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Ozempic® Foods to Avoid: Reducing Side Effects
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Weight loss

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Foods to Avoid on Ozempic
Foods High in Saturated Fat
While our bodies need fats for vital functions, not all fats are beneficial when on Ozempic®. It’s crucial to avoid foods high in trans and saturated fats as they can adversely affect your health. These fats are notorious for raising LDL (bad cholesterol) and lowering HDL (good cholesterol), which can contribute to weight gain, hinder weight loss efforts, and increase the risk of type 2 diabetes and heart disease.
Here’s what to avoid:
Fried food and fast food
Fatty cuts of meat such as pork belly
Processed meat such as sausage and bacon
Butter, lard, ghee, and pastry products containing these ingredients
Full-fat dairy products such as heavy cream, ranch dressing, etc.
Highly processed snacks such as potato chips and packaged cookies
Foods High in Sugar or Simple Carbohydrates
Carbohydrates, commonly known as carbs, are a vital energy source for our bodies, alongside protein and fats. While carbs exist in different forms, including simple sugars and complex starches, it’s important to be mindful of what types of carbohydrates you choose, especially when on Ozempic®. Simple carbs found in processed foods can cause rapid spikes in blood sugar levels, making it challenging to manage with Ozempic®, a medication designed to regulate blood sugar. Excessive consumption of simple carbs can also contribute to weight gain or worsen insulin resistance. Instead choose fiber-rich whole grains and starchy vegetables such as brown rice, sweet potatoes, quinoa, whole wheat bread, and oats.
Here’s what to avoid:
1. Sugary beverages: Gatorade, soda, fruit juices.
2. Candy: hard candy, gummy candies, chocolate bars.
3. Pastries and desserts: cake, cookies, doughnuts, pie.
4. Processed snacks: chips, crackers, pretzels.
5. Sweetened cereals: Fruit Loops, Captain Crunch, etc.
6. White bread and pasta: lacking fiber, causing quick blood sugar spikes.
7. Sugary condiments: ketchup, ranch, sweet chili sauce.
8. Sweetened yogurts, ice cream.
Eliminating or Reducing Consumption of Alcohol
While alcohol is widely accepted in moderation, it’s linked with significant health consequences. When it comes to weight loss, it’s important to recognize that alcohol is a sneaky source of empty (non-nutritious) calories that may hinder progress. For instance, a 12 oz beer packs around 153 calories, while a glass of red or white wine typically contains 121-165 calories (7).
But it’s not just about calories. Recent research, presented at the annual American College of Cardiology meeting, highlights the dangers of heavy drinking or binge drinking. These behaviors have been linked to an increased risk of coronary heart disease (8).
Food to Include While on Ozempic®
Lean proteins: Foods like chicken, turkey, fish, tofu, and legumes are rich in protein, which helps promote satiety and stabilize blood sugar levels. Protein also provides essential nutrients for muscle repair and maintenance, supporting overall health (9).
Non-starchy vegetables: Leafy greens, broccoli, cauliflower, and peppers are low in calories and carbohydrates while rich in fiber, vitamins, and minerals. They add volume to meals without significantly impacting blood sugar levels, making them an excellent choice for those on Ozempic®.
Whole grains: Brown rice, quinoa, whole wheat bread, and oats are complex carbs that are digested more slowly, leading to gradual increases in blood sugar levels. They also provide fiber, which aids in digestion and promotes feelings of fullness.
Healthy fats: Avocados, nuts, seeds, and olive oil contain heart-healthy fats that help improve insulin sensitivity and reduce the risk of cardiovascular disease. Including these fats in your diet can also enhance the absorption of fat-soluble vitamins (A, D, E, and K).
Low-sugar fruits: Berries, apples, and citrus fruits are rich in vitamins, minerals, and antioxidants while being lower in sugar than other fruits. They provide a sweet taste without causing rapid spikes in blood sugar levels, making them a suitable choice for those managing diabetes or obesity with Ozempic®.
More on Ozempic® and Weight Loss
If you want to learn more about GLP-1 medications or see if you might be eligible for medication-assisted weight loss, our team of medical professionals and obesity medicine experts is here to help.
Mochi Health is a comprehensive obesity medicine practice that offers 1-on-1 provider support from licensed physicians, 24/7 customer support, direct provider messaging, and medication delivery to your door.
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References:
Andraos, J., Muhar, H. & Smith, S.R. Beyond glycemia: Comparing tirzepatide to GLP-1 analogues. Rev Endocr Metab Disord 24, 1089–1101 (2023). https://doi.org/10.1007/s11154-023-09825-1
Wilding JPH, Batterham RL, Calanna S, Davies M, Van Gaal LF, Lingvay I, et al. Once-Weekly Semaglutide in Adults with Overweight or Obesity. N Engl J Med. 2021 Mar 18;384(11):989–1002.
Gorgojo-Martínez, J. J., Mezquita-Raya, P., Carretero-Gómez, J., Castro, A., Cebrián-Cuenca, A., de Torres-Sánchez, A., García-de-Lucas, M. D., Núñez, J., Obaya, J. C., Soler, M. J., Górriz, J. L., & Rubio-Herrera, M. Á. (2022). Clinical recommendations to manage gastrointestinal adverse events in patients treated with GLP-1 receptor agonists: A multidisciplinary expert consensus. Journal of Clinical Medicine, 12(1), 145. https://doi.org/10.3390/jcm12010145
Lindblad, A. J., Ting, R., & Harris, K. (2018). Inhaled isopropyl alcohol for nausea and vomiting in the emergency department. Canadian family physician Medecin de famille canadien, 64(8), 580.
Yavari Kia, P., Safajou, F., Shahnazi, M., & Nazemiyeh, H. (2014). The effect of lemon inhalation aromatherapy on nausea and vomiting of pregnancy: a double-blinded, randomized, controlled clinical trial. Iranian Red Crescent medical journal, 16(3), e14360. https://doi.org/10.5812/ircmj.14360
U.S. National Library of Medicine. (n.d.-b). Calorie count - alcoholic beverages: Medlineplus Medical Encyclopedia. MedlinePlus. https://medlineplus.gov/ency/patientinstructions/000886.htm
Alcohol raises heart disease risk, particularly among women. American College of Cardiology. (2024, March 28). https://www.acc.org/About-ACC/Press-Releases/2024/03/28/11/58/alcohol-raises-heart-disease-risk-particularly-among-women#:~:text=Young%20to%20middle%2Daged%20women,of%20Cardiology’s%20Annual%20Scientific%20Session.
Sodhi, M., Rezaeianzadeh, R., Kezouh, A., & Etminan, M. (2023). Risk of Gastrointestinal Adverse Events Associated With Glucagon-Like Peptide-1 Receptor Agonists for Weight Loss. JAMA : The Journal of the American Medical Association, 330(18), 1795–1797. https://doi.org/10.1001/jama.2023.19574Moon, J., & Koh, G. (2020). Clinical Evidence and Mechanisms of High-Protein Diet-Induced Weight Loss. Journal of Obesity & Metabolic Syndrome, 29(3), 166–173. https://doi.org/10.7570/jomes20028https://www.ama-assn.org/delivering-care/public-health/age-glp-1-agonists-food-choices-still-matter-health
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