Wegovy diet and short of breath

Posted by ami83 @ami83, Mar 28 9:15pm

In my third week on Wegovy and do not know what to eat aside from chicken, turkey, avocado, apples along with peanut butter and nuts in limited amounts. Everything else seems to make me exhausted. Feel totally depleted and get short of breath. Has anyone else experienced this?
What else can I eat?
Any help appreciated. I’ve lost about 8 pounds in the 3 weeks but eat practically nothing for fear of feeling awful. I hope I can find a way to deal with this because I really want it to work.

Interested in more discussions like this? Go to the Bariatric Surgery & Weight Loss Support Group.

@ami83

Thanks. Will do.
No side effects at all? Amazing!

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None! 69lbs down since last Dec.

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@ami83

So helpful jc! I looked at the Wegovy site and found all sorts of interesting thins (despite having been told by others that the site was of no help!). You may have changed my life!
Hope you are doing well!

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Wow and I thought I was all washed up at 78!

On another group with those who have ICD/Pacemakers I advised to go to the manufacturers website. They will find a ton on information on their specific device. And the manufacturers have a contact system to asked questions and get really good answers specific to their device.

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Wegovy and Ozempic are brands of semaglutide, while Zepbound is tirzepatide -- you can definitely switch between these if one is not working for weight loss or you have trouble with side effects. Studies show Zepbound produces more loss more quickly for most people. I was way out on the tail for side effects on Zepbound, with just about everything that doesn't actually kill you, including peripheral neuropathy (which is such a low probability side effect that my PCP was unaware it was possible). Lost the weight I wanted to lose, but it was not pretty. On the other hand, put it all together and I was probably in a 0.2-0.3% category, so I would recommend Zepbound to anyone, because almost no one is going to have my experience.

I have since switched to Ozempic for maintenance -- for me, fewer side effects and you can click-count, which is helpful for dose management and makes the drug less expensive over the counter.

This paper was published before Zepbound hit the market: "Switching between GLP-1 receptor agonists in clinical practice: Expert consensus and practical guidance" (by Jain et al) but is helpful. Doctors generally recommend that if you are going to switch, you ramp down on the old drug, stay off for a few weeks, and then start ramping up the new drug. I did the ramp down/ramp up, but without a gap in between. It worked great. If I decide to switch again, it will probably be to exenatide XR, but that would be about maintenance, not weight loss -- exenatide is not a great form for initial weight loss, apparently.

Also, try looking up "Prime Therapeutics launches new publication, GLP-1 Pipeline Update". It's a good way to stay up to date on new drugs in the same class.

Finally, liraglutide is an older drug in the class that is used primarily for diabetes (which is where all this started) but also produces weight loss. Like Ozempic, it's a multi-pen, which means you can click-count, but it's a daily rather than a weekly injection, I believe.

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@riana1

None! 69lbs down since last Dec.

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Good for you!! Amazing!

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@projfan

Wegovy and Ozempic are brands of semaglutide, while Zepbound is tirzepatide -- you can definitely switch between these if one is not working for weight loss or you have trouble with side effects. Studies show Zepbound produces more loss more quickly for most people. I was way out on the tail for side effects on Zepbound, with just about everything that doesn't actually kill you, including peripheral neuropathy (which is such a low probability side effect that my PCP was unaware it was possible). Lost the weight I wanted to lose, but it was not pretty. On the other hand, put it all together and I was probably in a 0.2-0.3% category, so I would recommend Zepbound to anyone, because almost no one is going to have my experience.

I have since switched to Ozempic for maintenance -- for me, fewer side effects and you can click-count, which is helpful for dose management and makes the drug less expensive over the counter.

This paper was published before Zepbound hit the market: "Switching between GLP-1 receptor agonists in clinical practice: Expert consensus and practical guidance" (by Jain et al) but is helpful. Doctors generally recommend that if you are going to switch, you ramp down on the old drug, stay off for a few weeks, and then start ramping up the new drug. I did the ramp down/ramp up, but without a gap in between. It worked great. If I decide to switch again, it will probably be to exenatide XR, but that would be about maintenance, not weight loss -- exenatide is not a great form for initial weight loss, apparently.

Also, try looking up "Prime Therapeutics launches new publication, GLP-1 Pipeline Update". It's a good way to stay up to date on new drugs in the same class.

Finally, liraglutide is an older drug in the class that is used primarily for diabetes (which is where all this started) but also produces weight loss. Like Ozempic, it's a multi-pen, which means you can click-count, but it's a daily rather than a weekly injection, I believe.

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Thanks so much profan.
Lots of great info here. I wish you well as this journey continues!

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@roch

@ami83
Thanks for sharing your experience. You mentioned WEGOVY patient help website and counselors, I checked out website and under FAQ saw Wegovy®, WeGoTogether. Is that support you were talking about?

Did you use? If so, would you recommend to others?

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Hi
Do you know if it’s possible to get a counselor online from Mayo Clinic if I’m not getting my prescriptions from them?

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@ami83

Hi
Do you know if it’s possible to get a counselor online from Mayo Clinic if I’m not getting my prescriptions from them?

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@ami83
Unfortunately I do not think that is possible. You would need to be a patient of Mayo Clinic.

If interested in establishing care at Mayo, you can request an appointment at: https://www.mayoclinic.org/appointments

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