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GLP-1 diet: what to eat while taking medication

There is no official GLP-1 diet. What works is a way of eating built for an appetite the medication has already made small: protein at every meal, fibre raised slowly, fluid through the day, and portions that fit. This guide covers what to eat, how to build a meal you can finish, a three day example plan with a shopping list, what to do on the days symptoms take over, and swaps for vegetarian and for the cuisines people actually cook.

This page is about eating while taking semaglutide or tirzepatide (Ozempic, Wegovy, Mounjaro, Zepbound and related medicines). It is not about foods that raise your own GLP-1 hormone, which is a different subject. It is educational and it is not medical advice.

By The foodose editorial teamUpdated 27 September 2026How we check sources

What to eat on a GLP-1

The medication has already solved the problem an ordinary diet exists to solve. Most people find their intake falls sharply in the first month without trying. So the job that is left is not restriction. It is making sure that the smaller amount you do eat carries what your body needs, and the first of those things is protein.

This is not a list of permitted foods. It is five groups, what they look like in a normal kitchen, and the practical way to fit them into a day that has room for less than it used to.

Five food groups on a GLP-1, and how to fit them in
GroupWhat that looks likeHow to work it in
Protein, at every mealEggs, Greek yoghurt, skyr, cottage cheese, paneer, chicken, turkey, white fish, tinned tuna, prawns, tofu, tempeh, dal, lentils, beansPut it on the plate first and eat it first. If you finish only half of what is in front of you, this is the half that should be gone.
Vegetables and fruitSpinach, broccoli, courgette, peppers, carrots, green beans, tomatoes, berries, pear, orange, kiwiCooked and soft is easier than raw and bulky when the stomach is slow. Frozen counts and saves the waste from a week you did not feel like cooking.
Fibre-carrying starchesOats, quinoa, wholemeal bread, brown rice, barley, phulka, potatoes with the skin, sweet potatoLast on the plate, in a smaller portion than you are used to. This is the part that gets squeezed when there is no room, and that is fine.
Fluid, all dayWater, milk, kefir, chaas, broth, herbal tea, coffee if it agrees with youThirst goes quiet along with appetite, so this one runs on habit rather than on wanting it. A glass beside every meal is the simplest version.
Fats, in small amountsOlive oil, avocado, nuts, seeds, oily fishNeeded, but the macronutrient that slows the stomach most. Keep them modest at the meals where nausea tends to find you.

How to build a meal you can actually finish

Once the stomach only has room for a few hundred grams at a sitting, the order you eat in decides what your body actually got that day. The shape below is not a rule so much as an insurance policy: it front loads the part that matters, so that stopping early costs you the least.

  1. Protein firstAim for 25 to 35 grams at a main meal, and take whatever you can get at a snack. A palm of chicken or fish, two eggs, a pot of Greek yoghurt, a block of tofu, a katori of thick dal.
  2. Vegetables secondA handful or two, cooked soft if raw feels bulky. This is where most of the fibre comes from.
  3. Starch last, and smallerHalf of what you used to serve. Wholegrain where you can, for the fibre rather than for virtue.
  4. A glass of something, beside itNot gulped with the food if that makes you feel full too early. Sipped through the meal and after it.

People who change nothing about what they buy, and simply reverse the order in which they eat it, usually find their daily protein climbs without a single meal getting any bigger. That is the whole trick, and it costs nothing.

One distinction worth keeping. The ranges on this page are general guidance from published research on weight loss, not a prescription for you. Your own figures depend on your body, your dose and your medical history, and where those two things disagree, the person who prescribes for you is right and this page is wrong.

If you would rather start from a dish than a principle, the GLP-1 recipe collection builds these same plates into full recipes, each with its portion stated and its nutrition calculated from the ingredients. The high-protein GLP-1 recipes, the GLP-1 breakfast recipes and the vegetarian GLP-1 recipes are the quickest places to start.

