never been more critical.

            
                Why Stopping Matters
            
            
        " Weight loss is actually harder than quitting smoking, alcohol, or drugs," Dr. Hashmi explains in his post. This difficulty is reflected in the statistics. Among people with only a high school education, around 45% fall into the obese criteria, compared to 32% for those with a college education or higher. "Nobody is spared from the obesity epidemic," he emphasizes.
RELATED:20 Things You Need to Know About Ozempic and Weight Loss

            
                How These Drugs Work
            
            
        ​How to Make Evening Walks a HabitShutterstockBefore understanding the mistakes, it's important to know how these medications function. "Weight loss drugs work by blocking your appetite signal in the brain," Dr. Hashmi explains. "They can also delay food passing through your stomach. But your body does not change its physiology to say, 'well, you know what? I'm all fixed now.'"

            
                Mistake 1: Stopping Too Quickly
            
            
        Shutterstock"You don't want to abruptly stop the drug," Dr. Hashmi warns, "because if you stop it right away while on the main dose, you're going to put that weight back on really, really quickly." The research is clear on this point. The Step 1 trial found that patients who discontinued Wegovy regained 11.6% of their initial 14.9% weight loss within just one year.

            
                What Research Shows
            
            
        ShutterstockMultiple studies confirm this pattern. In the Step 4 trial, "people who stayed on the drug for another 48 weeks continued to lose weight, an additional 7.9% on average," explains Dr. Hashmi. "But those who stopped ended up regaining 6.9% of what they'd lost." The Surmount 4 study showed similar results with newer medications like tirzepatide, where patients regained 14% of their initial 21% weight loss after stopping.
RELATED:20 Possible Ozempic Side Effects

            
                The Right Way to Stop
            
            
        ShutterstockInstead of stopping suddenly, Dr. Hashmi recommends a gradual approach: "We try to go slowly, sometimes even at the same pace as we were titrating up. Every four weeks, we're dropping the dose down." For some patients, he adds, "as we slow down the dosage of the injections, we will add some of the older oral drugs where we have a lot more safety data."

            
                 Mistake 2: Not Having a Lifestyle Plan
            
            
        Shutterstock"If you don't have the lifestyle component, none of this is going to work," Dr. Hashmi emphasizes. Many patients focus solely on the medication without developing sustainable eating habits. "In our clinical practice, what I end up seeing is patients, if they don't follow the intense lifestyle that we put them on, they can learn to overcome the effects of Ozempic, Wegovy, Saxenda, tirzepatide very easily."

            
                The Problem With Cheat Meals
            
            
        ShutterstockDr. Hashmi warns about the danger of occasional indulgences: "Simply by having, quote-unquote, cheat meals. Every time you give yourself that high-sugar food, that instant gratification, the first few times you're like, 'ah, you know, I feel nauseous.' But over time, it gets easier and easier to do it."

            
                 Building Better Habits
            
            
        ShutterstockThe solution lies in whole food choices. "When I have my salad with avocado for lunch, the total calories are so low compared to what I used to eat before, which was in the thousands and I didn't even know it," Dr. Hashmi shares. He particularly warns against liquid calories: "Nature had millions of years to perfect food, just the right amount of fiber, nutrients, and water. When we blend food, all that sugar gets absorbed very quickly."
RELATED:What Happens to Your Body When You Stop Taking Ozempic

            
                Mistake 3: Relying on Quick Fixes
            
            
        ShutterstockMany patients turn to artificial sweeteners when stopping GLP-1 medications. "When you turn to alternative sugars like Splenda, Stevia, or monk fruit, you're dealing with sweetness levels that are 200 to 600 times that of sugar," Dr. Hashmi warns. "You're not helping your cravings for sugar. In fact, the data shows you're going to get insulin resistance and damage your gut microbiome."

            
                The Truth About Sugar Alternatives
            
            
        Shutterstock
The impact of artificial sweeteners goes beyond just cravings. "In rat studies, what the data shows is if you give them alternative sweeteners, they will end up eating more of their chow because it stimulates your appetite," Dr. Hashmi explains. "That zero-calorie stuff that you think is no calories, but you get to have your sweetness—there is no free lunch."

