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The importance of working with a dietitian and obesity specialist when using Ozempic

Introduction

Ozempic® (semaglutide) has transformed the landscape of obesity treatment in New Zealand. Originally developed for type 2 diabetes, it is now widely used under medical supervision for chronic weight management. However, achieving safe and sustainable results with Ozempic requires more than medication alone. Partnering with a dietitian and an obesity specialist is essential for ensuring the best outcomes in both weight loss and overall metabolic health.

Comprehensive and coordinated care

Ozempic helps regulate appetite and blood sugar by mimicking the hormone GLP-1, leading to reduced caloric intake and gradual weight loss. Yet these physiological effects must be supported by structured nutritional and behavioural changes. Working with a dietitian in Dunedin or Otago provides evidence-based dietary strategies tailored to individual needs, medical conditions, and treatment goals.

An obesity specialist oversees the medical aspects of therapy — including dosing, side-effect management, and the integration of pharmacotherapy with lifestyle modification — ensuring a safe, effective, and individualised plan.

Safeguarding nutrition and energy

Because Ozempic can significantly reduce appetite, many patients consume fewer calories than their bodies require. Without guidance, this may lead to insufficient intake of protein, vitamins, and minerals. A registered dietitian can create meal plans that preserve lean muscle mass, support adequate hydration, and maintain energy levels while still promoting weight reduction.

Managing side effects and tolerability

Mild gastrointestinal symptoms such as nausea or constipation are common during dose escalation. Dietitians can recommend practical adjustments to meal size, composition, and timing to minimise discomfort. If symptoms persist, the obesity specialist can review medication dosing or titration schedules to optimise tolerability and adherence.

Preserving muscle and metabolic health

Unsupervised or rapid weight loss increases the risk of muscle loss, which can slow metabolism and hinder long-term success. Coordinated care between the dietitian and obesity specialist ensures adequate protein intake, progressive physical activity, and metabolic monitoring to maintain lean tissue and functional strength.

Supporting behavioural change

Long-term weight management extends beyond pharmacology. Emotional, social, and behavioural factors often influence eating patterns and motivation. A multidisciplinary approach provides accountability, coaching, and psychological support — helping patients sustain lifestyle changes that align with their health goals.

Planning for maintenance and life after Ozempic

Weight maintenance after discontinuing Ozempic requires deliberate planning. A combined care team helps transition patients to a sustainable nutrition and activity framework that stabilises weight and supports ongoing metabolic wellbeing. This continuity of care is vital to preventing relapse and promoting lifelong results.

Conclusion

Ozempic is a valuable tool in evidence-based obesity management, but lasting success depends on expert support. Partnering with a dietitian and obesity specialist ensures that treatment is safe, personalised, and sustainable. For patients in Dunedin and across Otago, comprehensive guidance offers the best opportunity to achieve meaningful, long-term improvements in health and quality of life.

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