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The recognition of glucagon-like peptide-1 (GLP-1) receptor agonists, equivalent to Ozempic and Wegovy, has considerably surged, with 1 in 8 American adults having taken one in every of these medication.1 Globally, semaglutide — the lively ingredient in these injections — and the associated drug liraglutide are given to greater than 20 million folks a 12 months.2

However happening this shortcut to realize your required weight truly comes with long-lasting results. Whereas these medication are sometimes touted as a “miracle reply” for shedding kilos, consultants warn that taking them might trigger you to lose extra than simply physique fats — and expose you to critical long-term trade-offs.


GLP-1 Receptor Agonists Alter Extra Than Your Waistline

In an article printed within the Day by day Mail, Benjamin Bikman, Ph.D., a metabolic scientist at Brigham Younger College in Utah, warns that GLP-1 receptor agonists are reshaping greater than physique weight — they’re altering your physiology, psychology, and presumably your long-term well being trajectory as effectively.3

• Three main results that Ozempic customers aren’t being advised about — In line with Bikman, Ozempic results in long-term results equivalent to lack of muscle and bone, dulled emotional response that might result in melancholy, and fast rebound weight acquire that leaves sufferers with a worse fat-to-muscle ratio than earlier than.

• You lose not simply fats, however lean muscle mass, too — The article notes one scientific trial on semaglutide,4 whereby 140 contributors (95 of them on semaglutide) have been tracked over 68 weeks and located that whereas these on semaglutide misplaced 23 kilos of fats, additionally they misplaced 15 kilos of lean mass, which incorporates muscle together with water and organ tissue.

That is practically 40% of their whole weight reduction coming from tissue the physique depends on. As a result of they misplaced much more fats, the share of their physique made up of lean mass truly rose barely.

• “Frail individuals are more likely to die younger” — Bikman notes that having low muscle mass and fragile bones particularly amongst seniors, not solely places you vulnerable to harm from falls; it additionally weakens your immune system, compromising your physique’s capability to deal with infections, which can also be a typical well being concern among the many aged.

Ozempic and Your Psychological Well being

Bikman says that individuals who use Ozempic and Wegovy are additionally shedding their curiosity and want for sexual activity and social enjoyment. “The profit in lowering cravings for candy meals may very well be a discount in cravings for all times,” he warns.5 Some analysis additionally hyperlinks these medication to melancholy, though it hasn’t proven that the medication trigger it.

• GLP-1 medication are related to an elevated danger of melancholy — He highlights one examine6 whereby folks with weight problems taking GLP-1 medication (semaglutide or liraglutide) had a 195% elevated danger of main melancholy and over 100% higher danger of suicidal conduct in comparison with these not taking these medication. As a result of it was an observational examine, it reveals an affiliation, not trigger and impact. In line with the researchers:

“These findings underscore the essential want for physicians to completely assess affected person historical past earlier than prescribing GLP-1 RAs and spotlight the pressing requirement for additional potential scientific trials to completely perceive the implications of GLP-1 RA use on psychological well being within the overweight affected person inhabitants.”7

• Studies of suicidal ideas are increased than anticipated — Bikman additionally notes further findings from a World Well being Group (WHO) database8 that exposed suicidal ideas have been reported about 45% extra typically with semaglutide than anticipated, in contrast with all different drugs.

This sort of database evaluation flags a attainable security sign, although it might’t present that the drug causes these ideas. In scientific trials, charges of melancholy and suicidal conduct didn’t differ from placebo, however most of these trials excluded folks with a historical past of both.9

• Why does Ozempic have an effect on your psychological state? Mainly, the drug’s essential element targets GLP-1 receptors — these are current not simply in your digestive tract but in addition in essential mind areas. These areas, such because the lateral septum and hypothalamus, are important for managing feelings, reward methods, and urge for food management.

• Notably noteworthy is its affect on dopamine — This neurotransmitter is intently related to temper regulation and reward notion. Early analysis means that stimulating GLP-1 receptors could improve dopamine transporter expression, resulting in decreased free dopamine ranges in particular mind areas. This shift in dopamine signaling might have an effect on your temper, motivation ranges, and even the way you expertise pleasure.

• Authorities businesses insist there’s “no direct hyperlink” — Though the U.S. Meals and Drug Administration (FDA) and European Medicines Company (EMA) later concluded there wasn’t sufficient proof to substantiate a direct causal hyperlink, these early indicators are arduous to disregard.