            
                Creating a Sustainable Routine
            
            
        Shutterstock"Make your eating as planned and boring as possible," Dr. Hashmi advises. "I know it sounds crazy, but the more you have to make decisions, the more likely you are to fail." He practices what he preaches: "I literally go to the same place for lunch. I order the same thing every day. I've been doing it for more than 10 years."

            
                 The Importance of Medical Support
            
            
        Shutterstock
"You have to make sure that you're ready and you want to find a doctor who will work with you," says Dr. Hashmi. "Find a provider who is your partner and not somebody who's blaming you or is angry or is making it so that everything is your fault. You're going to have good days, you're going to have bad days."
RELATED:20 Things to Avoid While on Ozempic

            
                 Understanding Health Disparities
            
            
        ShutterstockDr. Hashmi acknowledges the role of socioeconomic factors: "A lot of people who come from very poor backgrounds, like I did, have to work all sorts of crazy jobs. Look, my story is I ate Taco Bell like crazy... because when you got 50 cents or you got a dollar in your pocket, this is what you end up doing."

            
                 Planning for Long-Term Success
            
            
        Shutterstock"This is a lifelong commitment," Dr. Hashmi concludes. "If you're going to go off these medications, don't go cold turkey. Slowly go off of them and have a plan. What are you going to do about cravings? The more you've planned, the easier it is to succeed." And if you enjoyed this article, don't miss20 Incredible Ozempic Success Stories of All Time.
Nutrition & Diet
        9 Reasons Why Aren’t You Losing Weight on Ozempic, According to Doctor
    
Youtube.com/@watkinsmetabolic
By Leah GrothJul 22, 2024
Leah Groth
Writer, Editor, and Content Creator
Leah Groth has decades of experience covering all things health, wellness and fitness related. 
 See Full Bio 
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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 on Ozempic or another semaglutide but don’t feel like you are losing weight? There are a number of reasons the scale might not be budging, according to one expert. Dr. Jessie Watkins of Watkins Metabolic Clinic is a Canada-based weight loss specialist. In a recent viral video, she answers a question that she frequently asks her patients: Why aren't I losing weight on Ozempic?
1. Ozempic Vs. Wegovy
Shutterstock
Dr. Watkins explains that Ozempic is a brand name for semaglutide, which is marketed at one milligrams a week for diabetes, while Wegovy is marketed at 2.4 milligrams a week for weight loss. “But regardless of what medication you're on for weight loss, it's important to remember that different medications work differently to help you lose weight. So, one medication may or may not be a great fit for you, and another may be very beneficial. So it's important to have a comprehensive discussion with your physician before choosing the best medication for you,” she says.  
2. You Started Off on a Low Dose
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“Regardless of whichever medication you're on, all of them start at a really low dose and go up slowly, and it's very common to not lose weight or even see the scale budge at those early low introductory doses,” she says. She explains that the purpose of low doses “is to help your body get used to the medication and reduce side effects as opposed to seeing weight loss right off the bat.”
3. You Are Only Losing One to Two Pounds Per Week
Shutterstock
The first reason why you might not think the drug is working is if you expect to lose weight miraculously fast. “The other frustrating thing that can happen is social media is full of claims of rapid, significant weight loss with Ozempic when really it's more realistic to see about one or two pounds a week of weight loss,” she says. 
4. IYou Are Experiencing Bloating and Constipation
Shutterstock
Another reason why you might be thinking you aren’t losing weight? “When you're first starting a medication, it's very common to feel bloated and constipated, so you may actually be losing weight and burning fat, but the number on the scale may not budge,” she says. “And it can also be frustrating that in the past, when you've gone on a really restrictive diet, you might have lost weight faster.”
5. You Have to Prioritize Long-Term Sustainability
Shutterstock
“The key and the goal with this medication is long-term sustainable weight loss maintenance as opposed to a dramatic weight loss over a few months,” she says. “That's really hard to maintain on a super restrictive fad diet. It's also important to make sure that you're not burning muscle instead of fat tissue. So you wanna make sure to keep your protein intake high and to incorporate resistance training into your exercise routine.”
RELATED: Top 14 Superfoods You Should Eat Every Day to Sleep Better
6. You Plateau
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Another reason you might not think the drug is working? You plateau. “Also, remember that your weight loss will plateau eventually. You're not gonna lose weight forever on semaglutide because it would be unsafe to do so. And again, the frustrating piece here is that we can't predict where each person will plateau eventually. So it's really individualized based on the patient,” she says. 
7. You Haven’t Reduced Your Caloric Intake
Shutterstock/Stokkete
“Now, the most important take-home reason why you might not be losing weight on semaglutide is if you haven't reduced your calorie intake. In order for this medication to help you lose weight, you have to be in a calorie deficit. And so if you're eating exactly the same number of calories you ate before starting the medication and you're hoping to lose weight, you're simply not going to see that change.”
RELATED: 19 Bad Habits I Gave Up to Lose 100 Pounds
8. You Are Too Stressed
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Other factors that can also impact or sabotage your weight loss attempt? “Chronic stress,” says Dr. Watkins. 
9. You Are On Other Medications That Cause Weight Gain
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Another reason why you might not be losing weight while on Ozempic? You might be taking other medications that actually cause weight gain, says Watkin. 
RELATED: 20 Foods for Burning Fat That Experts Swear By
10. Poor Sleep
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Sleep also impacts weight loss, says Dr. Watkins. According to the Sleep Foundation, getting enough z’s is a mood booster, promotes heart health, regulates blood sugar, improves mental function, restores your immune system, helps relieve stress, and aids in weight loss. And if you enjoyed this article, don't miss 20 Incredible Ozempic Success Stories of All Time.
Nutrition & Diet
        3 Foods That Make Ozempic Side Effects Worse
    

