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Weight Management
Weight Management

6 Top Foods to Avoid on Ozempic

Christine Russell, MS, RD, LD, CDCES
Author: 
Medical Reviewer: 
Christine Russell, MS, RD, LD, CDCES
|
Author: 
Heather Smith, RN, BSN
Published:
May 14, 2024
Updated on
#
min read
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Table of Contents

Text Link
Weight Management

Key Takeaways

  • Ozempic (semaglutide) is a medication that people with type 2 diabetes can use to manage their blood sugar levels, lower A1C (a three-month average of blood sugar levels), and decrease their risk of cardiovascular disease. 
  • While taking Ozempic, it’s important to limit high-sugar foods, refined carbohydrates, highly processed foods, fried foods, high-fat dairy, and alcohol to help prevent unwanted side effects.
  • A registered dietitian can teach you what foods to eat while taking Ozempic, and which foods to avoid to prevent unwanted side-effects. 

Certain food choices support the health benefits of Ozempic, while others may counteract the medication's effects and potentially reduce the positive outcomes. 

By limiting certain foods and learning which ones promote the drug’s effects, you may potentially improve your results and reduce the likelihood of unwanted side effects. 

Read on to discover a comprehensive guide to the type of foods to limit while taking Ozempic. 

Learn about healthy alternatives, which foods may trigger side effects, and specific ways a dietitian can help. 

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How Does Diet Impact The Effectiveness Of Ozempic?

What you eat while taking Ozempic has a significant impact on its effectiveness. 

The medication is a GLP-1 agonist and works by mimicking the natural GLP-1 hormone.

Ozempic has three core functions: 

  1. It helps the pancreas produce more insulin when blood sugars rise.
  2. It prevents the liver from releasing too much sugar into the bloodstream.  
  3. It slows the rate at which food leaves the stomach.

Eating a diet high in sugars, refined carbohydrates, and fried foods may counteract these beneficial effects and potentially increase blood sugar levels and the risk of cardiovascular disease.

Conversely, eating lean proteins, complex carbohydrates, fiber-rich foods, and low-fat dairy promotes stable blood sugars and increased feelings of fullness after eating.

Food And Drinks To Avoid While Taking Ozempic

Read on to learn which beverages and foods to limit or avoid for best results while taking Ozempic.

Sugary Foods

It’s important that you limit sugary foods while taking Ozempic, as they can cause rapid increases in blood sugar levels.

Here are some examples of sugary foods to avoid:

  • Soft drinks and sodas, including other beverages sweetened with high-fructose corn syrup.
  • Desserts such as cakes, cookies, pastries, and ice cream.
  • Candy bars and sweets like gummies, chocolate, and hard candies.
  • Sweetened breakfast cereals and granola.
  • Sweetened yogurt and flavored milk.
  • Jams, jellies, and syrups.
  • Fruit juices and fruit drinks that contain added sugars. 

High-Carb Foods

While carbohydrates from whole grains and some fruits and vegetables are a healthy part of a balanced diet, minimizing your intake of refined carbs is best.

These carbs are stripped of most nutrition and can lead to spikes in your blood sugar. Examples of refined high-carb foods include:

  • White rice and pasta.
  • White bread and bagels.
  • Most baked goods, including muffins and croissants.
  • Pastries such as cakes and donuts.

Processed Foods

While you take Ozempic, avoiding highly processed foods may help keep your blood sugar levels steady. 

Highly processed foods often contain preservatives, additives, and other ingredients that may affect your blood sugar and weight. 

Here are some examples:

  • Packaged snacks like chips, cookies, and crackers. 
  • Some frozen meals and instant foods.
  • Fast food items like fried chicken, french fries, and pizza.
  • Processed meats, including deli meats, hot dogs, and sausages.
  • Canned soups and some other canned foods.

Fried Foods

Fried foods are best to avoid or limit while taking Ozempic.

Their high fat content may counter the medication’s weight management benefits, and they tend to digest slower, which may cause some nausea.

Examples of fried foods to avoid include:

  • French fries, potato chips, and onion rings.
  • Fried chicken, nuggets, or tenders.
  • Donuts and other deep-fried pastries such as funnel cakes.
  • Fried fish fish sticks.
  • Mozzarella sticks and other fried snacks like fried pickles or okra.
  • Egg rolls and tempura vegetables or shrimp.
  • Fried snack cakes or cookies like Twinkies, snack pies, or Oreos.

