How To Maintain Ozempic Results | Donaldson

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By Colleen Bush, RDN |

How To Maintain Ozempic Results 

Retain & Bolster Your Weight Loss Progress Long-Term

How To Maintain Ozempic Results 

You’ve reached your weight loss goals. You feel better every day. And now you’re considering reducing or stopping your weekly fat loss injections.

As you make this decision, it’s important to take thoughtful steps to maintain the progress you’ve worked so hard for. This phase is all about reinforcing healthy habits, supporting your metabolism and embracing long-term strategies that will help you sustain your results and continue feeling your best.

Note: We reference “Ozempic” often throughout this article. However, these tips and insights are designed to help any patient seeking to maintain their weight loss results, whether they’re using Ozempic or any other weight loss injection. 


 

What Is It Like To Come Off Ozempic

What Is It Like To Come Off Ozempic?

Transitioning off Ozempic can bring noticeable changes to your body and mindset. Physically, you may experience an increase in appetite, fluctuations in energy levels and shifts with digestion as your metabolism adjusts. Mentally, some patients report heightened food cravings or a return of “food noise” – the near-constant mental chatter about eating.

Being prepared for these shifts allows you to stay proactive and maintain the healthy patterns you’ve already established.

Remember: Fluctuations Are Natural!

Minor weight oscillation is a normal part of the process and does not mean you’re regressing. Trust the process and remember that progress isn’t linear. Try to focus on the bigger picture rather than day-to-day changes!

Quality Nutrition Is Crucial

Nourishing your body with whole, nutrient-dense foods lays the foundation for sustainable weight management. Focus on incorporating plenty of lean proteins, fiber-rich vegetables and complex carbohydrates to keep you full and energized. Eating balanced, satisfying meals reduces the likelihood of overindulgence and helps stabilize blood sugar levels.

Fat Calories Aren’t The Enemy

Healthy fats play a necessary role in hormonal balance, satiety and overall well-being. Including sources of healthy fats like avocados, nuts, seeds and olive oil in your meals can help keep you fuller for longer and reduce the urge to snack unnecessarily.

Fat is a friend, not a foe — when consumed mindfully!

Stop Post-Ozempic Food Cravings

How To Stop Post-Ozempic Food Cravings

  • Prioritize Protein: Keeps you fuller longer and curbs hunger — 30% of caloric intake coming from protein is a good goal.
  • Plan Meals Ahead: Structure your macro-balanced meals to reduce impulsive snacking.
  • Increase Fiber Intake: Helps regulate digestion and keeps you satisfied as gastric emptying returns to normal.
  • Stay Active: Physical activity reduces stress, limits emotional eating and puts your calories to work for you.
  • Distract & Delay: Engage in another activity when cravings hit – they often pass within 15 minutes, especially late at night.
  • Practice Mindful Eating: Slow down, turn your phone off and truly enjoy your meals to feel more satisfied.
  • Get Spicy With It: Spices like cardamom, turmeric, coriander, ginger and cayenne pepper can help increase satiety and reduce cravings.
  • Avoid Alcohol: Beyond the empty calories, alcohol reduces self-control and causes your body to hold onto fat.

Introduce Strength Training & Increase Protein

One of the strongest ways to support your metabolism post-Ozempic is to build lean muscle. Resistance training not only enhances your body composition but also boosts your resting metabolic rate, helping you burn more calories even at rest.

Starting a consistent strength routine while still on Ozempic ensures a smoother transition and can make maintaining your results much easier. Pair this with a higher protein intake to support muscle growth and prevent muscle loss during the transition.

The Wellness Mindset & Emotional Support

Maintaining results extends beyond physical changes – it’s about nurturing your relationship with food and your body. Mindful eating, self-compassion and the recognition of emotional eating patterns can help prevent setbacks. If you notice old habits resurfacing, pause and reflect rather than react.

“If you started a food journal at the beginning of your journey, now is a great time to break that out! Celebrate how far you’ve come — not just the number on the scale — and refocus yourself on habits that reinforce lasting confidence.”

– Colleen Bush, IFNCP

Stay Hydrated, Prioritize Sleep & Reduce Stress

Hydration and quality sleep are fundamental yet often overlooked components of weight maintenance. Dehydration can sometimes be mistaken for hunger, leading to unnecessary snacking. Similarly, poor sleep disrupts hunger hormones, increasing cravings and reducing self-control.

Aim for at least 7 hours of rest each night and drink roughly 64 ounces of water a day.

What Happens If I Start To Gain Weight Back?

Weight regain doesn’t mean failure – it’s often part of the journey.

If you notice the scale creeping up, return to the basics of balanced meals, regular exercise and self-awareness. Avoid restrictive diets or extreme measures, as they can lead to burnout and a relapse to past poor eating habits. Progress takes time, and consistency will always yield better long-term results than perfection.

Colleen working with an Ozempic patient in the office

Stay Accountable & Continue Your Education With A Functional Medicine Expert

Long-term success is often supported by ongoing professional guidance. Regular check-ins with a functional medicine dietician allow you to monitor health markers using diagnostic testing and ensure your metabolism stays on track. This accountability helps identify potential setbacks early and keeps you informed about strategies that align with your goals.

“Once you’ve reached this point, my role is to offer emotional and educational support — everything you need to keep moving forward. Together, we can reinforce the positive changes you’ve made and adjust your lifestyle plan to match this next phase.” 

– Colleen Bush, IFNCP

Cosmetic Treatments Can Help Complete The Journey

Loose and excess skin after significant weight loss is common. However, they may prevent patients from feeling like they’ve truly achieved their goals. Cosmetic treatments can provide the finishing touches necessary to move forward with confidence.

Abdominoplasty (tummy tuck) and other surgical solutions after weight loss address more extensive concerns, while non-invasive treatments like Morpheus8 tighten skin. For stubborn fat deposits that linger despite weight loss, liposuction offers a precise solution to sculpt and refine body contours. Non-surgical alternatives, such as Kybella for targeted fat reduction under the chin or CoolSculpting for freezing away fat in common trouble areas, provide effective options with minimal downtime.

About The Author

Colleen Bush, RDN, LDN, IFNCP, is a registered dietician in Columbus, Ohio. She pairs personalized nutrition care with weekly weight loss injections (such as Semaglutide) and exercise education to help patients achieve sustainable weight loss and improve overall wellness. When she isn’t working one-on-one with patients, she is researching emerging holistic solutions to treat chronic illnesses and employing elements of functional medicine in her own life.

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