        Copyright SugarMD/YouTube/Shutterstock
    
By Christopher RobackFeb 12, 2025
Christopher Roback
Professional Health, Science Editor and Writer
Christopher Roback is an experienced news journalist specializing in political, science, and crime news.
 See Full Bio 
✓Evidence-Based
This content references scientific studies and academic research, and is fact-checked to ensure accuracy.
Our team of licensed nutritionists and dietitians strives to be objective, unbiased, and honest.
We are committed to bringing you researched, expert-driven content to help you make more informed decisions around food, health, and wellness. We know how important making choices about your overall health is, and we strive to provide you with the best information possible.
Have you ever wondered why some foods make you feel worse when taking weight loss medications? You're not alone. Millions of patients on Ozempic and Mounjaro struggle with finding the right diet balance. Here's your comprehensive guide to eating well while on these medications.
Dr. Ahmet Ergin, founder of the SugarMD YouTube channel, is a distinguished endocrinologist specializing in diabetes and metabolism. With years of clinical experience prescribing these medications, Dr. Ergin shares essential insights about managing your diet while on Ozempic and Mounjaro. Read on to discover which foods to embrace and which to avoid for optimal results.

            
                Understanding Your New Relationship with Food
            
            
        "Your plate isn't just a source of nutrients anymore. It has to be a delicate balance wheel for your blood sugar levels," Dr. Ergin explains in his post. When you're on Ozempic or Mounjaro, managing diabetes becomes less of a walk in the park and more of a mindful trek through an intricate maze of dietary choices.
RELATED:20 Things You Need to Know About Ozempic and Weight Loss

            
                Embrace the Fiber-Filled Champions
            
            
        ShutterstockThink of fiber-rich fruits as your dietary oasis. Dr. Ergin recommends focusing on "superstars like berries, apples, and pears." These fruits pack powerful fiber that champions steady digestion and helps maintain stable blood sugar levels. "Each nibble comes packed with fiber goodness," Dr. Ergin notes, emphasizing their importance in your daily diet.

