Whether or not you have simply been prescribed injectable Ozempic otherwise you’re a couple of days into your day by day Rybelsus prescription, there is a good likelihood your physician has requested you to contemplate some life-style changes. A part of a category of medicines often known as GLP-1s, semaglutide prescriptions (together with Ozempic, Wegovy, Rybelsus and extra) work partly to imitate a intestine hormone that permits the pancreas to provide insulin when blood sugars spike. For these with diabetes, these medicines assist to decrease a excessive HBA1C over time.
However semaglutide additionally concurrently impacts how meals interacts together with your gastrointestinal tract in doing so; for sufferers prescribed Wegovy specifically, the drug could change the best way your physique processes meals which you will beforehand be used to consuming recurrently.
Medical doctors counsel sufferers who’re being prescribed semaglutide a couple of vary of life-style modifications they’re going to have to make for meds to work as supposed. That is notably true with regards to food plan and diet, as sure meals and grocery staples could exacerbate unwanted side effects related to semaglutide medicines. As a result of semaglutide is so routinely linked to gastrointestinal (GI) misery, medical doctors additionally could broach different techniques to keep away from these usually painful and day-ruining unwanted side effects; instruments akin to portion management and limiting alcohol consumption, for instance.
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Whereas it is true that restructuring your food plan could certainly provide help to reduce unwanted side effects related to semaglutide medicines, most medical doctors aren’t anticipating sufferers to get rid of complete meals teams altogether. It is extra about cautious moderation, particularly over the primary few doses of treatment. Supplies printed by Novo Nordisk (the producer of Ozempic and Wegovy) point out that there are not any particular meals sufferers should absolutely get rid of completely — however meals excessive in fats, added sugars and saturated in caloric consumption are identified to not solely doubtlessly worsen unwanted side effects, however work towards sufferers who’re working to handle sort 2 diabetes and medical weight problems.
Simply how does what you eat influence you whilst you take semaglutide, you might marvel? Widespread unwanted side effects embody nausea, vomiting, diarrhea, constipation and fleeting or power abdomen ache; and whereas urge for food is certainly minimized, for many, it isn’t absolutely erased. Some meals could worsen any potential vomiting or diarrhea, whereas others do not.
Learn on to study extra concerning the sorts of dietary modifications that will soften Ozempic unwanted side effects and different top-level suggestions from consultants.
Editor’s be aware: Weight reduction, well being and physique picture are complicated topics — we invite you to achieve a broader perspective by studying our exploration into the hazards of food plan tradition.
The writer of this text is presently taking Ozempic as a part of his prescribed medical remedy plan for sort 2 diabetes. Our reporting has not been influenced by Novo Nordisk or another pharmaceutical company.
What medical doctors warn sufferers towards earlier than prescribing Ozempic
As a result of Ozempic and different semaglutide medicines decelerate your gastrointestinal tract — which helps you’re feeling fuller longer, stemming your urge for food — nausea and different stomach-related unwanted side effects are widespread. Supplies printed by the Meals and Drug Administration (FDA) point out that just about 20% of all individuals on Ozempic, specifically, expertise abdomen ache and discomfort sooner or later. It is why semaglutide treatment is usually titrated, or dosed in rising increments over an extended span of time, for a lot of sufferers: to stop extreme, uncontrollable unwanted side effects.
There aren’t meals which can be completely or absolutely restricted whereas on Ozempic — however medical doctors advise towards some meals teams as a result of they delay what’s often known as gastric emptying. “It varies affected person to affected person, however fats consumption and alcohol consumption could immediate or worsen present nausea, vomiting, heartburn, or reflux signs due to this,” explains Todd Worley, M.D., FACS, an weight problems drugs specialist and bariatric surgeon at Houston Methodist Hospital in Texas, who is usually prescribing sufferers each Ozempic and Wegovy.
Extra importantly, sufferers are requested to reduce processed meals, extremely caloric meals, added sugar and alcohol as a result of along with doubtlessly worsening GI signs, these meals teams are identified to influence blood sugar. A part of the dietary counseling that many medical doctors conduct earlier than prescribing semaglutide focuses on serving to this treatment higher management insulin manufacturing; any meals that trigger blood sugar spikes work towards the aim of the treatment within the first place, which is why medical doctors advise towards them.
Alongside focusing dietary efforts to assist preserve blood sugar low, Dr. Worley provides that sufferers who’re simply beginning a semaglutide treatment routine are suggested concerning the following life-style efforts.
