Health
Thanksgiving on Ozempic: Here’s how to enjoy the meal with a smaller appetite
For the more than 15 million U.S. adults who are currently taking Ozempic or another GLP-1 drug for diabetes or weight loss, Thanksgiving may look a little different than it did prior to starting the medication.
GLP-1 (glucagon-like peptide-1) medications reduce appetite by sending signals of fullness to the brain and slowing down emptying of the stomach.
Common side effects include nausea, constipation and reflux.
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“The rate at which the stomach is purged of food (and acid) is slowed significantly, almost to the point of backup,” Dr. Brett Osborn, a Florida neurologist and longevity expert, told Fox News Digital.
“Essentially, they are ‘injectable fullness’ – and sometimes to a fault.”
The Thanksgiving meal this year may look a little different for the more than 15 million U.S. adults who are currently taking Ozempic or another GLP-1 drug for diabetes or weight loss. (iStock)
Osborn often prescribes GLP-1s to his patients as an effective way to treat obesity and type 2 diabetes, but he acknowledged the digestive side effects, recommending that people pay extra attention to the size and macronutrient content of meals.
“With some planning and strategies, you can enjoy the holiday without compromising your health goals.”
“Navigating Thanksgiving while on GLP-1 medications can be a bit different, but with some planning and strategies, you can enjoy the holiday without compromising your health goals,” Dr. Britta Reierson, a family physician and medical director at knownwell in Minneapolis, Minnesota, told Fox News Digital.
The doctors offered the following tips for the upcoming holiday.
Choose foods wisely
“If your appetite is reduced due to GLP-1 medications like Ozempic, focus on smaller portions of nutrient-dense foods,” Osborn said.
“Prioritize lean protein, non-starchy vegetables and fiber-rich sides to meet your nutritional needs without overloading your digestive system.”
“If your appetite is reduced due to GLP-1 medications like Ozempic, focus on smaller portions of nutrient-dense foods,” a doctor advised. (iStock)
Reierson agreed that lean protein and veggies should be the main components of the meal. “Turkey, roasted vegetables and salads are great options,” she said.
It’s wise to limit high-fat, sugary foods, Reierson added.
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“You can still enjoy these foods in moderation, but keep the portion sizes small to minimize any gastrointestinal discomfort,” she said.
“Also avoid fried foods, as they can be harder to digest and may cause or worsen nausea.”
Look for smart swaps
Osborn recommended incorporating healthier versions of traditional foods whenever possible.
“For example, choose roasted vegetables instead of buttery casseroles or opt for turkey breast without gravy to reduce unnecessary fat,” he suggested.
Experts recommend choosing healthier versions of traditional foods whenever possible. (iStock)
“Remember, fat slows gastric emptying – it’s why you feel full when you eat a fatty meal.”
When taking GLP-1 medications, gastric emptying is already slowed, Osborn noted, which means too much fat ingested in one sitting will cause nausea and potential vomiting.
Opt for smaller portions
The experts recommended doling out smaller portions of favorite dishes.
“You can enjoy traditional Thanksgiving dishes, but in much smaller quantities,” Osborn said. “Focus on a few bites of high-calorie dishes rather than full servings.”
Reierson agreed, adding, “You can still enjoy all the variety and bounty of the meal without overeating.”
“Listen to your body, and don’t feel pressured to eat a whole plate if you’re not hungry.”
Eat mindfully
Overindulging while on GLP-1 medications can lead to nausea or discomfort, Osborn warned.
“Listen to your body, and don’t feel pressured to eat a whole plate if you’re not hungry,” he said. “It’s OK to take small bites, chew slowly and savor the flavors.”
“You can still enjoy all the variety and bounty of the meal without overeating,” an expert said. (iStock)
As these medications will help you feel full sooner, it’s important to pay close attention to your body’s signals, he noted.
“Remember, there is a delay between eating and one’s perception of satiety,” Osborn said. “And this can hit you like a tidal wave if you’re not careful.”
He added, “Stop eating as soon as you feel satisfied, not stuffed.”
Plan for leftovers
If you can’t clear your plate in one sitting, simply pack it up and take it home.
“You can enjoy your favorite holiday dishes over several days, so there is no need to overeat during the meal,” Reierson noted.
Stay hydrated
Hydration is important for everyone, but particularly those on GLP-1 medications.
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Since “GLP-1 medications can slow gastric emptying, dehydration can worsen side effects. Drink water throughout the day and shortly after your meals.”
Don’t skip meals
“Avoid the temptation to skip meals earlier in the day to ‘save up’ for the big meal,” Reierson advised.