If you happen to’re utilizing a drug that is not simply flattening your urge for food but in addition dampening your motivation and talent to get pleasure from life, you are more likely to battle extra with private development, productiveness, and sustaining social bonds — all of that are foundational to your psychological well being.

If you happen to discover modifications in your temper whereas taking one in every of these medication, inform your prescribing doctor. If in case you have ideas of suicide, name or textual content the 988 Suicide & Disaster Lifeline within the U.S.

The Ozempic ‘Rebound’ Drawback

Lastly, Bikman says that weight typically comes again after folks cease semaglutide.10 He highlights a 2022 scientific trial involving roughly 200 long-term semaglutide customers; on common, they regained about two-thirds of their misplaced weight inside a 12 months after stopping the drug11 — that is what’s referred to as the Ozempic rebound.

• So why do you regain fats after stopping Ozempic? Merely put, once you’ve been taking Ozempic and abruptly cease, the starvation cues it had suppressed come raging again — this causes you to revert to unhealthy consuming, which causes the burden to return.

To place it merely, the muscle and bone mass you misplaced whereas utilizing this drug do not return naturally; nonetheless, fats comes again simply and rapidly. Bikman additionally suggests semaglutide could set off the formation of recent fats cells.

“This turns into an issue as a result of when an individual begin[s] to regain fats mass after stopping Ozempic, with extra fats cells comes a higher potential to achieve extra fats. ‘Consequently, despite the fact that an individual should still weight lower than they did earlier than beginning the drug, they could be fatter, with the next proportion of physique fats,'” he mentioned.12

• Different “well being advantages” additionally disappear once you cease utilizing it — Ozempic is claimed to assist cut back blood stress, however this might bounce again once you discontinue utilizing the drug. There’s proof that sure optimistic cardiometabolic results persist; nonetheless, the beneficial properties are modest.

• Bikman believes sufferers ought to plan to come back off the drug — Throughout this time, they should assess their cravings for carbohydrates. “Ideally, an individual has discovered eat higher and management carb cravings and their weight reduction might be sustained in the long term,” Bikman mentioned. Any plan to cease needs to be made with the prescribing doctor; the trial’s authors concluded that ongoing therapy could also be wanted to keep up the advantages.

Abdomen Paralysis and Different Digestive Risks Linger Underneath the Floor

A separate report printed in The Normal targeted on one other rising concern, one which hasn’t obtained practically sufficient consideration — GLP-1 receptor agonists can disrupt your digestive well being.13

• Ozempic interferes with regular digestion (and never simply in minor methods) — Whereas nausea, vomiting, constipation, and diarrhea are essentially the most generally reported digestive negative effects, these signs might snowball into harmful, even life-altering problems, in response to well being consultants.

• Digestive negative effects are widespread — In some circumstances, these escalate into critical well being issues. Kiran Jones, a scientific pharmacist at Oxford On-line Pharmacy, says essentially the most worrying amongst them is abdomen paralysis, or “gastroparesis.” This situation means meals strikes extraordinarily slowly — or by no means — by means of the abdomen. Left untreated, it causes persistent vomiting, malnutrition, and long-term digestive misery.

• GLP-1 receptor agonists deliberately gradual digestion — This design goals to suppress your urge for food and maintain you feeling full longer. Nonetheless, when overactivated, this identical mechanism can throw your complete digestive system out of steadiness.

• Continual digestive points have a significant influence in your psychological well being — Fixed nausea, bloating, or ache disrupts your sleep, impacts temper, and will increase anxiousness. Over time, your confidence in your physique erodes.

• There are different uncommon however extreme negative effects linked to those medication — Some customers have skilled acute kidney harm (typically linked to dehydration from vomiting or diarrhea), pancreatitis, and gallbladder issues, and the medication carry a boxed warning about thyroid tumors seen in rodent research.14

I wrote an article in regards to the many damaging results linked to those drugs, despite the fact that they solely result in “modest advantages.” Learn “Ozempic Linked to 19 Opposed Well being Occasions” for extra info.

Whereas The Normal article mentions treatments that may assist curb the negative effects of those medication, like consuming crackers or sipping mint tea half-hour after taking the medicine, I imagine the higher long-term technique is to handle the foundation causes of weight acquire by means of weight loss plan and life-style.

