ozempic and appetite

[Anonymous]

My mom (age 70) is on ozempic for weight loss.

She is constantly going out for pizza and ice cream, and buying junk food for home. (More than once per week)

I thought ozempic reduces appetite? She is losing weight (5'5, 150 and dropping) but still eating this stuff.

[Anonymous]

Is she under medical supervision?

[Anonymous]

When you first start on it, you're not on a therapeutic dose. You titrate up slowly and the effects get stronger as you go up. I didn't have much appetite suppression (nor any GI side effects) until 1.5 - your mom may still be on a starter dose. But since her doctor put her on it for weight loss and she's losing weight you should probably just be happy for her and stop looking for opportunities to judge.

[Anonymous]

It can be hard. I'm on a GLP-1 and I've lost 25 pounds, but I haven't been eating great lately. Still staying skinny, but eating junk food again. Not healthy. It's possible to eat like crap and still lose weight. You just eat fewer calories of crap with the appetite suppression of a GLP-1, but when you fill yourself up with a candy bar, you often have no room for a balanced nutritious meal.

[Anonymous]

I can’t tolerate crap while I’m on the GLP-1. My DD wanted me to try the new McDonalds snack wrap when they came back, and I heard from it all that night.

[Anonymous]

Anonymous wrote:My mom (age 70) is on ozempic for weight loss.

She is constantly going out for pizza and ice cream, and buying junk food for home. (More than once per week)

I thought ozempic reduces appetite? She is losing weight (5'5, 150 and dropping) but still eating this stuff.

As a registered dietitian who works with patients on GLP1s, this makes me crazy.

Is she getting no nutrition counseling at all?

[Anonymous]

Anonymous wrote:My mom (age 70) is on ozempic for weight loss.

She is constantly going out for pizza and ice cream, and buying junk food for home. (More than once per week)

I thought ozempic reduces appetite? She is losing weight (5'5, 150 and dropping) but still eating this stuff.

My DH takes Ozempic and does this. He likes ice cream. He still eats less than I do overall (I'm 100 pounds lighter) and is losing weight.

[Anonymous]

Anonymous wrote:

Anonymous wrote:My mom (age 70) is on ozempic for weight loss.

She is constantly going out for pizza and ice cream, and buying junk food for home. (More than once per week)

I thought ozempic reduces appetite? She is losing weight (5'5, 150 and dropping) but still eating this stuff.

As a registered dietitian who works with patients on GLP1s, this makes me crazy.

Is she getting no nutrition counseling at all?

The food noise indeed

[Anonymous]

Since she's losing weight, she's eating less. You can lose weight eating any kind of junk if you just eat very little.

But for her health, she's supposed to be getting a lot of protein, calcium, and water. Because when you eat a lot less but most of it is junk, you'll have health issues. (And I'm with PP, I can't tolerate fast food on glp-1.)

[Anonymous]

Anonymous wrote:Wow, I'm on a GLP-1 and yesterday I ate half a slice of pizza for lunch and half a wrap sandwich for dinner and the carbs made me gain two pounds. Literally I was 2lbs heavier this morning. Lucky mom!!

You are not unlucky and did not really gain 2 lbs of fat overnight.

People really have no idea how fat loss works. Losing fat and losing or gaining water weight/bloat are two different things. Not understanding weight fluctuations is why so many give up and declare that something doesn't work for them.

[Anonymous]

Anonymous wrote:My mom (age 70) is on ozempic for weight loss.

She is constantly going out for pizza and ice cream, and buying junk food for home. (More than once per week)

I thought ozempic reduces appetite? She is losing weight (5'5, 150 and dropping) but still eating this stuff.

When I was on a semaglutide I lose weigh eating whatever I wanted. The difference was I got full a lot faster and was only eating 3 meals a day vs snacking a lot. For the first time in my life I felt like normal person- eating all things in moderation and not randomly grabbing snacks. So while she is eating these things she is not over consuming if she is still losing weight.

Of course not eating enough protein is not good for her long term health and maintaining muscle mass as she loses weight.

[Anonymous]

Anonymous wrote:My mom (age 70) is on ozempic for weight loss.

She is constantly going out for pizza and ice cream, and buying junk food for home. (More than once per week)

I thought ozempic reduces appetite? She is losing weight (5'5, 150 and dropping) but still eating this stuff.

A. You're really judgmental.

B. At her age, she should be focusing on protein to preserve muscle mass. I'm 65 and have worked very hard to preserve my muscle mass by prioritizing lean protein and taking up strength training. Ideally she would be under the care of a dietician who can guide her on what to eat.

[Anonymous]

I’ve been on GLP1s over a year.

I buy junk food more than I ever did because I can now trust myself with portion size. In my lifelong calorie restriction efforts pre GLP1, I would never dream of having my favorite cookies or ice cream in the house because I knew I wouldn’t stop at a couple spoonfuls. Now, I do. So it’s in the freezer for the first time in my life aside from when my parents stocked it.

[Anonymous]

I'm only on 0.5 of Ozempic and it's making my food pickiness out of control. I eat very small amounts but very picky about what it is

[Anonymous]

Anonymous wrote:

Anonymous wrote:My mom (age 70) is on ozempic for weight loss.

She is constantly going out for pizza and ice cream, and buying junk food for home. (More than once per week)

I thought ozempic reduces appetite? She is losing weight (5'5, 150 and dropping) but still eating this stuff.

As a registered dietitian who works with patients on GLP1s, this makes me crazy.

Is she getting no nutrition counseling at all?

Oh for pity's sake, she knows what a nutrient is and that ice cream and pizza have few which are nothing compared to the sugar and saturated fats she's consuming.

I respect what dieticians/nutritionists do, but you don't begin to touch on the baggage people are carrying that they are using addictive foods to self medicate away from thinking about or dealing with. OP's mother is not consuming junk to nourish her gut and brain, she's consuming junk for the dopamine rush and to try to fill the emptiness that really needs therapy of some kind whether CBT, DBT, etc.