Can you gain weight on Ozempic?

Can You Really Gain Weight on Ozempic? The Truth You Need to Know

Ozempic, Wegovy, and other GLP-1 medications can be incredibly effective for weight loss — but many people are surprised when the scale stalls or even starts creeping up. In this video, I break down why weight gain can happen on Ozempic, what the research says, and how to prevent setbacks without extreme dieting or frustration.

As a Registered Dietitian with more than 20 years of experience and over 4,000 clients served, I explain:

What Causes Weight Gain on Ozempic
• Eating more calorie-dense foods because hunger feels lower
• Extra calories sneaking in from snacks, grazing, or drinks
• Muscle loss lowering metabolism
• Weekend or evening overeating
• Under-eating earlier in the day
• Returning to old habits as appetite slowly comes back

Why Weight Loss Slows or Reverses

GLP-1 medications reduce appetite, but they do not automatically change food choices, emotional eating patterns, or environment triggers. As your body adapts, hunger can return — leading to higher intake without realizing it.

What Actually Works Long-Term

I share practical, evidence-based steps like:
• Using the 50 percent fruits and vegetables rule for volume
• Prioritizing protein at each meal
• Tracking daily weight to notice trends
• Choosing whole foods over ultra-processed foods
• Boosting fiber, water, and consistent meal timing
• Building muscle to support metabolism

These are the same strategies I use with clients who consistently lose 15 pounds or more of body fat and keep it off.

⸻

Want Personalized, Evidence-Based Support

If you want a simple, sustainable, step-by-step plan designed around your lifestyle and medical needs, schedule a one-on-one consultation with me:

https://nutritioncoachingcenter.com/s...

⸻

About Kevin Grodnitzky, MS, RDN

Registered Dietitian Nutritionist
Certified Diabetes Educator
20 plus years of experience
More than 4,000 clients served
Specialist in weight loss for adults in their 40s, 50s, 60s, and older