A three day example meal plan

Three days rather than seven, because by day four most plans are repeating themselves and a seven day grid is mostly a shape people stop following on day three. This is an illustration of what the shape above looks like as real food. It is not personalised, it does not know your medical history, and it is not a prescription.

Portions are deliberately small. Every figure below is calculated from the same food database the calculator uses, so the totals and the shopping list agree with the meals rather than being typed in alongside them. Values are per portion as listed, and real brands and cuts will vary.

Average day
1,332 kcal
Protein
110 g
Fibre
32 g

Averaged across the three days. Contains dairy, eggs, fish, gluten, soya, tree nuts. Swaps for most of these are in the substitutions section.

That calorie figure is an illustration of the shape of a day at a suppressed appetite, not a recommendation. For most adults it is below what they should be eating, and it is below the floor this site's own calculator will program to. Use it to see how the meals are built and how the protein is distributed, then scale the portions to your own intake. If your genuine intake is persistently down at this level or lower, that is worth raising with your prescriber rather than treating as success.

Day one

1,236 kcal · 118 g protein · 29 g fibre

Breakfast, Within an hour or two of waking

190 kcal · 20 g protein
  • Greek Yoghurt (Plain, Nonfat)1 pot (170 g), 170 g
  • Raspberriesa small handful, 60 g
  • Chia Seeds1 tbsp, 12 g

Appetite is usually widest first thing and narrows through the day, so this is the easiest protein of the day to actually eat.

Lunch, Midday

437 kcal · 45 g protein
  • Chicken Breastabout half a breast, 110 g
  • Chickpeas (Cooked)a heaped 1/3 cup, 110 g
  • Cherry Tomatoes6 or 7, 80 g
  • Mixed Salad Leavesa loose handful, 40 g
  • Olive Oil1 tsp, to dress, 6 g

Protein and fibre in the same bowl, so one small plate does two jobs.

Afternoon, When the gap gets long

193 kcal · 13 g protein
  • Cottage Cheese1/2 tub, 110 g
  • Pear1 pear, 150 g

A no-decision snack. Nothing to cook, and it keeps the protein moving on a day that got away from you.

Dinner, Earlier rather than later

416 kcal · 40 g protein
  • Cod Fillet1 fillet, 150 g
  • Potato (Boiled)2 small potatoes, 200 g
  • Green Beansa generous handful, 100 g
  • Olive Oil1 tsp, to roast, 6 g

Lean and plain, because a slow stomach and a heavy evening meal is the combination that turns into a bad night.

Day two

1,352 kcal · 111 g protein · 31 g fibre

Breakfast, Within an hour or two of waking

334 kcal · 23 g protein
  • Eggs2 eggs, 100 g
  • Wholemeal Bread2 slices, 68 g
  • Spinach (Raw)2 handfuls, wilted, 50 g

Savoury, for the many people who find sweet food impossible in the morning on this medication.

Lunch, Midday

422 kcal · 35 g protein
  • Tuna (Canned in Water)1 small tin, drained, 100 g
  • Quinoa (Cooked)3/4 cup cooked, 180 g
  • Bell Pepper1/2 pepper, 80 g
  • Cucumbera few slices, 80 g
  • Olive Oil1 tsp, to dress, 6 g

Tinned fish is the cheapest reliable protein there is, and it needs no cooking on a day you do not want to cook.

Afternoon, When the gap gets long

181 kcal · 14 g protein
  • Edamame (Shelled)a small bowl, shelled, 110 g
  • Mandarin1 mandarin, 90 g

Fibre and protein together, and it travels in a bag.

Dinner, Earlier rather than later

415 kcal · 39 g protein
  • Ground Turkeya small handful of mince, 120 g
  • Courgette (Zucchini)1 small courgette, 120 g
  • Kidney Beans (Cooked)1/2 cup, 120 g
  • Chopped Tomatoes (Tinned)1/2 tin, 120 g

One pan. Turkey mince carries the protein and the vegetables carry the volume, so the plate looks full without being heavy.

