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Nutrition remains critical, with emphasis on protein intake to preserve muscle mass, adequate hydration, balanced diet rich in whole foods, and appropriate caloric intake to support healthy weight loss

Potential long-term risks include pancreatitis, gallbladder disease, lean muscle mass loss, and early worsening of diabetic retinopathy with rapid glycaemic improvement

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The expected benefits on heart disease, stroke and other cardiovascular and most kidney diseases are clearly seen

Key Takeaways Protein is the priority 2535 g per meal, 80160 g daily depending on body weight Hydration is non-negotiable 2.53 litres of fluid daily, even without thirst 45 small meals work better than 3 large ones on Ozempics slowed gastric emptying Avoid fried, ultra-processed, fizzy, and alcoholic items these worsen every common side effect Resistance training from week one protects against muscle loss and metabolic slowdown Fibre (2535 g) prevents constipation build up gradually with adequate water The medication does part of the work diet and lifestyle determine the rest References Wilding JPH, et al