If you happen to’re taking these medication, speak together with your prescribing doctor about whether or not these modifications might cut back your want for them, and don’t cease or modify them by yourself, particularly in case you take them for Kind 2 diabetes. There are higher and extra environment friendly methods to handle your weight with out harming your psychological and bodily well being.

Studies of Deaths and Opposed Reactions Are on the Rise

From 2018 to 2024, the FDA Opposed Occasion Reporting System (FAERS), the company’s database of reported drug negative effects, recorded 62,000 antagonistic occasion reviews for semaglutide and tirzepatide (utilized in manufacturers like Mounjaro and Zepbound),15 although these reviews alone can’t affirm the medication induced every occasion.

• Almost 75% of the antagonistic occasions occurred after 2022 — Round 46,000 antagonistic occasion reviews coincide with the elevated availability and advertising of those medication.

• FAERS has recorded 10,000 “critical” reactions to those medication — These are occasions that lead to hospitalization or life-threatening circumstances. These aren’t simply minor inconveniences; they’re important medical occasions that might have long-lasting impacts in your well being.

• There have been additionally 162 reported deaths in folks taking these weight reduction medication — In line with a Day by day Mail article, the reported deaths elevated by 40% in simply six months. For extra info, learn “Ozempic and Different Weight Loss Medicine Linked to 162 US Deaths.”

In scientific trials, 80% to 90% of contributors skilled at the very least one antagonistic occasion. Though for semaglutide, the speed within the placebo group was practically as excessive (86.4% vs. 89.7%).16 Although most have been delicate to reasonable, they led some folks to discontinue the medicine — which, in case you’re actually decided to be wholesome, is the step in the proper path, so long as it’s finished together with your physician’s steerage.

5 Methods to Tackle Underlying Metabolic Challenges

I imagine the important thing to sustaining a wholesome weight is optimizing your mobile power manufacturing. This requires a multifaceted strategy that takes effort to implement, however it results in safer, more healthy outcomes — one thing GLP-1 receptor agonists do not supply. Listed below are 5 methods that I like to recommend for wholesome weight administration.

1. Think twice earlier than beginning Ozempic and different GLP-1 agonist receptors — These drugs initially appear environment friendly in eliminating extra fats. Nonetheless, their advantages are normally short-lived and, as talked about above, the negative effects (lots of that are nonetheless unknown) are damaging. If you happen to’re already taking one, speak together with your prescribing doctor earlier than stopping or altering your dose — stopping can increase blood sugar if in case you have Kind 2 diabetes.

2. Remove seed oils out of your weight loss plan — If you happen to repeatedly devour ultraprocessed meals, I like to recommend stopping proper now and changing them with actual, complete meals. Processed meals comprise linoleic acid (LA)-rich seed oils that may disrupt your metabolic pathways and alter how your physique shops fats. As a substitute, cook dinner your meals utilizing tallow, grass fed butter, or coconut oil.

3. Shift your carbohydrate sources step by step — Keep away from making sudden dietary modifications that may shock your system. In case your intestine is compromised, begin by introducing simply digestible carbohydrates like complete fruit or white rice earlier than incorporating extra advanced carbs. If in case you have extreme intestine points, sip dextrose water to supply your cells with a gradual supply of easy-to-digest, wholesome carbohydrates for power.

4. Think about your protein and collagen consumption — I counsel aiming for 0.8 grams of protein per pound of your excellent physique weight and balancing that quantity in order that about one-third comes from collagen. This may assist assist muscle upkeep, tissue restore, and hormone steadiness.

If you happen to train ceaselessly, you would possibly must barely improve your consumption. My suggestion is to take it gradual and take heed to how your physique responds. Steady protein consumption is foundational for regulating cravings and stabilizing power.

5. Help your mitochondrial well being with different wholesome habits — Getting day by day solar publicity is one instance; nonetheless, in case you’re nonetheless consuming seed oils, make certain to keep away from intense noon solar for at the very least six months.

The LA in these oils migrate to your pores and skin and oxidize beneath solar publicity, inflicting pores and skin harm. Get sufficient sleep at night time, reduce your stress, and incorporate moderate-intensity motion, equivalent to strolling about an hour a day, in your life-style — these methods will assist your mobile power manufacturing and help in weight administration.