Keep adequately hydrated. “The very first thing is that sufferers taking semaglutide have to hydrate, hydrate, hydrate, much more so in the summertime months,” Dr. Worley explains. As a result of semaglutidedecreases urge for food, particularly initially, some sufferers could select to cut back how a lot water they drink. “This will result in some aspect of dehydration, which might result in or exacerbate nausea, constipation, fatigue, malaise, dizziness or much more harmful points akin to acute kidney damage.” To greatest keep away from this, Dr. Worley suggests consuming at the least 64oz of water every day, however everybody’s true hydration wants will differ primarily based on their very own exercise degree. Eat smaller, regular meals. That is particularly essential as you first begin injecting or taking semaglutide orally. “You will have a decreased urge for food, however insufficient consumption can equally equate to fatigue, malaise or dizziness, amongst different extra critical points like malnutrition,” Dr. Worley says. “Semaglutide additionally results in a lower within the price of gastric emptying, and so we have to account for this, as properly. Together with their decreased urge for food, sufferers will usually have to eat smaller meals. With decreased gastric emptying, they need to additionally chew their meals very properly.” Double up on fiber-filled greens. There is not a one-size-fits-all dietary resolution for sufferers who’re being prescribed semaglutide, however basically, many are suggested to eat at the least 60g of protein a day (together with plant-based choices!) to take care of muscle mass. “I might advocate half their plate is greens — and cooked are simpler to digest in an individual with decreased gastric emptying,” Dr. Worley suggests. “1 / 4 of the plate is lean protein, and the final quarter could also be a starch or a supply of complicated carbohydrates.”
One of the best meals to eat whereas taking Ozempic
As a result of there is not one set “Ozempic food plan” for all sufferers, many healthcare suppliers usually ask these on semaglutide prescriptions to satisfy with registered dietitians and nutritionists to higher perceive their dietary wants. There is not only one sort of food plan that’s used to higher deal with sort 2 diabetes or tackle medical weight problems — however basically, medical doctors ask sufferers to eat meals which can be thought of low-glycemic, that means they don’t increase or decrease blood sugar ranges quickly after they’re consumed. Consuming these meals alongside low-fat, fiber-rich staples can be much less prone to set off or worsen gastrointestinal misery.
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In keeping with the American Diabetes Affiliation (ADA), for these with diabetes particularly, you will need to lean into low-glycemic meals which can be excessive in protein naturally, full of gut-friendly fiber and saturated in wholesome fat. Frontloading your food plan with fiber-rich meals also can provide help to really feel full and extra satiated for longer through the day. And for many sufferers, introducing new sources of dietary fiber into meals needs to be carried out slowly over time — an excessive amount of fiber (and fiber dietary supplements) could worsen fuel, bloating or constipation ultimately.
Alongside decreasing calorie intakes and controlling portion sizes, these meals could have one of the best type of impact on protecting blood sugars regular. Some examples of those sorts of meals and meals teams embody:
Whereas these common dietary tentpoles are relevant to most, all sufferers who’re prescribed a semaglutide treatment spend important time discussing dietary wants and life-style approaches with their major care physician and extra specialists as wanted.
It’s essential that you just search medical recommendation about your food plan and life-style from a healthcare supplier that’s accustomed to your in-depth medical historical past, and is conscious of another medical situations you could have.
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Meals to keep away from whereas on Ozempic
Nothing is completely off limits to those that are on Ozempic or different semaglutide medicines — somewhat, moderating sure meals teams will help you ease unwanted side effects and gastrointestinal signs if they’re impacting you throughout remedy. “Normally, sufferers ought to keep away from added sugar and processed meals — or what we could know as ‘junk meals’ — as a lot as attainable,” Dr. Worley summarizes.
Minimizing the next meals could assist cut back the chance of experiencing gastrointestinal unwanted side effects, together with nausea, vomiting, heartburn and reflux signs, Dr. Worley explains.
1) Excessive-fat meals
It is a huge umbrella to contemplate, however typically focuses on fried meals and greasy meals that make use of full-fat dairy and oil-heavy types of cooking. Analysis has lengthy indicated that even these with out diabetes or non-obese people can expertise upset abdomen and digestive points when consuming deep-fried meals, which suggests these on semaglutide medicines are dealing with the next chance of GI points in the event that they recurrently eat fried, greasy meals.
2) Trans and saturated fat
Intently associated to fried, greasy meals and snacks, extremely saturated fat (together with trans fat) are identified to exacerbate GI points. On daily basis staples like entire milk, heavy cream, full-fat cheese, butter, ice cream and most purple meats could trigger further gastrointestinal misery for somebody on Ozempic. You will need to pivot to meals teams that make use of more healthy fat, particularly monounsaturated and polyunsaturated fat, together with lean fish, olive oil and most nuts.
3) Added sugar
Sugar has a approach of sneaking into gadgets you would not anticipate — together with meals like sauces and salad dressings, savory bakery gadgets like bread, and frozen, ready-to-eat meals. For these with diabetes specifically, high-glycemic meals (or meals that include a number of sugar and subsequently spike blood sugar) can work towards the character of semaglutide treatment. For that cause, you will want to noticeably funds how a lot sweet, soda, fruit juice and dessert you get pleasure from. They need to be closely moderated and substituted when attainable.
