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.”
Health
Brain Health Challenge: Workouts to Strengthen Your Brain
Today, you’re going to do perhaps the single best thing for your brain.
When I asked neurologists about their top behaviors for brain health, they all stressed the importance of physical activity.
“Exercise is top, No. 1, when we’re thinking about the biggest bang for your buck,” said Dr. Gregg Day, a neurologist at the Mayo Clinic.
Numerous studies have shown that people who exercise regularly tend to perform better on attention, memory and executive functioning tests. There can be a small cognitive boost immediately after a workout, and the effects are sustained if people exercise consistently. And while staying active can’t guarantee you won’t develop dementia, over the long term, it is associated with a lower risk of it.
Researchers think that moving your muscles benefits your brain in part because of special signaling molecules called exerkines. During and after a workout, your muscles, fat and other organs release these molecules into the bloodstream, some of which make their way up to the brain. There, those exerkines go to work, helping to facilitate the growth of new connections between neurons, the repair of brain cells and, possibly, the birth of new neurons.
Exercise also appears to improve blood flow in the brain. That ramps up the delivery of good things to brain cells, like oxygen, glucose and those amazing exerkines. And it helps remove more bad things, namely toxic proteins, like amyloid, that can build up and damage brain cells, increasing the risk for Alzheimer’s.
All of the changes brought on by exercise are “essentially allowing your brain to age more slowly than if you’re physically inactive,” said Kirk Erickson, the chair of neuroscience at the AdventHealth Research Institute.
The benefits are particularly pronounced in the hippocampus, a region critical for learning and memory. In older adults, the hippocampus shrinks 1 to 2 percent a year, and it is one of the main areas affected by Alzheimer’s. Researchers think physical activity helps to offset some of that loss.
The best exercise you can do for your brain is the one you’ll do consistently, so find something that you enjoy and that fits easily into your life.
Walking is one option; two neurologists I spoke to said they got their exercise in by walking at least part of the way to their offices. Recent research suggests that just a few thousand steps a day can reduce the risk of dementia. It’s important to get your heart rate up, though, so “walk as though you’re trying to get somewhere on time,” said Dr. Linda Selwa, a clinical professor of neurology at the University of Michigan Medical School.
Or you could try swimming, cycling, Pilates, weight lifting, yoga, pickleball, dancing, gardening — any type of physical exertion can be beneficial.
If the thought of working out feels like a drag, try pairing it with something else you enjoy doing, like listening to an audiobook. This is a trick that Katherine Milkman, a professor who studies habits at The Wharton School of the University of Pennsylvania, calls “temptation bundling.”
For Day 3, we’re asking you to spend at least 20 minutes exercising for your brain. Go for a walk with your accountability partner if they’re nearby. (If not, call them and do a walk-and-talk.) Or let us find you a new workout to try, using the tool below. As usual, we can all meet in the comments to catch up and check in.
Health
Little-known prescription pill is helping Americans drink less alcohol
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Recent studies continue to support a decades-old drug as an alternative means of reducing alcohol consumption.
The prescription opioid pill, called naltrexone, was first approved by the FDA to treat opioid dependence in 1984. A decade later, it was approved for alcohol use disorder.
In addition to the daily pill version, naltrexone is also available as a monthly injectable therapy, which was approved for alcohol use disorder in 2006 and opioid use disorder in 2010.
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How it works
Naltrexone works by blocking opioid receptors in the brain. For those dependent on opioids, it blocks the “euphoric” effects of the drugs and also curbs cravings for alcohol, according to experts.
The prescription opioid pill, called naltrexone, was first approved by the FDA to treat opioid dependence in 1984. A decade later, it was approved for alcohol use disorder. (iStock)
“Naltrexone can be used to assist with reducing alcohol cravings and reduce the pleasurable effects from alcohol ingestion, which can help those prone to binge-drinking to consume less volume,” Dr. David Campbell, clinical director and program director at Recover Together, a behavioral health and addiction treatment facility in Bend, Oregon, told Fox News Digital.
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The medication is useful for people who experience strong cravings, often drink to excess once they start, or drink primarily due to reward or relief as opposed to habit, according to Campbell.
“Naltrexone affects the rewards center of the brain, which blocks the rewarding effects of alcohol.”
Jessica Steinman, chief clinical officer at No Matter What Recovery in Los Angeles, calls naltrexone “an incredibly helpful and life-saving tool” for people who struggle with alcohol use disorder.
“Currently, in our society, many people are looking to get medication-assisted help from overconsumption of certain things or behaviors, including food, cigarettes and now alcohol,” she told Fox News Digital.
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“Naltrexone affects the rewards center of the brain, which blocks the rewarding effects of alcohol and cravings to be minimized. It can assist in telling the brain that alcohol isn’t wanted.”
