Ozempic and Wegovy: what to know about GLP-1 medications

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Recently, medications such as Ozempic and Wegovy have been making headlines for their impact on weight loss. Social media is full of personal accounts, generating curiosity, hope, and sometimes confusion.

But beyond the trend, it’s important to understand what these treatments really involve. How do they work? Are they safe? And most importantly, who are they truly for?
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Wegovy and Ozempic: How do they work?

Both medications contain a molecule called semaglutide, which mimics the action of GLP-1, a hormone produced in the gut that helps regulate appetite and metabolism. They support weight loss through several mechanisms:

• Reduced appetite: They signal the brain to prolong the feeling of fullness, helping curb hunger between meals.
  
• Slower digestion: Food stays longer in the stomach, reducing cravings and snacking.
  
• Reduced glucose production in the liver: Helps keep blood sugar levels stable and prevents excess fat storage.
  
• Improved insulin sensitivity: Insulin works more effectively, allowing sugar to be used for energy rather than stored as fat.

Although both contain the same molecule, Ozempic and Wegovy are prescribed differently:

• Ozempic is primarily intended for managing type 2 diabetes but is sometimes used by healthcare professionals to support weight loss.
  
• Wegovy is specifically designed for weight management and can be prescribed at higher doses, typically resulting in greater weight loss.
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‍What to know before starting

‍While these treatments may seem like an effective short-term solution, there are several considerations:

• Side effects: Common ones include nausea, digestive discomfort (bloating, diarrhoea, or constipation), and sometimes a marked decrease in appetite.
  
• Cost: These medications are not always covered by insurance and can be expensive, making it important to consider your budget and priorities.
  
• Risk of weight regain: Stopping the medication may lead to regaining lost weight, highlighting the importance of a sustainable approach that addresses long-term factors influencing weight.
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The importance of a complete approach

Weight loss and maintenance are complex processes influenced by many factors. While some are beyond your control, such as genetics, certain health conditions, or medications, others can be managed:

• Diet: Focus on varied, balanced, and satisfying meals tailored to your needs and lifestyle.
  
• Physical activity: Choose activities you enjoy and can maintain consistently over time.
  
• Sleep: Quality sleep helps your body regulate hunger and satiety hormones.
  
• Stress management: Learning to manage stress can prevent it from affecting your food choices.

A dietitian can help identify personal levers and implement realistic strategies tailored to your needs.
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Medication alone may not be enough

Relying solely on medication has significant limitations. While these drugs can be effective, they are not sufficient on their own for long-term results. Ignoring modifiable factors can limit weight loss potential and increase the risk of regaining weight after stopping the treatment.

To maximise benefits and ensure sustainability, it is more realistic to use medication as a supportive tool within a broader, personalised approach.
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The key: adequate support

When using treatments such as Wegovy or Ozempic, a multidisciplinary follow-up, including nurses, doctors, and pharmacists, is essential for lasting and safe results. Registered dietitians specialising in weight management play a central role by helping to:

• Adjust food intake to changes in appetite.
  
• Manage side effects, particularly digestive symptoms.
  
• Ensure adequate nutrition and prevent deficiencies.
  
• Understand and respond to hunger and satiety signals, which can be altered by medication.
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Beyond medication: exploring all options

Before turning to Wegovy or Ozempic, careful consideration is essential. Medication can be a useful tool for some, but it is not a magic solution. Weight loss and maintenance are entirely possible without medication, through personalised strategies and habit-building.

No matter your choice, tailored support can make a real difference in establishing realistic habits and a healthy relationship with food.
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Several options for Bonjour-santé members

Bonjour-santé members enjoy exclusive benefits:

Those interested in learning more about GLP-1 medications like Ozempic and Wegovy, or in obtaining a prescription from home, can access an exclusive discount on a teleconsultation with a Livewell professional.

Those seeking dietitian guidance have multiple options: receive unlimited quick advice from Bonjour-santé dietitians, have your food journal analysed, or enjoy a special discount on your first consultation with a dietitian from our partner, ÉquipeNutrition.

Subscribe to Bonjour-santé or login to your account to enjoy all these services and more.

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