4) Excessive-sodium meals
This usually interprets into extremely processed meals, together with grab-and-go snacks like potato chips, canned meals together with soups and quite a bit present in drive-thrus or frozen aisles within the grocery retailer. Many People eat an excessive amount of sodium presently; round 90% of all People over the age of two are consuming an excessive amount of salt, in keeping with figures launched by the Facilities for Illness Management and Prevention (CDC). Added sodium in your food plan usually will increase blood stress and results in coronary heart illness, a doubtlessly lethal combo for anybody who’s recognized with sort 2 diabetes. As a result of added salt usually is present in overtly caloric and fat-laden meals, seeing excessive sodium counts on a diet label ought to offer you pause in the event you’re fearful about an upset abdomen.
5) Refined carbohydrates
Meals and grocery staples which can be excessive in carbohydrates — particularly these which can be overly processed and do not supply many holistic vitamins — can simply spike your blood sugar. White bread, boxed pasta, sugary cereals and starchy bagels are prime examples of grocery staples that will wreck your blood sugar counts in the event you’re not cautious. In comparison with entire, unprocessed grains that will add fiber and different vitamins into the combination, refined carbs miss many vitamins out there in staples like wild rice, quinoa, buckwheat and farro. Fiber-rich carbohydrates are often a lot simpler to digest than others, too.
6) Excessive-glycemic starchy greens
When you should not usually discriminate towards greens out there to you, some veggies are price extra nutritionally than others, particularly with regards to lowering threat of GI misery. Potatoes are a main instance: They could spike blood sugar when consumed resulting from their carbohydrate counts. Others to restrict embody corn, carrots, and peas. Whereas all greens are nutritious and needs to be loved as a lot as attainable, swapping out starchy greens for diabetes-friendly choices like broccoli, zucchini, or inexperienced beans will help your treatment work higher in the long term.
A particular be aware about alcohol: As a result of semaglutide slows down digestion, eliminating alcohol or limiting it as a lot as attainable could prevent from irritating your abdomen. Alcohol is a identified irritant to gastrointestinal programs and, when mixed with semaglutide, consumption could increase your threat of creating what’s often known as hypoglycemia, or low blood sugar.
Why cannot I eat a lot on Ozempic?
Ozempic and lots of different semaglutide-based medicines work to suppress your urge for food by influencing hormones in your physique. In addition they trigger your abdomen to course of meals extra slowly, leaving you feeling fuller, longer; all of this interprets to many sufferers feeling much less hungry than they’ve ever felt earlier than, explains Dr. Worley.
In case you’re feeling nauseous whereas injecting or taking semaglutide medicines, you are not alone — nausea and upset abdomen are among the many mostly reported unwanted side effects for Ozempic, specifically. Healthcare suppliers have established that many unwanted side effects related to Ozempic reduce because the affected person will increase their dosage and acclimates to the treatment.
“Hydration is essential to stopping or minimizing nausea, particularly when beginning semaglutide,” Dr. Worley explains. “For extra extreme or refractory circumstances, individuals ought to contact their supplier for steerage. Typically instances, a short-term antiemetic — or anti-vomit treatment — could assist through the preliminary few doses.”
What you eat might also play a task in how hungry you’re feeling whereas taking Ozempic and different semaglutide medicines. Adapt your method to meals with the next suggestions in the event you discover your urge for food is being hampered by unwanted side effects:
Consuming smaller quantities with an elevated frequency through the day; splitting meals into snacks over a number of hours, for instance Consuming extra slowly and chewing extra totally with every chunk Avoiding alcohol consumption Slicing out spicy meals Decreasing the quantity of added sugar you eat to keep away from sky-rocketing blood sugar spikes
The underside line: There is not a one-size-fits-all food plan method for these on Ozempic, Wegovy or different semaglutide medicines presently available on the market. Anybody beginning a brand new treatment routine, together with semaglutide, should seek the advice of their healthcare supplier to make sure correct dietary wants are being met. Medical doctors usually direct their sufferers to see registered dietitians because of this, and to deal with different damaging meals habits which may be notably dangerous for these with diabetes.
As a result of semaglutide medicines have been linked to unwanted side effects like nausea, vomiting, diarrhea and constipation, streamlining your food plan could assist cut back the chance of experiencing these doubtlessly power unwanted side effects. As a rule, meals outlined above make it tougher for semaglutide medicines to regulate insulin launch, making it properly price your time to restrict your publicity to added sugar, fatty, greasy meals, refined carbohydrates, alcohol and extreme sodium.
Learn Extra: How I Misplaced 64 Kilos on Ozempic