Day three

1,405 kcal · 100 g protein · 36 g fibre

Breakfast, Within an hour or two of waking

327 kcal · 24 g protein
  • Oats1/2 cup, dry, 45 g
  • Skimmed Milka splash, to cook, 150 g
  • Skyr (Plain)a spoonful, stirred through, 100 g
  • Blueberriesa small handful, 60 g

Oats are the most reliable fibre in the house, and the milk and skyr are what stop it being a bowl of carbohydrate on its own.

Lunch, Midday

373 kcal · 24 g protein
  • Lentils (Cooked)3/4 cup cooked, 160 g
  • Carrots1 carrot, 70 g
  • Spinach (Raw)a handful, stirred in, 40 g
  • Fetaa small cube, crumbled, 25 g
  • Wholemeal Bread1 slice, alongside, 34 g

Soup goes down when a plate will not, and the lentils mean it is not just warm water.

Afternoon, When the gap gets long

207 kcal · 19 g protein
  • Greek Yoghurt (Plain, Nonfat)3/4 pot, 150 g
  • Strawberriesa handful, 100 g
  • Almondsabout 12 nuts, 15 g

Cold, soft and requiring no cooking. On a day when everything else fell over, this is the meal that still happens.

Dinner, Earlier rather than later

498 kcal · 33 g protein
  • Salmon Fillet1 small fillet, 120 g
  • Brown Rice (Cooked)1/2 cup cooked, 150 g
  • Broccolia few florets, 100 g
  • Peas (Frozen, Cooked)2 tbsp, 60 g

Salmon is fattier than the cod on day one, which some people find sits heavily. If that is you, swap it for the cod and keep everything else.

This plan is not right for everyone. Do not follow it without talking to the clinician who prescribes for you if you are pregnant, breastfeeding or trying to conceive; if you take insulin or a sulfonylurea, where eating less carbohydrate can drop your blood sugar too far and your other medication may need adjusting; if you have or have had an eating disorder; if you have reduced kidney function, where the protein figures on this page are far too high and the target is a fraction of them; or if you have had pancreatitis, gallbladder disease or gastroparesis. Every one of those changes the answer, and several of them change it a great deal.

The shopping list for those three days

Totalled from the meals above and rounded up to amounts you can actually buy, for one person for three days. If a portion in the plan changes, this list changes with it.

Meat, fish and eggs

  • Chicken Breast125 g
  • Cod Fillet150 g
  • Eggs100 g
  • Ground Turkey125 g
  • Salmon Fillet125 g
  • Tuna (Canned in Water)100 g

Chilled

  • Cottage Cheese125 g
  • Feta30 g
  • Greek Yoghurt (Plain, Nonfat)350 g
  • Skimmed Milk150 ml
  • Skyr (Plain)100 g

Fruit and vegetables

  • Bell Pepper80 g
  • Blueberries60 g
  • Broccoli100 g
  • Carrots70 g
  • Cherry Tomatoes80 g
  • Courgette (Zucchini)125 g
  • Cucumber80 g
  • Green Beans100 g
  • Mandarin90 g
  • Mixed Salad Leaves40 g
  • Pear150 g
  • Peas (Frozen, Cooked)60 g cooked
  • Potato (Boiled)200 g
  • Raspberries60 g
  • Spinach (Raw)90 g
  • Strawberries100 g

Tins and dry goods

  • Almonds20 g
  • Brown Rice (Cooked)150 g cooked
  • Chia Seeds20 g
  • Chickpeas (Cooked)125 g cooked
  • Chopped Tomatoes (Tinned)125 g
  • Edamame (Shelled)125 g cooked
  • Kidney Beans (Cooked)125 g cooked
  • Lentils (Cooked)175 g cooked
  • Oats50 g
  • Olive Oil20 g
  • Quinoa (Cooked)200 g cooked
  • Wholemeal Bread125 g

Store cupboard items like salt, pepper, herbs, spices, lemon and stock are assumed and are not listed.

When appetite is low

There are days, usually in the 24 to 72 hours after an injection or in the week after a dose increase, when the plan above is simply not happening. The move is to shrink the day, not to skip it. Three adjustments do most of the work, and all three come from established practice for nausea in other settings.

