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
Aging process could accelerate due to ‘forever chemicals’ exposure, study finds
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A new study suggests that middle-aged men may be more vulnerable to faster biological aging, potentially linked to exposure to “forever chemicals.”
The research, published in the journal Frontiers in Aging, examined how perfluoroalkyl and polyfluoroalkyl substances, more commonly known as PFAS, could impact aging at the cellular level.
PFAS are synthetic chemicals commonly used in nonstick cookware, food packaging, water-resistant fabrics and other consumer products, the study noted.
Their chemical structure makes them highly resistant to breaking down, allowing them to accumulate in water, soil and the human body.
Chinese researchers analyzed blood samples from 326 adults enrolled in the U.S. National Health and Nutrition Examination Survey between 1999 and 2000.
A new study suggests that middle-aged men could face accelerated biological aging at the cellular level due to exposure to PFAS. (iStock)
The researchers measured levels of 11 PFAS compounds in participants’ blood and used DNA-based “epigenetic clocks” — tools that analyze chemical changes to DNA to estimate biological age — to determine how quickly their bodies were aging at the cellular level, the study stated.
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Two compounds, perfluorononanoic acid (PFNA) and perfluorooctanesulfonamide (PFOSA), were detected in 95% of participants.
Higher concentrations of those chemicals were associated with faster biological aging in men of certain age groups, but not in women.
“People should not panic.”
The compounds most strongly linked to accelerated aging were not the PFAS chemicals that typically receive the most public attention, the researchers noted.
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“The associations were strongest in adults aged 50 to 64, particularly in men,” Dr. Xiangwei Li, professor at Shanghai Jiao Tong University School of Medicine and the study’s corresponding author, told Fox News Digital.
“While this does not establish that PFAS cause aging, it suggests that these widely present ‘forever chemicals’ may be linked to molecular changes related to long-term health and aging.”
The study found that two of the compounds were detected in 95% of participants, and higher levels were linked to faster biological aging in men ages 50–64. (iStock)
Midlife may represent a more sensitive biological period, when the body becomes more vulnerable to age-related stressors, according to the researchers.
Lifestyle factors, such as smoking, may influence biological aging markers, potentially increasing vulnerability to environmental pollutants.
While Li said “people should not panic,” she does recommend looking for reasonable ways to reduce exposure.
That might mean checking local drinking water reports, using certified water filters designed to reduce PFAS, and limiting the use of stain- or grease-resistant products when alternatives are available.
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Meaningful reductions in PFAS exposure will likely depend on broader regulatory action and environmental cleanup efforts, Li added.
The researchers noted that midlife could be a particularly sensitive stage, when the body is more susceptible to stressors associated with aging. (iStock)
Study limitations
The researchers outlined several important limitations of the research, including that the findings show an association, but do not prove that PFAS directly causes accelerated aging.
“The study is cross-sectional, meaning exposure and aging markers were measured at the same time, so we cannot determine causality,” Li told Fox News Digital.
The study was also relatively small, limited to 326 adults age 50 or older, which means the findings may not apply to younger people or broader populations.
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Researchers measured PFAS levels using data collected between 1999 and 2000, and today’s exposure patterns may differ.
Li added that while PFAS is known to persist in the environment and the body, these results should be validated through larger, more recent studies that follow participants over time.
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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.
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