“This will often backfire and can lead to overeating and discomfort.”
Keep it simple and polite
If someone comments on your small portion size, Osborn recommended keeping it “simple and polite.”
You shouldn’t feel obligated to explain your medication unless you’re comfortable doing so, doctors said. (iStock)
“You could say, ‘I’m not as hungry today, but everything looks amazing,’ or ‘I’m focusing on smaller portions, as big meals make me feel lousy,’” he suggested.
You shouldn’t feel obligated to explain your medication unless you’re comfortable doing so, the doctor added.
“So many people are on GLP-1 agonists nowadays that it has become more widely accepted.”
Don’t be afraid to communicate openly, Reierson said.
If you can’t clear your plate in one sitting, simply pack it up and take it home, experts advised. (iStock)
“Explain that you are on a medication that affects your appetite,” she said.
“If you are not comfortable sharing, it may work well to simply deflect with positivity that you are focusing on healthier eating habits or you aren’t very hungry.”
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Overall, said Reierson, the important thing is to keep it simple.
“With a bit of mindfulness, you can enjoy Thanksgiving without the side effects.”
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Health
Alzheimer’s prevention breakthrough found in decades-old seizure drug
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A drug that has long been used to treat seizures has shown promise as a potential means of Alzheimer’s prevention, a new study suggests.
The anti-seizure medication, levetiracetam, was first approved by the FDA in November 1999 under the brand name Keppra as a therapy for partial-onset seizures in adults. The approval has since expanded to include children and other types of seizures.
Northwestern University researchers recently found that levetiracetam prevented the formation of toxic amyloid beta peptides, which are small protein fragments in the brain that are commonly seen in Alzheimer’s patients.
The medication was found to prevent the formation of amyloid-beta 42 in both animal models and cultured human neurons, according to the study findings, which were published in Science Translational Medicine.
The effect was also seen in post-mortem human brain tissue obtained from individuals with Down syndrome, who are at high risk for Alzheimer’s disease.
The medication was found to prevent the formation of amyloid-beta 42 in both animal models and cultured human neurons. (iStock)
“While many of the Alzheimer’s drugs currently on the market, such as lecanemab and donanemab, are approved to clear existing amyloid plaques, we’ve identified this mechanism that prevents the production of the amyloid‑beta 42 peptides and amyloid plaques,” said corresponding author Jeffrey Savas, associate professor of behavioral neurology at Northwestern University Feinberg School of Medicine, in a press release.
“Our new results uncovered new biology while also opening doors for new drug targets.”
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The brain is better able to avoid the pathway that produces toxic amyloid‑beta 42 proteins in younger years, but the aging process gradually weakens that ability, Savas noted.
“This is not a statement of disease; this is just a part of aging. But in brains developing Alzheimer’s, too many neurons go astray, and that’s when you get amyloid-beta 42 production,” he said.
The effect was also seen in post-mortem human brain tissue obtained from individuals with Down syndrome, who are at high risk for Alzheimer’s disease. (iStock)
That then leads to tau (“tangles”) — abnormal clumps of protein inside brain neurons — which can kill brain cells, trigger neuroinflammation and lead to dementia.
In order for levetiracetam to function as an Alzheimer’s blocker, high-risk patients would have to start taking it “very, very early,” Savas said — up to 20 years before elevated amyloid-beta 42 levels would be detected.
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“You couldn’t take this when you already have dementia, because the brain has already undergone a number of irreversible changes and a lot of cell death,” the researcher noted.
The researchers also did a deep dive into previous human clinical data to determine whether Alzheimer’s patients who were taking the anti-seizure drug had slower cognitive decline. They reported that the patients in that category had a “significant delay” in the span from cognitive decline to death compared to those not taking the drug.
“This analysis supports the positive effect of levetiracetam to slow the progression of Alzheimer’s pathology,” the researcher said. (iStock)
“Although the magnitude of change was small (on the scale of a few years), this analysis supports the positive effect of levetiracetam to slow the progression of Alzheimer’s pathology,” Savas said.
Looking ahead, the research team aims to find people who have genetic forms of Alzheimer’s to participate in testing, Savas said.
Limitations and caveats
The study had several limitations, including that it relied on animal models and cultured cells, with no human trials conducted.
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Because the study was observational in nature, it can’t prove that the medication caused the prevention of the toxic brain proteins, the researchers acknowledged.
Savas noted that levetiracetam “is not perfect,” cautioning that it breaks down in the body very quickly.
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The team is currently working to create a “better version” that would last longer in the body and “better target the mechanism that prevents the production of the plaques.”
