7 Mistakes People Make While Taking Weight Loss Drugs, According to Experts

FAST FACTS

A recent survey of more than 1,000 adults showed that 25% might don't forget the use of an injectable weight loss drug without first consulting their medical doctor.

GLP-1 medications—such as Ozempic, Wegovy, and Zen Bound—can aid weight loss, but they must be used correctly for optimal results.

Obesity medicine specialists have identified six frequent mistakes people make while on these medications, even those obtained through a prescription.

The use of weight loss drugs like Ozempic has increased dramatically lately, with studies indicating they may benefit various health aspects, including heart and kidney functions. However, improper acquisition or usage can limit their effectiveness or pose significant risks.

One concerning trend has emerged among medical professionals. A survey conducted for the Ohio State Wexner Medical Center revealed that about 25% of 1,006 adults considered using an injectable weight loss drug without consulting a doctor.

Many individuals seeking these drugs may purchase them from online pharmacies, often without needing a prescription, according to a recent study. This practice carries risks, as the same study found that several online pharmacies selling semaglutide—found in popular medications like Ozempic and Wegovy—might lack proper licensing and could provide unsafe dosages or ingredients.

Dr. Christopher McGowan, a gastroenterologist and obesity medicine expert, emphasized the importance of medical consultation, stating that using semaglutide or tirzepatide, the active ingredients in Zepbound and Mounjaro, without medical oversight is a serious error. He warned that these medications can lead to severe side effects, including intense nausea, vomiting, dehydration, blockage in the intestines, and gallbladder issues.

While the trend of using non-prescription weight loss medications is alarming, it is not the only error people make regarding GLP-1 weight management drugs. Here are six additional mistakes that experts have identified.

Skipping Doses

While some medications can be taken occasionally, GLP-1s require consistent use. Dr. Michael Snyder, medical director at the Bariatric Surgery Center at Rose Medical Center and an obesity specialist at FutureHealth, pointed out that missing doses can undermine effectiveness. He stated that achieving desired results depends on following strict dosing guidelines.

To prevent missed doses, Snyder recommends setting reminders or using a medication organizer. Consistency is essential to ensure the medication works properly and leads to improved outcomes.

Not Eating Enough Protein

Getting enough protein is essential for weight loss, even without prescription GLP-1s, as it helps build muscle and keeps you feeling full longer compared to other macronutrients. When taking weight loss medication, the importance of protein increases. Elizabeth Sharp, MD, emphasizes that adequate protein intake is vital for maintaining skeletal muscle. Losing weight without maintaining muscle can bring about a better body fat percentage in a while. A 2024 review highlighted that while semaglutide effectively reduces body weight, it also leads to significant reductions in lean body mass, which encompasses all tissue except fat. Medications like semaglutide and tirzepatide delay stomach emptying, leading to a quicker and longer-lasting feeling of fullness. Even if appetite decreases, it's important to include protein sources in meals and snacks, whether from plants or animals. Alexandra Sowa, MD, advises her patients to prioritize protein and, if they lack hunger, to opt for easily consumed, protein-rich foods like shakes and cottage cheese.

Not Eating Enough Fiber

Fiber intake is crucial when using GLP-1s. Su-Nui Escobar, RDN, warns that not eating enough fiber can lead to constipation, a frequent side effect of semaglutide. She acknowledges that low appetite makes it tough to consume enough fiber but encourages choosing high-fiber foods when possible. Items like beans, lentils, and smoothies can provide fiber without adding too much volume to meals.

Not Exercising

Using weight loss medication doesn’t mean that exercise should be neglected. In fact, increasing physical activity may be beneficial to prevent muscle loss. McGowan emphasizes that exercise is essential for maintaining muscle mass and metabolism, highlighting that the goal is to lose fat, not muscle, and that exercise plays a key role in achieving this. Whilst both cardiovascular and power education physical games are crucial, McGowan and Sowa recommend placing a greater emphasis on energy training. Building muscle while losing weight is vital for overall health, functionality, and long-term metabolic benefits.

Stopping Too Early

When beginning weight loss medicinal drugs, it is vital to realize they're no longer a brief-time period answer, in keeping with McGowan. People beginning a GLP-1 medication for weight loss should commit to using it for the long haul. These medications are not intended for brief use, and stopping them often leads to regaining lost weight. If you do determine to forestall taking the medication, you might face difficulties. McGowan noted that "rebound hunger" can boost your appetite for months after you stop GLP-1s, and weight regain is likely. Many patients find they quickly regain the weight they lost and sometimes even more. Lastly, these medications do not address the fundamental issues that contribute to excess weight. Sowa emphasized that a significant part of her work with patients focuses on their mindset rather than just diet or exercise. She encourages individuals to reflect on their routines and use the medications to foster new relationships with food, alcohol, and relaxation. Journaling or similar activities can help uncover underlying beliefs about food, which is the first step to changing these thought patterns.

Skipping Meals

While taking GLP-1s, you may not feel very hungry, but skipping meals is a mistake, according to Escobar. Not consuming regularly can lead to nutrient deficiencies. Additionally, consuming all your daily calories in one large meal might cause uncomfortable digestive issues. There is another negative consequence to consider. Sowa pointed out that while it might seem appealing to avoid eating completely, this strategy can lead to a slower basal metabolic rate and an unhealthy loss of both muscle and fat. Escobar recommends eating at least two meals and one snack every day. She suggests opting for easy-to-consume foods on low-appetite days, like high-protein smoothies or smaller meals. Sticking to a regular eating schedule can also help maintain proper intake.