This Doctor Reveals 5 Alternative Medications When You Can't Get Ozempic

What Exactly Are These Injections?

"These injections include medicine like semaglutide, otherwise known as Ozempic, and Mounjaro," Dr. McCann explains in her post. She notes that semaglutide has FDA approval specifically for weight loss in certain individuals, while Mounjaro is approved for type 2 diabetes but commonly used off-label for weight loss.

How Do They Work?

These medications work through multiple mechanisms to help you lose weight. "They work by inhibiting glucagon release, which is what makes you hungry. They decrease glucose production from the liver, delay gastric emptying, and decrease appetite," Dr. McCann explains. These combined effects lead to what she describes as "significant weight loss," particularly beneficial for people with limited mobility.

Are They Right For Everyone?

Before trying these medications, Dr. McCann warns about important contraindications. "There are several contraindications listed by the manufacturers which include a personal or family history of thyroid cancer or other endocrine problems or cancers," she points out. Side effects can include digestive issues, though Dr. McCann mentions "most of these side effects go away or subside after taking these medicines for a few weeks."

RELATED:20 Possible Ozempic Side Effects

Tip 1: Ditch The Soda Habit

The first critical change Dr. McCann recommends is eliminating all sodas and sugary drinks from your diet. "Drinking one can of soda can make you gain 15 pounds over one year," Dr. McCann warns. This stark fact makes cutting out these beverages non-negotiable for serious weight loss.

What About My Caffeine Fix?

You don't have to give up caffeine entirely. "I'm not saying give up caffeine. If you still need caffeine, coffee is a great alternative, especially either black coffee or mixed with a little bit of stevia," recommends Dr. McCann. She also suggests "a sugar-free skinny latte" as another good option.

Tip 2: Make Protein Your Priority

When it comes to eating while on these medications, Dr. McCann emphasizes one key nutrient above all. "Protein, protein, protein. Make sure that when you feel like eating, you get your protein, specifically lean protein," she advises.

Why Protein Matters So Much

Since these medications reduce your appetite, making every bite count becomes crucial. "If you don't take in enough protein, you will lose your muscle and you won't be able to burn as many calories as you did before losing that muscle," explains Dr. McCann. She adds that "protein increases your metabolism by increasing your muscle," creating a virtuous cycle for weight loss.

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

Tip 3: Just 20 Minutes Of Movement

Exercise completes Dr. McCann's trifecta of weight loss boosters. "Exercise is very important for weight loss, for keeping the weight off, for losing it, for your cardiovascular health," she notes. There's also a mental health benefit: "It actually is a natural remedy for anxiety because it releases cortisol."

Starting Small Works

You don't need to commit to lengthy gym sessions to see results. "If you're just starting out, 20 minutes four times a week through a high intensity training, something like HIIT classes, will be just fine," Dr. McCann recommends. This manageable approach makes starting an exercise routine less daunting.

What If I Have Physical Limitations?

Dr. McCann acknowledges that not everyone can perform high-intensity exercise. "If you do have physical limitations, exercise is still important, but you may need to talk to a personal trainer to see what exercises that you specifically can do," she advises. The goal remains preserving muscle mass, which is crucial for metabolism.

RELATED:20 Things to Avoid While on Ozempic

The Bigger Picture

Dr. McCann views these medications as a starting point rather than a complete solution. "Make sure to use this weight loss boost to start your healthy living so that you can lose even more weight and be able to keep it off after you stop the injections," she concludes. This forward-thinking approach helps ensure your results last long after the medication period ends.

By implementing these three straightforward strategies—eliminating sugary drinks, prioritizing protein, and incorporating regular exercise—you can maximize your results while using weight loss injections like Ozempic and create sustainable habits for long-term success.

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

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

One 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

There'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

Perhaps 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

The 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

Whether 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.