High-Fat Dairy

High-fat dairy foods often contain saturated fats, which may work against the medication's effectiveness in weight management and increase your risk for heart disease. 

Some high-fat dairy items to limit include:

  • Whole milk, cream, heavy cream, or half-and-half.
  • Full-fat cheeses.
  • Full-fat yogurt.
  • Butter and butter-based spreads.
  • Full-fat ice cream.
  • Full-fat sour cream and cottage cheese.

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Alcohol

It’s not always possible to predict how alcohol may affect blood sugar levels.

It can sometimes cause blood sugar to rise too high or drop too low.

It can also interfere with some diabetes medications, although there is no known interaction between alcohol and Ozempic.

While you are taking Ozempic, it’s advisable to limit or avoid alcoholic beverages. 

If you do choose to drink, closely monitor your blood sugar levels and be sure to eat a meal before or with the alcohol. Avoid drinking alcohol on an empty stomach.

It’s always a good idea to talk with your primary medical provider for personal guidance regarding alcohol intake while taking Ozempic.

Should I Completely Avoid All These Foods?

While taking Ozempic, it’s not necessary to eliminate specific foods, as most can have their place in a balanced diet.

Moderation and limiting is the key. 

The previously discussed foods can be consumed sparingly.

Integrate them into your diet in small quantities and on infrequent occasions. 

Also, focus on eating foods that complement Ozempic's health benefits, such as enhancing blood sugar control, weight management, and reducing your risk for cardiovascular disease.

Healthier Alternatives To Consider

There are many foods you can enjoy while taking Ozempic.

Below are some examples of foods that align with the medication’s benefits and may help you experience positive results. 

  • Whole grains: Opt for whole grains like brown rice, quinoa, whole grain bread and pasta, and oats that provide fiber and nutrition without rapid blood sugar increases.
  • Lean proteins: Choose lean proteins such as chicken breast, turkey, fish, tofu, and legumes to maintain muscles and feel full for longer. 
  • High-fiber fruits and vegetables: Fiber is found in many fruits and vegetables, including dark-leaf lettuce, apples, broccoli, bananas, berries, sweet potatoes, and pears and helps with digestion and feeling full. 
  • Low-fat dairy products: Low-fat dairy items like skim milk, low-fat yogurt or cottage cheese, or dairy alternatives like almond or oat milk provide calcium and protein without the added fat.

Can Certain Foods Trigger Side Effects On Ozempic?

One of the ways Ozempic works is by slowing the rate of digestion.

Having food remaining in your stomach for a longer period can benefit you by helping you feel full for longer and keeping blood sugar more steady. 

However, certain foods tend to digest slower naturally, and when eaten in combination with Ozempic, they may cause side effects like nausea, stomach pain, vomiting, diarrhea, or constipation. 

For this reason, it’s best to limit high-fat and highly processed foods, which tend to digest slower and may trigger side effects. 

Other foods to consider are high-fiber foods.

While eating fiber is necessary for a balanced diet while taking Ozempic, if your body is not used to digesting fiber, eating large amounts right away may cause digestive symptoms like bloating, gas, upset stomach, or constipation. 

To incorporate high-fiber foods into your diet, start with smaller portions and keep yourself hydrated to help your body adjust.

Other Tips For Avoiding Ozempic Side Effects

Here are some other tips for avoiding side effects while taking Ozempic:

  • Follow the recommended dosing schedule: Your doctor will start you on a smaller dose and gradually increase it to the therapeutic level. 
  • Eat smaller meals: Eating smaller meals throughout the day may help prevent the digestive discomfort that larger meals can sometimes cause.
  • Stay hydrated: Drinking eight glasses of water or other hydrating beverages, unless told otherwise by your medical provider, can help ease digestion.
  • Incorporate fiber gradually: Introducing high-fiber foods into your diet gradually can help prevent bloating and stomach discomfort.
  • Exercise regularly: Getting moderate physical activity for about 30 minutes five days a week promotes better digestion and helps keep blood sugar in a steady range. 

