Ozempic advice?

Leslie40

Well-known member
Hi everyone! So, after chatting with my physician, I've decided to give ozempic a try. I'm currently sitting around 250lbs and have a history of overeating. I'm also planning to get back into regular exercise. For those of you who've been on it for a while, any tips or advice you wish you'd known when you started? I don't know anyone personally who's used it outside of diabetes management, so any insights would be super helpful! Thanks!
 
Make sure you're eating enough calories to fuel your body and brain. You might not see huge changes in the first month, and your appetite might not decrease dramatically right away. Be patient and consistent!

Track your calories to stay in a reasonable deficit. The main thing is building sustainable diet and exercise habits. Don't go too hard at the beginning. If you're currently inactive and suddenly try to hit the gym five times a week, you'll probably burn out. Build slowly and consistently. Start with aiming for 8,000-10,000 steps a day. If you're only doing 3,000 now, try to get to 5,000 and gradually increase. Use Ozempic to help you establish these habits.

Commit to going to the gym once or twice a week for a total-body workout, then add more sessions as your body adapts. Find exercises you enjoy, like tennis for me.

My initial commitment was "once a week, no excuses," then twice a week, and now three times a week, although I usually go five times. I started at about 295lbs, no exercise, low steps, generally sedentary. Now, about two and a half years later, I've been off Ozempic for nine months; I still track my calories most days, and I'm at the gym five days a week, playing tennis two or three times. I'm at 195lbs and still losing, though slower now.

Keep heartburn meds handy, drink lots of water, and don't mess with your doses. Take it as prescribed. Try to limit fried foods; they might make you feel sick. I still eat a mostly "whole foods" diet. Try to get about 0.8-1.1g of protein per kg of body weight. Allow yourself some treats. Ensure you get plenty of fiber.

Ozempic will help with binge eating, so use that mental space to improve your relationship with food. A therapist could help, but building small, healthy eating habits will also make a difference.

Congrats on taking this step! I hope it works well for you! Consistency is key!
 
The constant thoughts about food ease up, but they don't totally disappear. I don't binge until I'm in pain anymore, which is a major improvement.

I felt really sick at the gym when I first started, especially with high-intensity stuff like the stair climber. That stopped after a month or so.

Drink a lot of water and eat a lot of fiber to avoid stomach problems. I've barely had any constipation in the 5 months I've been on Ozempic. Also, even just 30 minutes on the stair climber really cuts down my appetite.
 
I couldn't believe how fast my appetite vanished. My daughter experienced the same. I had to make myself eat the first few weeks and felt full after a tiny bit. First time ever not feeling hungry or deprived.

I had constipation, but Miralax daily helped. I've switched to Mounjaro and have less constipation now.

Don't stress about the gym. The weight comes off even without heavy exercise. Focus on figuring out what you need to eat and let the medication work. I see an online nutritionist every few weeks to stay on track. There's a good app called MyNetDiary that has a huge food database for tracking.
 
I know a bunch of people who got help with binge eating! Get ready for a life change! Focus on protein, fiber, hydrating and moving your body. Drink electrolytes and a daily multivitamin. Track everything to get to your goals! I use a glp1 app. Don't compare yourself to others. Your body will respond how it responds. Rooting for you!
 
Be realistic. It took maybe six weeks before I noticed any real changes in my eating. But some people feel it right away. Everyone's different.
 
Sure thing! I've been on it about a year now. Speaking from my experience, for the first month, I had a limit to how much I could eat. If I ate even just a LITTLE too much, I'd throw up. I figured out my limit, and eventually, my body adjusted, and it hasn't happened since (unless I stop and restart).

Also, you'll lose weight, but then you'll plateau around the six-month mark. Then, it's about mixing the Ozempic with actual effort and diet. If you're looking for a quick fix, you might lose 10-15 pounds (I did), but then you stop losing and need to start eating right.

It's been good for me, and my A1C is normal again. But it's not for everyone and I've heard that if you can't handle Ozempic, other ones like Mounjaro may work better.
 
Don't just quit and think you can restart without problems. If you “take a break,” it might not work the same way it did initially.
 
Remember to drink your water. I've been on ozempic for one year, best choice of my life. It’s not a fast fix you work for it it’s a lifestyle change .
 
  • Like
Reactions: TBH
Learn to love water! Also, remember it's YOUR journey and your body will change. Don't forget your mental health!

Start working out, even just walks or bodyweight exercises at home.
 
I agree with GeekyKing466, it's all about building those habits. It's tempting to think of it as a magic bullet, but it really works best when you use it to support other changes in your lifestyle. Fiber and protein are key!
 
I'm scared about potential long-term stomach problems, like KelsK6 said. I'm trying to listen to my body and not push it too hard, but it's still a worry.
 
One thing nobody mentioned is digestive enzymes! They've been a game changer for me in terms of reducing any discomfort after meals.
 
That Science Quickly episode from April 11 hit different. Traced the whole GLP-1 journey from diabetes meds to weight loss blockbuster, all the complications now with compounded versions. How the landscape exploded with new research angles nobody expected. Wild how fast it's moving.
 
found out my zepbound coverage is being dropped so scrambling for other options. this community's success stories are motivation though. started ozempic feb 2022, wegovy almost 2 years losing 40, switched to zepbound early 2025 and finally losing again, 63 total now.
 
Back
Top