The drug can also help if someone has a “healthy” relationship with alcohol and is looking to cut back on their drinking behaviors, Steinman added.
“We do not suggest moderation in any way for people struggling with alcohol use disorder or any type of dependence to alcohol or other substances,” she noted. “We do not believe drinking ‘less’ is a solution.”
Side effects
Common side effects of naltrexone can include nausea and vomiting, headache, sleep disturbances, dizziness, fatigue, anxiety, loss of appetite, and joint or muscle pain, according to the Substance Abuse and Mental Health Services Administration (SAMHSA).
These effects are generally mild and may improve as the body adjusts to the medication.
The medication is useful for people who experience strong cravings, often drink to excess once they start, or drink primarily due to reward or relief as opposed to habit. (iStock)
In rare cases, patients may experience more severe effects, such as liver issues, allergic reactions, trouble breathing and mental health effects.
“The most important thing when taking naltrexone for alcohol use is to ensure that there is no concurrent use of opioids, as taking naltrexone when using opioids can induce precipitated withdrawal, a very uncomfortable event,” Campbell cautioned.
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More than 50% of U.S. adults drink alcohol, about 17% are classified as binge-drinkers and about 6% drink heavily, according to CDC data.
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Each year, around 178,000 deaths in the country are linked to excessive alcohol use.
“Heavy alcohol consumption and binge-drinking can lead to many health problems and make chronic health conditions worse, so reducing alcohol intake can really improve health,” Donita Robinson, Ph.D., an associate professor of psychiatry at the UNC School of Medicine in North Carolina, told Fox News Digital.
More than 50% of U.S. adults drink alcohol, about 17% are classified as binge-drinkers and about 6% drink heavily. (iStock)
“Naltrexone helps many people reduce their drinking – it’s an effective medication to reduce alcohol craving and heavy drinking, and it works best in combination with counseling or other therapy.”
Robinson reiterated that people who are on opioid medications, including some painkillers, shouldn’t take naltrexone, as it can block their effectiveness and cause opioid withdrawal.
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Naltrexone is available with a prescription from a licensed healthcare provider, such as a primary care doctor, addiction medicine specialist or psychiatrist.
Health officials warn against purchasing the drug online or without a prescription, as it may be counterfeit and unsafe.
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Those interested in exploring whether naltrexone is an option for them should see a doctor, who can assess the safety of the drug based on the patient’s medical status and history.
They should also “make sure they have their goals and intentions in line before using a medication like this,” according to Steinman.
Health
Brain Health Challenge: Try the MIND Diet
Welcome to Day 2 of the Brain Health Challenge. Today, we’re talking about food.
Your brain is an energy hog. Despite comprising about 2 percent of the average person’s body mass, it consumes roughly 20 percent of the body’s energy. In other words, what you use to fuel yourself matters for brain health.
So what foods are best for your brain?
In a nine-year study of nearly 1,000 older adults, researchers at Rush University in Chicago found that people who ate more of nine particular types of food — berries, leafy greens, other vegetables, whole grains, beans, nuts, fish, poultry and olive oil — and who ate less red meat, butter and margarine, cheese, sweet treats and fried food had slower cognitive decline.
Based on these findings, the researchers developed the MIND diet.
Large studies encompassing thousands of people have since shown that following the MIND diet corresponds with better cognitive functioning, a lower risk of dementia and slower disease progression in people with Alzheimer’s. People benefit from the diet regardless of whether they start it in midlife or late life.
Experts think the foods included in the MIND diet are especially good for the brain because they contain certain macro and micronutrients.
Berries and leafy greens, for example, are rich in polyphenols and other antioxidants, said Jennifer Ventrelle, a dietitian at Rush and a co-author of “The Official Mind Diet.” Many of these compounds can cross the blood-brain barrier and help to fight inflammation and oxidative stress, both of which can damage cells and are linked to dementia.
Nuts and fatty fishes, like salmon and sardines, contain omega-3 fatty acids, which are important for building the insulating sheaths that surround the nerve fibers that carry information from one brain cell to another.
Whole grains and beans both contain a hefty dose of fiber, which feeds the good microbes in the gut. Those microbes produce byproducts called short-chain fatty acids that experts think can influence brain health via the gut-brain axis.
You don’t have to revamp your whole diet to get these nutrients. Instead, think about “MIND-ifying” whatever you already tend to eat, said Dr. Joel Salinas, a neurologist at NYU Langone Health and the founder and chief medical officer of the telehealth platform Isaac Health. For instance, add a handful of nuts or berries to your breakfast.
Today’s activity will help you MIND-ify your own meals. Share your choices with your accountability partner and in the comments, and I’ll discuss the ways I’m adjusting my diet, too. For added inspiration, check out these MIND-approved recipes from New York Times Cooking.
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