  • Go cold. Hot food releases far more aroma than chilled food, and smell is usually what triggers the wave. Chilled yoghurt, kefir, cold smoked salmon, a shake from the fridge.
  • Go lower fat. Fat is the macronutrient that slows stomach emptying most, and the medication is already doing that. Skimmed milk and lean protein sit better than a buttery breakfast.
  • Go sippable. A shake, a smoothie, milk, or a soup blended smooth. Sip it over half an hour rather than drinking it down. Speed is what makes people feel worse.
A reduced day is a good outcome. A pattern of days where you eat almost nothing is not, and it is the thing most likely to cost you muscle, hair and energy. If you cannot keep fluids down, if you are losing weight much faster than you expected, or if very low intake has become your normal week rather than your bad week, that is a conversation with your prescriber rather than something to manage with a better shopping list.

Food choices when symptoms affect eating

Most of the eating problems on a GLP-1 come from three symptoms. None of them means the medication is wrong for you, and all of them respond to fairly small changes. Each links to the longer piece.

Three common symptoms, and what tends to help
SymptomWhat tends to helpRead more
NauseaSmaller meals more often, sips of a cold drink, nothing hot, fried or greasy, and not lying down soon after eating. Ginger has some evidence for nausea in pregnancy, but none in GLP-1 nausea specifically.Read more
ConstipationFibre raised by about 5 grams a week rather than overnight, a glass of water with every increase, and a walk after meals. Fibre added without fluid makes it worse, not better.Read more
Early fullness and refluxSmaller portions, protein first so the important part lands early, less fat in the evening, and not lying down soon after eating.Read more
Some symptoms are not side effects to manage. Get urgent medical attention, not a dietary adjustment, for any of these: severe abdominal pain, especially pain that radiates to the back; vomiting that will not stop, or that leaves you unable to keep fluids down; pain in the upper right of the abdomen with fever or yellowing of the skin or eyes; or a hard, swollen abdomen with vomiting and an inability to pass wind or open your bowels. That last group can mean the bowel has stopped moving, which is rare but is on the label for these medicines, and it is the one situation where adding fibre makes things worse rather than better. In the UK call 111, or 999 if it is severe. In the US call your prescriber, or 911 if it is severe.

Vegetarian, vegan and familiar cuisine swaps

The plan above is written with foods that are easy to find in a British or American supermarket, which is not the food most of the world eats. Every swap below is a real entry in the same database, so the protein figures are comparable rather than approximate.

Vegetarian and vegan

Plant sources carry less protein per gram, so a like-for-like swap by weight loses protein. Swap the whole plan across at the same weights and it falls from about 110 grams of protein a day to about 80, which is below the range this page recommends. The multiplier column is how much more you need by weight to hold the protein, and it is the whole point of the table. Where the multiplier is large the swap is doing too much work on its own, and the honest answer is to add a second protein to that meal rather than to serve an enormous portion of one thing.

Swapped one for one at the same weights, the three days come to 95 g of protein a day against 110 g as written, so 15 g has to come back through the portion sizes in the last column or through a second protein at the meals that lost the most.

