What's your experience with Ozempic or Saxenda for weight loss?

Posted by etna @etna, Apr 1, 2024

Hi Everyone
I am thinking of taking either of the above medication to help with loosing weight. I am 100lbs overweight . In the past I had bariatric surgery however it was unsuccessful.
With either Ozempic/Saxenda , what kind of eating plan is most successful and I would have huge concerns about getting the necessary nutrients/ vitamins to help support the weight loss journey.

Has anyone any experience of using the above medication and how did it work out for you. Any information is appreciated. Thank you Etna

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

Profile picture for tracyntheo @tracyntheo

Looking for reassurance and advice — elevated liver enzymes and small lung nodules

Hi everyone,

I’m looking for a bit of guidance and reassurance. I’ve been really anxious about my recent health issues and thought maybe someone here has been through something similar.

I was on Ozempic for about three years and lost around 80 lbs. I was T2D, but it has “cured” itself. I stopped taking ozempic in May because it was making me feel sick. My bloodwork in late June and early July showed my liver enzymes were around 700. My spleen was enlarged as well as the liver and a few lymph nodes too. My MRI later showed no lesions or masses, and my kidneys are excellent. My enzymes are still elevated but fluctuating, and my doctor believes it’s due to inflammation and stress from the medication. I also don’t have a gallbladder.

On top of that, I have several small lung nodules. The specialists said they likely look like inflammation or scarring rather than cancer. One has shrank. My bloodwork and tumor markers are normal, and I have no symptoms. They’re requesting a PET scan and possibly a biopsy to rule cancer out, but my doctors have said this is just to be thorough. He believes inflammation to be high on the list.

I’m wondering if anyone here has experienced something similar — elevated liver enzymes after stopping Ozempic, or benign lung nodules due to inflammation.
I’d love to hear what helped you heal and what lifestyle or nutritional changes made a difference.

Thank you so much for reading. I’ve been trying to stay calm, but this has been really scary. Any encouragement or insight would mean a lot. I have medical anxiety that is currently out of control.

Warmly,
Tracy

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Hi @tracyntheo - welcome to Mayo Clinic Connect. I moved your post here so you could connect with others talking about saxenda (Ozempic), such as @projfan @cntrlcoastgirl @etna @beachy and others. I'd also like you to meet @roch. They can speak to whether they have experienced or heard of elevated liver enzymes or benign lung nodules after use of these shots.

It sounds as though your doctor is unconcerned, then? When will you have the PET scan and biopsy, if that is done?

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Profile picture for cntrlcoastgirl @cntrlcoastgirl

I take Mounjaro weekly. It is called Zepbound for weight loss. It works fantastic!! I have T2 diabetes and have gone from 289 lbs to 142 lbs! Good luck!!

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@cntrlcoastgirl

The cost is too great for me. $24,000 a year is too steep

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Profile picture for cntrlcoastgirl @cntrlcoastgirl

I am on the weekly Mounjaro shot and it constipates me so bad! Doctor recommended Miralax every morning for the first 10 days, then every other day after that. I have never been so regular and no longer struggling! Highly recommend Miralax! One capful in 1/4 cup of Gaterade Zero and zero taste!!

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@cntrlcoastgirl
I am curious if the Miralax continues to work after a longer time? I have Type 2 and took Ozempic 2MG for over a year; my pcp switched me to mounjaro 5mg and now I have very significant constipation. The pcp then had me take senna - only a small improvement. I would be interested your progress with Miralax and hearing from anyone else that has had similar side effects with fairly low level mounjaro….

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Profile picture for bournejr @bournejr

@cntrlcoastgirl
I am curious if the Miralax continues to work after a longer time? I have Type 2 and took Ozempic 2MG for over a year; my pcp switched me to mounjaro 5mg and now I have very significant constipation. The pcp then had me take senna - only a small improvement. I would be interested your progress with Miralax and hearing from anyone else that has had similar side effects with fairly low level mounjaro….

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@bournejr
I’ve been using MiraLAX occasionally for about five or six years. I take a lot of drug drugs and some of them cause constipation. I take 2 Colace twice a day and one Senna twice a day and they usually keep me fairly regular but every few days I need to use MiraLAX after I have not gone for two days. It works pretty quickly almost all the time within two or three hours I’m ready to go.

You don’t need to buy the brand name MiraLAX there are much cheaper options available with the exact same ingredients.

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Profile picture for jeff Marchi @jeffmarc

@bournejr
I’ve been using MiraLAX occasionally for about five or six years. I take a lot of drug drugs and some of them cause constipation. I take 2 Colace twice a day and one Senna twice a day and they usually keep me fairly regular but every few days I need to use MiraLAX after I have not gone for two days. It works pretty quickly almost all the time within two or three hours I’m ready to go.

You don’t need to buy the brand name MiraLAX there are much cheaper options available with the exact same ingredients.

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@jeffmarc
Hi Jeff:
This is very helpful. However, I worry a bit about my doctor really doesn’t like my taking much of the senna - I do have some Colace, I might try, My doctor is really against Colace,….. I’m wondering if I got up to 7.5 MG (which he pcp wants me to do) if it will get any better (i suspect not).

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I was on Ozempic and now Mounjaro. It has been a game changer for me. I haven't lost a massive amount of weight but my glucose levels are maintained.

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Profile picture for bournejr @bournejr

@jeffmarc
Hi Jeff:
This is very helpful. However, I worry a bit about my doctor really doesn’t like my taking much of the senna - I do have some Colace, I might try, My doctor is really against Colace,….. I’m wondering if I got up to 7.5 MG (which he pcp wants me to do) if it will get any better (i suspect not).

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@bournejr
I’ve been taking Senna for many years. Did the doctor explain why he didn’t like it? I’ve taken Colace at the same time.

Senna moves the stool through your body by increasing muscle contractions and colace softens it.

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