Ozempic plateau - anyone else?

CoolMom559

Well-known member
Hey everyone, I've been on Ozempic since around summer of '24, and I've dropped about 125 pounds. I went from about 450 to 330. My goal is to be around 220-240. But since spring '25, even with a higher dose, like 2.7 mg, my weight hasn't changed much. I've been trying for over a month and it's stuck. I'm still prepping meals, and I'm at the gym 5 times a week doing cardio on the elliptical. I started lifting weights a few months back. Am I missing something? More cardio? Any advice?
 
Hey! Since you're just starting with weight lifting, you might be gaining muscle! Also, your body might retain more water when you start strength training. Keep going, you're doing awesome!
 
Wow, 125 pounds? That's amazing! Congrats!

You're doing so much right. Plateaus are def common, especially after you lose a lot of weight, and it doesn't mean you're doing anything wrong.

People think losing weight is a straight line, but it's not! You might be flat for a bit, or even gain some. It's okay! Keep at it. Consistency is key.

Some things to think about that could help:

* Look at your calories/macros. Try tracking them for a week to see where you're at. More protein and fiber can help you feel full and build muscle.
* If your heart rate is always the same, like on the elliptical, try interval training or walking uphill to burn more calories. Or add more resistance training. Track your output with a fitness tracker so you can adjust.

You've lost over 25% of your weight. That's a big win!
 
Maybe try reverse dieting, slowly adding 100-200 calories until you find your maintenance level. Stay there for 5-6 weeks. This can help your body reset and accept the new "setpoint". After that, go back to a deficit. It works for me in getting my body to let go of another 10 pounds or so. I did it before the holidays last year, and by January I was dieting again. I'm losing again now, but it's slowing down, so I might go back to maintenance for a bit.
 
Remember, your body treats a weight you've been at for a while as a 'set point', the weight it needs to live.

When you lose weight, esp fast, your body sees it as a threat, and it triggers a survival mode. That's often when you plateau. Your body slows down to see if you're in danger of starving. Once it knows you're getting enough food, it lets the weight loss continue.

Here's a quick list that might help, but everyone's giving good advice already!

* Recheck your calories. Recalculate for your current weight, and you may need to adjust.
* Add or change workouts. If your workouts are the same, your body's adapted. Add intensity, walk farther, or switch it up. Strength training helps because muscle burns calories at rest.
* Focus on protein and fiber. Protein keeps muscle and keeps you full, and fiber helps with digestion. Both help with plateaus.
* Take a break. Eating at maintenance for a few days or a week can reset things. It shows your body you're not starving, and makes it easier to lose again. (Someone mentioned this!)
* Watch for hidden calories. Sauces, bites, and drinks add up. Avoid sodas - liquid calories add up fast. Diet soda helps when I crave soda.
* Sleep and stress matter. High stress or poor sleep slows fat loss. Your body holds on to weight when stressed.

Think of your body like a caveman. Food wasn't certain, so when weight dropped fast, the body panicked, 'Are we starving? Is there a famine?' It slows things down to keep you alive. That’s what happens during a plateau. Your body doesn’t know you’ve got a fridge, it just sees the weight loss and tries to protect you.

Congrats on your journey! You've got this!
 
I don't have advice, but wow - you're doing great! Remember that! You've lost the weight of a whole person! Keep it up - you'll keep going if you're patient and healthy.
 
Congrats! Sometimes weight loss shows in other ways. Since you're lifting weights, you might be gaining muscle and losing fat, so your weight stays the same.
 
It's frustrating when that happens to everyone on GLP-1 meds or not. You have to change something: the foods, when you eat, water, maybe try biking for 15 minutes after lifting (my son swears by it), stress, calories, steps, sleep, training... It's different for everyone, but change something after a 2-month plateau.
 
Thanks everyone for the awesome suggestions! I'm gonna try mixing up my cardio mostly, because it is the same routine. I should probably track all my calories for a week too, I've gotten a little lazy on that.
 
CoolMom559 said:
Am I doing anything wrong, need to do more cardio or any suggestions?

Just thinking out loud here, but are you sure you're counting all your calories correctly? The apps that guess calories from a picture can be really off. And the calorie burn numbers from fitness trackers can be way wrong too.
 
BayArea_Brian said:
I feel like my body is adapting to my dose too.

Yep, your body gets used to the dose over time! That's why you have to go up in dosage. Usually, there's a limit though... Weight loss really slows or stops after a couple of years. I think that's partly why I plateaued too.
 
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