In general, more weight loss and better blood glucose control are seen with higher Ozempic doses. During a 40-week study, people receiving the 1 mg Ozempic dose lost an average of 13 lbs. And people receiving the 2 mg Ozempic dose lost an average of 15 lbs.
So, on average, with the recommended starting Ozempic dose of 0.25 mg, a 500 to 1000 calorie reduced diet, and exercise 3 times a week, you can expect to lose 3-5 pounds in the first month of treatment, which works out to about 3% of body weight for most overweight or obese individuals.
Once you begin using Ozempic, some people can find it takes several weeks to see any weight loss, yet others may see some weight loss within a week or 2.
While Ozempic is not specifically labeled as a weight loss drug, studies sponsored by Novo Nordisk, the company that makes Ozempic, suggest people who take semaglutide—the active compound in Ozempic—may lose weight. In fact, the FDA approved semaglutide for weight loss in 2021 under the brand name Wegovy.
How can I maximise my body weight loss on Ozempic? You can assist Ozempic by lowering your overall calorie intake, moving your body where possible and limiting your alcohol consumption.
A study found that at the highest dose of Wegovy (2.4 mg), patients lost on average 15% of their total body weight after 1 year. In patients with diabetes, one study showed that taking Ozempic at the highest dose of 2 mg led to on average ~15 lbs (6.9 kg) weight loss after 40 weeks.
Will Ozempic or Wegovy reduce belly fat? The answer appears to be yes. That Novo Nordisk-funded study of almost 2,000 overweight or obese adults without diabetes also found their visceral fat — the type that accumulates in the belly — was reduced from baseline with semaglutide, along with their total fat mass.
Seeing results. Ozempic starts working within the first week of beginning your maintenance dose. Your blood sugar levels will start to decline during this time. Reaching the steady state can take about four to five weeks of once-a-week Ozempic doses.
Results showed that patients lost on average up to 14 lb (6.4 kg), although some people also gained weight. Study 1: Patients using Ozempic 0.5 mg dose lost on average 8 lb (3.6 kg), those using 1 mg dose lost 10 lb (4.5 kg), and those taking placebo (an inactive treatment) lost 3 lb (1.4 kg).
Some individuals may actually gain more weight after stopping an obesity drug than they initially lost, Conde-Knape added. Studies have similarly shown weight rebound in people who stop taking Ozempic.
Ozempic is only intended and approved for people with type 2 diabetes. You should not take it solely for weight loss. Doing so may prevent patients who require the medication for blood sugar management from getting it.
We did have patients who lost a moderate amount but we also had patients losing over 15 pounds and even over 20 pounds in the first month!
Patients trying to lose weight with either drug should work with a dietitian for a guided meal plan, but in general, they should aim to eat 1,200 to 1,800 calories a day depending on their initial weight, Rubin says.
Nausea was the most common side effect reported by people taking the drug in clinical trials. For most people, the nausea was mild and temporary. You're more likely to have nausea when you first start Ozempic treatment or after your doctor increases your dose.
Can I drink alcohol while using Ozempic? The short answer is yes: you can drink alcohol while taking Ozempic. In the U.S., where Ozempic is created and distributed from, the Food and Drug Administration has not provided any specific disclaimers on mixing Ozempic and alcohol [1].
The starting Ozempic dosage is usually 0.25 mg once weekly. This dose isn't intended to have an effect on your blood glucose. Instead, it's meant to help your body start adjusting to digestion-related side effects.
The viral diabetic drug and its active ingredient, semaglutide, have recently soared in popularity over their weight loss properties. That said, dietitians warn the drug's effects are far from permanent.
The most common side effects with Ozempic include stomach problems like nausea, vomiting, diarrhea, stomach pain and constipation. These tend to be mild-to-moderate and usually clear up in a few weeks in most people.
High fat foods or sugary foods
Ozempic can cause nausea and vomiting if taken after eating foods high in fat or sugar. It is recommended that you take Ozempic before meals, rather than after, to minimise any potential side effects from eating high-fat or high-sugar foods.
Moderation is key, but whole grains are heart-healthy and can help with nausea if you're experiencing adverse side effects when first starting an Ozempic regimen. Make sure you're drinking plenty of water (seltzer with lime counts!). Other healthy beverages include coffee and tea, without added sugar or fatty creamers.
If people are unable to eat enough while on the drug, he decreases the dose or tells them to stop taking the medication altogether. No standard nutritional guidelines have yet been established for patients taking Ozempic or other medications that work similarly, like Wegovy and Mounjaro.
If you stop taking Ozempic, the weight you lost will likely return, fast. People who ceased use of semaglutide gained back, on average, a full two-thirds of the weight they had lost on the drug within one year, according to an August 2022 study, the Wall Street Journal reports.