Hi there,
Fascinating chat re Ozempic so thank you to the OP and everyone's comments.
My story is that I put on loads of weight after I got a mystery "respiratory illness" in December 2019 which had me signed off work for 3 weeks. Subsequently, given my systemic reaction to the Astrazenica Covid jabs ( I could barely walk after the jabs) and having caught Covid last July (where symptoms were identical only nowhere near as bad as those I had in December 2019) I can say with a modicum of confidence, that I did in fact have Covid- 19 in December 2019!
After that my weight ballooned and I got to a stage where I was so heavy (with loads of visceral, dangerous fat) that I decided to try and do something about it.
I tried intermittent fasting during the day and not eating between breakfast and dinner (sometimes 10-13 hours) and doing boot camp on an empty stomach 3 times a week, as recommended by a highly respected dietician. My body at the start of this was 50% fat.
The result: I lost some weight but at a snail's pace.
Then I had foot and mobility issues and I gained all of it back and more.
All the while my blood glucose was increasing and I was in the pre-diabetic range getting closer to being diagnosed with Type 2 Diabetes.
In August this year, I decided to bite the bullet and go and see an endocrinologist who put me on Ozempic. I had terrible belching side effects and more recently acid reflux which I've been controlling with Gaviscon (the tablets not the liquid).
I've only just started taking the 1mg dose last week and 2 days before that, my reflux just disappeared.
But I'm also, like the OP, most concerned about what life looks like after I stop taking the drug which I will have to do at some point.
I've been doing some reading around the subject and there are some things that have been recommended:
- Gradually decreasing the dose and not stopping it straightaway so that you can keep control of increased appetite/cravings
- Increasing cardiovascular exercise but at low intensity to keep cortisol levels low (raised cortisol causes more fat storage around your middle) so working in the fat burning zone not in the HIIT zone
- Building lean muscle mass using strength training- the idea is whatever your weight in kg, you should be eating 75% of that in grams of pure protein per day, which is far more than most of us eat generally. As you lose weight, this gets closer to 100%. The increased muscle mass increases your resting metabolic rate, particularly important after the menopause where lean muscle mass falls off a cliff
- Continuing to eat higher protein with lots of green vegetables as a starter to keep blood glucose spikes down, so that you produce less insulin (which is the fat-storing hormone)
- Following other Glucose Goddess hacks
- Keeping alcohol consumption down
I'm a long way from reaching my goal (I have 2.75 stone still to lose) but I'm close to being out of the obese BMI range.
Good luck to everyone on this journey. It's not easy and after being infected with Covid I've realised how hard weight loss is. :)