Food and Fitness: The Keys to Success on Weight Loss Medications
In the world of weight management, medications like Wegovy and Zepbound are generating buzz for their ability to dramatically aid weight loss. These GLP-1 medications are not just revolutionary; they promise impressive results for those grappling with obesity. However, a new report from four foremost medical organizations delivers a striking warning: effective weight loss requires more than just medication.
The Warning: Lifestyle Matters
The Crucial Role of Nutrition and Lifestyle
A joint advisory by the American College of Lifestyle Medicine, the American Society for Nutrition, the Obesity Medicine Association, and The Obesity Society emphasizes the necessity of proper nutrition and lifestyle modifications when using GLP-1 medications. Without these critical components, patients may grapple with muscle loss, weight regain, and hefty long-term healthcare costs.
Why Do Patients Stop?
Surprisingly, only about half of individuals continue their GLP-1 medication treatment after one year, and that number dwindles to just 15% after two years. The report cites reasons like unpleasant side effects, financial burden, and subpar results as common culprits driving people away from these valuable medications.
Expert Insights on Achieving Long-Term Success
Goal Setting: Focus on Overall Health
Dr. Dariush Mozaffarian, a leading cardiologist and director at the Food is Medicine Institute at Tufts University, stresses the importance of establishing comprehensive health goals rather than merely focusing on weight loss. He asserts that “the FDA has approved these medications as effective adjuncts to lifestyle therapy,” yet many practitioners overlook this crucial aspect.
Patients are encouraged to collaborate with their healthcare providers to set realistic health-focused targets before embarking on their journey with GLP-1 medications.
The Role of Registered Dietitians
A vital element in navigating this process is the involvement of registered dietitians. Emily A. Callahan, a nutrition expert, underscores that medical nutrition therapy can lead to significant improvements in body metrics such as weight and blood pressure while supporting GLP-1 therapy.
Practical Strategies for Effective Use of GLP-1 Medications
Start Low, Go Slow
It’s recommended that patients begin their GLP-1 medications at a low dose, gradually increasing it as needed. A common side effect is nausea, which may trigger cravings for sugary comfort foods, threatening weight loss efforts. To sidestep this pitfall:
- Opt for small, frequent meals.
- Emphasize minimally processed, nutrient-dense foods.
Caution with Popular Diet Trends
Particularly for those engaged in intermittent fasting or low-carb diets, there’s added risk of gastrointestinal side effects when combined with GLP-1 medications. Moderation and proper guidance are key.
Nutritional Guidance: Supplements and Protein
The report suggests that those on GLP-1s may also benefit from taking certain vitamin supplements, including vitamin D and calcium, while increasing their protein intake by 50-100% through sources like fish, nuts, and seeds.
This is critical, especially since diminished food intake can impede the body’s ability to acquire essential nutrients. Maintaining muscle mass and bone density should be a priority, particularly for older adults.
Building a Healthy Lifestyle for Success
Exercise: Strength and Cardio
To counteract potential muscle loss during weight reduction, engaging in strength training exercises at least three times a week is highly recommended, in addition to 150 minutes of moderate aerobic activity each week.
Emphasizing nutrition and physical activity isn’t merely about weight loss; it’s about cultivating a sustainable and healthful lifestyle. The report concludes that users of GLP-1 medications are significantly more likely to achieve their weight loss goals when these strategies are applied harmoniously.
The Bottom Line: A Holistic Approach to Weight Loss
“GLP-1s have the best chance of helping individuals achieve and maintain lasting weight loss when paired with robust nutritional guidance and lifestyle support,” reiterates Callahan. This multifaceted approach, combining medication, nutrition, and lifestyle changes, is the foundation for long-term success in weight management.
For those considering or currently using these medications, the message is clear: your success on GLP-1s depends as much on your lifestyle choices as the medication itself.
