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The Biggest Mistake You Might Be Making on a GLP-1, According to a Doctor

One MD reveals a major mistake many women make on Ozempic.

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

​Lots of Her Patients Under Eat on Ozempic

Montreal, CA - 16 November 2023: Ozempic semaglutide injection pens. Ozempic is a medication for obesity
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"Never hungry? Eating less than 1200 calories?" she continues. "No hunger, no cravings… but also no energy, no protein, hair loss, and no idea how you're supposed to hit your goals. You're seeing the scale drop, but you secretly wonder how fast is too fast? You feel 'in control' for the first time ever—and you don't want to mess it up," she continues.

​Underating Will Have Consequences

dieting problems, eating disorder - unhappy woman looking at small broccoli portion on the plate
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"Let's be clear: Over-suppression of Appetite is a side effect, not a strategy. And under-eating will catch up with you— through muscle loss, slowed metabolism, nutrient deficiencies, fatigue, hair loss, or a full-on plateau," she says.

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

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"So if hitting your protein goal feels impossible, here's what to try," she says.

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

​Why It Matters

Cropped shot of a young caucasian blonde woman grabbing skin on her upper arm with excess fat isolated on a white background. Pinching the loose and saggy muscles. Overweight, extra weight concept
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"Rapid weight loss might look good on the scale…But behind the scenes? You're losing muscle, not just fat. You're slowing your metabolism. You're setting yourself up to regain, not maintain," she says.

​The Bottom Line

Bodybuilder woman lifting curl bar barbell in modern gym. Front view. Muscles woman showing sixpack abs.
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The bottom line? You have to eat to be strong. "You didn't start this journey to eat like a bird and lose your strength. You started to feel in control of your body—and that means fueling it too," she concludes. And if you enjoyed this article, don't miss 20 Incredible Ozempic Success Stories of All Time.

Leah Suzanne
Leah Suzanne is a seasoned writer, editor, and content creator with a deep background in pop culture, copy editing, and magazines. Read more
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