Vegetarian and vegan substitutions, protein per 100 g and the portion change needed
Instead ofUseTo match the proteinNote
Chicken Breast (31 g)Tempeh (20.3 g) · contains soy1.5x by weightMarinate it the same way. Tempeh is firmer and more filling than tofu.
Cod Fillet (22.8 g)Tempeh (20.3 g) · contains soy1.1x by weightWhite fish is the hardest thing here to replace. Tempeh is the closest on protein; firm tofu needs nearly three times the weight, so use tofu only alongside something else.
Tuna (Canned in Water) (26 g)Chickpeas (Cooked) (8.9 g)2.9x by weightCrushed with lemon and a spoon of yoghurt, it makes the same kind of cold lunch.
Ground Turkey (21 g)Lentils (Cooked) (9 g)2.3x by weightCooks into the same tomato base. Add them near the end so they hold together.
Eggs (13 g)Tofu (Firm) (17.3 g) · contains soy0.8x by weightCrumbled and turned in a hot pan with turmeric. Add a spoon of nutritional yeast for the savoury note.
Greek Yoghurt (Plain, Nonfat) (10 g)Silken Tofu (4.8 g) · contains soy2.1x by weightBlended with berries. An unsweetened soy yoghurt is closer on texture and usually closer on protein than the figure here.
Cottage Cheese (11 g)Tofu (Firm) (17.3 g) · contains soy0.6x by weightVegans only; cottage cheese is fine for vegetarians. Crumble it cold with black pepper and lemon.
Skyr (Plain) (11.3 g)Tofu (Firm) (17.3 g) · contains soy0.7x by weightVegans only. Blend it smooth with a little soy milk if you want the spoonable texture back.
Feta (14.2 g)Tofu (Firm) (17.3 g) · contains soy0.8x by weightVegans only. Marinate cubes in lemon, olive oil and oregano for a day and it does the same job on a salad.
Skimmed Milk (3.4 g)Soy Milk (Unsweetened) (3.5 g) · contains soy1.0x by weightVegans only. Soy is the one plant milk that matches dairy on protein; almond and oat do not come close.

Indian

The plate order is the same and so is the arithmetic. Dal and curd are doing the job the chicken and yoghurt do above, and the roti or rice is the part that shrinks.

Swapped one for one at the same weights, the three days come to 108 g of protein a day against 110 g as written, so the portions barely need to change.

Indian substitutions, protein per 100 g and the portion change needed
Instead ofUseTo match the proteinNote
Greek Yoghurt (Plain, Nonfat) (10 g)Dahi (Plain Curd) (3.5 g) · contains milk2.9x by weightA katori of plain curd, with fruit or with a meal.
Chicken Breast (31 g)Chicken Tikka (28.2 g) · contains milk1.1x by weightGrilled rather than in a cream gravy, which is the version that sits badly.
Chickpeas (Cooked) (8.9 g)Yellow Moong Dal (6.3 g)1.4x by weightThicker rather than watery, so the protein per katori actually counts.
Potato (Boiled) (1.9 g)Phulka (Dry Roasted) (9.9 g) · contains wheat0.2x by weightOne phulka rather than two, dry roasted, eaten after the protein.
Cottage Cheese (11 g)Grilled Paneer Tikka (16.5 g) · contains milk0.7x by weightGrilled or in a dry bhurji. Paneer is much richer, so the portion is smaller.

Mediterranean and Middle Eastern

The easiest cuisine to eat well on a GLP-1, because it already puts fish, pulses and vegetables at the centre and treats bread as the accompaniment.

Swapped one for one at the same weights, the three days come to 108 g of protein a day against 110 g as written, so the portions barely need to change.

Mediterranean and Middle Eastern substitutions, protein per 100 g and the portion change needed
Instead ofUseTo match the proteinNote
Cod Fillet (22.8 g)Grilled sea bass (24 g) · contains fish1.0x by weightAny lean white fish, grilled with lemon.
Cottage Cheese (11 g)Labneh (8 g) · contains milk1.4x by weightWith cucumber and a little olive oil.
Quinoa (Cooked) (4.4 g)Cooked bulgur wheat (3.1 g) · contains wheat1.4x by weightOr freekeh, which carries a little more fibre.
Chickpeas (Cooked) (8.9 g)Hummus (8 g) · contains sesame1.1x by weightSimilar energy per 100 g but nearly four times the fat, and it is far easier to eat a lot of, so watch the spoon rather than the label.

Protein, fibre and fluid: the three that matter

Protein

General guidance for protecting lean mass during weight loss is 1.2 to 1.6 grams per kilogram of goal body weight a day, which lands most people between 90 and 130 grams. What matters almost as much as the total is the distribution: portions of 25 to 35 grams across the day do more than the same amount arriving in one evening meal.