            
                The Power of Green Guardians
            
            
        ShutterstockLeafy greens aren't just plate decorations – they're your nutritional shields. "Think about spinach and kale. They're like sentinels standing firm," Dr. Ergin explains. These vegetables are rich in alpha-lipoic acid and benfotiamine, making them crucial allies in blood sugar management, especially when medications are working their way through your system.

            
                Lean Proteins: Your Trusty Sidekicks
            
            
        ShutterstockDr. Ergin emphasizes that proteins like chicken breast, tofu, and lentils are essential companions on your health journey. "They help your body skip out on dramatic blood sugar spikes and keep your tummy full," he shares. These proteins support muscle maintenance and keep your metabolism active while preventing unexpected cravings.
RELATED:20 Possible Ozempic Side Effects

            
                Fatty Foods: Your First Warning
            
            
        Shutterstock"Fatty foods are like tempests in the tranquil sea," warns Dr. Ergin. When combined with Ozempic or Mounjaro, high-fat foods can trigger digestive issues and make the medication's side effects more pronounced. This can lead to increased nausea and delayed stomach emptying.

            
                Spicy Foods: A Hidden Challenge
            
            
        ShutterstockDr. Ergin cautions against spicy foods while on these medications. They can intensify gastrointestinal side effects and potentially trigger acid reflux, which may be more severe when combined with Ozempic or Mounjaro's effects on digestion.

            
                Junk Foods: The Triple Threat
            
            
        ShutterstockAccording to Dr. Ergin, processed junk foods pose multiple challenges. They often combine high fat, excessive sugar, and artificial ingredients that can not only trigger side effects but also work against the medication's intended benefits. These foods can lead to unstable blood sugar levels and increased digestive discomfort.
RELATED:What Happens to Your Body When You Stop Taking Ozempic

            
                The Role of Supplements in Your Journey
            
            
        ShutterstockWhile discussing supplementation, Dr. Ergin clarifies: "It's not about replacing your medication or justifying poor dietary choices." He emphasizes that supplements should complement, not replace, a healthy diet and prescribed medications. "That's why we call them Nutraceuticals, not Pharmaceuticals," he adds, highlighting their supportive role.

            
                Creating Your Personal Strategy
            
            
        ShutterstockSuccess with these medications requires a personalized approach. "Your path to wellness is unique," Dr. Ergin states, recommending working with healthcare providers to develop an individualized plan. He suggests using available resources like the SugarMD app for additional support and guidance.
RELATED:20 Things to Avoid While on Ozempic

            
                The Long-Term Perspective
            
            
        Shutterstock"You are not just eating to fill your stomach. You are dining to nourish your life story," Dr. Ergin reminds us. This perspective shift is crucial for long-term success with these medications. Take it one meal at a time, focusing on progress rather than perfection.
Remember, managing your diet while on Ozempic or Mounjaro isn't just about avoiding side effects – it's about optimizing your treatment results and improving your overall health. With patience and the right food choices, you can create a sustainable eating plan that works in harmony with your medication. And if you enjoyed this article, don't miss20 Incredible Ozempic Success Stories of All Time.
Nutrition & Diet
        5 Body Changes When Stopping Ozempic
    

         Copyright drjencaudle/Instagram
    
By Christopher RobackMar 06, 2025
Christopher Roback
Professional Health, Science Editor and Writer
Christopher Roback is an experienced news journalist specializing in political, science, and crime news.
 See Full Bio 
✓Evidence-Based
This content references scientific studies and academic research, and is fact-checked to ensure accuracy.
Our team of licensed nutritionists and dietitians strives to be objective, unbiased, and honest.
We are committed to bringing you researched, expert-driven content to help you make more informed decisions around food, health, and wellness. We know how important making choices about your overall health is, and we strive to provide you with the best information possible.
Many of us have heard about the remarkable results people are experiencing with Ozempic and Wegovy for weight loss. But what happens when treatment ends? Dr. Jennifer Caudle, DO, FACOFP, known to many as Dr. Jen, is a board-certified Family Medicine physician and Associate Professor at Rowan University-School of Osteopathic Medicine who understands these concerns. Understanding these medications and their effects after discontinuation is crucial for anyone considering or currently taking them. Read on to discover the five key changes your body may experience when stopping these medications.

