Bottom Line. Your blood sugar levels should start to fully decline within the first week after you start using Ozempic (semaglutide) at your regular maintenance dose. However, the full effects can take 8 weeks or longer, as this is a long-acting medication that is injected only once per week.
The active ingredient in Ozempic is semaglutide, which works by inducing satiety. This feeling of being satisfied or “full”, suppresses appetite. This is why it works for weight loss.
Nausea. Nausea was the most common side effect of Ozempic noted in clinical studies [4]. This is often described as an unsettled feeling in your stomach — or an upset stomach where you feel like you may need to vomit, but it may not always lead to vomiting.
You'll likely notice some changes in appetite and reductions in food cravings within the first week.
How can I maximise my body weight loss on Ozempic? You can assist Ozempic by lowering your overall calorie intake, moving your body where possible and limiting your alcohol consumption.
Seeing results. Ozempic starts working within the first week of beginning your maintenance dose. Your blood sugar levels will start to decline during this time. Reaching the steady state can take about four to five weeks of once-a-week Ozempic doses.
Once you begin using Ozempic, some people can find it takes several weeks to see any weight loss, yet others may see some weight loss within a week or 2. While it can be difficult, try to remain patient — change looks different for everyone.
Nausea was the most common side effect reported by people taking the drug in clinical trials. For most people, the nausea was mild and temporary. You're more likely to have nausea when you first start Ozempic treatment or after your doctor increases your dose.
High fat foods or sugary foods
Ozempic can cause nausea and vomiting if taken after eating foods high in fat or sugar. It is recommended that you take Ozempic before meals, rather than after, to minimise any potential side effects from eating high-fat or high-sugar foods.
No specific foods need to be avoided while taking Ozempic and there is no fixed Ozempic diet or meal plans — one less thing for you to worry about! For certain people, carbohydrates, sugary, high-fat, heavily processed and calorie-dense foods are off-limits when dieting.
Stop using Ozempic® and get medical help right away if you have any symptoms of a serious allergic reaction, including swelling of your face, lips, tongue, or throat; problems breathing or swallowing; severe rash or itching; fainting or feeling dizzy; or very rapid heartbeat.
So, on average, with the recommended starting Ozempic dose of 0.25 mg, a 500 to 1000 calorie reduced diet, and exercise 3 times a week, you can expect to lose 3-5 pounds in the first month of treatment, which works out to about 3% of body weight for most overweight or obese individuals.
What is the best time to take Ozempic®? Administer Ozempic® once weekly on the same day each week, at any time of the day, with or without meals.
You should inject Ozempic once a week — on the same day of the week, every week. It doesn't make a big difference whether you take it in the morning or at night.
Semaglutide (Ozempic, Wegovy, Rybelsus) can cause side effects that some people are unable to tolerate. Following dosing guidelines can help manage these side effects. Nausea, vomiting, and diarrhea are the most common semaglutide side effects.
The short answer is that, yes, Ozempic can make you feel tired, but it's a rare side effect of the drug. Ozempic and its active ingredient, semaglutide, have been extensively studied for safety and efficacy for blood sugar control and weight loss.
Will Ozempic or Wegovy reduce belly fat? The answer appears to be yes. That Novo Nordisk-funded study of almost 2,000 overweight or obese adults without diabetes also found their visceral fat — the type that accumulates in the belly — was reduced from baseline with semaglutide, along with their total fat mass.
Ozempic is only intended and approved for people with type 2 diabetes. You should not take it solely for weight loss. Doing so may prevent patients who require the medication for blood sugar management from getting it. Interrupting their treatment with Ozempic creates serious health risks.
A dose of 0.5 to 1 mg per week (double the maximum approved diabetes dose) seems to provide the maximum weight loss benefits for many people using Ozempic off-label. At 1 mg weekly, average weight loss of 3% (6-8 pounds) over 6 months may be achieved when combined with lifestyle changes.
Common Side Effects of Ozempic
“The most common side effects are gastrointestinal in nature: nausea, vomiting, diarrhea and constipation.” While the majority of people who take Ozempic will most likely experience these symptoms at some point during their treatment, they should subside over time, continues Dr. McGowan.
Can I drink alcohol while using Ozempic? The short answer is yes: you can drink alcohol while taking Ozempic. In the U.S., where Ozempic is created and distributed from, the Food and Drug Administration has not provided any specific disclaimers on mixing Ozempic and alcohol [1].
If you don't have diabetes, taking Ozempic for weight loss is considered an off-label use. Wegovy, a higher-dose version of Ozempic, is approved to help people manage their weight. This includes adults and adolescents ages 12 and older who meet certain body mass index (BMI) criteria.