Two limits on that figure. It comes from trials in populations that were not on GLP-1 medication, because the trials in people who are have not been done yet, so it is a reasonable extrapolation rather than a measured answer. And it does not apply at all if you have reduced kidney function, where protein intake needs to be set by the clinician managing it. Our longer piece on protein works through the evidence.

Fibre

25 to 35 grams a day, the same absolute target as anyone else. The catch is that you are eating far less food, so the fibre has to be denser rather than more voluminous. Raise it by about 5 grams a week: going from 15 to 30 grams overnight reliably produces gas and bloating, because the gut bacteria have not had time to adjust. The three day plan above averages 32 grams, which is at the upper end, so build towards it rather than starting there.

Fluid

These medications quiet thirst along with hunger, and less food arriving means less water arriving with it. Fibre without fluid makes constipation worse rather than better, so the two move together. Aim for a glass with every meal and one on waking, and more in heat or after exercise. If your urine is consistently dark, that is the simplest signal that it is not enough.

Working out your own numbers

Everything above is the general answer. If you want the version worked out for your body rather than for the average of a trial population, the calculator asks about a dozen short questions and returns a calorie figure, a protein floor, fibre and fluid targets, a modelled estimate of how much you are likely to manage at your dose, and a three day plan built from the foods you said you eat. It shows the arithmetic for every number, and there is a PDF you can take to an appointment.

It is free, there is no email wall, and nothing you type is stored. Nothing is calculated until you have answered the last question.

Get my numbers

If you would rather see the arithmetic done before you run it yourself, there are six worked examples on this site, one for each of the common medication and dose combinations, each with every step of the derivation and three days of food at the result. They are also the clearest way to see the thing this page keeps returning to: as the dose climbs, the amount you can manage falls below the amount the arithmetic asks for, and past that point protein matters more than the calorie figure does.

Questions people ask about the GLP-1 diet

What can I eat when I am not hungry?
Something small and protein-dense rather than nothing. A pot of Greek yoghurt, a couple of eggs, a tin of tuna, or a shake sipped over half an hour. Cold food carries less smell than hot food and is often easier when nothing appeals. Eat on a clock rather than on hunger, because on this medication hunger may not arrive to remind you.
Do I need to avoid carbohydrates on a GLP-1?
No. There is no evidence that cutting carbohydrates improves how these medications work, and doing it makes an already small appetite harder to feed. What changes is the order and the portion: protein first, vegetables next, starch last and smaller. Wholegrain versions carry the fibre that keeps digestion moving, which matters more than usual when the gut has slowed.
Is there an official GLP-1 diet?
No. No regulator or professional body has published a diet by that name, whether it is written GLP-1 diet or GLP1 diet. The phrase describes a way of eating that suits a suppressed appetite: enough protein, enough fibre, enough fluid, in portions that fit. Anyone selling you a branded GLP-1 diet is selling you something.
How much protein do I actually need?
General guidance during weight loss is 1.2 to 1.6 grams per kilogram of goal body weight a day, which lands many people between 90 and 130 grams. Spread it across the day in portions of 25 to 35 grams rather than in one large evening meal. If you have reduced kidney function, this range does not apply to you and the figure should come from the clinician who manages it.
How many calories should I eat on a GLP-1?
The honest answer is that the number matters less than whether you are reaching it. These medications cut intake sharply on their own, so the common problem is eating too little for months rather than too much. If you track one calorie figure, treat it as a floor rather than a ceiling, and take a persistently very low intake to your prescriber.
Can I eat out on a GLP-1?
Yes. Order a starter as your main, ask for sauces on the side, and choose the grilled option over the fried one. Expect to leave food, and ask for a box without apology. The meal that tends to cause trouble is a large, rich one late at night, so earlier and smaller is the adjustment rather than staying home.
What foods should I avoid on a GLP-1?
Nothing is forbidden. Some foods reliably feel worse, and the reason is mechanical rather than moral: the medication already slows how fast the stomach empties, and fat slows it further, so fried food, creamy sauces and large portions tend to sit and turn into nausea. Fizzy drinks, very sweet drinks and alcohol on an empty stomach are the other common triggers. Smaller and earlier fixes most of it.
Should I take a fibre supplement?
Food first. If you have raised the fibre in your meals steadily for about three weeks, kept fluid up, and things are still slow, psyllium has the best evidence of the supplements. Each dose needs a full glass of water, and it should be spaced at least two hours from other oral medicines. Check it with your pharmacist first, particularly if you take oral semaglutide, thyroid medication or iron.