            
                What Are Ozempic and Wegovy?
            
            
        Before diving into what happens when you stop these medications, it's important to understand what they are. "Ozempic is FDA-approved for diabetes. Wegovy is FDA-approved to help with weight loss," Dr. Jen explains in her post. She notes that both medications contain the active ingredient semaglutide, which is why many people take Ozempic off-label for weight loss as well.
RELATED: 15 Things to Know Before Requesting Ozempic for Weight Loss

            
                Blood Sugar Changes
            
            
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The first significant change when stopping these medications affects your glucose levels. "Your blood sugar will likely go up," says Dr. Jen. She explains this happens because these medications are designed to lower blood sugar, so removing them naturally allows levels to rise again. "Depending on who you are will determine the significance of that," Dr. Jen cautions, emphasizing that for diabetics, this change could be particularly important and might require replacement medications.

            
                Appetite Returns
            
            
        What Happens to Your Body When You Stop Emotional EatingShutterstockOne of the most noticeable effects of discontinuing Ozempic or Wegovy is the return of your pre-medication appetite. "Your appetite may increase when you stop these medications," warns Dr. Jen. She explains that many of her patients appreciate how these drugs reduce cravings and hunger while taking them. "If you go off the medication, your appetite very likely will return. So you've got to be prepared for that," Dr. Jen advises.

            
                Side Effects Disappear
            
            
        ShutterstockThere's a silver lining to stopping these medications if you've been experiencing adverse effects. "Side effects that many people say they have with these medications can be things like nausea or vomiting, diarrhea or constipation, abdominal pain, abdominal cramping," Dr. Jen lists. She points out that gastrointestinal issues are the most common, but other effects like headaches can occur as well. "Should you stop them, if you had these side effects, they're likely going to go away," Dr. Jen reassures.
RELATED:20 Possible Ozempic Side Effects

            
                Weight Loss Benefits End
            
            
        ShutterstockPerhaps the biggest concern for many people is what happens to their weight after stopping. "One of the big side effects of these medications is weight loss. It's one of the reasons why so many people take these medications," acknowledges Dr. Jen. She explains that when you stop taking Ozempic or Wegovy, "the additional help that you're getting from the medications to help you with weight loss will go away too."
Will all the weight return? Dr. Jen says that's complicated: "That's going to depend on you, your body, what things you're doing to try to maintain your weight loss, how you're managing your diet, your exercise and all the other things in your life." She confirms that many people do regain weight after stopping but emphasizes that this isn't inevitable with proper maintenance strategies.

            
                Cardiovascular Benefits Cease
            
            
        Wegovy vs Ozempic: Pros and Cons for Weight Loss TreatmentShutterstockThe final important change involves heart health. "There have been studies that have shown that both Ozempic and Wegovy have cardiovascular benefits," Dr. Jen points out. These medications have been shown to reduce the risk of strokes, heart attacks, and other cardiovascular issues. Unfortunately, "when you stop the medication, those benefits that these medications afford you will go away," explains Dr. Jen.
RELATED:What Happens to Your Body When You Stop Taking Ozempic

            
                Conclusion
            
            
        ​And Now, Some Are Recommending MicrodosingShutterstockWhether you're considering starting or stopping these medications, understanding these five potential changes is essential for making informed decisions about your health. Dr. Jen emphasizes that this information isn't meant to judge anyone's choice to use or discontinue these medications—rather, it's about being prepared for what might happen. As with any medication change, consult with your healthcare provider before making decisions about Ozempic or Wegovy.
Nutrition & Diet
        10 Habits to Lose 10 Pounds in 2 Months
    

        Copyright carrierfitness/Instagram
    
By Leah GrothMar 06, 2025
Leah Groth
Writer, Editor, and Content Creator
Leah Groth has decades of experience covering all things health, wellness and fitness related. 
 See Full Bio 
                       Follow:
                       
✓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.
Do you want to shape up by spring? It might be time to incorporate some new, healthy habits into your routine. Hana Carrier is a fitness coach who helps women get into their best shape ever. In a new social media post, she reveals her strategy for losing weight fast. “Here is what I would do to lose 10 pounds before spring break as a transformation specialist for single moms,” she writes. 