Gradual, constant effort in these areas strengthens your metabolism and results in lasting well being enhancements, together with reaching your optimum weight. Bear in mind, there is no such thing as a shortcut to optimum well being. If you happen to’re nonetheless tempted to begin utilizing weight reduction drugs, you owe it to your self to learn the research to know the risks.

Supporting Your Physique’s Personal GLP-1 with Akkermansia

Alongside the methods above, I like to recommend supporting Akkermansia, a intestine bacterium linked to your physique’s personal GLP-1 manufacturing. This useful intestine bacterium produces a protein that boosted GLP-1 launch in mouse research.17

• Many individuals lack Akkermansia attributable to numerous causes — One purpose is having impaired mitochondrial perform or an atmosphere that’s inhospitable to useful intestine micro organism. Ideally, Akkermansia ought to comprise 3% to five% of your whole intestine microbiome and it performs many alternative roles except for selling GLP-1.

• Akkermansia has the power to supply mucin — This thick, gel-like substance protects the intestine lining from dangerous pathogens, irritation from abdomen acid and enzymes, in addition to mechanical harm. Furthermore, mucin helps nourish the intestine micro organism already present in your intestine.

• Sure meals could assist increase your Akkermansia ranges — Polyphenol-rich fruits like berries and inulin-rich meals equivalent to garlic, asparagus, bananas, and leeks could assist improve your Akkermansia ranges.

Be aware, nonetheless, that in case your intestine well being is presently out of whack, introducing excessive quantities of dietary fiber in your system might worsen your gastrointestinal signs. So, work on therapeutic your intestine first, then step by step improve fiber consumption.

• Dietary supplements are additionally obtainable — Begin with a pasteurized Akkermansia postbiotic, then transfer to dwell Akkermansia as soon as bloating is minimal, your stools have been constant for at the very least every week, and you may tolerate extra fiber. Ideally, search for Akkermansia merchandise that use timed-release capsules or microencapsulation know-how to make sure it reaches your colon successfully. Here is how to ensure Akkermansia reaches your colon.

It is also essential to eradicate all seed oils out of your weight loss plan for at the very least six months earlier than beginning an Akkermansia supplementation program. This preparatory interval permits your physique to recuperate mitochondrial perform and create a extra hospitable atmosphere in your colon for the useful micro organism.

The GLP-1 findings for Akkermansia are from laboratory or animal analysis and will indirectly apply to human well being.

Incessantly Requested Questions (FAQs) About Ozempic Aspect Results

Q: What are essentially the most regarding long-term negative effects of Ozempic and related medication?

A: Ozempic, Wegovy, and different GLP-1 receptor agonists could trigger lack of lean muscle and bone mass, could also be linked to temper modifications, and are sometimes adopted by weight regain after they’re stopped. These modifications might considerably influence long-term bodily and psychological well being.

Q: How do GLP-1 medication like Ozempic have an effect on psychological well being and emotional well-being?

A: These medication act on mind areas tied to temper and pleasure, and a few research have linked them to increased charges of melancholy and reviews of suicidal ideas, though regulators haven’t discovered proof that the medication trigger them. Some customers report a lack of curiosity in intimacy, meals, and social connection.

Q: Why do folks typically regain weight after stopping Ozempic?

A: After discontinuing Ozempic, urge for food suppression wears off quickly, typically resulting in overeating. The misplaced muscle and bone mass do not return naturally, however fats does, which can go away you with the next proportion of physique fats.

Q: Are there any critical digestive or bodily problems related to these medication?

A: Sure. Past widespread signs like nausea or constipation, some customers develop critical circumstances like gastroparesis (abdomen paralysis), acute kidney harm, pancreatitis, or gallbladder issues, and the medication carry a boxed warning about thyroid tumors seen in rodent research. Continual GI points additionally have an effect on temper, sleep, and total high quality of life.

Q: What are different methods to assist sustainable weight reduction and metabolic well being?

A: Deal with eliminating seed oils, step by step enhancing carbohydrate high quality, rising protein and collagen consumption, supporting mitochondrial well being by means of life-style modifications, and supporting your intestine’s Akkermansia. If you happen to take a GLP-1 drug, speak together with your prescribing doctor earlier than making modifications.


This text is for informational functions solely and doesn’t represent medical recommendation. Seek the advice of a professional well being care supplier earlier than making modifications to your well being routine.


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