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Revamping Your Diet on GLP-1s: Eat Kale or Die Trying

diets

By Gavin Hayes

- Apr 21, 2025

If you've hopped on the GLP-1 drug bandwagon like Ozempic or Wegovy, you've probably noticed the parties happening in your belly - and not the fun kind. The exploding crackers, fire-breathing dragons, and belly dancers of nausea, diarrhea, and constipation which result from these drugs slowing down your stomach emptying rate. Great for feeling fuller longer, not so great for your social life.

The good news? Your diet isn’t sentenced to be as bland as an overcooked chicken breast. Experts insist that while there can be dietary tweaks, it's not a "live-off-lettuce" scenario.

It's not rocket science that chowing down on high-fat food – fried delicacies, we're looking at you – can be a one-way ticket to Constipationville. It's even worse when your stomach’s got the GLP-1 bouncer delaying the exit sign. Peminda Cabandugama, an endocrinologist at the Cleveland Clinic, suggests steering clear of such heart attack-inducing nosh to minimize discomfort.

Giving sugar the side-eye is crucial if you're popping Ozempic for managing diabetes, advises Abby Langer, a Toronto-based dietitian; this applies to weight management as well. Watching your sugar-sweetened beverage chugging won't hurt either.

Those sneaky refined carbs like white bread, rice, cookies, pastries? Well, they're basically constipation’s best mates and can be nausea's wingman, worsening GLP-1 side effects. Definitely worth a swerve, according to our pal Cabandugama.

According to U.S. dietary guidelines, you might want to dial down the booze (two drinks per day for men, one for women) when on a GLP-1. However, this drug might show you an unexpected silver lining - lesser cravings for alcohol and cigarettes. Cabandugama suggests some might even start drinking less subconsciously.

Munching on a well-balanced diet, staying well-hydrated, and eating plenty of protein and fiber alongside GLP-1 drugs is key. Be mindful of muscle mass loss and keep your protein intake moderate to avoid worsening constipation and nausea.

Time to befriend veggies – yes, even kale and spinach. These leafy greens, packed with insoluble fiber, act like intestinal brooms, sweeping along your food and kickstarting gastric emptying. Remember to take things slow while upping your fiber intake to avoid bloating, gas, and cramps. Feel like your cravings for certain foods are dropping? Check with your healthcare provider to ensure balanced nutrition.

Your healthcare provider will also recommend that you break a sweat regularly, ideally 150 minutes weekly of moderate-intensity exercise, while on GLP-1 agonists. Combining the medication with exercise can decrease the severity of metabolic syndrome, abdominal obesity, and inflammation.

Popping a pill to slip into your favorite jeans? Cabandugama says it's a no go. These drugs are meant to manage weight related diseases and risks rather than fulfilling aesthetic desires. So, GLP-1 users, hang in there, brace for the gastric storm, and remember: life isn't about surviving the storm, but dancing in the rain. Or in this case, maybe the kale.

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