First shot of Semaglutide today 😬

bxvezina

Hi 👋 I'm Brittany!
And,
I have PCOS and have tried basically everything to try and lose weight. I was prescribed Ozempic to see if I can get anywhere with it. First shot of 0.25 down today! What's been your experience with Ozempic and PCOS if you've tried it? Any suggestions for possible side effects or tips and tricks!?

samgettingfit25

Specific to glp-1 side effects... The most common side effect is digestive issues (it can go either way). The nutritional advice some prescribing doctors and others give mitigates this. The advice I've heard is to eat smaller portions frequently, not to eat enough to feel over full, eat protein at every meal, work up to eating high fiber, and drink lots of water. You don't have to go low fat, but you may not be able to digest a lot of fat at once. I can eat eggs, avocado, nuts, oily fish, Greek yogurt, a little cheese without issue but too much fried food or creamy sauce is trouble.

Also, I eat at least one probiotic food every day, this is just my personal thing, my doctor didn't suggest it. I cycle among kimchi, kombucha, Greek yogurt, kefir, sour krout, and a probiotic cottage cheese. My digestive side effects have been minor, so I think this, plus the water, fiber, and protein helps.

Just a note about fiber, I jumped in with food logging, strength training, lower carb, high protein, drinking more water within a couple days of my first injection. I have no idea what quantities I was eating before because I didn't log. I did initially have issues with different foods than I was warned about. I was warned I might have digestive issues following high fat or high processed carb meals. I actually had the most noticeable issues with large salads. I asked Dr. gpt, my actual doctor, a dietitian and they all mentioned it might happen if I went from low fiber to very high fiber diet. I walked it back a little, I am currently at 25 grams of fiber +/- a few grams daily. I ate vegetables and homemade food before, but likely not quite that much fiber. (I never thought about it before). At this point the large salads are fine, but for a while I ate smaller salads alongside more protein. Some people on Glp-1 meds take digestive enzymes or even medication to help, I haven't but people's side effects vary.

Another big side effect that can happen is muscle loss. That's one of several reasons doctors, dietitions, and trainers familiar with glp-1 meds recommend focusing on protein. Also, some (but from what I hear not enough) recommend resistance training.