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  • Writer's pictureLisa Smith

How Not to Gain Weight After Ozempic

Updated: 3 days ago


woman gaining weight after ozempic

A Sustainable Approach to Keeping the Weight Off


If you’ve used Semaglutide weight loss medications like Ozempic (or other GLP-1 medications like Wegovy or Mounjaro) to help you lose weight, you’ve probably seen great results.


But what happens when you come off the medication? 

Many people worry about regaining the weight they worked so hard to lose, especially if they’ve tried and failed with other diets in the past.



Do You Gain Weight After Stopping Ozempic GLP-1 Medications?


The good news is, with the right approach, it’s entirely possible to maintain your weight loss and even continue losing weight after stopping Semaglutide medications. 


The key is moving away from quick fixes and adopting healthy, sustainable habits that work for your body in the long run.



8 Tips to Help You Keep the Weight Off After Ozempic


Nutrition advice after ozempic graphic

1. Focus on Balanced Nutrition – Without Restriction

After using Ozempic or Mounjaro, your body may be used to having a little extra help with controlling appetite. But now that you’re transitioning off the medication, it’s important to fuel your body with nutrient-rich foods that keep you feeling satisfied. 


Instead of following restrictive diets or cutting out food groups, focus on creating balanced meals that include plenty of lean proteins, healthy fats, and fibre-rich vegetables.


Balancing your blood sugar is also key to avoiding those energy dips and cravings that can lead to overeating. Simple tips like pairing carbs with protein, adding healthy fats like avocado or olive oil to your meals, and eating regularly throughout the day can help keep your energy steady.


This isn’t about calorie counting or starving yourself— it’s about giving your body the nourishment it needs to thrive.


2. Manage Stress and Sleep

Weight gain is about more than just food. Stress and lack of sleep can wreak havoc on your hormones, particularly cortisol, which can trigger weight gain around your middle.

Coming off Ozempic or Wegovy can sometimes feel like you’re losing a safety net, which can lead to stress and anxiety.


Managing stress through techniques like mindfulness, deep breathing, or simply setting aside some ‘me time’ can help keep stress in check.


Sleep is also a huge part of the puzzle. Aim for 7-8 hours a night to support healthy hormone function and give your body time to repair. If sleep is an issue, try creating a calming bedtime routine, limiting screen time before bed, or practising relaxation techniques like meditation.


3. Stay Active – In a Way That You Enjoy

Exercise doesn’t have to mean spending hours at the gym or forcing yourself to do something you hate. In fact, the best way to stay active is to find movement that you actually enjoy. Whether it’s walking, dancing, yoga, or swimming, getting your body moving regularly is crucial for maintaining weight loss.


Even gentle exercise can have a huge impact on your overall health, helping to improve your mood, boost metabolism, and reduce stress. If you’re feeling stuck, try setting small, achievable goals like a 20-minute walk or joining a fitness class that makes you feel good.


4. Be Mindful of Portion Sizes

One of the effects of Semaglutide GLP-1 medications like Ozempic or Wegovy is that they slow down digestion and help you feel fuller for longer. As you transition off the medication, it’s important to be mindful of portion sizes, especially if your hunger levels start to increase.


Listen to your body’s hunger and fullness cues, and aim to eat slowly and mindfully. It takes around 20 minutes for your brain to register that you’re full, so give yourself time to enjoy your food without distractions.


5. Stay Consistent with New Habits

The biggest challenge for many people coming off Ozempic or Mounjaro is maintaining the healthy habits they built while on the weight loss medications. Consistency is key here. While it’s tempting to go back to old eating patterns, sticking to the routines that helped you lose weight in the first place will make all the difference.


You don’t have to be perfect—progress, not perfection, is what matters. Focus on making small, manageable changes that you can stick with for the long term.


6. Get Support and Accountability

Maintaining weight loss is a journey, and you don’t have to go it alone. Working with a nutrition coach or joining a supportive community can help keep you on track and give you the tools you need to stay consistent.


In my 8-week programme for women transitioning off GLP-1 medications, I provide personalised support to help you maintain your weight loss, build a healthy lifestyle, and boost your confidence—without relying on restrictive diets or unrealistic goals. You’ll get access to expert advice, live coaching, and a supportive community of women who are on the same journey as you.


7. Address Emotional Eating

For many women, emotional eating can be a major barrier to maintaining weight loss. Coming off a medication like Ozempic or Wegovy, you might find old habits creeping back in when you feel stressed, anxious, or overwhelmed.

The first step is to recognise emotional eating when it happens. Are you eating because you’re physically hungry, or because you’re trying to cope with emotions? Learning to identify and manage emotional triggers is essential for long-term success. This could mean finding alternative coping strategies, like journaling, going for a walk, or talking to a friend when you’re feeling down.


8. Stay Patient with Yourself

Weight maintenance doesn’t happen overnight, and it’s normal to experience fluctuations as your body adjusts after Ozempic or Mounjaro. Be kind to yourself, celebrate the progress you’ve made, and remember that it’s okay to have setbacks. The important thing is to keep moving forward and to focus on building healthy habits that work for you.



Is Ozempic Weight Loss Permanent?


The weight loss is not permanent, it is dependant on a healthy diet and lifestyle. Coming off Ozempic doesn’t mean the end of your weight loss journey—it’s just the start of a new chapter. By focusing on balanced nutrition, staying active, managing stress, and getting the right support, you can maintain your weight and feel confident in your body.



How to Fix Your Metabolism After Ozempic?


Remember, this isn’t about perfection or quick fixes. It’s about building a sustainable, healthy lifestyle that you can enjoy for years to come. You’ve already achieved so much—now it’s time to continue that journey with a plan that works for you.




How Do You Maintain Weight Loss After Semaglutide Medications?


Lisa smith online nutritionist

Hi I'm Lisa, I’m a BANT registered nutritionist based in Manchester, helping women in midlife who want to lose weight. I create personalised online nutrition plans for hormone health and weight loss, which can provide a more effective and sustainable approach to achieving your health goals .


Investing in a tailored online nutrition plan, such as my 8 week Rebalance nutrition programme, Keep the Weight Off After GLP-1, not only helps in balancing hormones, but also paves the way for successful, long-term weight management.


If you’re ready to take the next step and get personalised support, join my 8-week programme to help you keep the weight off, feel great, and reclaim your confidence—without relying on medication. Let’s do this together!


Book your FREE 30-minute online consultation to discover how personalised nutrition can help you thrive. I work online with clients across Manchester and worldwide.





DISCLAIMER: The content on this webpage is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your doctor or qualified healthcare provider. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.

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