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Takeaway

Rather than strictly avoiding certain foods while taking Ozempic, prioritize eating a balanced diet that includes limiting certain foods and eating healthier alternatives to decrease the risk of unwanted side effects.

Limit foods that increase blood sugar rapidly, put you at higher risk for cardiovascular disease, and may cause unwanted side effects.

These foods include sugary foods, refined carbohydrates, highly processed foods, fried foods, high-fat dairy, and alcohol.

Instead, focus on eating whole grains, lean proteins, fruits and vegetables, and low-fat dairy.

Eating these foods supports the benefits of Ozempic and may help you have fewer side effects. 

Remember that each person can have their own response to the medication and to certain foods.

It’s a good idea to monitor how your body is adjusting to the medication and speak with a registered dietitian for guidance tailored to your needs to enhance your outcomes.

How A Dietitian Can Help

Registered dietitians can be pivotal in supporting you while taking Ozempic.

While they do not prescribe Ozempic, Nourish dietitians are fully knowledgeable about how the medication works and can guide you through the best way to eat while taking it. 

A registered dietitian can provide more in-depth education on which foods to include and limit in your diet, including which foods help improve blood sugar levels and support healthy weight management.

They can then combine all this information and design a meal plan tailored to your preferences and lifestyle.

Also, if you need help developing a better relationship with food or establishing different eating habits, registered dietitians can help you explore ways of eating and relating to food that promote healthy blood sugar, weight management, and overall health.

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Frequently Asked Questions

What are the best foods to eat while taking Ozempic?

The best foods to eat while taking Ozempic are those that help keep your blood sugar in a stable range and promote healthy weight management. Foods to eat include lean proteins, vegetables, some fruits, whole grains, and low-fat dairy products.

Can you eat cheese on Ozempic?

Cheese is definitely acceptable to eat while taking Ozempic. However, keep in mind that it’s best to choose lower-fat varieties such as low-fat cottage cheese or cream cheese, or a soft cheese like ricotta.

Are eggs good to eat on Ozempic?

Eggs can be a great source of protein while taking Ozempic. They can help you feel full without significantly affecting your blood sugar levels. 

If you have high cholesterol, your dietitian or medical provider may suggest limiting your consumption of egg yolk. For specific questions, it’s best to reach out to your dietitian for personalized advice.

References

View all references

Once-Weekly Ozemic (Semaglutide) Injections. (N.D.) Official Website.

‍

Diabetes Meal Planning. (2023). CDC.

‍

My Plate Grains. (N.D.) USDA.

‍

Glycemic Index. (2022). MedlinePlus.

‍

Eating highly processed foods linked to weight gain. (2019). National Institutes of Health.

‍

Facts about saturated fats. (2022). MedlinePlus.

‍

Diabetes and alcohol. (2023). MedlinePlus.

‍

Fiber: The carb that helps you manage diabetes. (2022). CDC.

‍

Moon, J., & Koh, G. (2020). Clinical Evidence and Mechanisms of High-Protein Diet-Induced Weight Loss. Journal of Obesity & Metabolic Syndrome, 29(3), 166-173. 

‍

Mackie, A. R., et al. (2013). Specific food structures supress appetite through reduced gastric emptying rate. American Journal of Physiology - Gastrointestinal and Liver Physiology.

‍

How Much Physical Activity Do Adults Need? (2022). CDC.

Nourish has strict sourcing policies and prioritizes primary sources, including medical organizations, governmental agencies, academic institutions, and peer-reviewed scientific journals. Learn more about our medical review process and editorial guidelines.