The detail behind each part

Muscle

Why 120 grams of protein matters when you can barely eat breakfast

Up to 40 per cent of the weight lost on a GLP-1 can be lean mass rather than fat. Here is what the research says about protecting it when appetite disappears.

Nutrition

Fibre on GLP-1: The Constipation Fix, and How to Reach 25-35g Without Bloating

Fibre on GLP-1 constipation: why the medication hardens stool, how to reach 25-35g a day without bloating, and when psyllium actually helps.

Nutrition

GLP-1 breakfast high protein ideas: 10 that work when you're not hungry

GLP-1 breakfast high protein ideas with real gram counts: 10 cold, savoury and sippable options for mornings when nothing sounds good.

Nutrition

A 7 Day GLP-1 Meal Plan: Portions, Protein and a Shopping List

A free 7 day GLP-1 meal plan with real portions, protein per day, a shopping list by aisle, and a smaller version for the days nausea wins.

Side effects

Nausea on a GLP-1: what helps, and when to get help

Nausea is the most common stomach side effect of Ozempic, Wegovy and Mounjaro. How common it is, how long it lasts, what the NHS and the experts suggest, where ginger fits, and…

Side effects

Constipation on a GLP-1: the fibre, water, magnesium loop that actually works

Slower gastric emptying is how GLP-1s work. It is also why roughly one in four people on semaglutide develop constipation. Here is the protocol that fixes it without bringing back…

Nutrition

How many calories should you eat on a GLP-1?

There is no official calorie number for Ozempic, Wegovy or Mounjaro. Here is how a sensible target is worked out, why appetite often decides the total, and the floor to stay above.

Nutrition

A GLP-1 grocery list: what to keep in, and why

A shopping list for a smaller appetite, built from the ingredients our GLP-1 recipes use most: protein you do not have to cook, fibre that is easy to eat, and a shelf for the days…

Sources

  1. Wegovy (semaglutide) Prescribing Information, US Food and Drug Administration. View sourceSupports: Slowed gastric emptying, the common side effects, and the warning about insulin and sulfonylureas.
  2. Wilding JPH, et al. Once-Weekly Semaglutide in Adults with Overweight or Obesity (STEP 1). New England Journal of Medicine, 2021. View sourceSupports: How sharply intake falls on these medicines, and the rate of constipation that follows.
  3. Kim JE, et al. Effects of dietary protein intake on body composition changes after weight loss in older adults: a systematic review and meta-analysis. Nutrition Reviews, 2016. PMID 26883880Supports: That a higher protein intake during weight loss preserves more lean mass than a standard one.
  4. Jager R, et al. International Society of Sports Nutrition Position Stand: protein and exercise. JISSN, 2017. PMID 28642676Supports: Protein distribution across the day, and the per-meal amount. Its own daily range is 1.4 to 2.0 g/kg of actual body weight, which is higher than the range on this page and set for a more athletic population.
  5. Suares NC, Ford AC. Systematic review: the effects of fibre in the management of chronic idiopathic constipation. Alimentary Pharmacology and Therapeutics, 2011. PMID 21332763Supports: That fibre helps constipation, and that soluble fibre has the better evidence behind it.
  6. Ikizler TA, et al. KDOQI Clinical Practice Guideline for Nutrition in CKD: 2020 Update. American Journal of Kidney Diseases, 2020. PMID 32829751Supports: That protein intake in chronic kidney disease is a fraction of the figures on this page and belongs to a clinician.