            
                Get in a Calorie Deficit
            
            
        
View this post on Instagram
A post shared by Hana Carrier,MBA/ Busy Mom Fatloss and Weigthloss Coach (@carrierfitness)
“Get in reasonable caloric deficit,” she says. “Everyones deficit is different but if you go too low- you won’t be able to last for too long. Aim for 500-700 less than you maintenance calories,” she says. 

            
                Track Every Bite
            
            
        
View this post on Instagram
A post shared by Hana Carrier,MBA/ Busy Mom Fatloss and Weigthloss Coach (@carrierfitness)
The next thing you need to do is keep track of the food you are eating. “Track every bite- You would be surprised how many extra calories those bites and licks add up too,” she says. 

            
                Add Protein to Every Meal
            
            
        
View this post on Instagram
A post shared by Hana Carrier,MBA/ Busy Mom Fatloss and Weigthloss Coach (@carrierfitness)
Third, add protein to every meal. “Aim for 25-50 grams per meal. Protein will help you feel full longer and it will also help you balance those sugar crashes,” she says. 
RELATED: This Is Exactly How to Lose Body Fat This Year

            
                Add Veggies Too
            
            
        
View this post on Instagram
A post shared by Hana Carrier,MBA/ Busy Mom Fatloss and Weigthloss Coach (@carrierfitness)
She also recommends adding veggies, 2 to 3 times daily. “Veggies are a great way to feel full without racking up the calories,” she says. “Plus they are great for your health.”

            
                Strength Training 3 to 4 Times a Week
            
            
        
View this post on Instagram
A post shared by Hana Carrier,MBA/ Busy Mom Fatloss and Weigthloss Coach (@carrierfitness)
“Strength training 3 to 4 times a week, is another key habit. “This won’t help you lose much weight quicky but it will help you build more muscle mass so you can burn more calories daily over time. Plus who does not want to look toned and strong. These workouts don’t need to be an hour long. 30-45 min is enough,” she says. 

            
                Walk 8,000 Steps Per Day
            
            
        
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A post shared by Hana Carrier,MBA/ Busy Mom Fatloss and Weigthloss Coach (@carrierfitness)
Also, get your steps in. “8K steps daily (add weighted vet to your walks when possible)- start moving more. Get a step tracker and aim for 8 K steps daily if possible,” she suggests. 
RELATED:12-3-30 Walking Method: 20 Proven Tips to Lose Weight Faster

            
                Eat 3 to 4 Times a Day
            
            
        
View this post on Instagram
A post shared by Hana Carrier,MBA/ Busy Mom Fatloss and Weigthloss Coach (@carrierfitness)
Make sure to eat enough. She recommends three to four times a day. “You don’t need 6 meals per day. Focus on 3-4 filling meals,” she says.

            
                Meal Prep Twice a Week
            
            
        
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A post shared by Hana Carrier,MBA/ Busy Mom Fatloss and Weigthloss Coach (@carrierfitness)
Mealing prepping will also help you achieve your goals. She recommends doing it twice a week. “Fail to prep- prep to fail. It is soo much easier when you have the right foods ready,” she says. 

            
                Stop Drinking Alcohol
            
            
        
View this post on Instagram
A post shared by Hana Carrier,MBA/ Busy Mom Fatloss and Weigthloss Coach (@carrierfitness)
Don’t drink your calories. “Stop drinking alcohol,” she suggests. “Drinking alcohol stops you from losing fat- your body takes time to metabolize the alcohol(24-48 hours) and while your body is metabolizing the alcohol, fat burning stops.”