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39.103700, -84.513610
North Las Vegas
, 
NV
Nevada
36.201946, -115.120216
Riverside
, 
CA
California
33.980602, -117.375496
Plano
, 
TX
Texas
33.019844, -96.698883
Minneapolis
, 
MN
Minnesota
44.977753, -93.265015
Salinas
, 
CA
California
,
Anaheim
, 
CA
California
33.836594, -117.914299
Springfield
, 
MO
Missouri
37.208958, -93.292297
Fort Wayne
, 
IN
Indiana
41.077469, -85.137489
Phoenix
, 
AZ
Arizona
33.448376, -112.074036
Bakersfield
, 
CA
California
35.3738712, -119.0194639
Garden Grove
, 
CA
California
33.774269, -117.937996
Anchorage
, 
AK
Alaska
61.2163129, -149.894852
Indianapolis
, 
IN
Indiana
39.768402, -86.158066
Nashville
, 
TN
Tennessee
36.162663, -86.781601
Tempe
, 
AZ
Arizona
33.425522, -111.941254
Mobile
, 
AL
Alabama
30.695366, -88.039894
New Orleans
, 
LA
Louisiana
29.951065, -90.071533
Knoxville
, 
TN
Tennessee
35.960636, -83.920738
Grand Rapids
, 
MI
Michigan
42.963360, -85.668083
Fontana
, 
CA
California
34.102890, -117.435760
Elk Grove
, 
CA
California
38.418129, -121.393257
Miami
, 
FL
Florida
25.7825389, -80.3118603
Grand Prairie
, 
TX
Texas
32.745499, -97.003532
Fort Collins
, 
CO
Colorado
40.588970, -105.082458
Killeen
, 
TX
Texas
31.117119, -97.727798
Modesto
, 
CA
California
37.639095, -120.996880
Oklahoma City
, 
OK
Oklahoma
35.468491, -97.521263
Santa Ana
, 
CA
California
33.745571, -117.867836
Ontario
, 
CA
California
34.063343, -117.650887
Brownsville
, 
TX
Texas
25.9015688, -97.4984005
Montgomery
, 
AL
Alabama
32.379223, -86.307739
Hialeah
, 
FL
Florida
25.857595, -80.278107
Springfield
, 
MA
Massachusetts
42.102051, -72.585762
Toledo
, 
OH
Ohio
41.652805, -83.537865
Pembroke Pines
, 
FL
Florida
26.007765, -80.296257
Overland Park
, 
KS
Kansas
38.974819, -94.683601
Little Rock
, 
AR
Arkansas
34.746483, -92.289597
Glendale
, 
CA
California
34.142509, -118.255074
Roseville
, 
CA
California
38.752125, -121.288010
Rancho Cucamonga
, 
CA
California
,
Wichita
, 
KS
Kansas
37.687176, -97.330055
Huntington Beach
, 
CA
California
33.659485, -117.998802
Augusta
, 
GA
Georgia
33.4709714, -81.9748429
Worcester
, 
MA
Massachusetts
42.271389, -71.798889
Virginia Beach
, 
VA
Virginia
36.852924, -75.977982
Oceanside
, 
CA
California
33.1958696, -117.3794834
Santa Clarita
, 
CA
California
34.456043, -118.571335
Philadelphia
, 
PA
Pennsylvania
39.952583, -75.165222
Corpus Christi
, 
TX
Texas
27.800583, -97.396378
Portland
, 
OR
Oregon
45.512230, -122.658722
Denver
, 
CO
Colorado
39.739235, -104.990250
Boston
, 
MA
Massachusetts
42.3554334, -71.060511
Atlanta
, 
GA
Georgia
33.7489924, -84.3902644
Chicago
, 
IL
Illinois
41.8755616, -87.6244212
Orlando
, 
FL
Florida
28.538336, -81.379234
Jacksonville
, 
FL
Florida
30.332184, -81.655647
Tampa
, 
FL
Florida
27.950575, -82.457176
Long Island
, 
NY
New York
40.757801, -73.940033
Queens
, 
NY
New York
40.728226, -73.794853
Bronx
, 
NY
New York
40.8466508, -73.8785937
Staten Island
, 
NY
New York
40.643501, -74.076202
Brooklyn
, 
NY
New York
40.6526006, -73.9497211
New York
, 
NY
New York
40.712776, -74.005974
San Jose
, 
CA
California
37.342205, -121.851990
San Francisco
, 
CA
California
37.774929, -122.419418
San Diego
, 
CA
California
32.834686, -117.130775
Los Angeles
, 
CA
California
34.052235, -118.243683
El Paso
, 
TX
Texas
31.761877, -106.485023
San Antonio
, 
TX
Texas
29.387428, -98.496574
Dallas
, 
TX
Texas
32.776665, -96.796989
Fort Worth
, 
TX
Texas
32.755489, -97.330765
Houston
, 
TX
Texas
29.760427, -95.369804
Austin
, 
TX
Texas
30.2711286, -97.7436995
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