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I made a post about being on semaglutide shots. There aren't working as I weighed at the weight doc's. and I gained 4 pounds since last month.

I don't know what to do. But I will be honest.

I have eaten nothing but a crispy chicken salad from the Publix which last me for 3 days since I still the restriction with the shots and surgery. I am over year out from surgery. My salad had peppers, cucumber, cheese and tenders with ranch. Only sugar drink I drink is sweet tea no sodas.

What am I doing wrong? What should be eating. Dietician aren't helping.

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semaglutide (and other various GLP-1 agonists) effectiveness can be dose dependent. 4 weeks is likely not long enough to see changes especially if you are still at the starting dose. Here’s a link with some decent easy to understand info: https://www.richlandmd.com/cosmetic/semaglutide-dose-for-weight-loss/

Also these meds are used in conjunction with lifestyle modifications. According to a meta analysis reviewing multiple trials “We observed that aside from the administration of semaglutide, reduced calorie diet and increased physical activity were also part of the intervention. Hence, semaglutide alone probably will not be able to achieve an 11.85% weight loss” https://pmc.ncbi.nlm.nih.gov/articles/PMC9758543/

Take a look at your early post op diet plan and give that a try again. If you didn’t have one, I can share that mine was Protein forward (80g minimum) with minimal carbs (under 50 g and mostly complex) and low fat (20g) and almost no calories from drinks unless they are Protein Shakes.

*edited to add: These meds can cause Constipation so any weight gain could be due to that

You really should consider checking in with the prescribing/administering physician to ask about your progress.

Best of luck!

Edited by GreenTealael

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That doesn't sound like enough food, or a very healthy choice, to be honest. Crispy chicken is fried. Sweet tea is nutritionally the same as soda and can provide a shocking number of empty calories. You aren't getting enough Protein and if you're only eating once a day, that's probably messing up your metabolism.

Just based on what my dietician has told me, I suggest three meals per day, a minimum of 60g protein per day, 64 oz Water, and little to no sugar or simple carbs. You might try cottage cheese with fresh berries for Breakfast, a spinach salad with 3oz grilled chicken for lunch, and 3oz baked salmon with steamed broccoli for dinner. Maybe add in a serving of raw almonds for a snack. Make sure you weigh all your portions.

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