this post was submitted on 02 Sep 2024
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LoseIt: Lose the Fat

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A community for weight-loss, primarily by means of inducing a caloric deficit.

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SW: 209 lb - CW: 191 About five months ago my doctor put me on semgultide because I’ve spent years at pre-diabetes and was struggling to lose weight even with regular exercise. I have not found this drug to be a magic pill - I still need to track my CICO daily and exercise.

I pushed to stay on the lowest dose till I hit a two month plateau because I am leery of relying on just the medication to manage my diet. I am well aware of most people’s experiences with getting off the drug and gaining weight again, so I am trying to treat this like a push in the right direction but not a long term solution.

Anyhow I’m also just posting cause I forgot I subscribed to this group and I also want to see it active. If you’re in the US - happy Labor Day! I hope you’re off work today.

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[–] ramble81@lemm.ee 12 points 2 months ago (1 children)

What do you mean by “how to live with” if you don’t mind me asking?

[–] MapleEngineer@lemmy.world 9 points 2 months ago

Ozempic slows the emptying of your stomach. You stay full for longer. If you over eat you will have that uncomfortable feeling of being over full for a long time. That sucks. It means that if you eat something that makes you gassy or that gives you heartburn you're going to pay the price for many hours. I believe that the people who fail on Ozempic think that they can take it and continue to eat how they have always eaten and the weight will just fall off. That's not how it works. If you go to bed with a full stomach you're going to build up gas. That gas is going to force the contents of your stomach back up and give you reflux and often vomiting. I believe that the people who complain that Ozempic made them throw up continued to eat WAY too much and paid the price. I had to start taking an omeprazole (Prilosec) with sodium bicarbonate to help with heartburn. I eat a modest high protein, relatively low carb breakfast most days, often skip lunch because I'm not hungry, and try to eat supper between 4 and 5 to give my stomach time to work on my meal before I lie down.

You have to adapt how you eat to the reality of taking Ozempic. I really leaned in and the weight came off quickly. I have a couple of times where my weight stabilzed and I didn't lose any weight for two or three or four weeks but then it started to come off again.