Eating on GLP-1 Medication

These drugs solve the intake problem and create a nutrition one: a fraction of the appetite, a stomach that empties slowly, and every mouthful having to earn its place. This section covers what to eat, what your appetite and digestion will actually do, how to keep muscle while the weight comes off, and how the individual medicines differ.

The guides

The medicines at a glance

Status is as at the review date below and changes frequently. The comparison guide gives each one a section: what the trials found, how appetite and digestion behave on it, and what it changes about how you eat.

MedicineWhat it acts onHow it is takenStatus
SemaglutideWegovy, Ozempic, RybelsusGLP-1 receptor agonistWeekly injection, or a daily tabletLicensed in the UK
TirzepatideMounjaro, ZepboundDual GIP and GLP-1 receptor agonistWeekly injectionLicensed in the UK
LiraglutideSaxenda, VictozaGLP-1 receptor agonistDaily injectionLicensed in the UK
DulaglutideTrulicityGLP-1 receptor agonistWeekly injectionLicensed in the UK
ExenatideByetta, BydureonGLP-1 receptor agonist (the original one)Twice-daily or weekly injectionDiscontinued in the UK
OrforglipronFoundayoNon-peptide GLP-1 receptor agonist (a small molecule, not an injectable peptide)Daily tabletLicensed elsewhere, not yet routine in the UK
Cagrilintide with semaglutide (CagriSema)Amylin analogue combined with a GLP-1 receptor agonistWeekly injectionNot approved anywhere
RetatrutideTriple GIP, GLP-1 and glucagon receptor agonistWeekly injectionNot approved anywhere

Frequently asked questions

What should I eat on a GLP-1 like Ozempic or Mounjaro?
Protein first at every meal, small meals more often, less fat per sitting, and fibre and fluid on purpose rather than by accident. The drug handles the calorie restriction; your job is making sure the little you eat carries enough protein, fibre and fluid.
What changes should I expect in my appetite and digestion?
Appetite drops sharply, you feel full after a few bites, and gastrointestinal effects are common early on: nausea above all, plus constipation, diarrhoea, reflux and burping. They cluster around starting the drug and each dose increase, and mostly settle over the following weeks.
How do I avoid losing muscle on a GLP-1?
Eat roughly 1.2 to 1.6 g of protein per kg of body weight a day and lift weights two to three times a week. Body-composition substudies put lean tissue at roughly a quarter to two-fifths of the weight lost, which is what large fast weight loss does generally rather than something these drugs do uniquely.
Does the advice change depending on which GLP-1 I take?
The principles do not. What differs is the rhythm (a weekly injection concentrates side effects into the days after the dose), the size of the weight loss, and one practical exception: oral semaglutide must be taken on an empty stomach with nothing to eat or drink for at least 30 minutes afterwards.
Is this medical advice?
No. It is food guidance for people already prescribed these medicines. Nothing here covers doses, escalation or where to obtain anything, and symptoms like persistent vomiting or severe stomach pain are for your prescriber the same day, not for a diet change.

Elsewhere on the site

Written and reviewed by Mathew Beale, MSc Biotechnology, University of Reading.

Last reviewed: