For the greater than 15 million U.S. adults who’re at present taking Ozempic or one other GLP-1 drug for diabetes or weight reduction, Thanksgiving could look a little bit totally different than it did previous to beginning the remedy.
GLP-1 (glucagon-like peptide-1) medicines scale back urge for food by sending indicators of fullness to the mind and slowing down emptying of the abdomen.
Widespread uncomfortable side effects embody nausea, constipation and reflux.
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“The speed at which the abdomen is purged of meals (and acid) is slowed considerably, virtually to the purpose of backup,” Dr. Brett Osborn, a Florida neurologist and longevity knowledgeable, advised Fox Information Digital.
“Basically, they’re ‘injectable fullness’ – and typically to a fault.”
Osborn usually prescribes GLP-1s to his sufferers as an efficient strategy to deal with weight problems and sort 2 diabetes, however he acknowledged the digestive uncomfortable side effects, recommending that folks pay additional consideration to the scale and macronutrient content material of meals.
“With some planning and techniques, you may benefit from the vacation with out compromising your well being targets.”
“Navigating Thanksgiving whereas on GLP-1 medicines could be a bit totally different, however with some planning and techniques, you may benefit from the vacation with out compromising your well being targets,” Dr. Britta Reierson, a household doctor and medical director at knownwell in Minneapolis, Minnesota, advised Fox Information Digital.
The medical doctors supplied the next ideas for the upcoming vacation.
Select meals properly
“In case your urge for food is lowered resulting from GLP-1 medicines like Ozempic, deal with smaller parts of nutrient-dense meals,” Osborn mentioned.
“Prioritize lean protein, non-starchy greens and fiber-rich sides to fulfill your dietary wants with out overloading your digestive system.”
Reierson agreed that lean protein and veggies must be the principle elements of the meal. “Turkey, roasted greens and salads are nice choices,” she mentioned.
It’s sensible to restrict high-fat, sugary meals, Reierson added.
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“You’ll be able to nonetheless get pleasure from these meals sparsely, however hold the portion sizes small to attenuate any gastrointestinal discomfort,” she mentioned.
“Additionally keep away from fried meals, as they are often tougher to digest and will trigger or worsen nausea.”
Search for good swaps
Osborn really useful incorporating more healthy variations of conventional meals each time potential.
“For instance, select roasted greens as a substitute of buttery casseroles or go for turkey breast with out gravy to cut back pointless fats,” he advised.
“Bear in mind, fats slows gastric emptying – it’s why you are feeling full whenever you eat a fatty meal.”
When taking GLP-1 medicines, gastric emptying is already slowed, Osborn famous, which implies an excessive amount of fats ingested in a single sitting will trigger nausea and potential vomiting.
Go for smaller parts
The consultants really useful doling out smaller parts of favourite dishes.
“You’ll be able to get pleasure from conventional Thanksgiving dishes, however in a lot smaller portions,” Osborn mentioned. “Deal with a number of bites of high-calorie dishes slightly than full servings.”
Reierson agreed, including, “You’ll be able to nonetheless get pleasure from all the range and bounty of the meal with out overeating.”
“Take heed to your physique, and don’t really feel pressured to eat an entire plate in the event you’re not hungry.”
Eat mindfully
Overindulging whereas on GLP-1 medicines can result in nausea or discomfort, Osborn warned.
“Take heed to your physique, and don’t really feel pressured to eat an entire plate in the event you’re not hungry,” he mentioned. “It’s OK to take small bites, chew slowly and savor the flavors.”
As these medicines will provide help to really feel full sooner, it’s necessary to pay shut consideration to your physique’s indicators, he famous.
“Bear in mind, there’s a delay between consuming and one’s notion of satiety,” Osborn mentioned. “And this could hit you want a tidal wave in the event you’re not cautious.”
He added, “Cease consuming as quickly as you are feeling glad, not stuffed.”
Plan for leftovers
When you can’t clear your plate in a single sitting, merely pack it up and take it residence.
“You’ll be able to get pleasure from your favourite vacation dishes over a number of days, so there isn’t a have to overeat throughout the meal,” Reierson famous.
Keep hydrated
Hydration is necessary for everybody, however significantly these on GLP-1 medicines.
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Since “GLP-1 medicines can gradual gastric emptying, dehydration can worsen uncomfortable side effects. Drink water all through the day and shortly after your meals.”
Don’t skip meals
“Keep away from the temptation to skip meals earlier within the day to ‘save up’ for the large meal,” Reierson suggested.
“This can usually backfire and may result in overeating and discomfort.”
Hold it easy and well mannered
If somebody feedback in your small portion dimension, Osborn really useful conserving it “easy and well mannered.”
“You possibly can say, ‘I’m not as hungry at present, however every part appears to be like wonderful,’ or ‘I’m specializing in smaller parts, as huge meals make me really feel awful,’” he advised.
You shouldn’t really feel obligated to elucidate your remedy except you’re snug doing so, the physician added.
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“So many individuals are on GLP-1 agonists these days that it has develop into extra broadly accepted.”
Don’t be afraid to speak brazenly, Reierson mentioned.
“Clarify that you’re on a medicine that impacts your urge for food,” she mentioned.
“In case you are not snug sharing, it could work properly to easily deflect with positivity that you’re specializing in more healthy consuming habits otherwise you aren’t very hungry.”
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General, mentioned Reierson, the necessary factor is to maintain it easy.
“With a little bit of mindfulness, you may get pleasure from Thanksgiving with out the uncomfortable side effects.”
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