            
                Hydration
            
            
        
View this post on Instagram
A post shared by Hana Carrier,MBA/ Busy Mom Fatloss and Weigthloss Coach (@carrierfitness)
Her last recommends is to hydrate. “Drink 2-3 L of water. It will help you speed up your metabolism but also feel full,” she says. And if you enjoyed this article, take advantage of these 15 Quick Ways to Lose Body Fat Percentage in a Week.
Nutrition & Diet
        She Transformed Her Body in 5 Easy Steps
    

        Copyright breehenryy/Instagram
    
By Leah GrothMar 05, 2025
Leah Groth
Writer, Editor, and Content Creator
Leah Groth has decades of experience covering all things health, wellness and fitness related. 
 See Full Bio 
                       Follow:
                       
✓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 struggling on your weight loss journey? One weight loss warrior shares her effective, step-by-step approach to her impressive transformation. Breanna Henry is a swimwear and activewear founder who lost weight and transformed her body, regularly sharing about how she did it on social media. In a new post, she offers some tips. “How to transform your body in five easy steps,” she writes in the Instagram post. 

            
                You Need to Break Your Old Habits
            
            
        
View this post on Instagram
A post shared by BREANNA HENRY (@breehenryy)
“HOW I FINALLY LOST THE WEIGHT AND KEPT IT OFF!!!” she continues. “Maybe ‘easy’ isn’t the word. It will be difficult to break the old habits you’ve instilled. But they’re simple rules,” she says. “My weight fluctuated for years and I always felt like I had to ‘cut’ or ‘diet.’”

            
                These 5 Changes Helped Her Lose Weight
            
            
        
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A post shared by BREANNA HENRY (@breehenryy)
“Once I made these 5 changes, I’ve been able to lose the weight. Anytime it feels like I’m putting weight on, I evaluate where I’m slipping up with one of these and get back on track and I’m good to go,” she says. “It doesn’t have to be difficult and confusing. Dumb it down and get it done.”
RELATED: This Is Exactly How to Lose Body Fat This Year

            
                Step One: Improve Sleep
            
            
        
View this post on Instagram
A post shared by BREANNA HENRY (@breehenryy)
The first step is to improve sleep. “Cold temperature at night and sleep in less clothing magnesium before bed. I mask to make it dark. No phone in bed,” she continues. “Charge it in another room. Try to go to bed and wake up around the same times every day. Sunlight in your eyes, first thing in the morning.”

            
                Step Two: Eat Regularly
            
            
        
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A post shared by BREANNA HENRY (@breehenryy)
Her second step has to do with nutrition. “Eat to prevent crazy glucose spikes. Eat greens first, then protein and fats, then carbs. Never eat carbs by themselves. Decrease overall sugar intake,” she says.

            
                Step Three: Eat More Protein
            
            
        
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A post shared by BREANNA HENRY (@breehenryy)
Her third step? Amp up your protein intake. “Eat more protein. Eat as much meat, fish and eggs as you please,” she says. 
RELATED: 15 Quick Ways to Lose Body Fat Percentage in a Week

            
                Step Four: Focus Your Diet Around Whole Foods
            
            
        
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A post shared by BREANNA HENRY (@breehenryy)
Step four? Most of your diet should be whole foods like meat, fish, eggs, fruit, and veggies. “Stick to the perimeter of the grocery store where things have to be refrigerated. Foods that don't have ingredient labels,” she says.

            
                Step Five: Exercise
            
            
        
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A post shared by BREANNA HENRY (@breehenryy)
The final step is “balanced training,” she says. “Strength train two to three days a week. Some form of endurance training once a week, 10 to 15,000 steps per day. The remaining of exercise to be lower intensity, Pilates, yoga, something fun outdoors. Occasional HIIT workouts to challenge yourself, but not multiple times per week. Allow time for recovery. Better to train harder on fewer days. Exercise doesn't have to be the gem. It can be pickleball, roller skating, long walks with friends, run club to socialize.” 
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