“You couldn’t take this when you already have dementia, because the brain has already undergone a number of irreversible changes and a lot of cell death.”
The medication’s common documented side effects include drowsiness, weakness, dizziness, irritability, headache, loss of appetite and nasal congestion.
It has also been linked to potential mood and behavior changes, including anxiety, depression, agitation and aggression, according to the prescribing information. In rare cases, it could lead to severe allergic reactions, skin reactions, blood disorders and suicidal ideation.
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Funding for the study was provided by the National Institutes of Health and the Cure Alzheimer’s Fund.
Fox News Digital reached out to the drug manufacturer and the researchers for comment.
Health
Seniors over 80 who eat specific diet may be less likely to reach 100 years old
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Older adults who avoid meat in their golden years may be less likely to reach age 100 than their meat-eating counterparts, new research suggests.
Researchers tracked more than 5,000 adults aged 80 or older who were enrolled in the Chinese Longitudinal Healthy Longevity Survey.
Between 1998 and 2018, data showed that those who did not eat meat were less likely to reach their 100th birthday than those who consumed animal products regularly.
The findings seem to contradict previous studies that have linked vegetarianism and plant-based diets to lower risks of heart disease, stroke, diabetes and obesity.
Most evidence supporting the benefits of plant-based diets comes from studies tracking younger populations, the researchers noted.
The findings contrast with previous research praising plant-based diets for their positive influence on heart health. (iStock)
The study, published in The American Journal of Clinical Nutrition, points to losses in muscle mass and bone density with age, shifts that can increase the risk of malnutrition and frailty in the “oldest old.”
As people enter their 80s and 90s, the nutritional priority often shifts from preventing long-term chronic diseases to maintaining day-to-day physical function, experts say.
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“The headline ‘vegetarians over 80 less likely to reach 100’ sounds surprising, because it contrasts with decades of data linking plant‑forward diets to lower chronic disease risk earlier in life,” Erin Palinski-Wade, a New Jersey-based registered dietitian, told Fox News Digital.
“However, once you see that this research is limited to adults over the age of 80 who are also underweight — and that this link disappears with the consumption of eggs, dairy and fish — the results are less surprising.”
While diets earlier in life tend to emphasize avoiding long-term disease, older age necessitates nutrients and weight maintenance, experts say. (iStock)
In those over 80, restricting animal proteins may be less likely to promote longevity, according to Palinski-Wade, who was not involved in the study.
Eliminating all animal protein — particularly in a population that may already experience diminished hunger cues — can make it more difficult to meet adequate protein needs, potentially increasing the risk of nutrient deficiencies, the nutritionist said.
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In addition to a higher tendency to be underweight, older populations also face a greater risk of bone fractures due to lower calcium and protein intake.
Potential limitations
The lower rate of vegetarians reaching 100 was only observed in participants identified as underweight, the researchers noted. No such association was found in people who maintained a healthy weight.
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Because being underweight is already linked to greater frailty and mortality risk, the researchers noted that body weight may partly explain the findings, making it difficult to determine whether diet itself played a direct role.
Those incorporating animal-sourced products other than meat were just as likely to live to 100. (iStock)
Additionally, the shortened lifespans were not found in people who continued to eat non-meat animal products, such as fish, dairy and eggs.
Older adults with these more flexible diets were just as likely to live to 100 as those eating meat, as these foods may provide the nutrients necessary for maintaining muscle and bone health, the researchers noted.
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“This is an observational study, so it can only show associations, and does not prove that avoiding meat directly reduces the odds of reaching 100,” Palinski-Wade added.
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The researchers suggested that including small amounts of animal-sourced foods could help older seniors maintain essential nutrients and avoid the muscle loss often seen in those who stick strictly to plants.
Eliminating all animal protein — particularly in a population that may already experience diminished hunger cues — can make it more difficult to meet adequate protein needs, potentially increasing the risk of nutrient deficiencies. (iStock)
Palinski-Wade offered some guidance for those looking to optimize nutrition later in life.
“For adults in their 80s and beyond, especially anyone losing weight or muscle, the priority should be maintaining a healthy weight and meeting protein and micronutrient needs — even if that means adding or increasing fish, eggs, dairy or well‑planned, fortified plant proteins and supplements.”
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Strict vegan or very low‑protein patterns at that age should be carefully monitored by a dietitian or clinician, with attention to B12, vitamin D, calcium and total protein, according to Palinski-Wade.
“Younger and healthier adults can still confidently use plant‑forward or vegetarian patterns to lower long‑term chronic disease risk,” she added.
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